Passa P, Zygelman M, Altman J J, Fiet J
Nouv Presse Med. 1978 Feb 4;7(5):343-7.
In the course of familial idiopathic haemochromatosis with diabetes, after stimulation with arginine, the alpha cell responds perfectly to stimulation, in contrast to the case of chronic pancreatic diseases. After an oral glucose load, there is no reduction in plasma glucagon concentrations, and a paradoxal increase is sometimes seen. These results are quite similar to those reported in common diabetes. Secretion of growth hormone after an infusion of arginine and insulin hypoglycaemia seem to be significantly reduced in comparison with normal subjects and those suffering from common diabetes, paired and explored using the same protocol. This may perhaps explain the low degree of severity and slow course of associated vascular disease.
在伴有糖尿病的家族性特发性血色素沉着症病程中,与慢性胰腺疾病的情况相反,精氨酸刺激后,α细胞对刺激反应良好。口服葡萄糖负荷后,血浆胰高血糖素浓度没有降低,有时反而会出现反常升高。这些结果与普通糖尿病的报道结果非常相似。与正常受试者以及患有普通糖尿病且采用相同方案配对研究的受试者相比,精氨酸输注和胰岛素低血糖后生长激素的分泌似乎显著减少。这可能或许解释了相关血管疾病严重程度较低和病程缓慢的原因。