{"created":"2023-06-19T11:23:32.400860+00:00","id":4102,"links":{},"metadata":{"_buckets":{"deposit":"9efb9943-e56d-45cd-af51-1566b2ee59aa"},"_deposit":{"created_by":3,"id":"4102","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4102"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004102","sets":["7","7:23"]},"author_link":["12505","12506","12507"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"35","bibliographicPageStart":"31","bibliographicVolumeNumber":"20","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":"73歳男性,両手関節の痛み・圧痕浮腫と,頸部リンパ節腫脹を自覚し受診。血液検査では,LDH・CRP・可溶性インターロイキン2受容体の高値と,肝障害・ポリクローナルな高γグロブリン血症を,CTでは全身リンパ節腫大を認めた。リンパ節生検では,増生した毛細血管周囲に,CD3+20-30-の形質を有するclear cellの増殖が見られ,angioimmunoblastic T-cell lymphoma(AITL)と診断。手の骨X線検査では異常所見はなくリウマチ因子陰性所見から,本例はRemitting Seronegative Symmetrical Synovitis with Pitting Edema(RS3PE症候群)を合併したAITLと診断した。本例のRS3PE症候群は,その病勢が化学療法によるリンパ腫病変の消長と同調しており,腫瘍随伴症候群と考えられた。RS3PE症候群と悪性リンパ腫の合併例は過去に8例の報告と稀であるが,その殆どがT細胞性リンパ腫(T-NHL)であった。RS3PE症候群を診た際には,T-NHLの様な予後不良な悪性腫瘍合併も念頭に置く必要がある。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","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":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2011100755"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1265"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1432"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Sato, Kazuya"},{"subitem_text_language":"en","subitem_text_value":"Inamura, Junki"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"進藤, 基博","creatorNameLang":"ja"},{"creatorName":"シンドウ, モトヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12505","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐藤, 一也","creatorNameLang":"ja"},{"creatorName":"サトウ, カズヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12506","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"稲村, 純季","creatorNameLang":"ja"},{"creatorName":"イナムラ, 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