A CASE OF SARCOIDOSIS WITH HEART FAILURE, HYPERCALCEMIA AND URINARY CALCULUS
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概要
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A fifty-year-old man was admitted to the hospital because of nocturnal dyspnea. Physical examination showed moist rales, an enlarged liver and edema in lower extremities. X-ray films of the chest revealed lung edema, cardiomegaly and bilateral hilar lymphadenopathy. An electrocardiogram showed right bundle branch block and multiple ventricular premature beats. An echocardiogram and a left ventriculography disclosed decreased ejection fraction and cardiac output. The serum calcium level, angiotensin converting enzyme and serum 1, 25 dihydroxyvitamin D were elevated. An ultra-sound examination and a urogram revealed renal and ureteral calculus. The diagnosis was made on the evidence of epiteloid cell granulomas and giant cells in the biopsy specimen of the lung. Although the sarcoidosis has been known to be associated with hypercalcemia and urinary calculus, this association has been reported only in eight cases in Japan.
- 北関東医学会の論文
北関東医学会 | 論文
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