| 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]Acase of overlap syndrome ( rheumatoid arthritis and systemic lupus erythematosus ) with ileal perforation in amyloidosis |
|
言語 |
ja |
| 作成者 |
Nagahama, Masayoshi
Miyazato, Hiroshi
Kusano, Toshiomi
Muto, Yoshihiro
Shimada, Katsumasa
Gima, Tomoji
Yoshihara, Kunio
Tokuyama, Hiroya
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| 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 |
ileal perforation |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
secondary amyloidosis |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
overlap syndrome |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
A case of an ileal perforation in vasculitis and secondary amyloidosis due to rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) (overlap syndrome) in a 43-year-old female is reported. On February 14, 1994, the patient with associated symptoms of oliguria, fever, abdominal pain and vomiting, was admitted to the Okinawa Daiichi Hospital for hemodialysis. She had a history of RA (rheumatic factor was positive, ulnar deviation, morning stiffness, multiple and symmetrical arthritis) in 1977 and also SLE in 1986. Her disease was diagnosed as overlap syndrome, and she received 8 year continuous treatment with steroid. On the 11th day post admission, she developed acute peritonitis with free air on abdominal X-ray. An emergency laparotomy revealed a perforation of the ileum on the anti-mesenteric side 20 cm proximal to the ileocecal valve and multiple ileal ulcers over the entire ileal length (approximately 130 cm long). The affected ileum, 130 cm in length, was resected and two current type ileostomies were made. Pathologically, amyloid deposition was found mainly in the small to medium-sized vessel walls in the submucosal layers. Occlusive vascular amyloid deposition and non- occlusive penvascuhtis were more evident in the severely affected portion. The patient developed intestinal perforation after surgery. She expired with clinical manifestations of disseminated intravascular coagulopathy 49 days after surgery. The pathological findings of the ileum suggested that the vascuhtis had been caused by overlap syndrome while occlusion due to amyloid deposition had led to the perforation of the ileum. An autopsy was not performed. We therefore present evidence of an ileal perforation as a result of overlap syndrome and subsequent amyloidosis. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 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 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 16,
号 3,
p. 135-138,
発行日 1996
|
v16p135.pdf
