AM renal report pearls 5/27: renal disease and sarcoidosis!

Renal disease and sarcoidosis – a short list of ddx

  • Hypercalcemia-related are the most common! (remember, for sarcoid, the mechanism of hypercalcemia is from granulomas and elevated 1,25-OH vitamin D. Patients can get hypercalciuria without hypercalcemia!)
    • Nephrolithiasis
    • DI
  • Interstitial nephritis (note that chronic interstitial nephritis can have a bland UA! Need renal biopsy to diagnose!)
  • Glomerular disease
  • Isolated renal vasculitis
  • Nephrocalcinosis

 

Here is a nice paper on renal manifestations of sarcoid:  http://www.kidneyatlas.org/book4/adk4-08.pdf

renal sarcoid

Evernote: https://www.evernote.com/shard/s34/sh/8883f23e-0d68-43ae-891e-a9054122844f/9ba77dbf63da2f3173bd75ab5137e2db

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