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Unforeseen Hodgkin Lymphoma Hidden behind Hypercalcemia
Moutaz Ghrewati1, Balraj Singh2, Parminder Kaur1
1Internal Medicine Department at St. Joseph's University Medical Center, 703 Main St., Paterson, NJ 07503, USA.
Case Reports in Oncological Medicine
|December 13, 2019
Summary
Malignancy-associated hypercalcemia is common, but Hodgkin lymphoma is a rare cause. This case highlights a patient with nodular sclerosis Hodgkin lymphoma presenting with hypercalcemia, emphasizing the need for prompt diagnosis and treatment.
Area of Science:
- Oncology
- Internal Medicine
- Hematology
Background:
- Malignancy is a leading cause of hypercalcemia.
- Hypercalcemia can be associated with various cancer types.
- Hodgkin lymphoma is an uncommon cause of hypercalcemia, with limited published case reports.
Observation:
- A 61-year-old female presented with altered mental status, nausea, vomiting, and dizziness.
- Physical examination revealed multiple enlarged lymph nodes.
- Blood work indicated significant hypercalcemia.
Findings:
- Cervical lymph node biopsy confirmed nodular sclerosis subtype of Hodgkin lymphoma.
- The patient's symptoms were attributed to hypercalcemia secondary to Hodgkin lymphoma.
Implications:
- This case underscores the importance of considering rare causes of hypercalcemia in cancer patients.
- Prompt management of hypercalcemia is crucial for initiating effective chemotherapy.
- Raising awareness of this rare presentation can improve diagnostic and therapeutic approaches.
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