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Table 3 Timeline table

From: Hypercalcemia as a rare presentation of angioimmunoblastic T cell lymphoma: a case report

Relevant past medical history and interventions

 Past medical history significant for coronary artery disease status post one stent with new onset atrial fibrillation.

Summaries from initial and follow-up visits

Diagnostic testing

Interventions

 During hospitalization, patient started complaining of progressive fatigue and altered mental status was noted. The patient was found to have a calcium level of 15.5 mg/dL (8.6–10.2 mg/dL). CT of the abdomen with contrast was suggestive of peritoneal carcinomatosis. Morphological and immunohistochemical findings from axillary lymph node biopsy were found to be consistent with angioimmunoblastic T cell lymphoma.

Laboratory studies: Ca; PTH; 25 hydroxyvitamin D; 1,25 dihydroxyvitamin D; ACE; PTHrP; and multiple myeloma workup.

After long discussions with the patient’s family, the decision was made for no further treatment.

 After long discussions with the patient’s family, the decision was made for no further treatment. The patient had a complex hospital course in which he developed pleural effusions, ascites, and diffuse petechiae within 2 weeks; these were complications from his malignancy.

Imaging: abdominal CT.

Lymph node biopsy: morphology, immunohistochemical study, and flow cytometry.

 
  1. ACE angiotensin-converting enzyme, Ca calcium, CT computed tomography, PTH parathyroid hormone, PTHrP parathyroid hormone-related protein