A Rare Cause of Hypercalcemia: Asymptomatic Isolated Hepatic Sarcoidosis

F. Acehan, Güler İnönü
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Abstract

A sixty-five-year-old female patient applied to our clinic with complaint of asthenia existing for one year. Hypercalcemia, elevation of cholestatic enzymes and angiotensin-converting enzyme level were detected in the laboratory values. The histopathological examination in the liver biopsy was reported as consistent with granulomatous reaction not involving caseous necrosis, sarcoidosis’ involvement of liver. Any findings of pulmonary involvement were not discovered in the bronchoscopic examination and biopsy. Steroid treatment was started with the diagnosis of isolated hepatic sarcoidosis. We deemed it worthy of presenting as it is a rare case.
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高钙血症的罕见病因:无症状孤立性肝结节病
一位六十五岁的女性患者,以身体虚弱为主诉,已有一年。高钙血症、胆固醇抑制酶和血管紧张素转换酶水平升高均检测到实验室值。肝活检病理检查结果与肉芽肿反应一致,未见干酪样坏死、结节病累及肝脏。在支气管镜检查和活检中未发现任何肺部受累的发现。诊断为孤立性肝结节病后开始类固醇治疗。我们认为这是一个罕见的病例,值得提出。
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