- our 27y/o very healthy and athletic son passed a kidney stone in June 07 ...calcium. Hx includes fx clavicle at age 4y/o from fall.
- his labs showed high creatinine, high uric acid and high calcium (450) levels.
- cxr unremarkable.
-initial thought was hyperparathyroidism.
Other family history: uncle had parathyroid removed a few years ago and large history of hypothyroidism in family. mother had an autoimmune disease when in early 20s - ITP - ok since splenectomy. paternal grandfather had multiple myeloma. family history (great aunts, 2rd cousins) auto immune problems: lupus, mixed connective tissue disease, rheumatoid arthritis, multiple myeloma
- was told that he had kidney disease. kidney test ok.
- no other symptoms with the exception of the kidney stones development (he has many small stones forming).
- he was started on allupurinol and colchicine to prevent gout. (grandfather had gout prior to diagnosis of multiple myeloma)
-decreased his sodium intake and increased his fluid (water) intake.
-colchicine recently d/c'd, still on allopurinol, after improvement noted in uric acid and creatinine levels but calcium still elevated (370s). also noted in most recent labs was an elevated vit D level...and advice given to stop drinking milk (was drinking 3glasses/day), cheese intake.
- he is currently being followed by a nephrologist with the most recent possible diagnosis of sarcoidosis. has ct of chest ordered as well as repeat of labs.
-becoming nervous re: accurate diagnosis. is he being followed by the correct specialist...should it be an endocrinologist instead of a nephrologist?
thanks for any assistance.