{"created":"2023-06-19T11:22:09.074111+00:00","id":2442,"links":{},"metadata":{"_buckets":{"deposit":"4cdba671-94c2-4f42-b267-cad3ad20fe3d"},"_deposit":{"created_by":3,"id":"2442","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2442"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002442","sets":["7","7:23"]},"author_link":["7611","7612","7613","7614","7615","7616"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"80","bibliographicPageStart":"75","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"旭川厚生病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"70歳男性。患者は1977年より関節リウマチにて近医で加療中で、1996年からはそう痒を伴う皮疹が出現、市販の外用剤で軽快したため放置していた。しかし、2004年に皮疹が再燃し、再度市販薬を使用するも改善がみられなかったため、2006年7月に著者らの皮膚科へ受診となった。所見では体幹四肢には落屑を伴う紅斑、局面が多発、癒合し、足趾の爪には著明な角質増生と粗造化が認められた。また、両膝は屈曲制拘縮があり歩行困難で、X線では両手根骨の強直、右手指MP関節の尺側偏位がみられた。更に臨床検査所見ではRF、MMP3、抗CCP抗体がいずれも強陽性を示していた。以上、これらのことより、本症例は関節リウマチに合併した尋常性乾癬と診断された。治療としてステロイド軟膏とビタミンD3軟膏の併用、エトレチナート内服を開始し、紅斑と落屑の目立つ下肢にはnarrow 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UVB療法を追加した。その結果、治療1ヵ月で皮疹は著明に改善したが、関節症状には変化はみられなかった。","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":"0917-8066","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2008235010"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1149"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1318"}]},"item_5_text_7":{"attribute_name":"著者 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