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Late onset systemic lupus erythematosus with severe hypercalcaemia.
Zhang, B; Yu, X; Mao, H; Xing, C; Liu, J.
Afiliação
  • Zhang B; Department of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
West Indian Med J ; 62(1): 92-4, 2013 Jan.
Article em En | MEDLINE | ID: mdl-24171337
We report a case of a 76-year old female presenting with symptomatic severe hypercalcaemia, and subsequently diagnosed with late onset SLE due to the presence of anaemia, leucopenia, antibodies of antinuclear (ANA), anti-dsDNA, and also kidney impairment. Serum levels of FGF23 and intact-parathyroid hormone (iPTH) were low in this patient. Serum calcium, FGF23 and iPTH levels responded to steroids, which occurred simultaneously with disease activity. On follow-up, the faster increase in FGF23 than in parathyroid hormone suggested that FGF23 might be involved in the pathogenesis of hypercalcaemia in SLE.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Corticosteroides / Hipercalcemia / Lúpus Eritematoso Sistêmico Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Aged / Female / Humans Idioma: En Revista: West Indian Med J Ano de publicação: 2013 Tipo de documento: Article País de afiliação: China País de publicação: Jamaica
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Corticosteroides / Hipercalcemia / Lúpus Eritematoso Sistêmico Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Aged / Female / Humans Idioma: En Revista: West Indian Med J Ano de publicação: 2013 Tipo de documento: Article País de afiliação: China País de publicação: Jamaica