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Change in Status of the Duodenal Lesions Caused by Lanthanum Carbonate Hiroki Yaita 1 , Koichi Kurahara 1 , Yumi Oshiro 2 , Shohei Uraoka 1 , Takashi Hirata 1 , Yuichiro Yoshida 1 , Hiroshi Wachi 1 , Hitomi Matsuba 1 1Division of Gastroenterology, Matsuyama Red-cross Hospital, Matsuyama, Japan 2Department of Pathology, Matsuyama Red-cross Hospital, Matsuyama, Japan Keyword: 炭酸ランタン , 慢性腎臓病 , 十二指腸病変 , 白色微細顆粒 , NBI拡大観察 pp.1666-1672
Published Date 2018/11/25
DOI https://doi.org/10.11477/mf.1403201524
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 A 40-year-old asymptomatic woman was referred to our department for an EGD(esophagogastroduodenoscopy). She had a history of H. pylori(Helicobacter pylori)eradication due to gastric ulcer. She began taking lanthanum carbonate orallyafter the introduction of peritoneal dialysis for end-stage chronic kidney disease resulting from diabetic nephropathy. Twenty-one months after beginning lanthanum carbonate, EGD showed white granular mucosa in both the stomach and duodenum. At 32 months, the endoscopic findings were more obvious, and the white granular mucosa stood out on the Kerckring's folds of the duodenal descending portion. Biopsy of the white granular mucosa showed the deposition of fine, amorphous, eosinophilic material and histiocytic accumulation. She was diagnosed with gastroduodenal lesions in relation to lanthanum carbonate.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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