CEN Case Reports最新文献_第6页

Importance of education on steroid cover: a case of hyponatremia after dental extraction with local anesthesia in a patient with idiopathic hypopituitarism. 类固醇覆盖教育的重要性：一例特发性垂体功能减退症患者在局部麻醉下拔牙后出现低钠血症。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-09-22 DOI: 10.1007/s13730-023-00824-4

Yoshihiro Nakamura, Shoji Saito, Norio Okada, Taishi Yamakawa, Shoichi Maruyama

引用次数: 0

Correction to: Functional changes in the heart after sacubitril/valsartan use in 5 hemodialysis patients with hypertension. Case report. 更正：5例血液透析高血压患者使用沙库比妥/缬沙坦后心脏功能的变化。病例报告。

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CEN Case Reports Pub Date : 2024-08-01 DOI: 10.1007/s13730-024-00899-7

Noriko Kuwae

引用次数: 0

Hypernatremic chloride-depletion metabolic alkalosis successfully treated with high cation-gap amino acids: a case report. 高阳离子间隙氨基酸成功治疗高钠血症氯消耗代谢性碱中毒1例。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-11-22 DOI: 10.1007/s13730-023-00837-z

Akihiro Ryuge, Shogo Nagamine, Masashi Saito, Naoki Matsumoto, Marina Asano

引用次数: 0

Herpes zoster in a patient with first onset of childhood nephrotic syndrome following the second SARS-CoV-2 vaccination. 一名接种第二次 SARS-CoV-2 疫苗后首次发病的儿童肾病综合征患者出现带状疱疹。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-09-11 DOI: 10.1007/s13730-023-00818-2

Kaoru Nakashima, Tomoko Horinouchi, Yu Tanaka, Yuta Ichikawa, Kandai Nozu

引用次数: 0

Functional changes in the heart after sacubitril/valsartan use in 5 hemodialysis patients with hypertension. Case report. 5例高血压血液透析患者使用苏比里尔/缬沙坦后心脏功能的改变。病例报告。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-11-23 DOI: 10.1007/s13730-023-00833-3

Noriko Kuwae

{"title":"Functional changes in the heart after sacubitril/valsartan use in 5 hemodialysis patients with hypertension. Case report.","authors":"Noriko Kuwae","doi":"10.1007/s13730-023-00833-3","DOIUrl":"10.1007/s13730-023-00833-3","url":null,"abstract":"The purpose of this report is to describe the efficacy of sacubitril/valsartan in 5 hemodialysis patients with hypertension, including a patient with heart failure with reduced ejection fraction (HFrEF) and a patient with preserved ejection fraction (HFpEF) focused on the functional changes in the heart. We switched from angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs) to sacubitril/valsartan and compared blood pressure post dialysis, N-terminal pro-brain natriuretic peptide (NT-pro-BNP) levels and the findings of echocardiography for a period of 6 months. A month after the initiation of sacubitril/valsartan, there was improvement of symptoms and blood pressure post-dialysis, the NT-pro-BNP levels decreased from 23,132.2 ± 16,561.3 pg/mL to 8327 ± 3334.3 pg/mL, and the echocardiography findings showed a decrease in the left atrial dimension from 37.7 ± 5.7 mm to 33 ± 4.9 mm and an increase in the left ventricular ejection fraction from 58.2 ± 16.9% to 66.4 ± 15.0%. These results were sustained for up to 6 months. Also, blood pressure post-dialysis changed from 164 ± 11/77 mmHg to 150 ± 13/72 mmHg over the 6-month period. There were no side effects, such as hyperkalemia and lymphoedema. In conclusion, 5 patients had hypertension, including 2 patients with heart failure. Sacubitril/valsartan improved blood pressure post-dialysis, heart failure symptoms, NT-pro- BNP, the left atrial dimension, the left ventricular ejection fraction, and E/e', E/A found via echocardiography for a 6-months period. Treatment with sacubitril/valsartan was effective in hemodialysis patients in the cardiac function.","PeriodicalId":9697,"journal":{"name":"CEN Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11294509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138294751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LAMB2 gene: broad clinical spectrum in Pierson syndrome. LAMB2基因:Pierson综合征的广泛临床谱。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-12-01 DOI: 10.1007/s13730-023-00838-y

