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. |