Hypercalcemic encephalopathy as the presenting manifestation of sarcoidosis

Laboratory evaluation revealed Serum creatinine - 1.8 mg/dl, Blood Urea -69 mg/dl, HBA1C - 5.6%, random blood sugar 96 mg/dl, erythrocyte sedimentation rate 48 mm/1 hr. Hemogram, serumelectrolytes, liver function tests, thyroid profile, serum ammonia, arterial blood gas analysis were within normal l...

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Published inIndian journal of endocrinology and metabolism Vol. 23; no. 3; pp. 384 - 385
Main Authors Kumar Prusty, B, Ramineni, Kiran, Mohan Reddy, G, Jakkani, Ravi, Chakrahari, Ugandhar
Format Journal Article
LanguageEnglish
Published Pradesh Wolters Kluwer India Pvt. Ltd 01.05.2019
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Abdomen
Coma
Encephalopathy
Enzymes
Fever
Hypercalcemia
Laboratories
Letters to the Editor
NMR
Nuclear magnetic resonance
Sarcoidosis
Skin
Weight loss
Women's health
Zoledronic acid
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Summary:Laboratory evaluation revealed Serum creatinine - 1.8 mg/dl, Blood Urea -69 mg/dl, HBA1C - 5.6%, random blood sugar 96 mg/dl, erythrocyte sedimentation rate 48 mm/1 hr. Hemogram, serumelectrolytes, liver function tests, thyroid profile, serum ammonia, arterial blood gas analysis were within normal limits. Fiber optic bronchoscopy revealed widened carina, granular mucosa in bilateral tracheobronchial tree (cobblestone appearance) [Figure 2]a. Broncho alveolar lavage was negative for Acid Fast Bacilli, GeneXpert for mycobacteria was negative and culture was sterile.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2230-8210
2230-9500
DOI:10.4103/ijem.IJEM_206_19