著明な腎石灰化を合併した偽Ｂａｒｔｔｅｒ症候群の１例

• 山本 駿一

  千葉社会保険病院腎臓内科

• 家里 憲二

  千葉社会保険病院病理

• 長谷川 茂

  千葉社会保険病院病理

• 塚原 常道

  千葉社会保険病院病理

• 近藤 洋一郎

  千葉社会保険病院病理

• 吉田 弘道

  三愛記念病院内科

• 寺野 隆

  葉市立病院内科

書誌事項

タイトル別名

• A case of pseudo-Bartter's syndrome with marked nephrocarcinosis.

抄録

A 38-year-old woman was admitted to our hospital on for evaluation of thirst, bilateral backache and a feeling of abdominal fullness. She had hypokalemia, normotension, hyperreninemia, hyperaldostronism and hyperplasia of the juxtaglomerular apparatus on renal iopsy. Ultrasonography, intravenous pyelography and computed tomography showed marked bilateral renal calcification. Considering her history of persistent soft stool caused by chronic laxative abuse for 15 to 16 years and past diuretic abuse for several years since 1986, we diagnosed her as pseudo-Bartter's syndrome with nephrocarcinosis. The value of urinary Ca excretion was in the normal range, and acidification disturbance in NH₄C1 loading test was revealed. In addition, she had taken analgesics for 2 to 3 years and interstitial nephritis on renal biopsy was seen. It is thus suggested that the cause of nephrocarcinosis in this case was the reduction of Ca solubility in the tubular cavity induced by incomplete renal tubular acidosis associated with analgesic nephropathy or interstitial nephritis caused by hypokalemia.

収録刊行物

• 日本腎臓学会誌

  日本腎臓学会誌 42 (7), 597-602, 2000

  社団法人 日本腎臓学会

キーワード

• pseudo-Bartter's syndrome, nephrocarcinosis, laxative and diuretic abuse, interstitial nephritis, incomplete distal tubular acidosis

詳細情報

• CRID: 1390001204857886208
• NII論文ID: 130004170532
• NII論文ID: 10007043286
• NII書誌ID: AN10131749
• DOI: 10.14842/jpnjnephrol1959.42.597
• ISSN: 18840728
• ISSN: 03852385
• PubMed: 11155704
• Web Site: https://search.jamas.or.jp/link/ui/2001070912
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可