著者

中村 有希 四倉 寛子 加藤 雅彦 中田 淳 田中 啓治 林 宏光

出版者

日本医科大学医学会

雑誌

日本医科大学医学会雑誌 (ISSN:13498975)

巻号頁・発行日

vol.3, no.1, pp.25-29, 2007 (Released:2007-03-23)

参考文献数

16

被引用文献数

1

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Adult autosomal dominant polycystic kidney disease (ADPKD) is a common hereditary disorder responsible for 8% to 10% of cases of end-stage chronic renal failure. The extrarenal complications of ADPKD kidney include cardiovascular disorders (such as mitral valve prolapse syndrome, bicuspid aortic valve, aortic coarctation, aortic aneurysm, and aortic dissection), intracranial aneurysms, diverticulum of colon, hepatic cysts, inguinal hernia, and urinary calculus. Acute aortic dissection (AAD) associated with ADPKD is life-threatening. There are few reports of ADPKD with AAD. To the best of our knowledge, only 9 cases have been found, including at autopsy, in Japan. We have treated 121 patients with AAD in the last 5 years, and 3 of these 121 patients also had ADPKD in the intensive care unit of Nippon Medical School. We report clinical features of cases of ADPKD with AAD on the basis of 12 cases, including 9 previously reported cases and our 3 cases. AAD requires urgent antihypertensive therapy, which often aggravates renal function. Priority should be given to antihypertensive therapy in emergent cases. In fact, 2 of our patients required hemodialysis owing to antihypertensive therapy for AAD. Close cooperation between cardiologists and nephrologists is essential.

著者

綿引 伴子 中田 淳平

出版者

金沢大学人間社会学域学校教育学類 = The School of Teacher Education, College of Human and Social Sciences, Kanazawa Unibersity, Kanazawa, Japan

雑誌

金沢大学人間社会学域学校教育学類紀要 = Bulletin of the school of teacher education (ISSN:18830935)

巻号頁・発行日

vol.4, pp.57-70, 2012-02-29

著者

中田 淳子

雑誌

武蔵野音楽大学研究紀要 = Bulletin of Musashino Academia Musicae (ISSN:05802466)

巻号頁・発行日

no.52, pp.39-52, 2021-03-31