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Nihon rinsho. Japanese journal of clinical medicine最新文献

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[PPoma].
Pub Date : 2020-02-10 DOI: 10.32388/92pajd
S. Ohkawa
PPoma is a type of pancreatic endocrine tumor (see this term) that hypersecretes pancreatic polypeptide (PP) but that does not cause a hypersecretion syndrome (is nonfunctioning) and instead presents with only non-specific symptoms such as weight loss, abdominal pain, jaundice, diarrhea and/or an abdominal mass, hence leading to a late diagnosis. PPoma can be associated with multiple endocrine neoplasia 1 (MEN-1; see this term). Qeios · Definition, February 10, 2020
PPoma是一种胰腺内分泌肿瘤(见此术语),其胰腺多肽(PP)分泌过多,但不引起分泌过多综合征(无功能),仅表现为体重减轻、腹痛、黄疸、腹泻和/或腹部肿块等非特异性症状,因此诊断较晚。PPoma可伴有多发性内分泌肿瘤1 (men1;参见这个术语)。Qeios·定义,2020年2月10日
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引用次数: 0
[Eosinophilic esophagitis]. (嗜酸性食管炎)。
Pub Date : 2020-02-10 DOI: 10.32388/zf2eta
H. Kusunose, S. Ohara
Eosinophilic esophagitis (EoE) is a clinicopathologic condition of increasing recognition and prevalence. Because of elevated total IgE levels and high rates of concurrent allergic diseases compared with the general population, EoE appears to be an antigen-driven immunologic process that caused by allergens like food or aeroallergens. EoE is a disease that features dense intraepithelial infiltration by eosinophils which cause excessive mucosal immunologic reactions which cause several symptoms that mostly involve dysphagia. For establishment of the diagnosis, infiltration of eosinophils (≥ 20 eosinophils/HPF) should be identified in an esophageal mucosal biopsy specimen. In treatment of patients have a possibility of EoE, proton-pump inhibitors(PPIs) must be tried as first choice. Other proved therapeutic options include topical or systemic corticosteroids, chronic dietary elimination, and esophageal dilation, but local administration of glucocorticoids has recently been reported as useful therapy for EoE.
嗜酸性粒细胞性食管炎(EoE)是一种越来越被认识和流行的临床病理状况。与一般人群相比,由于总IgE水平升高和并发过敏性疾病的发生率高,EoE似乎是抗原驱动的免疫过程,由食物或空气过敏原等过敏原引起。EoE是一种以嗜酸性粒细胞密集的上皮内浸润为特征的疾病,引起过度的粘膜免疫反应,引起几种症状,主要包括吞咽困难。为了确定诊断,应在食管粘膜活检标本中发现嗜酸性粒细胞浸润(≥20嗜酸性粒细胞/HPF)。在治疗有EoE可能性的患者时,质子泵抑制剂(PPIs)必须作为首选。其他已证实的治疗选择包括局部或全身皮质类固醇、慢性饮食消除和食管扩张,但最近有报道称局部给药糖皮质激素是治疗EoE的有效方法。
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引用次数: 0
[Somatostatinoma]. (生长抑素瘤)。
Pub Date : 2020-02-10 DOI: 10.32388/mceo6e
Makoto Ueno
{"title":"[Somatostatinoma].","authors":"Makoto Ueno","doi":"10.32388/mceo6e","DOIUrl":"https://doi.org/10.32388/mceo6e","url":null,"abstract":"","PeriodicalId":19307,"journal":{"name":"Nihon rinsho. Japanese journal of clinical medicine","volume":"19 1","pages":"372-4"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74396749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Leprechaunism]. [Leprechaunism]。
Pub Date : 2020-02-10 DOI: 10.32388/ziia6z
G. Koya
A course of leprechaunism is described in a 6-month-old girl who died of cachexia in the presence of generalized cytomegalia and myocardial metabolic derangement caused by cardiac arterial calcinosis. Proband sib aged 7 suffered from deaf-mutism and imbecility. There were multiple deformities of the face and body, skin hyperkeratosis with papillomatosis and melanoderma, hirsutism, pseudohermaphroditism, breast hyperplasia, normal serum glucose. Ovarian polycystosis and nephromegaly were detected at autopsy. Histologically, there appeared nesidioblastosis, Leydig's cells focal hyperplasia in the ovaries, cystic renal dysplasia calcinosis of cardiac arteries, those of mesentery of the small intestine, spleen, pancreas and thyroid gland. The final diagnosis was established on the basis of the whole complex of clinical and morphological signs.
