Annual Summit on Diabetes and Endocrinology August 24-25, 2020 Barcelona, Spain

We present an unusual case of acute hypercalcaemia of (5.5mmol/L) in a challenging circumstances in a 37 year old lady with confirmed sarcoidosis that had no other cause and\r\nrequired aggressive management to normalise it and necessitate starting of calcitonin.This 37 years old female patient ,with a background of type 2 diabetes mellitus and\r\nsarcoidosis presented to the acute medicine unit with few days history of lethargy and confusion, her lood test showed calcium level of 4.8 mmol/L which interestingly went up to\r\n5.5mmol/L after aggresive rehydration\r\nThis case is unusual in many aspect - such level of high calcium is uncommon with sarcoidosis ,This patient did not require vitamen D or steroid supplement previously, providing\r\nthat steroid needs 2-5 days to act calcitonin was the best option for rapid calcium reduction which was effectivly able to bring the calcium level down within few hours. .\r\n