hrp0084p2-234 | Bone | ESPE2015

Variable Degree of Hormonal Resistance in Patients with Progressive Osseous Heteroplasia

Miyai Kentaro , Nishina Noriko , Takagi Masaki , Goto Masahiro , Hasegawa Yukihiro

Background: Progressive Osseous Heteroplasia (POH) is characterised by heterotopic ossifications in a deep muscle and fascia. To date, GNAS1 gene loss-of-function mutations on paternal allele were reported as responsible for POH. Unlike other GNAS1 related diseases such as pseudohypoparathyroidism 1a (PHP1a) or pseudopseudohypoparathyroidism (PPHP), patients with typical POH do not show hormonal resistance (HR) or Albright hereditary osteodystrophy (AHO). But some patients dia...

hrp0084p2-432 | Gonads | ESPE2015

A Perioperative Change of Anti-Mullerian Hormone and E2 in a Patient with Sex Cord Tumour with Annular Tubules

Shimada Aya , Takagi Masaki , Miyai Kentaro , Fukuzawa Ryuji , Hasegawa Yukihiro

Background: Sex Cord Tumour with Annular tubules (SCTAT) is a rare ovarian benign tumour accounted approximately for 5% of ovarian tumour. SCTAT is an oestrogen producing ovarian tumour and can cause precocious puberty. For SCTAT, oophorectomy is recommended as the first-line therapy. Since SCTAT has a high rate of recurrence, it is clinically important to find a monitor method that can detect cancer recurrence in an early stage. In the previous reports, E2 and anti-mullerian ...

hrp0089p3-p301 | Pituitary, Neuroendocrinology and Puberty P3 | ESPE2018

A Case of Central Diabetes Insipidus Developed 4 Years after the Non-CNS-Risk Unifocal Bone Lesion of Langerhans Cell Histiocytosis

Nakatani Hisae , Miyai Kentaro , Takasawa Kei , Kashimada Kenichi , Morimoto Akira , Nagasawa Masayuki , Oshiba Akihiro

Background: Langerhans cell histiocytosis (LCH) is a rare disease with an incidence of less than 10 per million, and characterized by the clonal proliferation of pathogenic Langerhans cells. The clinical courses are diverse, ranging from spontaneously remitting single organ disease to life-threatening multisystem involvement. One of the serious complications of LCH is diabetes insipidus (DI), and patients with CNS-risk lesions had higher cumulative incidence of DI. On the othe...

hrp0084p2-214 | Bone | ESPE2015

TmP/GFR is a Useful Marker in Making a Clinical Diagnosis of X-Linked Hypophosphataemic Rickets Caused by the PHEX Gene Mutation

Takeda Ryojun , Miyai Kentaro , Takagi Masaki , Goto Masahiro , Ariyasu Daisuke , Izawa Masako , Igaki Junko , Suzuki Eri , Nakamura Yoshie , Hasegawa Yukihiro

Background: The clinical diagnosis of x-linked hypophosphatemic (XLH) rickets is based on a number of biochemical observations. These include a reduction in the percentage of tubular reabsorption of phosphate (%TRP), and in the maximal tubular phosphate reabsorption capacity corrected for glomerular filtration rate (TmP/GFR). However, it is important to maintain sufficient renal blood flow in order to accurately calculate TmP/GFR.Objective: The aims of t...