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已知内源性1,25-二羟基维生素D_3[1,25-(OH)_2D_3]仅于肾内产生。重度肾衰患者1,25-(OH)_2D_3缺乏常引起钙吸收障碍和肾性骨营养不良。但是,作者报道1例结节病患者伴有高钙血症和肾袞,并证实于双肾切除前后高钙血症与1,25-(OH)_2D_3产生过多相关。患者男性28岁,1970年经常规胸部X线摄片及肝活检,确诊为结节病。但无症状,未作治疗。至1974年11月因腹痛、关节痛及皮肤瘀点而服强的松(60mg/
It is known that endogenous 1,25-dihydroxyvitamin D3 [1,25- (OH) _2D_3] is produced only in the kidney. Patients with severe renal failure 1,25- (OH) _2D_3 deficiency often cause calcium imbalance and renal osteodystrophy. However, the authors reported 1 patient with sarcoidosis with hypercalcemia and nephrons, and confirmed that hypercalcaemia was associated with overproduction of 1,25- (OH) _2D_3 before and after nephrectomy. Male 28 years old, 1970 conventional chest radiography and liver biopsy, diagnosed with sarcoidosis. But asymptomatic, not for treatment. To 1974 November due to abdominal pain, joint pain and skin petechia and strong prednisone (60mg /