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アイテム
Relationship between Serum IgA/C3 Ratio and Progression of IgA Nephropathy
http://hdl.handle.net/10458/2065
http://hdl.handle.net/10458/206566838363-ec4f-44c3-a6bb-91d68f85367e
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2065-komatsu.pdf (753.8 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||
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公開日 | 2009-07-08 | |||||||||||||||||
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タイトル | Relationship between Serum IgA/C3 Ratio and Progression of IgA Nephropathy | |||||||||||||||||
言語 | en | |||||||||||||||||
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言語 | eng | |||||||||||||||||
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言語 | en | |||||||||||||||||
主題Scheme | Other | |||||||||||||||||
主題 | IgA nephropathy, serum IgA/C3 ratio, serum IgA, complement, hematuria | |||||||||||||||||
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資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
資源タイプ | journal article | |||||||||||||||||
著者 |
小松, 弘幸
× 小松, 弘幸
WEKO
7768
× 藤元, 昭一
WEKO
8142
× 原, 誠一郎× 佐藤, 祐二× 山田, 和弘× 江藤, 胤尚 |
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内容記述タイプ | Abstract | |||||||||||||||||
内容記述 | Objective : The serum IgA/C3 ratio might be considered to serve as a diagnostic marker for patients with IgA nephropathy (IgAN), but its value as a marker of the severity of histological lesions or prognosis is unknown. Methods : We studied the serum IgA/C3 ratio, using standardized reference material, in 86 patients with IgAN and in 32 with non-IgAN. The patients with IgAN were divided according to the severity of histological lesions (mild IgAN, n=29 and severe IgAN, n=57) based on Japanese clinical guidelines. Results : The serum IgA level was significantly higher, while its C3 level was lower in patients with severe IgAN compared to those with non-IgAN. However, these levels were not different between patients with mild IgAN and non-IgAN. In contrast, the serum IgA/C3 ratio obviously differed among the three groups (2.47±0.96 vs. 3.63±1.44 vs. 4.72±1.86; p<0.01, ANOVA). Kaplan-Meier analysis of the patients with IgAN classified according to the mean serum IgA/C3 ratio revealed that the group with high serum IgA/C3 (4.5 and above) had a significantly poorer renal outcome (p<0.05, log-rank test), since the cumulative renal survival rate at 5 years was 84.4% vs. 100%. The ratio (%) of patients with severe IgAN in whom hematuria disappeared, was significantly higher in the low, than in the high serum IgA/C3 group (41.9% vs. 15.4%; p<0.05, t-test). Conclusion : The serum IgA/C3 ratio appears to reflect the histological severity of IgAN and could serve as a marker of the progression of IgAN. |
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言語 | en | |||||||||||||||||
書誌情報 |
en : Internal medicine 巻 43, 号 11, p. 1023-1028, 発行日 2004-11 |
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出版者 | Japanese Society of Internal Medicine | |||||||||||||||||
言語 | en | |||||||||||||||||
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収録物識別子タイプ | ISSN | |||||||||||||||||
収録物識別子 | 09182918 | |||||||||||||||||
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収録物識別子タイプ | NCID | |||||||||||||||||
収録物識別子 | AA10827774 | |||||||||||||||||
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関連タイプ | isIdenticalTo | |||||||||||||||||
識別子タイプ | PMID | |||||||||||||||||
関連識別子 | 15609695 | |||||||||||||||||
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関連タイプ | isIdenticalTo | |||||||||||||||||
識別子タイプ | DOI | |||||||||||||||||
関連識別子 | https://doi.org/10.2169/internalmedicine.43.1023 | |||||||||||||||||
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出版タイプ | VoR | |||||||||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |