Publications by authors named "Tomoki Yonaha"
Background: Vitamin D deficiency is often observed in patients undergoing maintenance hemodialysis and is associated with significantly increased risk of overall mortality. Despite reports of poor nutrition/intake, vitamin D status among patients on maintenance hemodialysis receiving welfare remains unknown. This study investigated the vitamin D status in welfare recipients undergoing maintenance hemodialysis.
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- Parathyroid hormone (PTH) influences bone health by increasing osteoclast activity, but its effectiveness varies among patients on dialysis, particularly based on the level of a bone resorption marker called serum TRACP-5b.
- The study focused on patients undergoing chronic hemodialysis in Japan and created a TRACP-5b/iPTH ratio to assess how well their bones responded to PTH, analyzing various health factors.
- Results showed significant differences in bone responsiveness linked to patient age, body mass index, certain medications, and serum levels of PTH and vitamin D, indicating complex relationships between these factors and bone health.
Pleural effusion is a ubiquitous complication in hemodialysis (HD) patients. Common etiologies of pleural effusion in this patient group are heart failure, volume overload, parapneumonic effusion, tuberculotic pleuritis, and uremic pleuritis. Although thoracentesis is a useful diagnostic method of pleural effusion, empirical reduction of the dry weight is often attempted without thoracentesis because pleural effusion is commonly caused by volume overload and responds to the dry-weight reduction.
View Article and Find Full Text PDFA 45-year-old Japanese woman had been diagnosed with monoclonal gammopathy of undetermined significance (MGUS) featuring urinary Bence-Jones protein of the lambda type (BJP-lambda) for 11 years. She then developed eyelid purpura, dyspnea, and flank pain. Abdominal CT scans revealed renal infarction.
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