Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Renal Failure Found during the Follow-up of Sarcoidosis: The Relevance of a Delay in the Diagnosis of Concurrent Hypercalcemia
Erika HishidaTakahiro MasudaTetsu AkimotoRyuta SatoNatsuko WakabayashiAtsushi MikiNaoko OtaniToshimi ImaiTaro SugaseShin-ichi TakedaShigeaki MutoDaisuke Nagata
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JOURNAL OPEN ACCESS

2016 Volume 55 Issue 14 Pages 1893-1898

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Abstract

We herein present a case of relapsed sarcoidosis with a deteriorated renal function accompanied by hypercalcemia, nephrolithiasis, and a ureteral stone in a woman with a history of ocular sarcoidosis. The ocular involvement appeared to be well controlled for a long period of time with a topical ophthalmic steroid; however, we believe that the absence of apparent recrudescence could have led to the delay in our diagnosis of relapse of the disease during the follow-up period. The conundrums regarding longitudinal surveillance for both evaluating the disease activity and determining the necessity of therapeutics are also discussed.

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© 2016 by The Japanese Society of Internal Medicine
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