A Patient with Sarcoidosis Presenting with Acute Renal Failure : Implication for Granulomatous Interstitial Nephritis and Hypercalcemia
スポンサーリンク
概要
- 論文の詳細を見る
A woman was admitted for acute renal failure and erythematous lesions. She was diagnosed with sarcoidosis after analysis of biopsy specimens revealed noncaseating epithelioid granulomas, elevated serum angiotensin-converting enzyme levels, and bilateral hilar lymphadenopathy. Serum concentrations of ionized calcium and 1, 25-dihydroxyvitamin D3 [1, 25-(OH)2D3] were extremely high. Serum intact osteocalcin concentration and urinary deoxypyridinoline excretion were within reference ranges. Treatment with prednisolone induced a prompt improvement with normalization of serum concentrations of ionized calcium and 1, 25-(OH)2D3. Serum intact osteocalcin concentration was markedly suppressed and urinary deoxypyridinoline excretion increased. It is possible suppressed bone resorption may be associated with overproduction of 1, 25-(OH)2D3.(Internal Medicine 41: 1171-1174, 2002)
- 社団法人 日本内科学会の論文
- 2002-12-01
著者
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TAKAHASHI Satoru
First Department of Pathology, Nagoya City University Medical School
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HISHIDA Akira
First Department of Medicine, Hamamatsu University School of Medicine
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Hishida Akira
浜松医科大学 第1内科
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Hishida Akira
Hamamatsu Univ. School Of Medicine Shizuoka Jpn
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Hishida Akira
First Department Of Medicine Hamamatsu University School Of Medicine
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Hishida A
First Department Of Medicine Hamamatsu University School Of Medicine
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Hishida A
Hamamatsu Univ. School Of Medicine Shizuoka Jpn
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Hishida Akira
Hamamatsu University School Of Medicine
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Hishida Akira
The First Departments Of Internal Medicine Hamamatsu University School Of Medicine
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YONEMURA Katsuhiko
Hemodialysis umit, Hamamatsu University School of Medicine
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OHASHI Naro
First Department of Medicine, Hamamatsu University School of Medicine
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YAMAMOTO Tatsuo
First Department of Medicine, Hamamatsu University School of Medicine
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FUJIGAKI Yoshihide
First Department of Medicine, Hamamatsu University School of Medicine
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Yamamoto Tatsuo
First Department Of Medicine Hamamatsu University School Of Medicine
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KATO Akihiko
First Department of Medicine, Hamamatsu University School of Medicine
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HIRANO Manae
First Department of Medicine, Hamamatsu University, School of Medicine
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KATO Akihiko
Division of Blood Purification, Hamamatsu University School of Medicine
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TAKAHASHI Satoru
Omaezaki Municipal Hospital
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Ohashi Naro
The Division Of Nephrology Seirei Hamamatsu General Hospital
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Hirano Manae
First Department Of Medicine Hamamatsu University School Of Medicine
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Kato Akihiko
Division Of Blood Purification Hamamatsu University School Of Medicine
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Fujigaki Yoshihide
The First Department Of Medicine Hamamatsu University School Of Medicine
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Fujigaki Yoshihide
First Department Of Medicine Hamamatsu University School Of Medicine
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Yonemura Katsuhiko
Hemodialysis Unit Hamamatsu University School Of Medicine
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Yonemura Katsuhiko
Hemodialysis Umit Hamamatsu University School Of Medicine
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Yamamoto Tatsuo
The First Department Of Medicine Hamamatsu University School Of Medicine
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Takahashi Satoru
First Department Of Biochemistry School Of Pharmaceutical Sciences Kyushu University Of Health And W
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藤垣 嘉秀
浜松医科大学第一内科
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