Letter to the Editor: Hypercalcemia with Renal Failure in a Patient with Immunoblastic Variant of Non-Hodgkins Lymphoma of the Bone

To the Editor, Hypercalcemia with renal failure in a patient with the immunoblastic variant of non-Hodgkins lymphoma is rare. We herewith report on an elderly male patient who presented to us with recent onset generalized weakness, easy fatigability, diffuse myalgia and bone pains. In the recent past, he was evaluated elsewhere in a nephrology facility for similar symptoms and was found to have mild renal failure, hypercalcemia and tested normal for serum protein electrophoresis with a renal biopsy showing focal and segmental glomerulosclerosis and no cast nephropathy. In our evaluation, he was emaciated in appearance, with pedal edema, and diffuse bony tenderness, predominantly over lumbosacral spine and pelvic bones and no significant lymphadenopathy.