Case Report

Chronic Inflammatory Arthropathy Preceding Acute Systemic Manifestations of Sarcoidosis: A Possible Overlap of Idiopathic Juvenile Arthritis and Sarcoidosis

Table 1

Laboratorial data follow-up.

Six months beforeAt admission3 months after stating treatmentTwelve months after starting treatmentReference values

Blood
 Hemoglobin (g/dL)10.811.61112.712–15
 White blood cells (mm3)904011.60013.90010.7504.000–12.000
 Platelet (mm³)262.00050.000193.000289.000150.000–400.000
 Creatinine (mg/dL)2.35.91.811.50.4–1.3
 Urea (mg/dL)601491104015–45
 Sodium (mEq/L)141144143140135–145
 Potassium (mEq/L)3.73.394.74.93.9–5.0
 Calcium (mg/dL)17.49.89.98.8–11.0
 Phosphorus (mg/dL)6.63.43.32.5–4.8
 Intact PTH (pg/mL)138512–72
 25-OH-vitamin D (ng/mL)12.111.719.730–100
 1.25-OH-vitamin D (pg/mL)9.515.2–90.1
 Uric acid (mg/dL)97.77.52.5–7.0
 Albumin (g/dL)4.14.03.5–5.2
 Alkaline phosphatase (U/L)19831610040–129
 Gama GT (U/L)3236248–61
 TGO/TGP (U/L)13/1912/1322/3410–50
 Amylase (U/L)3281426528–100
 Lipase (U/L)5461151915–60
 C-reactive protein (mg/L)470.6<5
 Rheumatoid factor (UI/mL)43<20<20
 ACPAs (U/mL)9.9<20
 Antinuclear antibodiesNegativeNegative
Urine
 Spot
  pH66.554.5–8
  Density1.0151.0101.0131.005–1.035
  Proteinuria++NegativeNegative
  Red blood cells (/hpf)18301<5
  Leukocyturia (/hpf)2571<5
  CrystalsCalcium oxalate +Calcium oxalate +++NegativeNegative
  CastsGranular ++Granular + leucocyte+NegativeNegative
 24 hour
  Urinary volume (mL)4,5003,200<3,000
 Albuminuria (mg/24 h)86360<30
 Proteinuria (mg/24 h)2.330200<150
 Calcium (mg/24 h)37333100–300
 Osmolarity (mOsm/L)22050–1200