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Journal of the American Society of Nephrology, Vol 3, 1555-1562, Copyright © 1993 by American Society of Nephrology

REGULAR ARTICLES

The kidney in sarcoidosis

FJ Casella and M Allon
Nephrology Research and Training Center, University of Alabama, Birmingham Medical Center, AL 35294.

Sarcoidosis has been associated with a wide spectrum of renal manifestations, including disordered calcium metabolism, nephrocalcinosis, nephrolithiasis, granulomatous interstitial nephritis, and glomerulonephritis. In some patients, two or more manifestations of renal sarcoidosis may coexist. The case of a young patient with sarcoidosis who presented with hypercalcemia and acute renal failure is discussed. Despite normalization of the serum calcium with intravenous fluids and corticosteroids, his renal insufficiency persisted. A diagnostic renal biopsy was performed to determine the etiology of his renal failure and was helpful in the selection of optimal medical therapy.


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