Polycystic kidney disease: antiquity to the 20th century

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Into the 20th Century

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Polycystic kidney disease.

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[Polycystic kidney disease].

要旨: 常染色体優性遺伝嚢胞腎(ADPKD)は 進行性の腎機能低下が主要な病態であるが, その予後は従 来いわれているように 「診断後10年で腎不全に到る」ものでもなく, 腎不全が不可避でもない. 本邦で の透析導入時平均年齢は52~56歳 であるが, 透析に移行しない者も含めると, おおよそ平均73歳で終末 期腎不全に到る. 60歳代で透析を受ける割合は約40%で あり, 本邦のADPKDの 予後は欧米よりも若干 良好である可能性がある. ADPKDの 遺伝子は第16染色体の短腕上のα-globin遺伝子の近くに存在することが確かめられてい る. この遺伝子(PKD1)に よるADPKDと, PKD1の 関与が証明されないADPKDで は, 腎機能の予 後が異なることが報告されている. 高血圧は約60%に 認められる. 嚢胞の圧迫によって腎動脈が狭細化し, レニン-ア ンギオテソシ...

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Mathematics in the 20th Century

If you talk about the end of one century and the beginning of the next you have two choices, both of them difficult. One is to survey the mathematics over the past hundred years; the other is to predict the mathematics of the next hundred years. I have chosen the more difficult task. Everybody can predict and we will not be around to find out whether we were wrong. But giving an impression of t...

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 1998

ISSN: 1460-2385

DOI: 10.1093/ndt/13.10.2690