A great case today -- and some good topics were covered by the discussant.1) Hypercalcemia (previously blogged here)
2) Hepatitis C and its complications including:
* Mixed cryoglobulinemia (image) which can cause a vasculitis
* Membranoproliferative glomerulonephritis (review here)
* Porphyria Cutanea Tarda
* HCV Associated Lymphoma
3) Sarcoidosis (from review)
"sarcoidosis is established on the basis of compatible clinical and radiologic findings, supported by histologic evidence [review] in one or more organs of noncaseating epithelioid-cell granulomas in the absence of organisms or particles"
"as a diagnostic tool, measurement of serum ACE levels lacks sensitivity and specificity"
Fascinating --> Evidence exists that sarcoidosis can be caused/exacerbated by HCV treatment with interferon.
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