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A case of Gaisböck syndrome with postural hypoxemia Kyuichiro Sekine 1 , Yasuyuki Yoshizawa 1 , Nobuhide Sato 1 , Motoichi Tanaka 1 , Heiichi Yano 2 1Department of Chest Diseases, Tokyo Teishin Hospital 2Department of Internal Medicine, Tokyo Teishin Hospital pp.891-897
Published Date 1979/8/15
DOI https://doi.org/10.11477/mf.1404203420
  • Abstract
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A case of redefined Gaisböck syndrome was reported, who had relative polycythemia, obesity, hypertension, excessive nervousness or tension,and hyperuricemia. The case was a 46-year-old male and his obesity rate was 166%. He showed hypoxemia which grew worse in the supine position. Postural hypoxemia was thought to happen mainly due to unevenness of ventilation which was interpreted by the correlation between closing volume and FRC level. Expiratory reserve volume decreased from 1100 ml in a seated position to 250 ml in the supine position, whereas closing volume changed only 100 ml from 600 to 700. The increase of erythropoietin which was induced by hypoxemia was also con-firmed. So the value of total red cell volume and plasma volume were compatible with relative polycythemia, but secondary polycythemia was not ruled out definitely.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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