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[原著]糞線虫症の臨床的研究
http://hdl.handle.net/20.500.12000/0002016376
http://hdl.handle.net/20.500.12000/00020163761dd25cba-731b-431f-8a8e-c61253bc5d85
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
v2p319.pdf
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| Item type | デフォルトアイテムタイプ（フル）(1) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2014-07-18 | |||||||||
| タイトル | ||||||||||
| タイトル | [原著]糞線虫症の臨床的研究 | |||||||||
| 言語 | ja | |||||||||
| タイトル | ||||||||||
| タイトル | Clinical Investigations on Strongyloidiasis : Fluoroscopic, endoscopic and bioptical observations | |||||||||
| 言語 | en | |||||||||
| 作成者 |
川平, 稔
× 川平, 稔
× Kwahira, Minoru
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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 | |||||||||
| 内容記述 | ||||||||||
| 内容記述タイプ | Other | |||||||||
| 内容記述 | 1. Fluoroscopic examinations were done in 237 cases of strongyloidiasis, including 220 asymptomatic carriers. Special attentions were paid on the presence or abscence of the abnormal findings, as follows: irregular serration of the duodenojejunal walls, asymmetry of Kerckring's folds, swelling, irregularity and/ or disappearance of the folds and further napping of the margins, insufficient distension of intrarugal mucosa, irregular barium patches and irregular minor elevations. Some of those abnormal findings were always obseved in all 17 manifest cases and were commonly seen even in asymptomatic cases. Mucosal patterns were examined to detect edematous state of the mucosa. 2. Ordinary duodenal endoscopy was done in 121 cases, including 104 asymptomatic cases. Endoscopy revealed edema, redness, erosions, white coating, ulcerations and granulomatous changes in the duodenal mucosa. Ordinary endoscopic detection of the abnormalities was inferior to the fluoroscopic examination. However, using dye spray method at the same time, could be easily detected finer mucosal changes, e. g., irregular arrangement of villi. 3. Biopsy under endoscopy was done in 77 cases, including 60 asymptomatic carriers. Although, no particular change was detected in 40 out of 60 asymptomatic carriers, were seen edema, dilatation of lymph vessels, cell infiltration (eosinophils, neutrophils, lymphocytes and plasma cells), erosions, atrophy of villi and regenerating mucosa, even in asymptomatic cases. In 3 out of 60 asymptomatic carriers, examined, were detected parasite sections and in 12 cases were seen flattening or atrophy of villi and regenerating mucosa. In all 17 manifest cases, were observed many of those pathological changes together with parasite sections. Further, more regenerating pattern of the mucosa, flattening and/or atrophy of villi were marked, in manifest cases. | |||||||||
| 内容記述 | ||||||||||
| 内容記述タイプ | Other | |||||||||
| 内容記述 | 4. The grade of intensity in fluoroscopic, endoscopic and bioptic findings were approxinnately parallel to the intensity of clinical symptoms. 5. The detection of parasite sections in the bioptic materials in all 17 manifest cases, without fail, would suggest the high density of the distribution of parasites in tissues. Although they were not detected in 95% of the asymptomatic cases, the detection of them even in only 5% of asymptomatic carriers, would suggest an occurrence of autoinfection, provoked by disturbance of equilibrium in the host-parasite relationship. There were noticed in some manifest cases, where steroid-, anti- cancer therapy was considered to be a trigger for acute exacerbation. 6. The present author would like to stress that the population in the prevalent area must be carefully examined on strongyloides infection, and must be given sufficient dosis of the effective vermfuge, prior to recieve steroid-, immunosuppresive-, radiation therapy and prior to longterm hemodialysis. It is very regret that the import of the most effective vermifuge for example, thiabendazole, is not allowed by the Japanese Government. | |||||||||
| 内容記述 | ||||||||||
| 内容記述タイプ | Other | |||||||||
| 内容記述 | 論文 | |||||||||
| 出版者 | ||||||||||
| 出版者 | 琉球大学保健学部 | |||||||||
| 言語 | ja | |||||||||
| 出版者 | ||||||||||
| 出版者 | College of Health Sciences, University of the Ryukyus | |||||||||
| 言語 | en | |||||||||
| 言語 | ||||||||||
| 言語 | jpn | |||||||||
| 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 | 0285-9270 | |||||||||
| 収録物識別子 | ||||||||||
| 収録物識別子タイプ | NCID | |||||||||
| 収録物識別子 | AN00250763 | |||||||||
| 収録物名 | ||||||||||
| 収録物名 | 琉球大学保健学医学雑誌＝Ryukyu University Journal of Health Sciences and Medicine | |||||||||
| 言語 | ja | |||||||||
| 書誌情報 |
巻 2, 号 4, p. 319-334 |
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