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A Case of Type 2 Diabetes with Renal Failure and History of Preexisting Hyperglycemia Masked by Insulinoma
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- Kawarabayashi Reina
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Morioka Tomoaki
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Emoto Masanori
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Kakutani Yoshinori
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Miyabe Mizuki
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Yamazaki Yuko
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Fukumoto Shinya
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
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- Ishimura Eiji
- Nephrology, Osaka City University Graduate School of Medicine
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- Amano Ryosuke
- Surgical Oncology, Osaka City University Graduate School of Medicine
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- Hirakawa Kosei
- Surgical Oncology, Osaka City University Graduate School of Medicine
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- Inaba Masaaki
- Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine
Bibliographic Information
- Other Title
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- インスリノーマにより高血糖がマスクされた腎不全合併2型糖尿病の1例
- 今月の症例 インスリノーマにより高血糖がマスクされた腎不全合併2型糖尿病の1例
- コンゲツ ノ ショウレイ インスリノーマ ニ ヨリ コウケットウ ガ マスク サレタ ジンフゼン ガッペイ 2ガタ トウニョウビョウ ノ 1レイ
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Description
<p>重篤な低血糖発作を契機に診断された糖尿病，腎不全合併の膵尾部微小インスリノーマの1例を経験した．Fajans指数，Turner指数，Grunt指数，選択的動脈刺激静脈サンプリングでは診断基準を十分満たさず，腫瘍サイズ，ネフローゼ症候群，腎不全の影響が示唆された．インスリノーマ診断前数年間は検診にて高血糖指摘されず，組織学的に明らかな糖尿病腎症，増殖網膜症を認めたことより，インスリノーマにより高血糖がマスクされた状態で細小血管症が進展したと推察された極めて稀な症例と考えられた．</p>
Journal
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- Nihon Naika Gakkai Zasshi
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Nihon Naika Gakkai Zasshi 104 (10), 2185-2192, 2015
The Japanese Society of Internal Medicine
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Details 詳細情報について
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- CRID
- 1390282681427327488
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- NII Article ID
- 130005249601
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- NII Book ID
- AN00195836
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- ISSN
- 18832083
- 00215384
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- NDL BIB ID
- 026852651
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL Search
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed