書誌事項
- タイトル別名
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- Acute occlusion of blood access in the patients with C1-inhibitor deficiency undergoing hemodialysis therapy.
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We report two patients with C1-inhibitor deficiency on hemodialysis therapy who experienced frequent occlusion of their blood access. One patient, a 44-year-old woman with hereditary angioedema, has been on hemodialysis for lupus nephritis. The other patient, a 54-year-old man, was started on hemodialysis therapy for diabetic nephropathy. There were no signs of angbedema or complement abnormalities in other members of his family, so his angioedema seemed to be attributable to the acquired form of C1-inhibitor deficiency. We examined the influence of angioedema attacks on the complement, coagulation, fibrinolysis and kinin systems. The predialysis levels of thrombin-antithrombin III (TAT), plasmin-α2 plasmin inhibitor complex (PIC), and fibrinogen of 29 patients on hemodialysis therapy without vascular complications were almost all within the normal range. TAT, PIC and bradykinin levels of both patients were increased during the attacks that led to occlution of blood access. In 1 patient, though the levels increased during attacks, blood access complications did not follow. These findings suggest that the coagulation and kinin systems were affected during the attacks of angioedema, leading to acute occlusion of blood access.
収録刊行物
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- 日本透析医学会雑誌
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日本透析医学会雑誌 31 (2), 125-130, 1998
一般社団法人 日本透析医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204675129472
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- NII論文ID
- 130003874869
- 10005249511
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- NII書誌ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可