{"created":"2023-06-19T11:22:08.233530+00:00","id":2425,"links":{},"metadata":{"_buckets":{"deposit":"6fb47b11-887d-4f63-9947-31c33c09251a"},"_deposit":{"created_by":3,"id":"2425","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2425"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002425","sets":["7","7:23"]},"author_link":["7547","7548","7549"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"29","bibliographicPageStart":"26","bibliographicVolumeNumber":"24","bibliographic_titles":[{"bibliographic_title":"日本皮膚病理組織学会会誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"64歳男。左下腿伸側に多発する自覚症状のない黒色結節を主訴とした。左腓腹部、右大腿遠位外側部、左下腿伸側部の軟部腫瘍切除の既往があり、extra abdominal desmoid tumorの診断であった。左下腿中央伸側中央に線状の手術創があり、周囲に5?6mm大の境界明瞭、辺縁暗紅色、中央が黒色の小結節が散在していた。術創内側部には4×3cm大の境界明瞭な膿疱を伴う暗紅色局面も認めた。黒色小結節の生検を行い、表皮はやや肥厚し、基底層に色素沈着が見られ、病変の主座は真皮中層から下層にあり、好中球、リンパ球、組織球様細胞浸潤からなっていた。巨細胞、赤血球の血管外漏出、毛細血管の増生も認め、非特異的な慢性炎症細胞浸潤であった。また、一部palisading granulomaを呈する部分や、膠原線維の変性像、石灰化もみられた。特殊染色および培養はすべて陰性であった。抗生剤、抗潰瘍剤による局所治療には反応せず、局面上に潰瘍が生じ徐々に拡大した。テトラサイクリン内服にも反応せず、PSL 30mg/dayの投与にて著効し、潰瘍は急速に上皮化して結節も消失した。以上の臨床経過からpyoderma gangrenosumと診断した。","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":"0914-3807","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2009159446"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1538"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1012"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Hori, Masako"},{"subitem_text_language":"en","subitem_text_value":"Yamamoto, Akemi"},{"subitem_text_language":"en","subitem_text_value":"Iizuka, Hajime"},{"subitem_text_language":"en"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"堀, 仁子","creatorNameLang":"ja"},{"creatorName":"ホリ, マサコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7547","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 明美","creatorNameLang":"ja"},{"creatorName":"ヤマモト, アケミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7548","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"飯塚, 一"},{"creatorName":"イイヅカ, ハジメ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7549","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":"3455.pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3455.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/2425/files/3455.pdf"},"version_id":"10e19d4b-49c6-44e9-9c86-376ed22df301"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"pyroderma gangrenosum","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"blackish nudule","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"postoperative scar","subitem_subject_language":"en","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":"Pyoderma Gangrenosumと診断した下腿の黒色結節","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Pyoderma Gangrenosumと診断した下腿の黒色結節","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-11-25"},"publish_date":"2010-11-25","publish_status":"0","recid":"2425","relation_version_is_last":true,"title":["Pyoderma Gangrenosumと診断した下腿の黒色結節"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-25T08:15:42.502021+00:00"}