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文献詳細

雑誌文献

medicina59巻5号

2022年04月発行

文献概要

特集 症例から学ぶ—電解質と体液量管理のベストアンサー 体液量の管理

ネフローゼ症候群

著者: 仲田真由美1 鈴木智1

所属機関: 1亀田総合病院腎臓高血圧内科

ページ範囲:P.676 - P.680

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症例
65歳男性
現病歴 1週間ほど前から下腿浮腫が出現したため,当院を受診した.

参考文献

1)成田一衛(監),厚生労働科学研究費補助金難治性疾患等政策研究事業(難治性疾患政策研究事業)難治性腎障害に関する調査研究班(編):エビデンスに基づくネフローゼ症候群ガイドライン2020,東京医学社,2020
2)Kallash M, Mahan JD:Mechanisms and management of edema in pediatric nephrotic syndrome. Pediatr Nephrol 36:1719-1730, 2021
3)Vande Walle JG, et al:Volume regulation in children with early relapse of minimal-change nephrosis with or without hypovolaemic symptoms. Lancet 346:148-152, 1998
4)Vande Walle JG, et al:Pathophysiology of edema formation in children with nephrotic syndrome not due to minimal change disease. J Am Soc Nephrol 10:323, 1998
5)Ichikawa I, et al:Role for intrarenal mechanisms in the impaired salt excretion of experimental nephrotic syndrome. J Clin Invest 71:91-103, 1983
6)Buerkert J, et al:Sodium handling by deep nephrons and the terminal collecting duct in glomerulonephritis. Kidney Int 39:850, 1991
7)Lee EY, Humphreys MH, et al:Phosphodiesterase activity as a mediator of renal resistance to ANP in pathological salt retention. Am J Physiol 271:F3, 1996
8)Svenningsen P, et al:Plasmin in nephrotic urine activates the epithelial sodium channel. J Am Soc Nephrol 20:299, 2009
channels by cleaving the gamma subunit. J Biol Chem 283:36586, 2008
10)Brater DC, et al:Absorption and disposition of furosemide in congestive heart failure. Kidney Int 22:171-176, 1982
11)Inoue M, et al:Mechanism of furosemide resistance in analbuminemic rats and hypoalbuminemic patients. Kidney Int 32:198-203, 1987
12)Takada T, et al:Tolvaptan alleviates excessive fluid retention of nephrotic diabetic renal failure unresponsive to furosemide. Nephrology(Carlton)23:883-886, 2018
13)Kida K, et al:Efficacy of tolvaptan added to furosemide in heart failure patients with advanced kidney dysfunction;A pharmacokinetic and pharmacodynamic study. Clin Pharmacokinet 54:273-284, 2015
14)Inoue H, et al:The effect of add-on acetazolamide to conventional diuretics for diuretic-resistant edema complicated with hypercapnia;A report of two cases. Intern Med. 2021 Aug 6. doi:10.2169/internalmedicine.7896-21
15)Erratum regarding “acetazolamide and hydrochlorothiazide followed by furosemide versus furosemide and hydrochlorothiazide followed by furosemide for the treatment of adults with nephrotic edema;A randomized trial”(Am J Kidney Dis 69:420-427, 2017)Am J Kidney Dis 70:305, 2017
16)Hoorn EJ, Ellison DH:Diuretic resistance. Am J Kidney Dis 69:136-142, 2017

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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