{"created":"2023-06-19T11:24:15.729681+00:00","id":4952,"links":{},"metadata":{"_buckets":{"deposit":"76699eba-877e-4b2a-a57d-7bc83cd64400"},"_deposit":{"created_by":1,"id":"4952","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4952"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004952","sets":["7","7:23"]},"author_link":["15365","15366"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"157","bibliographicPageEnd":"51","bibliographicPageStart":"45","bibliographic_titles":[{"bibliographic_title":"ENTONI"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"鼻中隔穿孔をきたす疾患の中でも、多発血管炎性肉芽腫症(granulomatosis with polyangiitis;GPA)と鼻性NK/T細胞リンパ腫は比較的診断が難しい。GPAは自己免疫性血管炎に分類される疾患であり、鼻、耳、眼の上気道に初発する壊死性肉芽腫性病変が認められる。特徴的な病理組織所見と血清protainase 3(PR3)-ANCA陽性が診断には重要であるが、GPA初期には典型的な病理組織像が得られずPR3-ANCAも陰性であることが多いため、診断に苦慮する症例が多い。一方、鼻性NK/T細胞リンパ腫は、鼻腔や口蓋に壊死性病変や破壊性病変を認める悪性リンパ腫である。鼻性NK/T細胞リンパ腫はEBウイルス関連腫瘍であり、病理組織でのEBV陽性NK/T細胞の浸潤や血清EBVウイルスDNA値の上昇が診断の決め手となる。どちらの疾患も予後の改善には早期診断、早期治療が重要である。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2014073718","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-2067","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2014073718"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"645"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"678"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Katada, Akihiro"},{"subitem_text_value":"Kishibe, Kan"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"片田, 彰博"},{"creatorName":"カタダ, アキヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15365","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岸部, 幹"},{"creatorName":"キシベ, カン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15366","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":"5814.pdf","filesize":[{"value":"14.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5814.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4952/files/5814.pdf"},"version_id":"17851e0e-d381-4d86-a662-a3313eae72ba"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"鼻中隔穿孔、多発血管炎性肉芽腫症、ウェグナー肉芽腫症、鼻性NK/T細胞リンパ腫、抗好中球細胞質抗体、EBウイルス関連腫瘍","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":"【見落としやすい耳鼻咽喉科疾患】 鼻副鼻腔　鼻中隔穿孔をきたす疾患","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【見落としやすい耳鼻咽喉科疾患】 鼻副鼻腔　鼻中隔穿孔をきたす疾患"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-16"},"publish_date":"2014-07-16","publish_status":"0","recid":"4952","relation_version_is_last":true,"title":["【見落としやすい耳鼻咽喉科疾患】 鼻副鼻腔　鼻中隔穿孔をきたす疾患"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:32:52.674843+00:00"}