Fatal Acute Pancreatitis Associated with Reactive AA Amyloidosis in Rheumatoid Arthritis with End-stage Renal Disease: A Report of Three Cases
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概要
- 論文の詳細を見る
We report three cases of fatal pancreatitis associated with systemic AA amyloidosis in rheumatoid arthritis (RA). All of the patients showed end-stage renal failure, and hemodialysis was introduced during the course of treatment. Autopsy was performed on two of the three patients, and this revealed amyloid deposition on the vascular walls in the pancreas. It was strongly suggested that the acute pancreatitis in all three patients was attributable to deposition of amyloid in vascular and pancreatic tissues. Acute pancreatitis is considered to be a rare complication of end-stage amyloidosis associated with RA, and is frequently fatal. It is important to treat RA patients intensively to avoid such deposition of amyloid.
著者
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Saeki Takako
Department Of Internal Medicine Nagaoka Red Cross Hospital
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Kuroda Takeshi
Division Of Clinical Nephrology And Rheumatology Niigata University Graduate School Of Medical And D
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Hasegawa Hisashi
Department Of Electronic Engineering University Of Electro-communications
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Wada Yoko
Division Of Clinical Nephrology And Rheumatology Niigata University Graduate School Of Medical And D
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Narita Ichiei
Division Of Clinical Nephrology And Intensive Care Medicine Niigata University Graduate School Of Me
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Nakano Masaaki
Department Of Medical Technology School Of Health Sciences Faculty Of Medicine Niigata University
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Sato Hiroe
Division Of Clinical Nephrology And Rheumatology Niigata University Graduate School Of Medical And D
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Murakami Shuichi
Division Of Clinical Nephrology And Rheumatology Graduate School Of Medical And Dental Sciences Niig
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Saeki Takako
Department of Internal Medicine, Nagaoka Red Cross Hospital, Japan
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Murakami Shuichi
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
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Wada Yoko
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
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Kuroda Takeshi
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
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Hasegawa Hisashi
Department of Nephrology and Rheumatology, Niigata City General Hospital, Japan
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