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Case Reports
. 1986 Nov;292(5):313-6.
doi: 10.1097/00000441-198611000-00012.

Granuloma-related hypercalcemia in lipoid pneumonia

A R Rolla, A Granfone, K Balogh, U Khettry, B L Davis
Case Reports

Granuloma-related hypercalcemia in lipoid pneumonia

A R Rolla et al. Am J Med Sci. 1986 Nov.

Abstract

A patient with hypercalcemia, suppressed serum PTH levels, and elevated serum levels of calcitriol was found to have a granulomatous lipoid pneumonia due to chronic aspiration of a "vaporizing ointment." After the surgical removal of the largest granuloma, the serum calcium and calcitriol levels rapidly returned to normal. This is a new instance of granuloma-induced hypercalcemia, probably mediated by the activation of vitamin D by cells of the granulomatous reaction.

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