{"created":"2022-02-22T04:10:48.354396+00:00","id":2016005,"links":{},"metadata":{"_buckets":{"deposit":"3a18f5f4-5745-44e6-8091-ecb5952398f3"},"_deposit":{"id":"2016005","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2016005"},"status":"published"},"_oai":{"id":"oai:u-ryukyu.repo.nii.ac.jp:02016005","sets":["1642838163960:1642838198944:1642838199408:1642838208619","1642838403551:1642838412624"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_1551255647225":"[症例報告]Acase of overlap syndrome ( rheumatoid arthritis and systemic lupus erythematosus ) with ileal perforation in amyloidosis","subitem_1551255648112":"ja"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Nagahama, Masayoshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Miyazato, Hiroshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kusano, Toshiomi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Muto, Yoshihiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Shimada, Katsumasa","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Gima, Tomoji","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Yoshihara, Kunio","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Tokuyama, Hiroya","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":"琉球医学会"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_1522299896455":"en","subitem_1522300014469":"Other","subitem_1523261968819":"ileal perforation"},{"subitem_1522299896455":"en","subitem_1522300014469":"Other","subitem_1523261968819":"secondary amyloidosis"},{"subitem_1522299896455":"en","subitem_1522300014469":"Other","subitem_1523261968819":"overlap syndrome"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_type":"Other"},{"subitem_description":"論文","subitem_description_type":"Other"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_1522300295150":"ja","subitem_1522300316516":"琉球医学会"},{"subitem_1522300295150":"en","subitem_1522300316516":"Ryukyu Medical Association"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_1551255818386":"eng"}]},"item_1617186920753":{"attribute_name":"Source Identifier","attribute_value_mlt":[{"subitem_1522646500366":"ISSN","subitem_1522646572813":"1346888X"},{"subitem_1522646500366":"ISSN","subitem_1522646572813":"0289-1530"},{"subitem_1522646500366":"NCID","subitem_1522646572813":"AN10369445"}]},"item_1617186941041":{"attribute_name":"Source Title","attribute_value_mlt":[{"subitem_1522650068558":"ja","subitem_1522650091861":"琉球医学会誌 = Ryukyu Medical Journal"}]},"item_1617187056579":{"attribute_name":"Bibliographic Information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1996","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"138","bibliographicPageStart":"135","bibliographicVolumeNumber":"16"}]},"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","filename":"v16p135.pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://u-ryukyu.repo.nii.ac.jp/record/2016005/files/v16p135.pdf"},"version_id":"72508a06-d8b5-45e9-b54f-047864014a95"}]},"item_title":"[症例報告]Acase of overlap syndrome ( rheumatoid arthritis and systemic lupus erythematosus ) with ileal perforation in amyloidosis","item_type_id":"15","owner":"1","path":["1642838208619","1642838412624"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-07-02"},"publish_date":"2010-07-02","publish_status":"0","recid":"2016005","relation_version_is_last":true,"title":["[症例報告]Acase of overlap syndrome ( rheumatoid arthritis and systemic lupus erythematosus ) with ileal perforation in amyloidosis"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2022-10-31T07:48:31.606667+00:00"}