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英文誌(2004-)

Journal of Medical Ultrasonics

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1991 - Vol.18

Vol.18 No.03

Original Article(原著)

(0269 - 0272)

透析患者の無症候性副甲状腺腫大の頻度:高解像超音波断層法による検討

Incidence of Parathyroid Gland Hyperplasia in Dialysis Patient not Showing Clinical Signs of Hyperparathyroidism: An Ultrasonographic Study

貴田岡 正史1, 高野 幸路1, 武井 司1, 田中 祐司2, 岡崎 亮2, 原田 俊一2, 関根 信夫2, 深川 雅史3

Masafumi KITAOKA1, Kohji TAKANO1, Tsukasa TAKEI1, Yuji TANAKA2, Ryo OKAZAKI2, Shun-Ichi HARADA2, Nobuo SEKINE2, Masafumi FUKAGAWA3

1公立昭和病院内分泌代謝科, 2東京大学第4内科, 3東京大学第一内科

1Division of Endocrinology and Metabolism, Showa General Hospital, 2Fourth Department of Internal Medicine, School of Medicine Tokyo University, 3First Department of Internal Medicine, School of Medicine Tokyo University

キーワード : Ultrasonography, Dialysis, Secondary Hyperparathyroidism, Parathyroid Hyperplasia

Incidence of parathyroid gland hyperplasia in 35 Dialysis patients not showing clinical signs of hyperparathyroidism were investigated by applying highly sensitive ultrasonography (7.5-10 MHz). The patients were divided into two groups. Group A consisted of dialysis patients with biochemical changes (with a high concentration of plasma phosphate and high titer of alkaline phosphatase activity). Group B consisted of those patients without any biochemical changes. Enlarged parathyroid glands were present in 9 of 19 cases (47%) in A group. On the other hand, 5 of 16 cases (30%) in group B had an enlarged parathyroid gland. The parathyroid gland was smaller in group A than in group B.