THE SYMPTOMS OF HYPERCALCEMIA ASSOCIATED WITH SARCOIDOSIS MASQUERADING AS PEPTIC ULCER
Authors: Anthony J. Richtsmeier
Journal: Annals of Internal Medicine (1959)

Case Reports1 December 1959THE SYMPTOMS OF HYPERCALCEMIA ASSOCIATED WITH SARCOIDOSIS MASQUERADING AS PEPTIC ULCERANTHONY J. RICHTSMEIER, M.D., F.A.C.P.ANTHONY J. RICHTSMEIER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-6-1371 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHypercalcemia occurs in sarcoidosis with sufficient frequency to merit special consideration.1 Likewise, the gastrointestinal symptom complex of hypercalcemia has received attention in recent years.2, 3 Gastrointestinal symptoms as a primary presenting symptom of hypercalcemia of sarcoidosis have been mentioned only infrequently in many of the articles reviewed. Failure to recognize this important diagnostic clue may lead to erroneous interpretation, causing exaggeration of symptoms, as noted in the patient here reported.Hypercalcemia, when discovered, usually leads the clinician first to consider primary hyperparathyroidism, hypervitaminosis D, metastatic malignancy and multiple myeloma.4Less common causes include the "milk alkali syndrome of Burnett," Paget's...Bibliography1. HennemanDempseyCarrollAlbright PHEFELF: The cause of hypercalciuria in sarcoid and its treatment with cortisone and sodium phytate, J. Clin. Investigation 35: 1229, 1956. CrossrefMedlineGoogle Scholar2. WengerKirsnerPalmer JJBWL: The milk-alkali syndrome, Editorial, Am. J. Med. 24: 161, 1958. CrossrefMedlineGoogle Scholar3. St. Goar WT: Gastrointestinal symptoms as a clue to the diagnosis of primary hyperparathyroidism: a review of 45 cases, Ann. Int. Med. 46: 102, 1957. LinkGoogle Scholar4. Combined Staff Clinic: Bone and metabolic disease of bone, Am. J. 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McSwineyMills RRIH: Hypercalcemia due to sarcoidosis: treatment with cortisone, Lancet 2: 862, 1956. CrossrefGoogle Scholar18. ConnorHopkinsThomasCaryHoward TBTRWCRAJE: The use of cortisone and ACTH in hypercalcemic states, abstracts of papers presented at the thirty-eighth annual meeting of the Endocrine Society, J. Clin. Endocrinol. and Metabolism, Abstract 75, 16: 945, 1956. Google Scholar19. VernerEngelMcPherson JVFLHT: Vitamin D intoxication: report of two cases treated with cortisone, Ann. Int. Med. 48: 765, 1958. LinkGoogle Scholar20. StoneSchwartzFeltmanLovelock DJAJAFJ: Pulmonary function in sarcoidosis, Am. J. Med. 15: 468, 1953. CrossrefMedlineGoogle Scholar21. LovelockStone FJDJ: The therapy of sarcoidosis, Am. J. Med. 15: 477, 1953. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 15, 1958.Requests for reprints should be addressed to Anthony J. Richtsmeier, M.D., 110 East Main Street, Madison 3, Wisconsin. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPrimary hyperparathyroidismCalculus disease in the upper urinary tractSarkoidoseCase 33-1963The diagnostic spectrum of hypercalcemiaHyperparathyroidism, Parathyroid “Adenomas,” and Peptic Ulcer 1 December 1959Volume 51, Issue 6Page: 1371-1378KeywordsCalciumDuodenal ulcersHypercalcemiaHypertensionIngestionIntoxicationNauseaPeptic ulcersSarcoidosisUlcers ePublished: 1 December 2008 Issue Published: 1 December 1959 PDF downloadLoading ...