Insulin dependent diabetes mellitus accompanied by nephrocalcinosis and renal failure.

H Kodama, T Kuramatsu, M Yanagisawa, T Uchiya, A Takahashi
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引用次数: 3

Abstract

Renal failure was found in a five-year-old patient who had been treated with insulin since he was diagnosed as having insulin dependent diabetes mellitus (IDDM) at 3 years of age. Laboratory data showed that his renal failure was caused by a renal tubular dysfunction. The autopsy findings of his pancreas were compatible with those of IDDM. The kidneys were atrophied with an innumerable number of crystals in the proximal tubuli. Staining by Kossa indicated that the crystals contained calcium salt. The calcium content of his kidneys was significantly higher than that of control. The nephrocalcinosis seems to be caused by hypercalciuria associated with IDDM.

胰岛素依赖型糖尿病伴肾钙质沉着和肾功能衰竭。
一名5岁的患者在3岁时被诊断为胰岛素依赖型糖尿病(IDDM),并接受胰岛素治疗,结果发现肾功能衰竭。实验室数据显示他的肾功能衰竭是由肾小管功能障碍引起的。他的胰腺解剖结果与IDDM一致。肾脏萎缩,近端肾小管中有无数晶体。科萨染色表明晶体中含有钙盐。肾脏钙含量明显高于对照组。肾钙质沉着症似乎是由IDDM相关的高钙尿引起的。
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