{"created":"2023-06-19T11:22:23.087973+00:00","id":2712,"links":{},"metadata":{"_buckets":{"deposit":"b59dc7a0-35c8-44d8-a0dd-0c8ddc27fb4c"},"_deposit":{"created_by":3,"id":"2712","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2712"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002712","sets":["7","7:23"]},"author_link":["8617","8618","8619","8620","8621","8622","8623","8624"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"913","bibliographicPageStart":"910","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":"64歳女.特に誘因なく体幹,四肢に痒みを伴う紅色皮疹が出現した.痛風でアロプリノールを内服中であったためアロプリノールを中止したが,皮疹は拡大した.体幹,四肢に癒合傾向を伴い,一部環状を呈する暗赤色から淡紅色の紅斑が多発していた.紅斑の辺縁部には膿疱が集簇し,一部膿海を形成し,中心部から膜様に落屑していた.また,白血球増加,リンパ球減少,CRP高値,低蛋白血症,低カルシウム血症,抗核抗体陽性,抗SS-A抗体陽性,f-T3低値,抗サイログロブリン抗体陽性がみられた.HLAを検索したところ,A24,DR4,CW1,B35を検出した.膿疱性乾癬にSjoegren症候群,慢性甲状腺炎の合併が明らかとなり,皮疹はプレドニゾロン,エトレチナートの服用で改善し,Sjoegren症候群は塩酸セビメリン水和物内服を開始し,慢性甲状腺炎は経過観察とした","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":"0018-1404","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2005275428"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1154"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1380"}]},"item_5_text_7":{"attribute_name":"著者 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