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題 名 | Betel Nut Induced Milk-Alkali Syndrome--Case Report=檳榔造成牛奶鹼症候群--病例報告 |
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作 者 | 楊久滕; 徐邦治; 韓鴻志; 張新; 魏建華; 胡勝川; | 書刊名 | 慈濟醫學 |
卷 期 | 17:4 民94.08 |
頁 次 | 頁265-268+300 |
分類號 | 415.74 |
關鍵詞 | 檳榔; 高血鈣症; 牛奶鹼症候群; Betel nut; Hypercalcemia; Milk-alkali syndrome; |
語 文 | 英文(English) |
中文摘要 | 檳榔向來有「臺灣口香糖」之稱,而嚼檳榔曘常被宣導的害處是造成口腔癌,少有人知道嚼檳榔還會造成以代謝性鹼中毒、高血鈣症及急性腎衰竭為特徵之牛奶鹼症候群。我們所報告的3位急診個案,主訴包括有頭暈、肌肉疼痛、食慾差、倦怠、體重減輕、便秘或小便減少等症狀。他們習慣大量嚼食用含碳酸鈣之牡蠣殼膏塗抹荖葉包裏之白灰檳榔,每日約30-60粒以提神醒腦及增加活力數十年。理學檢查發現明顯脫水現象,實驗室檢查結果代謝性鹼中毒、高血鈣及急性腎衰辦;進一步檢測血清中副甲狀腺激素及活性維生素D濃度皆因高血鈣而相對降低。住院後所有代謝異常皆於10天內接受支持療法及減少嚼檳榔量後恢復正常,僅其中一位嚼檳榔長達30多年患者之腎功能無法完全恢復。因為嚼檳榔在臺灣相當流行,故臨床醫師於患者有嚼檳榔習慣時,出現高血鈣、代謝性鹼中毒及急性腎衰竭時,要高度懷疑早期治療可以恢復的牛奶鹼症候群。 |
英文摘要 | The betel nut is also called “Taiwanese chewing gum”. The most harmful side effect of habitual chewing of betel nuts is oral cancer. Milk-alkali syndrome, characterized by the triad of metabolic alkalosis, hypercalcemia and renal failure, is a less known effect of betel nut chewing. We describe three patients who came to the emergency department with complaints of dizziness, myalgia, poor appetite, malaise, body weight loss, constipation and decreased urine output. They all chewed white lime betel nuts wrapped in the leaves of Piper betle with ground oyster shell paste containing calcium carbonate. They had consumed about 30-60 nuts daily for decades to increase alertness and work capacity. Physical examinations revealed obvious dehydration. Laboratory examinations revealed metabolic alkalosis, hypercalcemia, and impaired renal function or renal failure. Serum intact-parathyroid hormone (i-PTH) and activated vitamin D (1,25(OH)2D3) levels were decreased in response to hypercalcemia. All metabolic abnormalities were corrected within 10 days after supportive treatment and decreased betel nut ingestion during hospitalization, except for impaired renal function in one patient who had chewed betel nuts for more than 30 years. Since betel nut chewing is common in Taiwan, clinical physicians should be aware of this syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。