Document Detail


Hyperparathyroidism associated with distal tubular dysfunction but intact reabsorption of protein in the proximal tubules.
MedLine Citation:
PMID:  93849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The urinary output of beta 2-microglobulin was measured in ten hypercalcemic patients undergoing surgery because of hyperparathyroidism. In three subjects the beta 2-microglobulin excretion was abnormally increased and in seven patients it was normal before surgery. Three of these seven patients displayed markedly impaired distal tubular function with a reduced urinary concentration capacity. After surgery all patients became normocalcemic and the urinary concentrating capacities improved. The beta 2-microglobulin excretion, on the other hand, remained unchanged. Thus, hypercalcemia per se does not readily affect the proximal tubular function of reabsorbing low molecular weight proteins. "Tubular proteinuria", if found in patients with hypercalcemia, should be suspected to reflect damage to the kidney by additional mechanisms.
Authors:
L Wibell; P A Dahlberg; A Karlsson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Scandinavica     Volume:  206     ISSN:  0001-6101     ISO Abbreviation:  Acta Med Scand     Publication Date:  1979  
Date Detail:
Created Date:  1980-04-23     Completed Date:  1980-04-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370330     Medline TA:  Acta Med Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  507-10     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Beta-Globulins / urine*
Female
Humans
Hypercalcemia / complications*,  physiopathology,  therapy
Hyperparathyroidism / complications*,  physiopathology,  surgery
Kidney Concentrating Ability
Kidney Diseases / etiology
Kidney Tubules / physiopathology*
Kidney Tubules, Distal / physiopathology*
Kidney Tubules, Proximal / metabolism,  physiology*
Male
Middle Aged
beta 2-Microglobulin / metabolism,  urine*
Chemical
Reg. No./Substance:
0/Beta-Globulins; 0/beta 2-Microglobulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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