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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/390

Title: HYPOURICEMIA IN HOSPITALIZED DIABETIC PATIENTS
Authors: Kanauchi, Masao
Kikawa, Tadatoshi
Nishioka, Hisayuki
Kawano, Takahiro
Fujimoto, Takashi
Shiiki, Hideo
Dohi, Kazuhiro
Keywords: diabetes mellitus
hypouricemia
uric acid
Issue Date: 31-Oct-1997
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.48 No.5 p.268-272
Abstract: To determine the incidepce and clinicopathological characteristics of hypouricemia in patients with diabetes mellitus, we studied 473 consecutive hospitalized diabetic patients. The incidence of hypouricemia, defined as a serum urate concentration below 2.0 mg/dl, was 1.9% (9 patients). In this group (2 males, 7 females), there were no patients receiving drugs known to reduce serum urate concentration. Two of the 9 patients had neoplastic disease, while the others suffered from no other disorder known to affect serum urate levels. Four patients exhibited glomerular hyperfiltration. Three of the 9 patients were studied in more detail by renal biopsy, and all had mild to moderate glomer- ular diffuse lesions and tubulointerstitial lesions, such as interstitial fibrosis or mononuclear cell infiltration. These findings suggest that the glomerular hyperfiltration which accom- panies diabetic nephropathy and functional abnormality of tubular urate handling due to tubulointerstitial involvement contribute to hypouricemia in diabetic patients.
URI: http://hdl.handle.net/10564/390
ISSN: 04695550
13450069
Appears in Collections:Vol.48 No.5

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