ID | 62048 |
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著者 |
Matsuoka, Natsumi
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Watanabe, Haruki
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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Kurooka, Naoko
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Kato, Sumari
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Higashi, Chika
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Tanabe, Katsuyuki
Division of Hemodialysis and Apheresis, Okayama University Hospital
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Kinomura, Masaru
Division of Hemodialysis and Apheresis, Okayama University Hospital
Fujii, Nobuharu
Department of Transfusion Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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Sada, Ken-Ei
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Sugiyama, Hitoshi
Department of Human Resource Development of Dialysis Therapy for Kidney Disease, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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Wada, Jun
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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抄録 | A 65-year-old woman with systemic sclerosis and systemic lupus erythematosus developed acute kidney injury (AKI), Coombs-positive autoimmune hemolytic anemia and autoimmune thrombocytopenia; therefore, she was diagnosed with Evans syndrome (ES). Intravascular hemolysis was suggested as the cause of AKI based on the presence of acute tubular injury and trace hemosiderin deposits on the renal biopsy. The renal function, hemolytic anemia and thrombocytopenia were restored by an increased dose of glucocorticoids, hemodialysis, and plasma exchange. Although ES with severe hemolytic anemia is very rare, it is important to detect possible renal dysfunction when encountering patients with severe hemolysis.
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キーワード | acute kidney injury
Evans syndrome
autoimmune hemolytic anemia
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発行日 | 2021-04-01
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出版物タイトル |
Internal Medicine
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巻 | 60巻
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号 | 7号
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出版者 | Japanese Society of Internal Medicine
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開始ページ | 1055
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終了ページ | 1060
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ISSN | 0918-2918
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2021 The Japanese Society of Internal Medicine
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論文のバージョン | publisher
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DOI | |
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関連URL | isVersionOf https://doi.org/10.2169/internalmedicine.5976-20
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ライセンス | https://creativecommons.org/licenses/ by-nc-nd/4.0/
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