인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Hypercalcemia is a common, serious complication in patients with malignancy and is associated with significant morbidity. Compared to patients with solid tumor malignancies, the reported incidence of hypercalcemia in patients with indolent lymphoid malignancies is lower and rare in those with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). In this report, we describe the case of a patient with a history of CLL/SLL previously treated with multiple lines of therapy and thought to be in remission who presented with symptomatic, severe hypercalcemia. Her calcium initially improved; however, it increased after discontinuation of steroids despite aggressive fluid resuscitation, calcitonin, and bisphosphonate therapy. Following an extensive laboratory and radiographic evaluation, her hypercalcemia was concluded to be secondary to elevation in serum parathyroid hormone-related peptide in the setting of recurrent CLL/SLL. Notably, the patient had no evidence of Richter transformation and initially responded well to steroids, denosumab, and CLL-directed therapy; however, she later had refractory CLL/SLL and hypercalcemia. Hematologic malignancy, including CLL/SLL, could be considered in the differential diagnosis of hypercalcemia and can be present either at the time of initial diagnosis or signal disease relapse in the appropriate context.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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