Abstract
An HIV-positive white man developed hypercalcaemia and renal failure 15 months after starting highly active antiretroviral therapy. Investigations showed systemic sarcoidosis affecting parotids, skin and kidneys. This presentation was thought to be a manifestation of immune reconstitution inflammatory syndrome, and the patient was successfully treated with corticosteroid therapy.
MeSH terms
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AIDS-Related Opportunistic Infections / complications*
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AIDS-Related Opportunistic Infections / drug therapy
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AIDS-Related Opportunistic Infections / immunology
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Adrenal Cortex Hormones / therapeutic use
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Antiretroviral Therapy, Highly Active*
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HIV Infections / complications
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HIV Infections / drug therapy
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HIV Infections / immunology*
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Humans
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Hypercalcemia / drug therapy
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Hypercalcemia / etiology*
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Male
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Middle Aged
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Renal Insufficiency / drug therapy
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Renal Insufficiency / etiology*
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Sarcoidosis / complications*
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Sarcoidosis / drug therapy