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Published on: September 5, 2017
Hypercalcemia in active pulmonary tuberculosis.
S A Al-Majed1, R Sulimani, F Al-Kassimi
1Division of Respiratory Medicine, Division of Endocrinology, and Division of Nephrology, King Khalid University Hospital, and Sahary Chest Hospital, Riyadh, Saudi Arabia.
Hypercalcemia affects over a quarter of active pulmonary tuberculosis patients, often mild and resolving with treatment. Vitamin D likely does not cause this condition in tuberculosis cases.
Area of Science:
- Pulmonology
- Endocrinology
- Infectious Diseases
Background:
- Active pulmonary tuberculosis is a global health concern.
- Hypercalcemia is a known, though infrequent, complication of various granulomatous diseases.
- The role of vitamin D in tuberculosis-associated hypercalcemia remains debated.
Purpose of the Study:
- To determine the prevalence of hypercalcemia in patients with active pulmonary tuberculosis.
- To investigate the characteristics and potential causes of hypercalcemia in this population.
Main Methods:
- Retrospective review of 241 patients with active pulmonary tuberculosis.
- Serum calcium levels were analyzed at presentation and during antituberculous therapy.
- Patient data, including age, radiological findings, and vitamin D status, were assessed.
Main Results:
- Hypercalcemia was detected in 62 (26%) patients.
- Most cases showed mild hypercalcemia, typically resolving spontaneously with chemotherapy.
- Hypercalcemia was more frequent in patients over 50 years old.
- Vitamin D deficiency prevalence in Saudi Arabia did not correlate with hypercalcemia in this cohort.
Conclusions:
- Hypercalcemia is a common finding in active pulmonary tuberculosis, usually mild and self-limiting.
- Vitamin D intake is unlikely to be a significant factor in inducing hypercalcemia in tuberculosis.
- Further research may explore other mechanisms contributing to hypercalcemia in tuberculosis.
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