Evidence map›Paper›PMID 42109939›Full record

ArticleCureus2026

Granuloma-Related Hypercalcemia Secondary to Silicone-Induced Granulomatous Lymphadenopathy: A Case Report.

Alhussein Alfaour, Swapnil Ganeshpure, Mohammed Nazim Kunduvalappil Thachankandy, Fatima Batool

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alhussein AlfaourGeriatrics, Queen Mary's University Hospital, Harlow, GBR.
Swapnil GaneshpureInternal Medicine, The Princess Alexandra Hospital NHS Trust, Harlow, GBR.
Mohammed Nazim Kunduvalappil ThachankandyGeriatrics, Royal Berkshire Hospital, Reading, GBR.
Fatima BatoolGeriatrics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Granuloma-mediated hypercalcemia is an uncommon cause of parathyroid hormone-independent hypercalcemia and is usually associated with sarcoidosis, chronic infection, or other inflammatory disorders. Foreign-body granulomatous reactions caused by silicone are rare and may occur years after exposure. We report the case of a 77-year-old woman with recurrent hypercalcemia, generalized weakness, gait instability, nausea, abdominal discomfort, and weight loss. Biochemical evaluation showed suppressed parathyroid hormone, normal 25-hydroxyvitamin D, elevated angiotensin-converting enzyme, and inappropriately normal 1,25-dihydroxyvitamin D. Cross-sectional and functional imaging demonstrated paraoesophageal and right axillary lymphadenopathy. Mammography and targeted axillary ultrasound supported silicone migration, with the ultrasound showing a characteristic snowstorm appearance. Core biopsy confirmed breast tissue with fat necrosis and foreign-body giant cell reaction to silicone, with no evidence of malignancy. The overall findings supported silicone-induced granulomatous lymphadenopathy as the cause of parathyroid hormone-independent hypercalcemia. This case highlights the importance of taking a detailed prior implant or cosmetic exposure history when evaluating unexplained hypercalcemia.

Indexed as

calcitriol-mediated hypercalcemiaforeign body granulomagranulomatous hypercalcemiahypercalcemia workupsilicone granulomasilicone lymphadenopathysilicone migrationsilicone-related complicationsvitamin d-mediated hypercalcemiavitamin d metabolism

Identifiers

PMID42109939
PMCPMC13152030

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.