偽アルドステロン症
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/03/27 00:04:34」(JST)
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Pseudohyperaldosteronism |
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Pseudohyperaldosteronism (also pseudoaldosteronism) is a medical condition that mimics hyperaldosteronism.[1] Like hyperaldosteronism, it produces hypertension associated with low plasma renin activity, and metabolic alkalosis associated with hypokalemia. Unlike hyperaldosteronism, it involves aldosterone levels that are normal or low (hypoaldosteronism).
Contents
- 1 Causes
- 2 Presentation
- 3 See also
- 4 References
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Causes
This condition has several known causes, dietary and genetic. Dietary causes include the chronic excessive ingestion of licorice.[2] Licorice inhibits the 11-beta hydroxysteroid dehydrogenase type II (Protein:HSD11B2) enzyme resulting in inappropriate stimulation of the mineralocorticoid receptor by cortisol.
Genetic causes include Liddle's syndrome.[3]
Presentation
This condition is characterized by hypertension, kaliuresis and reduced plasma renin.
See also
- Apparent mineralocorticoid excess syndrome
- Pseudohypoaldosteronism
References
- ^ Armanini D, Calò L, Semplicini A (June 2003). "Pseudohyperaldosteronism: pathogenetic mechanisms". Crit Rev Clin Lab Sci 40 (3): 295–335. doi:10.1080/713609355. PMID 12892318.
- ^ Sigurjonsdottir HA, Axelson M, Johannsson G, Manhem K, Nyström E, Wallerstedt S (2006). "The liquorice effect on the RAAS differs between the genders". Blood Press. 15 (3): 169–72. doi:10.1080/08037050600593060. PMID 16864159.
- ^ Takeuchi K, Abe K, Sato M, et al. (February 1989). "Plasma aldosterone level in a female case of pseudohyperaldosteronism (Liddle's syndrome)". Endocrinol. Jpn. 36 (1): 167–73. doi:10.1507/endocrj1954.36.167. PMID 2659310.
English Journal
- A novel frameshift mutation of epithelial sodium channel β-subunit leads to Liddle syndrome in an isolated case.
- Yang KQ1, Lu CX, Xiao Y, Liu YX, Jiang XJ, Zhang X, Zhou XL.
- Clinical endocrinology.Clin Endocrinol (Oxf).2015 Apr;82(4):611-4. doi: 10.1111/cen.12650. Epub 2015 Jan 6.
- OBJECTIVE: Liddle syndrome, an autosomal dominant form of monogenic hypertension, is attributed to mutations in the genes encoding β and γ subunits (SCNN1B and SCNN1G) of the epithelial sodium channel (ENaC). The aim of this study was to search for pathogenic mutations of SCNN1B and SCNN1G in an a
- PMID 25378078
- A pitfall in diagnosing Cushing's disease: ectopic ACTH-producing pituitary adenoma in the sphenoid sinus.
- Flitsch J1, Schmid SM, Bernreuther C, Winterberg B, Ritter MM, Lehnert H, Burkhardt T.
- Pituitary.Pituitary.2015 Apr;18(2):279-82. doi: 10.1007/s11102-014-0591-8.
- PURPOSE: To show a rare case of Cushing's disease and possible cause of failed transsphenoidal surgery.METHOD: We report on a 50-year-old woman suffering from ACTH-dependent Cushing's syndrome. Endocrinological work-up including low-dose/high-dose dexamethasone test (Liddle-test) and CRH test were c
- PMID 25129688
- Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance.
- Fang S1, Suh JM1, Reilly SM2, Yu E1, Osborn O3, Lackey D3, Yoshihara E1, Perino A4, Jacinto S1, Lukasheva Y1, Atkins AR1, Khvat A5, Schnabl B3, Yu RT1, Brenner DA3, Coulter S6, Liddle C6, Schoonjans K4, Olefsky JM3, Saltiel AR2, Downes M1, Evans RM7.
- Nature medicine.Nat Med.2015 Feb;21(2):159-65. doi: 10.1038/nm.3760. Epub 2015 Jan 5.
- The systemic expression of the bile acid (BA) sensor farnesoid X receptor (FXR) has led to promising new therapies targeting cholesterol metabolism, triglyceride production, hepatic steatosis and biliary cholestasis. In contrast to systemic therapy, bile acid release during a meal selectively activa
- PMID 25559344
Japanese Journal
- 甘草の使用量と偽アルドステロン症の頻度に関する文献的調査
- 「PMDA 医薬品副作用データベース」を利用した漢方製剤の 副作用の解析
Related Links
- Pseudoaldosteronism information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and prognosis. ... Pseudoaldosteronism: Introduction Pseudoaldosteronism: A rare ...
- Looking for online definition of pseudoaldosteronism in the Medical Dictionary? pseudoaldosteronism explanation free. What is pseudoaldosteronism? Meaning of pseudoaldosteronism medical term. What does http://medical ? ...
Related Pictures
★リンクテーブル★
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- 英
- pseudoaldosteronism
- 同
- 偽性アルドステロン症
- 関
- アルドステロン、二次性高血圧
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