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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 13巻1号
  1. 部局別インデックス
  2. その他

[症例報告]原発性胆汁性肝硬変を合併した皮膚筋炎の1例

http://hdl.handle.net/20.500.12000/0002015884
http://hdl.handle.net/20.500.12000/0002015884
ed094981-3d7c-4bda-8642-6c7f00f1aa5b
名前 / ファイル ライセンス アクション
v13p63.pdf v13p63.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-07-02
タイトル
タイトル [症例報告]原発性胆汁性肝硬変を合併した皮膚筋炎の1例
言語 ja
タイトル
タイトル Dermatomyositis Associated with Primary Biliary Cirrhosis
言語 en
作成者 秋坂, 真史

× 秋坂, 真史

ja 秋坂, 真史

Search repository
安達, 正則

× 安達, 正則

ja 安達, 正則

Search repository
鈴木, 信

× 鈴木, 信

ja 鈴木, 信

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諸喜田, 林

× 諸喜田, 林

ja 諸喜田, 林

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佐久川, 廣

× 佐久川, 廣

ja 佐久川, 廣

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斎藤, 厚

× 斎藤, 厚

ja 斎藤, 厚

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Akisaka, Masafumi

× Akisaka, Masafumi

en Akisaka, Masafumi

Search repository
Adachi, Masanori

× Adachi, Masanori

en Adachi, Masanori

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Suzuki, Makoto

× Suzuki, Makoto

en Suzuki, Makoto

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Shokita, Hayashi

× Shokita, Hayashi

en Shokita, Hayashi

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Sakugawa, Hiroshi

× Sakugawa, Hiroshi

en Sakugawa, Hiroshi

Search repository
Saito, Atsushi

× Saito, Atsushi

en Saito, Atsushi

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 dermatomyositis
主題
言語 en
主題Scheme Other
主題 primary biliary cirrhosis
主題
言語 en
主題Scheme Other
主題 pulmonary fibrosis
内容記述
内容記述タイプ Other
内容記述 A 66-year-old woman was admitted to our hospital because of exacerbation of dermatomyositis. She had been treated as dermatomyositis since 1986. She also suffered from liver cirrhosis of unknown etiology and diabetes mellitus. She complained of fever, muscle weakness and myalgia in proximal extremities. Physical examination disclosed body temperature of 37℃, a sealy erythema on her forehead, purpuric rash of the eyelids, cyanosis, clubbing of the fingers and toes. Symmetrical atrophies in proximal limb muscle were evident and museles were tender to palpation. Auscultation of the heart revealed a midsystolic murmur in apex. Dry rales were heard in bilateral bases of the lung. Abdominal palpation showed a hepatosplenomegaly. Laboratory findings include erythrocyte sedimentation rate 100 mm/h, serum phosphokinase 326 U/L, serum GOT 98 IU/L, serum LDH 718 IU/L, serum total bilirubin 2.2 mg/dl, serum myoglobin 84 ng/dl. Antimitochondrial antibody was positive. The electromyogram study was normal but the muscle biopsy showed slight myopathic change. The liver biopsy demonstrated lymphocytes infiltration, destruction of limiting membranes, which were compatible with Primary Bilialy Cirrhosis(PBC). The final diagnosis of her illness ineluded 1) dermatomyositis, 2) PBC, 3) pulmonary fibrosis and 4) diabetes mellitus. Clinical manifestations gradually improved with predonisolone therapy. However, because of hypoxia and congestive heart failure, rehabilitation for muscle weakness could not be done sufficiently. Dermatomyositis associated with PBC is very rare, although 21 patients with polymyositis associated with PBC were reported to our best knowledge.
内容記述
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
出版者
言語 en
出版者 Ryukyu Medical Association
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346888X
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 13, 号 1, p. 63-69, 発行日 1993
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