Emre Leventoğlu, Emine Dönmez, Bahriye Uzun Kenan, Burcu Yazıcıoğlu, Bahar Büyükkaragöz, Kibriya Fidan, Sevcan A Bakkaloğlu, Oğuz Söylemezoğlu

引用次数: 0

A case of bullous pemphigoid and renal disease after dipeptidyl peptidase 4 inhibitor administration. 一例服用二肽基肽酶 4 抑制剂后出现大疱性丘疹和肾病的病例。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-12-06 DOI: 10.1007/s13730-023-00835-1

Atsuhiko Suenaga, Naoki Sawa, Yuki Oba, Daisuke Ikuma, Akinari Sekine, Masayuki Yamanouchi, Eiko Hasegawa, Hiroki Mizuno, Tatsuya Suwabe, Nobukazu Hayashi, Kei Kono, Keiichi Kinowaki, Kenichi Ohashi, Motoaki Miyazono, Yutaka Yamaguchi, Yoshifumi Ubara

引用次数: 0

Dapagliflozin administration for 1 year promoted kidney enlargement in patient with ADPKD. 服用达帕格列净一年可促进 ADPKD 患者的肾脏增大。

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CEN Case Reports Pub Date : 2024-08-01 Epub Date: 2023-12-20 DOI: 10.1007/s13730-023-00840-4

Shinya Nakatani, Fumiyuki Morioka, Hideki Uedono, Akihiro Tsuda, Katsuhito Mori, Masanori Emoto

{"title":"Dapagliflozin administration for 1 year promoted kidney enlargement in patient with ADPKD.","authors":"Shinya Nakatani, Fumiyuki Morioka, Hideki Uedono, Akihiro Tsuda, Katsuhito Mori, Masanori Emoto","doi":"10.1007/s13730-023-00840-4","DOIUrl":"10.1007/s13730-023-00840-4","url":null,"abstract":"To date, there is insufficient evidence regarding use of sodium-glucose cotransporter-2 (SGLT2) inhibitors for patients with autosomal-dominant polycystic kidney disease (ADPKD), as such cases have been excluded from previous clinical trials exploring the kidney protection effects of such medications. Here, findings of an ADPKD patient who received dapagliflozin, a selective SGLT2 inhibitor, for 1 year are presented. A 38-year-old woman with a family history of ADPKD wished for treatment with dapagliflozin. After starting administration at 10 mg/day, total kidney volume (TKV) continued to increase, from 1641 to 1764 mL after 84 days and then to 2297 mL after 340 days. The estimated glomerular filtration rate (eGFR) was also decreased from 67.3 to 56.2 mL/min/1.73 m2, and then to 51.4 mL/min/1.73 m2 at those times. Immediately after discontinuation of dapagliflozin, TKV and eGFR were slightly improved to 2263 mL and 55.1 mL/min/1.73 m2, respectively. Following a review of basic research studies, we consider that increased intratubular urinary osmotic pressure, compensatory glucose reabsorption by sodium-glucose cotransporter-1 in the late proximal tubule, and hypertrophy shown in collected cells caused by increased vasopressin may be associated with ADPKD disease progression. Caution may be needed when administering dapagliflozin to patients with ADPKD.","PeriodicalId":9697,"journal":{"name":"CEN Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11294305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138794591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behcet's disease presenting as malignant hypertension induced by renovascular hypertension. 贝赫切特氏病表现为由新血管性高血压诱发的恶性高血压。

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CEN Case Reports Pub Date : 2024-07-30 DOI: 10.1007/s13730-024-00918-7

Sho Kinguchi, Misumi Tamura, Rika Furuta, Kazuki Toyota, Kohei Ishiga, Tomohiko Kanaoka, Kengo Azushima, Hiromichi Wakui, Nobuhito Hirawa, Kouichi Tamura

