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Accession number;05A0356960
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| Title;An Early Case of Proteinuria Developing after Fulminant Type 1 Diabetes Onset |
| Author;
MOROHOSHI MASAHARU
(Tokyotokyoshokuingojokai Sanrakubyoin Naika)
TAGAMI MOTOKI
(Tokyotokyoshokuingojokai Sanrakubyoin Naika)
ARAI TAKAKO
(Tokyotokyoshokuingojokai Sanrakubyoin Naika)
UCHIMURA ISAO
(Tokyo Medical and Dental Univ., Graduate School)
HIRATA YUKIO
(Tokyo Medical and Dental Univ., Graduate School)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.48;NO.3;PAGE.171-176(2005)
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| Figure&Table&Reference;FIG.3, TBL.2, REF.15 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 65-year-old woman with polymyalgia rheumatica and chronic thyroiditis admitted to hospital due to coma from hyperglycemia and ketoacidosis had a clinical history and laboratory data consistent with a diagnosis of fulminant type 1 diabetes. Proteinuria had not, however developed. After she was discharged, proteinuria occurred with hypoalbuminemia, leading to a diagnosis of nephrosis-like syndrome. She was treated with a protein-restricted diet, prednisone (15 mg) and ACE inhibitor. Membranous nephropathy was diagnosed by histological examination in renal biopsy. Proteinuria improved over the year. Diabetic nephropathy commonly progresses based on diabetes duration and glycemic control, but in this atypical case, the early development of proteinuria appeared to be associated with fluminant type 1 diabetes onset. (author abst.) |
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