{"created":"2023-06-19T11:22:10.818485+00:00","id":2472,"links":{},"metadata":{"_buckets":{"deposit":"0fb869c4-084b-4150-ae10-869cd29f0286"},"_deposit":{"created_by":3,"id":"2472","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2472"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002472","sets":["7","7:23"]},"author_link":["7739","7740","7741","7742"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"369","bibliographicPageStart":"367","bibliographicVolumeNumber":"50","bibliographic_titles":[{"bibliographic_title":"皮膚科の臨床"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"4歳男児。4日前より両下腿に痛みを伴う腫脹が出現し、歩行困難をきたした。初診時、両下腿に浮腫と鶏卵大の紫斑を数個認め、3日後に両下腿から足背にかけてびまん性の浮腫性腫脹と紅色丘疹および環状の浸潤性紅斑を認めた。紅斑上には一部小水疱が集簇しており、血疱を形成している部位もあった。検査所見に特に異常はなく、病理組織学的所見では、右下腿の浸潤性紅斑に真皮全層の血管周囲性および膠原線維間に好酸球が浸潤し、リンパ球、組織球も浸潤していた。表皮内に水疱形成を認め、膠原線維の周囲を好酸球ないし好酸性の顆粒が取り囲むflame figure像を認めたが血管炎像は認めなかった。以上の所見から、Eosinophilic Cellutitisと診断し、ベタメタゾン2mg/日内服により速やかに皮疹、疼痛は改善した。その後ベタメタゾンは5週間かけて漸減し中止した。発症後2年経過して再発は認めていない。","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":"2008166273"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1239"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1048"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Sekiguchi, Atsushi"},{"subitem_text_language":"en","subitem_text_value":"Koike, Katsuya"},{"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":"関口, 敦之","creatorNameLang":"ja"},{"creatorName":"セキグチ, アツシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7739","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小池, 且弥","creatorNameLang":"ja"},{"creatorName":"コイケ, カツヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7740","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 明美"},{"creatorName":"ヤマモト, 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