{"title":"Behcet's disease presenting as malignant hypertension induced by renovascular hypertension.","authors":"Sho Kinguchi, Misumi Tamura, Rika Furuta, Kazuki Toyota, Kohei Ishiga, Tomohiko Kanaoka, Kengo Azushima, Hiromichi Wakui, Nobuhito Hirawa, Kouichi Tamura","doi":"10.1007/s13730-024-00918-7","DOIUrl":"https://doi.org/10.1007/s13730-024-00918-7","url":null,"abstract":"Hypertension is an uncommon manifestation of Behcet's disease, which is also an uncommon cause of renovascular hypertension. We herein report a case of malignant hypertension associated with unilateral renal artery stenosis due to vascular Behcet's disease. A 19-year-old man, who had no significant medical history, was referred to ophthalmology at our hospital because he was suspected to have uveitis and Vogt-Koyanagi-Harada syndrome. In addition to poor eyesight, he had been aware of a fever, loss of appetite, and weight loss for a month. He was admitted with markedly elevated blood pressure (222/140 mmHg), hypertensive retinopathy, and acute kidney injury, who was diagnosed with malignant hypertension. Laboratory findings showed high plasma renin activity and plasma aldosterone concentration, hypokalemia, and elevated inflammatory response. Computed tomography showed an atrophic right kidney and a compensatorily enlarged left kidney. Renal computed tomography angiography revealed severe and diffuse stenosis of the right renal artery, and stenosis of the ostium of celiac artery. Since he was suspected to have uveitis and his inflammatory responses were elevated on admission, we listed Behcet's disease as a differential diagnosis. Medical interview and examination focusing on Behcet's disease revealed that the patient had recurrent oral aphthous lesions and folliculitis, and a positive pathergy test, which led to the patient being diagnosed with vascular Behcet's disease. After admission, his blood pressure was well controlled with multiple antihypertensive drugs including an angiotensin receptor/neprilysin inhibitor, and his oral aphthous lesions and skin lesion were improved with colchicine. When young men who are at a higher risk for vascular Behcet's disease show renovascular hypertension with an elevated inflammatory reaction, vascular Behcet's disease should be considered as a differential diagnosis.","PeriodicalId":9697,"journal":{"name":"CEN Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unusual course of glyphosate-induced acute kidney injury: a case report of tubulointerstitial nephritis treated with steroids. 草甘膦诱发急性肾损伤的不寻常病程：用类固醇治疗肾小管间质性肾炎的病例报告。

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CEN Case Reports Pub Date : 2024-07-29 DOI: 10.1007/s13730-024-00914-x

Daichi Omote, Shin-Ichi Makino, Issei Okunaga, Masayoshi Ishii, Narihito Tatsumoto, Masashi Aizawa, Katsuhiko Asanuma

{"title":"Unusual course of glyphosate-induced acute kidney injury: a case report of tubulointerstitial nephritis treated with steroids.","authors":"Daichi Omote, Shin-Ichi Makino, Issei Okunaga, Masayoshi Ishii, Narihito Tatsumoto, Masashi Aizawa, Katsuhiko Asanuma","doi":"10.1007/s13730-024-00914-x","DOIUrl":"https://doi.org/10.1007/s13730-024-00914-x","url":null,"abstract":"Glyphosate is a widely used herbicide that is generally considered safe; however, acute kidney injury (AKI) caused by glyphosate ingestion can be severe and require hemodialysis. We present a unique case of a 68-year-old Japanese man who developed AKI after accidental ingestion of glyphosate and required hemodialysis. Based on the clinical presentation and findings, the patient was diagnosed with renal AKI with severe tubulointerstitial damage. However, the precise pathogenesis of the tubulointerstitial damage remained unclear. An elevated beta-2 microglobulin level discovered by the urinalysis during admission raised the suspicion of tubulointerstitial nephritis caused by glyphosate. Gallium scintigraphy revealed accumulation in both kidneys. A renal biopsy revealed acute tubulointerstitial nephritis rather than acute tubular necrosis, which is commonly observed with glyphosate-induced renal injury. After initiating steroid therapy, his kidney function gradually improved and he was weaned from hemodialysis. This report is the first to describe glyphosate-induced acute tubulointerstitial nephritis that was successfully treated with immunosuppressive therapy. Furthermore, this report highlights the importance of steroid therapy for cases of persistent kidney injury after the discontinuation of agents associated with acute tubulointerstitial nephritis.","PeriodicalId":9697,"journal":{"name":"CEN Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0