RT Journal Article
SR Electronic
T1 ‘Tiger woman sign’ hypercalcaemia: a diagnostic challenge
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 73
OP 75
DO 10.7861/clinmed.2020-0878
VO 21
IS 1
A1 Adam Muse
A1 Matthew Cates
A1 Patrick Rogers
A1 Michael Evans
A1 Jonathan Walker
YR 2021
UL http://www.rcpjournals.org/content/21/1/73.abstract
AB Hypercalcaemia is a common electrolyte abnormality with 90% of cases due to either primary hyperparathyroidism or malignancy. Other causes of hypercalcaemia often require careful consideration. We describe an approach to the assessment of hypercalcaemia, particularly where preliminary tests are inconclusive.This approach is illustrated by a case which posed a diagnostic challenge: a patient with significant hypercalcaemia due to acute atypical isolated sarcoid myositis. This case highlights an under-recognised clinical syndrome with distinct biochemical and radiological findings.