• Chron Respir Dis · Jan 2019

    Review

    Sarcoidosis and calcium homeostasis disturbances-Do we know where we stand?

    • Łukasz Gwadera, Adam Jerzy Białas, Mikołaj Aleksander Iwański, Paweł Górski, and Wojciech Jerzy Piotrowski.
    • Department of Pneumology and Allergy, Chair of Internal Medicine, Medical University of Lodz, Poland.
    • Chron Respir Dis. 2019 Jan 1; 16: 1479973119878713.

    AbstractThe majority of cases involving hypercalcemia in the setting of sarcoidosis are explained by the overproduction of calcitriol by activated macrophages. Vitamin D takes part in the regulation of granuloma formation. However, using vitamin D metabolites to assess the activity of the disease is still problematic, and its usefulness is disputable. In some cases, though, a calcium metabolism disorder could be a valuable tool (i.e. as a marker of extrathoracic sarcoidosis). Although sarcoidosis does not cause a decrease in bone mineral density, increased incidence of vertebral deformities is noted. Despite increasing knowledge about calcium homeostasis disorders in patients with sarcoidosis, there is still a need for clear guidelines regarding calcium and vitamin D supplementation in these patients.

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