Hypercalcemia Associated with Eosinophilic Myocarditis in a Patient Undergoing Maintenance Hemodialysis
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概要
- 論文の詳細を見る
A 77-year-old man previously treated with maintenance hemodialysis was admitted due to appetite loss, nausea and shortness of breath. He showed progressive heart failure and eosinophilia without any basal disorders and was diagnosed with idiopathic hypereosinophilic syndrome (HES) accompanied by eosinophilic myocarditis. Laboratory data revealed hypercalcemia, a low serum parathyroid hormone level and a high 1,25(OH)2D concentration in spite of renal failure and no causal medications. Steroid therapy resulted in the patient's rapid recovery from heart failure, hypereosinophilia and hypercalcemia. Since the serum 1,25(OH)2D level promptly and markedly decreased, the hypercalcemia complicated with HES was most likely caused by extrarenal production of 1,25(OH)2D.
著者
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Tanabe Kazuaki
Department Of Surgical Oncology Research Institute For Radiation Biology And Medicine Hiroshima Univ
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Sato Masatake
Department of Cardiology, Kobe General Hospital
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Yano Shozo
Department Of Internal Medicine 1 Shimane University Faculty Of Medicine
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Yamauchi Mika
Department Of Endocrinology/metabolism And Hematology/oncology Shimane University School Of Medicine
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HIMENO Yasutoshi
Himeno Clinic
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Sugimoto Toshitsugu
Department Of Endocrinology And Metabolism Faculty Of Medicine Shimane University
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Yamaguchi Toru
Department of Electronic System Engineering, Tokyo Metropolitan Institute of Technology
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Tanaka Ken-ichiro
Department of Applied Chemistry, Faculty of Engineering, Kanagawa University
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Yamauchi Mika
Department of Internal Medicine 1, Shimane University Faculty of Medicine, Japan
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Okuyama Keisuke
Department of Internal Medicine 1, Shimane University Faculty of Medicine, Japan
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Tanabe Kazuaki
Department of Internal Medicine 4, Shimane University Faculty of Medicine, Japan
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Sato Masatake
Department of Internal Medicine 4, Shimane University Faculty of Medicine, Japan
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Sugimoto Toshitsugu
Department of Internal Medicine 1, Shimane University Faculty of Medicine, Japan
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