{"created":"2023-06-19T11:21:48.969586+00:00","id":2078,"links":{},"metadata":{"_buckets":{"deposit":"2c5a16e8-e289-45d8-8d25-f410ffc2839e"},"_deposit":{"created_by":3,"id":"2078","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2078"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002078","sets":["7","7:23"]},"author_link":["6274","6275","6276","6277","6278","6279","6280"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-04-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"456","bibliographicPageStart":"453","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"皮膚科の臨床"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"31歳女.四肢の紅色皮疹を主訴とした.咳嗽,咽頭痛を自覚し風邪薬を内服するも改善無く,四肢に紅斑が出現し関節痛・筋肉痛を伴ってきた.四肢に粟粒大迄の浸潤を触れる紫斑・紅斑を認め,全体として腫脹を伴っていた.ASOは高値で,尿蛋白は陰性であった.病理組織学的に真皮全層に核塵を伴う多核白血球及びリンパ球の浸潤,赤血球の血管外漏出を認めた.アナフィラクトイド紫斑(AP)と診断し,プレドニゾロン(PSL)30mg/日の内服による治療を開始したが,皮疹・腹部症状の悪化がみられたため,PSL60mg/日及びジアフェニルスルフォン(DDS)50mg/日を併用した.経過中,皮疹出現から10日後に蛋白尿が出現し,更にPSL40mgまで減量した時点で蛋白尿の増加がみられたが,PSL・DDSと抗血小板剤の併用により軽快した.現在まで皮疹の再発を認めず,また尿蛋白も陰性である.全身症状を伴ったAPでPSL単独による治療に抵抗性の場合,DDSは副作用が多い薬剤であるが併用は試みるべき治療と考えられた","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0018-1404","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2003253750"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1313"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"838"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Tobisawa, Shinichi"},{"subitem_text_language":"en","subitem_text_value":"Takahashi, Hidetoshi"},{"subitem_text_language":"en","subitem_text_value":"Yamamoto, Akemi"},{"subitem_text_language":"en","subitem_text_value":"Hashimoto, Yoshio"},{"subitem_text_language":"en","subitem_text_value":"Iizuka, Hajime"},{"subitem_text_language":"en","subitem_text_value":"Machida, Nozomu"},{"subitem_text_language":"en","subitem_text_value":"Takahashi, Tatsuro"},{"subitem_text_language":"en"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"飛澤, 慎一","creatorNameLang":"ja"},{"creatorName":"トビサワ, シンイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6274","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 英俊","creatorNameLang":"ja"},{"creatorName":"タカハシ, ヒデトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6275","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 明美"},{"creatorName":"ヤマモト, アケミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6276","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"橋本, 喜夫","creatorNameLang":"ja"},{"creatorName":"ハシモト, ヨシオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6277","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"飯塚, 一"},{"creatorName":"イイヅカ, ハジメ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6278","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"町田, 望","creatorNameLang":"ja"},{"creatorName":"マチダ, ノゾム","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6279","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 達郎","creatorNameLang":"ja"},{"creatorName":"タカハシ, タツロウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"6280","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"2843.pdf","filesize":[{"value":"2.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"2843.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/2078/files/2843.pdf"},"version_id":"8a275ea9-381b-48ed-b925-51a1b68bdb0d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"アナフィラクトイド紫斑","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"腎炎を併発した成人アナフィラクトイド紫斑の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腎炎を併発した成人アナフィラクトイド紫斑の1例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-02-05"},"publish_date":"2010-02-05","publish_status":"0","recid":"2078","relation_version_is_last":true,"title":["腎炎を併発した成人アナフィラクトイド紫斑の1例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-25T08:04:21.486327+00:00"}