| フルテキストURL | A020051000103.pdf ( 145.0KB ) 公開日 2010-04-19
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| タイトル | A Case of Primary Hyperparathyroidism Found by Parathyroid Crisis |
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| 作成者 | Sakuragi, Shizu
Taguchi, Akihiko
Miyazaki, Mutsuko
Mitani, Noriyuki
Matsuda, Kazuyuki
Fukuda, Naofumi
Inoue, Yasushi
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| 作成者ヨミ | サクラギ, シズ
タグチ, アキヒコ
ミヤザキ, ムツコ
ミタニ, ノリユキ
マツダ, カズユキ
フクダ, ナオフミ
イノウエ, ヤスシ
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| 作成者所属 | 山口大学医学部
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| 内容記述（抄録等） | A 75-year-old women, who had been well until 2 weeks ago, consulted a phychiatrist because of stupor and appetite loss. A high serum calcium level (16.4mg/dl) was found and she was referred to our department. Calcium level rapidly increased to 25.2 mg/dl within a week regardless of a large amount of saline infusion with simultaneous administation of diuretics, calcitonin and prednisolone. Serum calsium level decreased gradually after six times of hemodialyses and infusion of bisphosphonate, pamidronate disodium. The level of intact PTH turned out to be extremely high (520pg/ml) and PTH-related protain was in the normal range. Parathyroid crisis due to primary hyparathyroidism was diagnosed. Procedures aim to localize the affected parathyroid glands including ultrasonography, computed tomography, magnetic resonance imaging and subtraction scintigraphy failed. Technetium 99m sestamibi scan after sedation with diazepan showed an abnormal image just below the right lobe of the thyroid. During the neck operation, an adenoma (3 x 1 cm) was detected and resected completely. No other affected glands were found. The levels of serum calcium due to persistent hypercalcemia remained six months later after the operation.
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| 本文言語 | eng
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| 著者キーワード | hyperparathyroidism
parathyroid crisis
intact-PTH
hypercalcemia
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| 主題 | 医学
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| 資料タイプ | text |
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| ファイル形式 | application/pdf |
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| 出版者 | Yamaguchi University Graduate School of Medicine
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| NII資料タイプ | 紀要論文 |
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| ISSN | 0513-1812
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| NCID | AA00594272
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| 学内刊行物(紀要等) | The bulletin of the Yamaguchi Medical School |
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| 掲載誌名 | The bulletin of the Yamaguchi Medical School |
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| 掲載誌名別表記 | 山口医科大学紀要 |
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| 巻 | 51 |
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| 号 | 1-2 |
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| 開始ページ | 17 |
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| 終了ページ | 21 |
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| 発行日 | 2004-06 |
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| 著者版/出版社版 | 出版社版 |
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| リポジトリID | A020051000103 |
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| 地域区分 | 山口大学
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| URI | http://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020051000103 |
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