{"created":"2023-06-19T11:22:12.249204+00:00","id":2503,"links":{},"metadata":{"_buckets":{"deposit":"4768aca0-72b2-49df-9f48-b898002802aa"},"_deposit":{"created_by":3,"id":"2503","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2503"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002503","sets":["7","7:23"]},"author_link":["7891","7892","7893","7894","7895","7896"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-04-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"624","bibliographicPageStart":"621","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"皮膚科の臨床"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"35歳女.3歳頃から顔面に丘疹が出現・増数し,小学生頃から年10?20回程の硬直性から間代性痙攣が出現し,精神遅滞も認めるようになった.16歳時,皮疹の評価のため当科紹介となり,結節性硬化症と診断されたが放置していた.今回,顔面の多発性丘疹の治療目的で再診となった.両頬部,鼻背に5mm大までの淡褐色の充実性丘疹が多発し,左右足趾にも5mm大の褐色のKoenen腫瘍と考えられる小結節が散在した.体幹には小児手拳大の淡褐色調で点状色素沈着を伴う,いわゆる粒起革様皮が,足背には脱色素斑が存在した.病理組織像では顔面の丘疹では毛包・血管周囲の線維化,足趾の結節では隆起状の線維化がみられた.顔面の血管線維腫および足趾の結節に対して液体窒素療法とCO2レーザー治療を施行し,顔面の丘疹は平坦化,足趾の結節も縮小し,本人も美容的に満足している.なお経過中に下血を生じ,多発性大腸ポリポーシスが明らかとなった.画像所見では,CF上大腸ポリポーシスはS状結腸から直腸にかけ多発しており,特に直腸で密生していた","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":"2005191637"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1198"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1142"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Takahashi, Michinari"},{"subitem_text_language":"en","subitem_text_value":"Asano, Kazuhiro"},{"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"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高橋, 学位","creatorNameLang":"ja"},{"creatorName":"タカハシ, ミチナリ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7891","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"浅野, 一弘","creatorNameLang":"ja"},{"creatorName":"アサノ, カズヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7892","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 英俊"},{"creatorName":"タカハシ, ヒデトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7893","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 明美","creatorNameLang":"ja"},{"creatorName":"ヤマモト, アケミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7894","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"橋本, 喜夫"},{"creatorName":"ハシモト, ヨシオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7895","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"飯塚, 一","creatorNameLang":"ja"},{"creatorName":"イイヅカ, ハジメ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7896","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":"3549.pdf","filesize":[{"value":"6.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3549.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/2503/files/3549.pdf"},"version_id":"7b8088ca-cb77-4727-801f-3561d2ab0cfa"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"多発性大腸ポリポーシス","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"結節性硬化症","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":"多発性大腸ポリポーシスを伴った結節性硬化症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"多発性大腸ポリポーシスを伴った結節性硬化症の1例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-01-26"},"publish_date":"2011-01-26","publish_status":"0","recid":"2503","relation_version_is_last":true,"title":["多発性大腸ポリポーシスを伴った結節性硬化症の1例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-25T08:18:13.918554+00:00"}