| Nephrolithiasis as primary symptom in sarcoidosis. | |
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MedLine Citation:
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PMID: 16019774 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 30-year-old black woman presented with a 1-year history of repeated episodes of worsening weight loss and fatigue. Physical examination showed no skin lesions and a chest roentgenogram was normal. Workup showed no obvious cause of recurrent renal stones. Finally, the detection of lymphadenopathy led to the diagnosis of extrapulmonary sarcoidosis. Up to 4% of all cases of sarcoidosis may present with urolithiasis only. Renal stones may be more common in severe cases of sarcoidosis, which affect blacks most frequently. Although not generally recommended for diagnostic purposes in sarcoidosis, in this case determination of the angiotensin-converting enzyme level was helpful in making the correct diagnosis. It is important that physicians are aware of the possibility that sarcoidosis may present as urolithiasis, even in the presence of a negative chest roentgenogram. |
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Authors:
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Kamran Darabi; Gilberto Torres; Daranee Chewaproug |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian journal of urology and nephrology Volume: 39 ISSN: 0036-5599 ISO Abbreviation: Scand. J. Urol. Nephrol. Publication Date: 2005 |
Date Detail:
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Created Date: 2005-07-15 Completed Date: 2005-09-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0114501 Medline TA: Scand J Urol Nephrol Country: Sweden |
Other Details:
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Languages: eng Pagination: 173-5 Citation Subset: IM |
Affiliation:
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Department of Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA. kamrandarabi@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biological Markers / blood Biopsy Cholagogues and Choleretics / therapeutic use Diagnosis, Differential Female Follow-Up Studies Humans Kidney Calculi / diagnosis, etiology*, therapy Lithotripsy Lymph Nodes / pathology Peptidyl-Dipeptidase A / blood Recurrence Sarcoidosis / complications*, diagnosis, enzymology Tomography, X-Ray Computed Ursodeoxycholic Acid / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; 0/Cholagogues and Choleretics; 128-13-2/Ursodeoxycholic Acid; EC 3.4.15.1/Peptidyl-Dipeptidase A |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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