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https://doi.org/10.24546/00181760
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2024-04-20
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00181760 (fulltext)
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メタデータID
00181760
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open access
出版タイプ
Version of Record
タイトル
An Observation of Plasma Cell Dyscrasia Developing to Multiple Myeloma With a Rare Association of Pituitary Adenoma and Pituitary Apoplexy
著者
Isobe, Takashi ; Okimura, Yasuhiko ; Abe, Hiromi ; Kaji, Hidesuke ; Yamada, Hajime ; Kitazaka, Riko ; Kitazawa, Sohei ; Maeda, Sakan ; Fujita, Takuo ; Taminato, Tomohiko ; Imura, Hiroo ; Chihara, Kazuo
著者名
Isobe, Takashi
著者名
Okimura, Yasuhiko
著者名
Abe, Hiromi
著者名
Kaji, Hidesuke
著者名
Yamada, Hajime
著者名
Kitazaka, Riko
著者名
Kitazawa, Sohei
著者名
Maeda, Sakan
著者名
Fujita, Takuo
著者名
Taminato, Tomohiko
著者名
Imura, Hiroo
著者名
Chihara, Kazuo
収録物名
Bulletin of health sciences Kobe
巻(号)
14
ページ
133-142
出版者
Graduate School of Health Sciences, Kobe University
刊行日
1998-12-26
公開日
2006-09-11
注記
本文ファイルは、国立情報学研究所CiNiiより提供されたものです。
抄録
A 67 year-old male showed clinical manifestations of two different disorders in his clinical course for more than 20 years. In fact, he started his complaint of headache at the age of 27, when he was hypertensive. Acromegaly was noted at the age of 33 and glucosuria at the age of 42. Clinical manifestations at the age of 45 included general fatigue, thirst, polydipsia-polyuria, and impotence. A clinical examinations made a diagnosis of. Pituitary adenoma. At the age of 47, an episode of severe headache- with fever for 10 days made him normotensive and panhypopituitarism, indicating pituitary apoplexy. In his clinical course, however, there was another manifestation of serum monoclonal immunoglobulin of IgG(k) type. On the basis of low plasma cell proliferation, and low concentration of M-protein, benign monoclonal gammopathy was a diagnosis at that time. After the following 14 years, changes from benign monoclonal gammopathy to multiple myeloma were noted. The patient died of exacerbated malignant state of myeloma, hypercalcemia, anemia, associated DIC and generalized infections. Two different course of two different disorders were discussed, in connection with clinical and pathological findings.
キーワード
Monoclonal immunoglobulin
Pituitary apoplexy
Pituitary adenoma
Multiple myeloma
カテゴリ
Bulletin of health sciences Kobe
>
14号(1998-12-26)
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資源タイプ
departmental bulletin paper
言語
English (英語)
ISSN
1346-8707
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NCID
AA11316362
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関連情報
NAID
110004599666
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