Internal medicine
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To verify the relationships between the values of plasma glucose (PG) and hemoglobin A(1c)(HbA(1c)) in type 2 diabetic outpatients. ⋯ There was interindividual divergence of the regression lines which was due to the difference in the intercepts but not the slopes.
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Comparative Study
Prevalence of metabolic syndrome increases with the increase in blood levels of gamma glutamyltransferase and alanine aminotransferase in Japanese men and women.
Gamma glutamyltransferase (GGT) or alanine aminotransferase (ALT) is reported to be an independent risk factor of diabetes and cardiovascular disease and proposed as a component of metabolic syndrome (MS). However, there are few studies examining the direct association between MS and GGT or ALT in Japanese men and women. ⋯ The prevalence of MS and JMS increases with the increase in blood levels of GGT or ALT even through the normal range of GGT or ALT in Japanese men and women.
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Case Reports
Spontaneous spinal epidural hematoma with unusual hemiparesis alternating from one side to the other side.
A 59-year-old woman suffered from sudden onset of severe neck and back pain. She experienced right-side hemiparesis. Although the right-side hemiparesis soon disappeared, left-side hemiparesis developed. ⋯ MRI of the cervical spine demonstrated hematoma in the left posterior epidural space at the C2/3 level. The spinal cord was compressed not only by a degenerative disc of the ventral region, but also by hematomas of the dorsal region. The unusual hemiparesis alternating from right-side to left-side in this case may have been caused by various factors, including cervical canal stenosis, the spread of hematoma, disturbance of blood flow, and distribution of stress and strain.
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Case Reports
A Japanese family with multiple lung cysts and recurrent pneumothorax: a possibility of Birt-Hogg-Dubé syndrome.
We herein report a Japanese family lineage, possibly demonstrating Birt-Hogg-Dubé (BHD) syndrome. A 29-year-old nonsmoking woman was admitted to our hospital due to spontaneous pneumothorax. A chest CT showed multiple lung cysts, and breast cancer was simultaneously detected that needed priority surgical treatment. ⋯ In a genetic analysis of her half brother, the mutation of the BHD gene was identified. BHD syndrome is a rare autosomal and dominantly inherited disorder, which has three characteristics: multiple lung cysts that may be associated with pneumothorax, skin fibrofolliculomas, and renal neoplasm. For multiple-cystic disease of the lungs with an unknown etiology, or pneumothorax, as seen in a family history, it is necessary to consider the possibility of BHD syndrome.
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Comparative Study
Age- and gender-related differences in correlations between abdominal obesity and obesity-related metabolic risk factors in Japanese.
There have been conflicting data regarding the relationship between obesity and coronary heart disease (CHD) in Japan. Obesity was reported to be a risk factor of CHD in young and middle-aged males, but not in females or older males. The age- and gender-related differences in the correlations between obesity and obesity-related metabolic risk factors might contribute to these conflicting data. ⋯ The correlations between abdominal obesity and obesity-related metabolic risk factors were stronger in younger men than in older men and women among Japanese.