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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty Swallowing, Red Lumps On Skin Below Elbows. Blood Test Shows Excess Calcium. Causes?

Blood test show too much calcium? Finding difficulty with swallowing of some foods. food gets stuck and need to try and have small drink to try and move it along esophagus . Red lumps on skin on outer aspect just below both elbows, some are small and hard and some larger, feeling a little like a lypoma. 4 on Right elbow and 2 on Left elbow
Fri, 2 Aug 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

A cause of hypercalcemia (raised blood calcium) needs to be found out.
Increase in calcium levels occurs in vitamin D intoxication, milk alkali syndrome, hyperparathyroidism, or para-neoplastic syndrome associated with some malignany.
Parathyroid hyperplasia or parathyroid tumors are a common cause of hypercalcemia.
Difficulty in swallowing is one of the manifestation of hypercalcemia.
Hypercalcemia can be dangerous and can cause cardiac dysfunction also.
So, the levels of calcium have to be decreased.
Consult your physician for treatment.

The red lumps may be un-associated with hypercalcemia.
A X-ray of the elbow joint will identify if the swelling is arising from bone.
If not an aspiration of the swelling needs to be done.
Aspiration cytology will identify the site of origin and the nature of the lesion.
Consult your doctor for further work up.

Thanks and take care
Dr Shailja P Wahal
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Difficulty Swallowing, Red Lumps On Skin Below Elbows. Blood Test Shows Excess Calcium. Causes?

Hello and welcome to HCM, A cause of hypercalcemia (raised blood calcium) needs to be found out. Increase in calcium levels occurs in vitamin D intoxication, milk alkali syndrome, hyperparathyroidism, or para-neoplastic syndrome associated with some malignany. Parathyroid hyperplasia or parathyroid tumors are a common cause of hypercalcemia. Difficulty in swallowing is one of the manifestation of hypercalcemia. Hypercalcemia can be dangerous and can cause cardiac dysfunction also. So, the levels of calcium have to be decreased. Consult your physician for treatment. The red lumps may be un-associated with hypercalcemia. A X-ray of the elbow joint will identify if the swelling is arising from bone. If not an aspiration of the swelling needs to be done. Aspiration cytology will identify the site of origin and the nature of the lesion. Consult your doctor for further work up. Thanks and take care Dr Shailja P Wahal