Korean J Med.  2017 Jun;92(3):300-302. 10.3904/kjm.2017.92.3.300.

Hypercalcemia in a Patient with Systemic Lupus Erythematosus

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sayoon@catholic.ac.kr

Abstract

Hypercalcemia is a common clinical problem. The most frequent causes of hypercalcemia include primary hyperparathyroidism and malignancy; systemic lupus erythematosus (SLE) is a very rare cause of hypercalcemia. Here we describe a case of symptomatic severe hypercalcemia, which developed during a lupus flare. After treatment with intravenous fluids, diuretics, pamidronate, and hemodialysis, calcium levels normalized and were maintained on low-dose prednisolone treatment. To the best of our knowledge, this is the first case of hypercalcemia in a patient with SLE in Korea. Clinicians should consider lupus as a differential diagnosis for patients with severe hypercalcemia.

Keyword

Hypercalcemia; Lupus erythematosus, Systemic; Parathyroid hormone-related protein

MeSH Terms

Calcium
Diagnosis, Differential
Diuretics
Humans
Hypercalcemia*
Hyperparathyroidism, Primary
Korea
Lupus Erythematosus, Systemic*
Parathyroid Hormone-Related Protein
Prednisolone
Renal Dialysis
Calcium
Diuretics
Parathyroid Hormone-Related Protein
Prednisolone
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