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タイトル: | Challenging Differential Diagnosis of Hypergastremia and Hyperglucagonemia with Chronic Renal Failure: Report of a Case with Multiple Endocrine Neoplasia Type 1 |
著者: | Murakami, Takaaki Usui, Takeshi Nakamoto, Yuji ![]() ![]() ![]() Nakajima, Akio Mochida, Yuki Saito, Sumio Shibayama, Takahiro Yamazaki, Nobuhisa Hatoko, Tomonobu Kato, Tomoko Yonemitsu, Shin Muro, Seiji Oki, Shogo |
著者名の別形: | 中本, 裕士 |
キーワード: | MEN1 glucagonoma renal failure calcium test gastrinoma AIMAH |
発行日: | 2017 |
出版者: | Japanese Society of Internal Medicine |
誌名: | Internal Medicine |
巻: | 56 |
号: | 11 |
開始ページ: | 1375 |
終了ページ: | 1381 |
抄録: | A 53-year-old woman developed end-stage renal failure during a 15-year clinical course of primary hyperparathyroidism and was referred to our hospital for evaluation of suspected multiple endocrine neoplasia type 1 (MEN1). Genetic testing revealed a novel deletion mutation at codon 467 in exon 10 of the MEN1 gene. Systemic and selective arterial calcium injection (SACI) testing revealed hyperglucagonemia and hypergastrinemia with positive gastrin responses. A pathological examination revealed glucagonoma and a lymph node gastrinoma. The findings in this case indicate the importance of early diagnosis of MEN1 and demonstrate the utility of systemic and SACI testing in renal failure cases. |
著作権等: | © 2017 The Japanese Society of Internal Medicine The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
URI: | http://hdl.handle.net/2433/226548 |
DOI(出版社版): | 10.2169/internalmedicine.56.7230 |
PubMed ID: | 28566601 |
出現コレクション: | 学術雑誌掲載論文等 |

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