An Autopsy Case of Primary Hyperparathyroidism (Parathyroid Cancer) Associated with Hyperreninemia
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- NISHINO Tomokatsu
- Department of Internal Medicine, Hokuriku Hospital
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- ONCHI Kazuaki
- Department of Internal Medicine, Hokuriku Hospital
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- OOE Kunihiro
- Department of Internal Medicine, Hokuriku Hospital
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- TAKEGOSHI Tadayoshi
- Department of Internal Medicine, Hokuriku Hospital
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- HIRAMARU Yoshitake
- Department of Internal Medicine, Hokuriku Hospital
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- IMURA Masaru
- Department of Internal Medicine, Hokuriku Hospital
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- TAKEUCHI Nobuo
- Department of Internal Medicine, Hokuriku Hospital
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- TOFUKU Yohei
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- UCHIDA Kenzo
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- USUKURA Noriomi
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- SATO Takashi
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- MATSUI Shinobu
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- MORIMOTO Shinpei
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- TAKEDA Ryoyu
- The Second Department of Internal Medicine, School of Medicine Kanazawa University
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- OHTA Goroku
- The Second Department of Pathology, School of Medicine, Kanazawa University
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- YOSHIZAWA Hiroshi
- The Second Department of Pathology, School of Medicine, Kanazawa University
書誌事項
- タイトル別名
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- autopsy case of primary hyperparathyroi
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説明
31-year-old female. During her first pregnancy, she was found to have hypertension, proteinuria and anemia. These symptoms subsided after intrauterine death of fetus at the 3rd trimester, but redeveloped in her 2nd pregnancy. Thirst and polydipsia developed during pregnancy and persisted following the delivery. She first visited our Clinic because of nausea, vomiting, abdominal pain and anemia. These symptoms improved with ambulant therapy. She complained of right ulnar pain due to a right ulnar cyst. Amass in the right neck was found, and laboratory tests revealed marked hypercalcemia, hypophosphatemia, increased alkaline phosphatase and renal dysfunction. Cystic fibrous ostitis, nephrocalcinosis and gastric ulcer were confirmed. Marked elevation of plasma renin activity associated with hyperaldosteronism and proximal renal tubular acidosis were demonstrated. After removal of parathyroid tumor, hypercalcemia and hyperreninemia definitely improved. She died of hypercalcemic crisis due to recidivation of hyperparathyroidism. Postmorten examination : Recidivation of the right parathyroid cancer with metastases to adjacent fatty tissue and right lobe of the thyroid and periparathyroid lymph nodes. Extensive fibrous ostitis, bilateral nephrocalcinosis, calcification of alveolar walls and heart muscle, pyelonephritis, gastric ulcer, cystitis and mild pulmonary edema.<br> The authors assumed that hyperreninemia associated with hyperaldosteronism in this case was secondary to proximal renal tubular acidosis and hypercalcemia.
収録刊行物
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- Japanese Journal of Medicine
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Japanese Journal of Medicine 15 (1), 33-38, 1976
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
- 1390282679843669504
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- NII論文ID
- 130003513459
- 40005320355
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- NII書誌ID
- AA00691133
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- ISSN
- 1881123X
- 00215120
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- NDL書誌ID
- 1690020
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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
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可