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タイトル: タクロリムスを使用し術後耐糖能障害をきたした生体腎移植の1例
その他のタイトル: A case of tacrolimus-induced glucose intolerance following renal allografting
著者: 石川, 晃  KAKEN_name
影山, 慎二  KAKEN_name
麦谷, 荘一  KAKEN_name
牛山, 知己  KAKEN_name
鈴木, 和雄  KAKEN_name
藤田, 公生  KAKEN_name
著者名の別形: Ishikawa, Akira
Kageyama, Shinji
Mugiya, Soichi
Ushiyama, Tomomi
Suzuki, Kazuo
Fujita, Kimio
キーワード: Tacrolimus
FK506
Renal transplantation
Glucose intolerance
Diabetes mellitus
発行日: Jun-1995
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 41
号: 6
開始ページ: 467
終了ページ: 469
抄録: Living renal transplantation (Tx) was carried out on a 41-year-old male undergoing hemodialysis for a six-month period because of end-stage renal failure due to chronic glomerulonephritis. Tacrolimus (FK 506) was used as one of immunosuppressants. The graft worked immediately after Tx. However, his blood sugar level rose extremely high and use of insulin (IS) was required. At the second postoperative day, 0.3 mg/kg/day of FK506 was administered and the trough level (TL) was as high as 65 ng/ml. The serum IS level decreased from the pre-Tx value of 22 microU/ml to 12 microU/ml. With decrease in the dose of FK506, the TL was normalized, and the dose of IS could be decreased. FK506 has been reported to inhibit IS secretion. Therefore, we must be careful to evaluate the blood glucose level in the use of FK506 for patients with poor glucose tolerance.
URI: http://hdl.handle.net/2433/115515
PubMed ID: 7544064
出現コレクション:Vol.41 No.6

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