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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  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0001-5783-8048 (unconfirmed)
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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