# A Concurrent Finding of Pulmonary Sarcoidosis, Primary Hyperparathyroidism, Thyroid Nodules, and Adrenal Tumor in a Sexagenarian

## TL;DR

A 60-year-old patient had four rare health conditions at once, prompting a study of their possible connections.

## Contribution

The paper reports a rare case of co-occurring pulmonary sarcoidosis, primary hyperparathyroidism, thyroid nodules, and adrenal tumor.

## Key findings

- The patient had pulmonary sarcoidosis, primary hyperparathyroidism, thyroid nodules, and adrenal tumor simultaneously.
- The authors explored potential pathophysiological links among these coexisting conditions.
- The case highlights the complexity of managing multiple rare diseases in a single patient.

## Abstract

The concurrent presence of pulmonary sarcoidosis, primary hyperparathyroidism (PHPT), thyroid nodules, and adrenal tumor in an individual or patient is rare and complex. We present a rare scenario of the presence of the above conditions in a 60-year-old hypertensive patient (with a high plasma aldosterone-to-renin ratio) who was followed up in an endocrinology clinic at a district general hospital. We have reviewed the literature in a bid to offer insights into possible pathophysiological connections and underlying mechanisms to account for this.