{"created":"2023-06-19T11:22:22.950957+00:00","id":2710,"links":{},"metadata":{"_buckets":{"deposit":"979b94b9-c2a1-475b-8a30-2b439a9f0dcc"},"_deposit":{"created_by":3,"id":"2710","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2710"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002710","sets":["7","7:23"]},"author_link":["8606","8607","8608","8609","8610","8611"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"1059","bibliographicPageStart":"1055","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"皮膚科の臨床"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"40歳女.2000年3月頃から顔面の紅斑が出現し,徐々に拡大して,5月には発熱した.皮疹は亜急性型紅斑でリンパ球減少,抗DNA抗体,抗核抗体陽性所見と合わせて全身性エリテマトーデスと診断した.検査上,抗リン脂質抗体症候群を合併していた.無疹部ループスバンドテストで基底膜部にIgG,IgMが沈着し,腎生検の結果,WHO分類class IVであった.プレドニゾロン(PSL)50mg/日を開始したところ,皮膚症状,検査所見は徐々に改善したが,3週間目頃から手指の痺れ,突っ張り感を自覚し,その後多弁,易刺激性を中心とする精神・神経症状が出現した.画像所見,脳波所見も合わせ,neuropsychiatric lupusと診断した.PSLは増量せずに向精神薬治療で速やかに精神症状改善した.その後は順調に経過し,現在外来観察中である.精神症状の再発はない","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":"2003082989"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1151"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1305"}]},"item_5_text_7":{"attribute_name":"著者 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