Acromegaly Accompanied by Turner Syndrome with 47,XXX/45,X/46,XX Mosaicism
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概要
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A 33-year-old woman was hospitalized for examination of edematous laryngopharynx. She was acromegalic. A pituitary adenoma with elevated serum levels of growth hormone (GH) and insulin-like growth factor-I (IGF-I) was detected, indicating acromegaly caused by GH-secreting pituitary adenoma. Multiple pigmented nevi were also noted without overt short stature and cubitus valgus. Chromosome analysis revealed that she had contracted Turner syndrome with 47,XXX/45,X/46,XX mosaicism. Transsphenoidal resection of the tumor decreased serum GH and IGF-I levels, but the edema was not improved. Both premature ovarian failure and hypertension appeared after surgery. This case may indicate the important relationships between GH/IGF-I and Turner syndrome.
著者
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Sato Ai
Department of Aging Medicine and Geriatrics, Division of Medicine, Institute on Aging and Adaptation
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Nishio Shin-ichi
Department Of Aging Medicine And Geriatrics Shinshu University
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Yamazaki Masanori
Department Of Aging Medicine And Geriatrics Institute On Aging And Adaptation Shinshu University Gra
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Miyamoto Takahide
Department Of Aging Medicine And Geriatrics Institute On Aging And Adaptation Shinshu University Gra
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Takeda Teiji
Department Of Aging Medicine And Geriatrics Institute On Aging And Adaptation Shinshu University Gra
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Katai Miyuki
Department Of Aging Medicine And Geriatrics Shinshu University Graduate School Of Medicine
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Hashizume Kiyoshi
Department Of Aging Medicine And Geriatrics Institute On Aging And Adaptation Shinshu University Gra
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Katai Miyuki
Department of Gender Specific Medicine, Tokyo Women's Medical University Medical Center East
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Hashizume Kiyoshi
Department of Aging and Geriatrics, Shinshu University, Graduate School of Medicine
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Miyamoto Takahide
Department of Aging Medicine and Geriatrics, Division of Medicine, Institute on Aging and Adaptation, Shinshu University Graduate School
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