Acquired Fanconi Syndrome with Osteomalacia Secondary to Monoclonal Gammopathy of Undetermined Significance
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概要
- 論文の詳細を見る
A 60-year-old woman was admitted because of multiple bone pain. Examination revealed hypophosphatemic osteomalacia and acquired Fanconi syndrome. Further exploration revealed monoclonal gammopathy of undetermined significance (MGUS) excreting urinary Bence Jones protein (kappa light chain). Renal biopsy showed non-specific tubulointerstitial nephritis, yet neither crystalline inclusions in the cytoplasm of the tubular epithelium nor myeloma casts nor amyloid deposits were found. She was treated with supplementation by phosphate, alkali agents, and vitamin D, and responded well to the treatment symptomatically and biochemically. MGUS was observed without chemotherapy. Myeloma had not developed after 10 months follow-up.
- 社団法人 日本内科学会の論文
著者
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Ohta Yuko
Division Of Hypertension Clinical Research Center National Kyushu Medical Center
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Nakayama Masaru
Division Of Cardiology Kashima Hospital
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Uesugi Noriko
Division Of Pathology National Kyushu Medical Center
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Arakawa Kimika
Division Of Hypertension Clinical Research Center National Kyushu Medical Center
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Tsuchihashi Takuya
Division Of Hypertension And Nephrology Clinical Research Institute National Kyushu Medical Center
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HASHIMOTO Toru
Division of Biocybernetics, Institute for Medical and Dental Engineering, Tokyo Medical and Dental University
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Nakayama Masaru
Division of Hypertension and Nephrology, National Kyushu Medical Center
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Tsuchihashi Takuya
Division of Hypertension and Nephrology, National Kyushu Medical Center
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Suehiro Takaichi
Division of Hypertension and Nephrology, National Kyushu Medical Center
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Uesugi Noriko
Division of Pathology, Clinical Research Center, National Kyushu Medical Center
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