Pulmonary Sarcoidosis: An Unusual Presentation with Acute Abdominal Pain

An 18-year-old boy, with no prior medical history presented to the emergency with an acute onset, severe, upper abdominal, non-radiating pain with nausea and constipation. He also complained of excessive fatigue and muscle cramps. His general physical examination was unremarkable. The abdomen was soft with mild tenderness in the epigastrium. Laboratory results showed elevated serum calcium of 15.5 mg/dL (reference, 8.4-10.2 mg/dL) and elevated serum creatinine of 1.9 mg/dL (reference, 0.8-1.5 mg/dL).
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Insights and Images Source Type: research