SYSTEMIC LUPUS ERYTHOMATOSIS: AS A RARE CAUSE OF SEVERE HYPERCALCEMIA

Dr. Samia A. Bokhari*, Dr. Patan Murthuza Khan, Dr. Khalid S. Aljabri, Dr. Muneera A. AlShareef,
Dr. Rania Safwat and Dr. Rehab Mohamed Samy Elshazly

ABSTRACT

Hypercalcemia is a relatively common electrolyte abnormality observed in clinical practice. Great majority of patients with hypercalcaemia will be found to have either primary hyperparathyroidism or malignancy as a cause of hypercalcemia. Nevertheless other rarer causes are important to consider in certain clinical situations, when underlying cause cannot be attributed to hyperparathyroidism or malignancy. Systemic Lupus Erythomatosis[SLE] is a very rare cause of hypercerlcemia. Only a handful cases of hypercalcemia secondary to SLE are reported in medical literature. We describe a case of pregnant lady who was diagnosed with SLE previously presenting with concomitant severe hypercalcemia and discuss the path physiological mechanisms contributing to hypercalcemia in SLE and its management with review of literature.

Keywords: Systemic lupus erythomatosis, severe hypercalcemia, rare cause of hypercalcemia.