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KMID : 0882420170920030300
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Korean Journal of Medicine
2017 Volume.92 No. 3 p.300 ~ p.302
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Hypercalcemia in a Patient with Systemic Lupus Erythematosus
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Lee Jung-Min
Kwack Dae-Hun
Yoon Chong-Hyeon
Choi Bo-Mi
Kim Young-Ok
Yoon Sun-Ae
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Abstract
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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.
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KEYWORD
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Hypercalcemia, Lupus erythematosus, Systemic, Parathyroid hormone-related protein
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