Sarcoid granulomas can cause parathyroid hormone (PTH)-independent hypercalcaemia through enhanced conversion of 25-hydroxyvitamin D to 1,25-dihydroxyvitamin D. The incidence of hypercalcaemia as the presenting symptom in sarcoidosis is around 3%; hypercalcaemia is reported in around 10% of cases. Here, PTH is linked to sarcoidosis.