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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1995-6-20
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pubmed:abstractText |
Measurement of plasma methoxyamines is aimed to provide a reliable plasma marker readily available for any patient suspected of having a pheochromocytoma. The present HPLC method is able to detect methoxyamine amounts as low as 0.2 nmoles/l and allows the determination of both free or conjugated methoxyamines (metanephrine MN and normetanephrine NMN) in normal subjects, treated or untreated patients and a fortiori in pheochromocytoma. The analytical specificity is excellent. Among most usual antihypertensive drugs, only conversion enzyme inhibitors and diuretics induce in some patients a moderate increase of NMN with minor consequence in values interpretation. The kidney plays a major role in the blood clearance of methoxyamines and any alteration of renal function is associated to the increase of plasma methoxyamine levels. Plasma methoxyamines have a long half-life and are long-lasting integrated markers of catecholamine secretion; at variance with plasma free catecholamines, they are able to afford the presence of a secreting pheochromocytoma whatever the clinical presentation--asymptomatic or paroxysmal form between the crisis. The diagnostic sensitivity (at least 98%) is equal to that of urinary methoxyamines, far higher than plasma or urine catecholamines or urine VMA (60 to 70%).
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0369-8114
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
847-54
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:7753594-Adrenal Gland Neoplasms,
pubmed-meshheading:7753594-Adult,
pubmed-meshheading:7753594-Aged,
pubmed-meshheading:7753594-Angiotensin-Converting Enzyme Inhibitors,
pubmed-meshheading:7753594-Chromatography, High Pressure Liquid,
pubmed-meshheading:7753594-Diuretics,
pubmed-meshheading:7753594-Female,
pubmed-meshheading:7753594-Humans,
pubmed-meshheading:7753594-Hypertension,
pubmed-meshheading:7753594-Male,
pubmed-meshheading:7753594-Metanephrine,
pubmed-meshheading:7753594-Middle Aged,
pubmed-meshheading:7753594-Normetanephrine,
pubmed-meshheading:7753594-Pheochromocytoma,
pubmed-meshheading:7753594-Reference Values,
pubmed-meshheading:7753594-Renal Insufficiency
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pubmed:year |
1994
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pubmed:articleTitle |
[Plasma methoxyamines assay: a practical advance for the diagnosis of pheochromocytoma].
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pubmed:affiliation |
Laboratoire de Physiologie, Faculté de Médecine, Lyon, France.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
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