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Marked increase in fundic mucosal histidine decarboxylase activity in a patient with H+,K(+)-ATPase antibody-positive autoimmune gastritis.

Authors
  • Miyazaki, Y
  • Shinomura, Y
  • Murayama, Y
  • Imamura, I
  • Fukui, H
  • Maeda, M
  • Futai, M
  • Matsuzawa, Y
Type
Published Article
Journal
Internal medicine (Tokyo, Japan)
Publication Date
Jul 01, 1993
Volume
32
Issue
7
Pages
602–606
Identifiers
PMID: 8286844
Source
Medline
License
Unknown

Abstract

A 63-year-old woman was diagnosed as autoimmune gastritis by the presence of serum antibody against alpha-subunit of gastric H+,K(+)-ATPase. The patient did not have pernicious anemia, but showed achlorhydria, marked hypergastrinemia, enterochromaffin-like cell hyperplasia and an extremely high histidine decarboxylase activity in the gastric fundic mucosa. Intragastric acidification by infusion of hydrochloric acid via a nasogastric tube induced a transient reduction of serum gastrin level and fundic mucosal histidine decarboxylase activity. A marked increase in fundic mucosal histidine decarboxylase activity as well as hypergastrinemia appears to be the pathophysiologic response to achlorhydria caused by autoimmunity against gastric H+,K(+)-ATPase.

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