Hepatic Necrosis with Cholestasis Induced by Long-term Voglibose Administration.
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- KAWAKAMI Shuichi
- Takaharu Town Hospital
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- ARIMA Takushi
- the Second Department of Internal Medicine, Kagoshima University
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- HARADA Kouji
- the Second Department of Internal Medicine, Kagoshima University
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- MIYAZONO Hirotaka
- the Second Department of Internal Medicine, Kagoshima University
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- OKETANI Makoto
- the Second Department of Internal Medicine, Kagoshima University
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- MIYAZAKI Hiroomi
- the Second Department of Internal Medicine, Kagoshima University
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- ARIMA Terukatsu
- the Second Department of Internal Medicine, Kagoshima University
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説明
A 76-year-old woman admitted to our hospital for jaundice had been treated for diabetes mellitus with insulin for 9 years and voglibose had been added for the 39 months preceding admission. Elevated serum bilirubin and transaminase concentration began to normalize with initiation of corticosteroid treatment 1 week after discontinuation of voglibose. In the in vitro testing of the patient's peripheral blood, lymphocytes showed stimulation by voglibose. In dramatic contrast to an initial liver biopsy specimen that demonstrated cholestasis with submassive and zonal necrosis, the follow-up specimen was normal 1 year later. We believe that patients treated with voglibose should be monitored long-term with monthly determinations of transaminases and bilirubin in serum.<br>(Internal Medicine 40: 484-188, 2001)
収録刊行物
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- Internal Medicine
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Internal Medicine 40 (6), 484-488, 2001
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204867596928
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- NII論文ID
- 10007000314
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- NII書誌ID
- AA10827774
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- COI
- 1:STN:280:DC%2BD38%2FhvVyruw%3D%3D
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- ISSN
- 13497235
- 09182918
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- NDL書誌ID
- 5907475
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- PubMed
- 11446671
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 使用不可