- 期刊
- OpenAccess
Pseudohypercalcemia due to Hyperlipidemia - A Case Report
摘要
Hypercalcemia is a disorder most commonly due to primary hyperparathyroidism or malignancy. However, hypercalcemia is occasionally detected incidentally in patients with no obvious symptoms or illness. Herein, we report a case of artifactual hypercalcemia (i.e., serum calcium measured by the spectrophotometric method) with hyperlipidemia. Here we report a 42-year-old man of diabetes mellitus and chronic hypertriglyceridemia for three years. He had no obvious symptoms or illness related to hypercalcemia. Laboratory findings showed serum total calcium as 11.2 mg/dL, triglyceride as 7014 mg/dL, and free serum calcium as 4.4 mg/dL. After seven weeks of lipid lowering therapy with feno-fibrate 200 mg once daily, serum triglyceride level decreased to 851 mg/dL, and serum total calcium concentration also returned to 9.5 mg/dL. We may suggest that patients with hyperlipidemia are noted to have hypercalcemia, ionized calcium measurement is important and useful for further confirmation.
延伸閱讀
- Chiou, S. K., & Lin, S. H. (2006). Case 1: A Recurrent Hypercalcemia. Acta Nephrologica, 20(3), 198-199. https://www.airitilibrary.com/Article/Detail?DocID=10131671-200607-20-3-198-199-a
- Hung, H. C., Ou, H. Y., Huang, J. S., Chuang, M. C., & Wu, T. J. (2008). Tumor-Associated Hypercalcemia in a Patient with Paget's Disease. The Kaohsiung Journal of Medical Sciences, 24(3), 152-156. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200803-24-3-152-156-a
- Lin, C. K., Lai, K. H., Pan, H. B., Mok, K. T., & Tseng, H. H. (1994). Mesenteric Cystic Lymphangioma: Report of a Case. 中華民國消化系醫學會雜誌, 11(1), 27-31. https://doi.org/10.6557/GJTa.199403_11(1).0004
- Lui, K. W., Ng, S. H., Wan, Y. L., Yeow, C. M., & Tsai, C. C. (1996). Malignant Hemangiopericytoma: A Case Report. 中華放射線醫學雜誌, 21(1), 61-64. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199602-21-1-61-64-a
- See, T. T., & Lee, S. P. (2008). Treatment of Very Severe Hypertriglyceridemia: A Case Report. 內科學誌, 19(2), 164-169. https://doi.org/10.6314/JIMT.2008.19(2).10