Sarcoid-like granulomatous myositis-associated hypercalcemia. An infrequent case to consider

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dc.contributor.authorUslar N., Thomas
dc.contributor.authorOlmos Borzone, Roberto Ignacio
dc.contributor.authorGodoy Santín, Jaime
dc.contributor.authorMellado T., Patricio
dc.contributor.authorGonzález Vicente, Gilberto
dc.date.accessioned2023-06-30T20:48:40Z
dc.date.available2023-06-30T20:48:40Z
dc.date.issued2021
dc.description.abstractPTH-independent hypercalcemia due to granulomatous disease is well-documented and sarcoidosis is the most characteristic disease, although there are others. We describe a case of sarcoid-like granulomatous myositis. An 87-year-old man was referred with tetraparesis and hypercalcemia (albumin-corrected calcium of 13.4 mg/dl) following a trip to the Caribbean. The evaluation showed a suppressed PTH, 25-hydroxy vitamin D of 7.5 ng/ml, 18F-FDG PET/CT showed markedly increased uptake in intercostal, back, shoulder, buttock and thigh muscles and a deltoid biopsy confirmed extensive granulomatous myositis. He was prescribed glucocorticoids which resulted in normalized plasma calcium levels and complete recovery from tetraparesis. Sarcoid-like granulomatous myositis should be incorporated into the differential diagnosis of PTH-independent hypercalcemia, especially in the absence of clinical features of sarcoidosis and with special emphasis on the use of 18F-FDG PET/CT to ensure a correct approach.
dc.fechaingreso.objetodigital2023-06-15
dc.format.extent5 páginas
dc.fuente.origenORCID
dc.identifier.issn1669-9106
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/34137710/
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-85108741398&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74033
dc.information.autorucEscuela de Medicina ; Uslar N., Thomas ; 0000-0001-7213-855X ; 187161
dc.information.autorucEscuela de Medicina ; Olmos Borzone, Roberto Ignacio ; S/I ; 163754
dc.information.autorucEscuela de Medicina ; Godoy Santín, Jaime ; S/I ; 172143
dc.information.autorucEscuela de Medicina ; Mellado T., Patricio ; S/I ; 3552
dc.information.autorucEscuela de Medicina ; González Vicente, Gilberto ; S/I ; 100244
dc.issue.numero3
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final466
dc.pagina.inicio462
dc.revistaMedicina(Buenos Aires)
dc.rightsacceso abierto
dc.subjectHypercalcemia
dc.subjectSarcoid-like granulomatous myositis
dc.subjectGranulomatous disease
dc.titleSarcoid-like granulomatous myositis-associated hypercalcemia. An infrequent case to consider
dc.title.alternativeHipercalcemia asociada a miositis granulomatosa sarcoidea simil- sarcoidea. Un caso infrecuente a considerar
dc.typeartículo
dc.volumen81
sipa.codpersvinculados187161
sipa.codpersvinculados163754
sipa.codpersvinculados172143
sipa.codpersvinculados3552
sipa.codpersvinculados100244
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