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相關文獻
- Diabetes Insipidus in Langerhans' Cell Histiocytosis: Report of a Case
- Al Diabetes Insipidus and Langerhans Cell Stiocytosis--A Case Report and Review of Literature
- 腎因性尿崩症
- 尿崩症
- 中樞性尿崩症
- 水通道蛋白與尿崩症
- 蘭格罕氏細胞組織球增生症
- 特發性中樞型尿崩症--一病例報告及文獻回顧
- 兼論中樞性尿崩症影像診斷之進展
- Thickened Pituitary Stalk with Central Diabetes Insipidus: Report of Three Cases
頁籤選單縮合
題名 | Diabetes Insipidus in Langerhans' Cell Histiocytosis: Report of a Case=組織球增生症合併尿崩--病例報告 |
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作者 | 吳惠足; 陳百薰; 沈俊明; 張泰琮; 柯適中; Wu, Hui-tsu; Chen, Bai-hsiun; Sheen, Jiunn-ming; Chang, Tai-tsung; Ko, Shih-chung; |
期刊 | The Kaohsiung Journal of Medical Sciences |
出版日期 | 19990500 |
卷期 | 15:5 1999.05[民88.05] |
頁次 | 頁302-306 |
分類號 | 415.7 |
語文 | eng |
關鍵詞 | 組織球增生症; 尿崩; Langerhans' cell histiocytosis; Diabetes insipidus; |
中文摘要 | 組織球增生症合併尿崩症在文獻上的報導並不少,發生頻率達到9.5∼50%,但在臺灣文獻上卻未曾發表過。此個案因壹年來多喝,多尿和體重減輕來本醫院求診,其頭皮部和軀幹的皮膚有脂漏性皮膚炎樣病變已有兩年多。其身高及體重均在參百分位下,經過皮膚病理切片,限水實驗和注射Vasopressin,結果証實為Langerhan氏細胞組織球增生症合併尿崩症。其頭部MRI及其他實驗室檢查均正常。經過經鼻DDAVP及TPOG-H 94化學治療參個月,病患皮膚病變消失,每天尿量由超過3000亳升回復到正常量。 |
英文摘要 | The incidence of diabetes insipidus secondary to Langerhans' cell histiocytosis (LCH) varies among different reports, ranging from 9.5 to 50%, but it has never been reported in literature in Taiwan. Therefore, we presented a case suffering from polyuria, polydipsia, body weight loss for more than one year and seborreic dermatitis-like skin lesions over the scalp and trunk for more than two years. Her body weight and body length were both less than 3 percentile. Fluid restriction and vasopressin test were performed to differentiate nephrogenic from neurogenic diabetes insipidus. Skin biopsy revealed picture of LCH and LCH with complete central diabetes insipidus was diagnosed. Brain MRI and other laboratory examinations were all within normal limits. She received nasal DDAVP treatment and chemotherapy with TPOG-H 94 protocol. After 3 months treatment, her skin lesions disappeared and daily urine amount returned to normal range. |
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