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

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.