{"_buckets": {"deposit": "466edcd8-790e-41c2-94ba-23d053099fac"}, "_deposit": {"id": "2015781", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2015781"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02015781", "sets": ["1642838241054", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "[\u75c7\u4f8b\u5831\u544a]\u4e0b\u5782\u4f53\u816b\u7624\u3092\u5f62\u6210\u3057\u305f\u539f\u767a\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306e1\u6cbb\u9a13\u4f8b", "subitem_1551255648112": "ja"}, {"subitem_1551255647225": "A Case of Primary Hypothyroidism Presenting with Pituitary Enlargement", "subitem_1551255648112": "en"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u4f50\u4e45\u7530, \u6cbb", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u516d\u5ddd, \u4e8c\u90ce", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u9ad8\u826f, \u82f1\u4e00", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u4e2d\u7530, \u5b97\u671d", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u91d1\u57ce, \u5229\u5f66", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u5916\u9593, \u671d\u54f2", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "Sakuta, Osamu", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Mukawa, Jiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Takara, Eiichi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nakata, Munetomo", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kinjo, Toshihiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Hokama, Asanori", "creatorNameLang": "en"}]}]}, "item_1617186476635": {"attribute_name": "Access Rights", "attribute_value_mlt": [{"subitem_1522299639480": "open access", "subitem_1600958577026": "http://purl.org/coar/access_right/c_abf2"}]}, "item_1617186499011": {"attribute_name": "Rights", "attribute_value_mlt": [{"subitem_1522650717957": "ja", "subitem_1522651041219": "\u7409\u7403\u533b\u5b66\u4f1a"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "hypothyroidism"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "pituitary tumor"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "hyperplasia"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "magnetic resonance imaging(MRI)"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "A 36-year-old woman suffered from headache and swelling of the face and limbs. Neurological examination revealed mild weakness and a prolonged relaxation phase of deep tendon reflexes. MRI(T1 weighted images : SE 500/30) showed pituitary enlargement extending to supraseller region. Serum T3 and T4 were low, and TSH was abnormally high. In anterior pituitary hormone assessment test, there was a notable increase in both TSH and prolactin concentrations by the administration of TRH. Thyroid replacement therapy was programmed without surgery, and the pituitary gland was checked by MRI. Within 3 months after the therapy serum T3 and T4 were normalized and TSH level was reduced. The pituitary gland was reduced in size from 17\u00d710\u00d718mm to 7 \u00d710\u00d710mm measured by MRI. Characteristic MRI findings of our case was a round high intensity mass in the midline of the pituitary region in T1 weighted images(SE 500/30). Only 8 cases of pituitary regression by thyroid replacement therapy were reported in the literature. They were considered to be pituitary hyperplasia, rather than pituitary adenoma, caused by longstanding untreated hypothyroidism. Pituitary hyperplasia with hipothyroidism tend to be mistaken for pituitary adenoma, although endocrinological examination may be ruled it out. The first choice of the treatment for this type of pituitary mass should be thyroid replacement therapy unless the patient has a severe visual disturbance. If there is no regression of pituitary mass, then diagnosis is to be adenoma and surgery should be indicated.", "subitem_description_type": "Other"}, {"subitem_description": "\u8ad6\u6587", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "\u7409\u7403\u5927\u5b66\u533b\u5b66\u90e8"}, {"subitem_1522300295150": "en", "subitem_1522300316516": "Faculty of Medicine, University of the Ryukyus"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "jpn"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", "attribute_value_mlt": [{"subitem_1522646500366": "ISSN", "subitem_1522646572813": "0289-1530"}, {"subitem_1522646500366": "NCID", "subitem_1522646572813": "AN10027430"}]}, "item_1617186941041": {"attribute_name": "Source Title", "attribute_value_mlt": [{"subitem_1522650068558": "ja", "subitem_1522650091861": "\u7409\u7403\u5927\u5b66\u533b\u5b66\u4f1a\u96d1\u8a8c : \u533b\u5b66\u90e8\u7d00\u8981 = Ryukyu medical journal"}]}, "item_1617187056579": {"attribute_name": "Bibliographic Information", "attribute_value_mlt": [{"bibliographicIssueNumber": "3-4", "bibliographicPageEnd": "184", "bibliographicPageStart": "180", "bibliographicVolumeNumber": "10"}]}, "item_1617258105262": {"attribute_name": "Resource Type", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_1617265215918": {"attribute_name": "Version Type", "attribute_value_mlt": [{"subitem_1522305645492": "VoR", "subitem_1600292170262": "http://purl.org/coar/version/c_970fb48d4fbd8a85"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "download_preview_message": "", "file_order": 0, "filename": "v10p180.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2015781/files/v10p180.pdf"}, "version_id": "228ebb76-8e25-41ab-a3d7-8c338ac83b20"}]}, "item_title": "[\u75c7\u4f8b\u5831\u544a]\u4e0b\u5782\u4f53\u816b\u7624\u3092\u5f62\u6210\u3057\u305f\u539f\u767a\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306e1\u6cbb\u9a13\u4f8b", "item_type_id": "15", "owner": "1", "path": ["1642838241054", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002015781", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2010-06-30"}, "publish_date": "2010-06-30", "publish_status": "0", "recid": "2015781", "relation": {}, "relation_version_is_last": true, "title": ["[\u75c7\u4f8b\u5831\u544a]\u4e0b\u5782\u4f53\u816b\u7624\u3092\u5f62\u6210\u3057\u305f\u539f\u767a\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306e1\u6cbb\u9a13\u4f8b"], "weko_shared_id": -1}