一个6个月大的小女孩死于恶病质,同时伴有全身巨细胞症和心肌代谢紊乱,这是由心脏动脉钙质沉着症引起的。先证者7岁患有聋哑症和弱智。面部和身体多发畸形,皮肤角化过度伴乳头状瘤病和黑皮病,多毛症,假两性畸形,乳腺增生,血糖正常。尸检发现卵巢多囊和肾肥大。组织学上表现为肾母细胞增生,卵巢间质细胞局灶性增生,心脏动脉、小肠肠系膜、脾脏、胰腺、甲状腺等囊性肾发育不良钙化。最终的诊断建立在综合临床和形态学征象的基础上。
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引用次数: 0
[Carbamoyl phosphate synthetase I deficiency]. [氨甲酰磷酸合成酶I缺乏症]。
Pub Date : 2020-02-10 DOI: 10.32388/lxn0ql
R. Hoshide
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引用次数: 1
[Gaucher disease]. 戈谢病。
Pub Date : 2020-02-10 DOI: 10.32388/0t76hu
T. Ohashi
Gaucher disease is an inherited metabolic disease characterized by deficient activity of lysosomal enzyme, known as a glucocerebrosidase. Three clinical phenotype were documented depends on the onset of disease and neuronal involvement. Deficient activity of glucocerebrosidase results in progressive accumulation of glucocerebroside mainly in bone marrow derived macrophages. Diagnosis was made based on enzymatic activity in various tissue including WBC and fibroblasts. Molecular diagnosis was also possible. However, it is difficult to differentiate the three phenotypes. Although bone marrow transplantation and enzyme infusion therapy are both effective, the inherent problems limits their application. Gene therapy based on transfer of the therapeutic gene to hematopoietic stem cells were started in this year in USA.
戈谢病是一种遗传性代谢性疾病,其特征是溶酶体酶活性不足,即葡萄糖脑苷酶。三种临床表型的记录取决于疾病的发作和神经元受累。葡萄糖脑苷酶活性不足导致葡萄糖脑苷主要在骨髓源性巨噬细胞中进行性积累。根据各种组织(包括白细胞和成纤维细胞)的酶活性进行诊断。分子诊断也是可能的。然而,这三种表型很难区分。虽然骨髓移植和酶输注治疗都是有效的,但其固有的问题限制了它们的应用。将治疗基因转移到造血干细胞上的基因治疗,今年在美国开始了。
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引用次数: 0
[Hereditary renal hypouricemia]. [遗传性肾性低尿酸血症]。
Pub Date : 2020-02-10 DOI: 10.32388/xejeub
T. Ohta, T. Sakano
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引用次数: 25
[Megacystis-megaureter syndrome].
Pub Date : 2020-02-10 DOI: 10.32388/d67o6c
N. Kawamura
Megacystic-megaureter syndrome is an urinary tract malformation characterized by the presence of a massive primary non-obstructive vesicoureteral reflux and a large capacity, smooth, thin walled bladder due to the continual recycling of refluxed urine. Recurrent urinary infections are commonly associated with this condition.
巨囊-计尿综合征是一种泌尿道畸形,其特征是存在大量原发性非阻塞性膀胱输尿管反流,由于反流尿液的不断循环,膀胱容量大、光滑、薄壁。复发性尿路感染通常与此病有关。
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引用次数: 3
[Secondary amyloidosis].
Pub Date : 2020-02-08 DOI: 10.32388/ikfezf
S. Kito, E. Itoga, T. Ito, T. Shinoda, Y. Yaguchi
{"title":"[Secondary amyloidosis].","authors":"S. Kito, E. Itoga, T. Ito, T. Shinoda, Y. Yaguchi","doi":"10.32388/ikfezf","DOIUrl":"https://doi.org/10.32388/ikfezf","url":null,"abstract":"","PeriodicalId":19307,"journal":{"name":"Nihon rinsho. Japanese journal of clinical medicine","volume":"49 1","pages":"3170-8"},"PeriodicalIF":0.0,"publicationDate":"2020-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90161026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tangier disease]. (丹吉尔疾病)。
Pub Date : 2020-02-08 DOI: 10.32388/8jgfft
T. Suehiro, Y. Ikeda
{"title":"[Tangier disease].","authors":"T. Suehiro, Y. Ikeda","doi":"10.32388/8jgfft","DOIUrl":"https://doi.org/10.32388/8jgfft","url":null,"abstract":"","PeriodicalId":19307,"journal":{"name":"Nihon rinsho. Japanese journal of clinical medicine","volume":"142 1","pages":"604-7"},"PeriodicalIF":0.0,"publicationDate":"2020-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80989884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Nihon rinsho. Japanese journal of clinical medicine
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