Vitamin D-Mediated Hypercalcemia as the Initial Manifestation of Pulmonary Cryptococcosis in an HIV-uninfected Patient
スポンサーリンク
概要
- 論文の詳細を見る
Hypercalcemia has been described in variety of granulomatous diseases and fungal infections. However, hypercalcemia in pulmonary cryptococcosis is rarely disclosed. We report a 57-year-old HIV-uninfected woman with diabetes, who initially presented with altered mental status, severe hypercalcemia with increased serum 1,25-dihydroxyvitamin D [1,25(OH)2D] concentration and suppressed parathyroid hormone. Pulmonary cryptococcosis was diagnosed as the cause of hypercalcemia. Successful treatment resulted in the resolution of hypercalcemia and decrease of the serum 1,25(OH)2D concentration to within the normal range. In summary, although HIV infection is a major risk factor for cryptococcosis, vitamin D-mediated hypercalcemia could be the initial presentation of pulmonary cryptococcosis in HIV-negative patients.
著者
-
HWANG Shang-Jyh
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaoh
-
CHEN Hung-Chun
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaoh
-
HWANG Daw-Yang
Division of Nephrology Department of Internal Medicine, Kaohsiung Medical University Hospital and Kaohsiung Medical University
-
Kuo Mei-Chuan
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Taiwan
-
Huang Jiun-Chi
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Taiwan
-
Hwang Shang-Jyh
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Taiwan
関連論文
- A Systolic Parameter Defined as the Ratio of Brachial Pre-Ejection Period to Brachial Ejection Time Predicts Cardiovascular Events in Patients With Chronic Kidney Disease
- A new systolic parameter defined as the ratio of brachial pre-ejection period to brachial ejection time predicts overall and cardiovascular mortality in hemodialysis patients
- A Systolic Parameter Defined as the Ratio of Brachial Pre-Ejection Period to Brachial Ejection Time Predicts Cardiovascular Events in Patients With Chronic Kidney Disease
- Impaired left ventricular systolic function and increased brachial-ankle pulse-wave velocity are independently associated with rapid renal function progression
- Chronic kidney disease prevention-a challenge for Asian countries : report of the Third Asian Forum of Chronic Kidney Disease Initiatives
- Vitamin D-Mediated Hypercalcemia as the Initial Manifestation of Pulmonary Cryptococcosis in an HIV-uninfected Patient
- An unusual presentation of Carney complex with diffuse primary pigmented nodular adrenocortical disease on one adrenal gland and a nonpigmented adrenocortical adenoma and focal primary pigmented nodular adrenocortical disease on the other