Y. Rikitake et al., SARCOIDOSIS WITH HYPERCALCEMIA - SUCCESSFUL TREATMENT OF RENAL-INSUFFICIENCY AND RENAL CALCIFICATION WITH PREDNISOLONE, Internal medicine, 33(4), 1994, pp. 222-225
A case of muscular sarcoidosis accompanied by severe hypercalcemia (se
rum calcium 15.5 mg/dl), renal insufficiency and renal calcification i
s reported. Sarcoid granulomas were found in the biopsy specimens of t
he lung and the muscle. The administration of prednisolone effectively
improved not only muscle weakness but also hypercalcemia, renal insuf
ficiency and renal calcification. This is a rare case of sarcoidosis i
n which renal calcification remitted after treatment with prednisolone
. It is thus suggested that prednisolone treatment should be considere
d not only for hypercalcemia, but also for renal insufficiency caused
by renal calcification in patients with sarcoidosis.