A Case of Anemia with Schistocytosis, Thrombocytopenia, and Acute Renal Failure Caused by Adenomyosis
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概要
- 論文の詳細を見る
A 51-year-old woman with adenomyosis was admitted because of anemia with schistocytosis, thrombocytopenia, and acute renal failure (ARF). Thrombotic microangiopathy (TMA) was considered. Plasma exchange and steroid therapies improved laboratory results. However, renal biopsy specimen revealed acute tubular necrosis (ATN), but not TMA, and thrombocytopenia, diagnosed it as disseminated intravascular coagulation (DIC) but not TMA. Few cases of DIC associated with benign tumors of the uterus and, especially, adenomyosis have been reported. In adenomyosis patients, ARF is usually caused by obstructive uropathy. However, the rare case suggests that hemolytic anemia, DIC, and ARF due to ATN can occur in adenomyosis patients.
- 社団法人 日本内科学会の論文
著者
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Shinozaki Shingo
Department Of Nephrology Nippon Telegraph And Telephone Corporation (ntt) Kanto Medical Center
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Ohashi Naro
Department Of Nephrology Numazu City Hospital
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OHYAMA Kunio
Department of Agricultural Chemistry, College of Agriculture, University of Osaka Prefecture
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Shinozaki Shingo
Department of Nephrology, Numazu City Hospital, Japan
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Ohashi Naro
Department of Nephrology, Numazu City Hospital, Japan
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Aoki Ryoji
Department of Nephrology, Numazu City Hospital, Japan
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Naito Narumi
Department of Obstetrics and Gynecology, Numazu City Hospital, Japan
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