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Japanese journal of medicine最新文献

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Successful treatment of acute right cardiac failure due to pulmonary thromboembolism in mixed connective tissue disease. 混合性结缔组织病肺血栓栓塞所致急性右心衰的成功治疗。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.568
Y Ueda, Y Yamauchi, K Makizumi, R Kaji, H Ishibashi, K Nagasawa, Y Niho
{"title":"Successful treatment of acute right cardiac failure due to pulmonary thromboembolism in mixed connective tissue disease.","authors":"Y Ueda,&nbsp;Y Yamauchi,&nbsp;K Makizumi,&nbsp;R Kaji,&nbsp;H Ishibashi,&nbsp;K Nagasawa,&nbsp;Y Niho","doi":"10.2169/internalmedicine1962.30.568","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.568","url":null,"abstract":"<p><p>Mixed connective tissue disease (MCTD) is characterized as a benign rheumatic disease with a favorable response to therapy. When pulmonary hypertension is a complication, however, it is often reported to be fatal. A 32-year-old female patient with MCTD who had developed rapidly progressive pulmonary hypertension and disseminated intravascular coagulopathy was admitted to our hospital and was successfully treated with corticosteroids and anticoagulants. The failure of microcirculation due to coagulopathy is considered to be one of the possible entities of pulmonary hypertension.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"568-72"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Primary amyloidosis with dry eyes and dry mouth--a case report. 原发性淀粉样变性伴眼口干涩1例报告。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.597
T Itoh, S Ohashi, T Tsujino, M Takenaka, H Kodama, M Kishihara, T Inatome, T Inoh
{"title":"Primary amyloidosis with dry eyes and dry mouth--a case report.","authors":"T Itoh,&nbsp;S Ohashi,&nbsp;T Tsujino,&nbsp;M Takenaka,&nbsp;H Kodama,&nbsp;M Kishihara,&nbsp;T Inatome,&nbsp;T Inoh","doi":"10.2169/internalmedicine1962.30.597","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.597","url":null,"abstract":"<p><p>We report a rare case of dry eyes and dry mouth caused by primary amyloidosis. A 66-year-old woman with keratoconjunctivitis sicca and xerostomia died of acute respiratory failure. Shirmer's test, gum test, and sialography indicated Sjögren's syndrome. Lip biopsy revealed amyloid deposition around the salivary ducts. Bence-Jones protein was noted in the urine. At autopsy, amyloid deposition was identified histochemically in many organs, mainly on the vessel walls. Primary amyloidosis should be considered as a differential diagnosis of Sjögren's syndrome.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"597-9"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.597","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Clinical evaluation of newly developed antihypertensive drugs. 新型降压药的临床评价。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.491
K Yoshinaga
{"title":"Clinical evaluation of newly developed antihypertensive drugs.","authors":"K Yoshinaga","doi":"10.2169/internalmedicine1962.30.491","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.491","url":null,"abstract":"","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"491"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.491","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HTLV-I-associated myelopathy (HAM) in Tokushima Prefecture--geographical and clinical studies in an area between endemic and non-endemic areas of HTLV-I infection. 德岛县htlv - 1相关脊髓病(HAM)——htlv - 1感染流行区和非流行区之间地区的地理和临床研究
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.534
H Kawai, Y Nishida, Y Sano, M Takagi, M Mizobuchi, M Miyake, S Kashiwagi, T Naruo, T Inui, K Masuda
{"title":"HTLV-I-associated myelopathy (HAM) in Tokushima Prefecture--geographical and clinical studies in an area between endemic and non-endemic areas of HTLV-I infection.","authors":"H Kawai,&nbsp;Y Nishida,&nbsp;Y Sano,&nbsp;M Takagi,&nbsp;M Mizobuchi,&nbsp;M Miyake,&nbsp;S Kashiwagi,&nbsp;T Naruo,&nbsp;T Inui,&nbsp;K Masuda","doi":"10.2169/internalmedicine1962.30.534","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.534","url":null,"abstract":"The geographic distribution and clinical features of patients with HTLV-I-associated myelopathy (HAM) in Tokushima prefecture were investigated. Nine patients were found prior to December 1990. The minimal prevalence was estimated as 1.1 per 100,000 in the general population, and 1 per 1,309 in HTLV-I-seropositive persons. Seven patients were found in the southern district facing the Pacific Ocean, but only 1 patient each was found in the northern and western districts. The age at disease onset ranged from 15 to 53 yr (average 33 yr). The ratio of male to female patients was 1:8. Adult T cell leukemia was associated with HAM in 1 patient, and Hashimoto's disease in 2 patients. These cases have not been reported previously. The route of transmission of HTLV-I was concluded to be vertical in 4 patients and horizontal in 4 patients, but was uncertain in 1 patient. No evidence of transmission by blood transfusion was found in these patients.","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"534-41"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.534","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Pathogenesis and correspondence of diabetic retinopathy--approach from polyol metabolism. 糖尿病视网膜病变的发病机制及对应关系——从多元醇代谢角度探讨。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.626
N Hotta, N Sakamoto
{"title":"Pathogenesis and correspondence of diabetic retinopathy--approach from polyol metabolism.","authors":"N Hotta,&nbsp;N Sakamoto","doi":"10.2169/internalmedicine1962.30.626","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.626","url":null,"abstract":"","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"626-9"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Idiopathic acute interstitial nephritis associated with uveitis. 伴有葡萄膜炎的特发性急性间质性肾炎。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.548
N Yano, M Miyazaki, M Endoh, T Kuramoto, K Eguchi, M Yagame, Y Nomoto, H Sakai
{"title":"Idiopathic acute interstitial nephritis associated with uveitis.","authors":"N Yano,&nbsp;M Miyazaki,&nbsp;M Endoh,&nbsp;T Kuramoto,&nbsp;K Eguchi,&nbsp;M Yagame,&nbsp;Y Nomoto,&nbsp;H Sakai","doi":"10.2169/internalmedicine1962.30.548","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.548","url":null,"abstract":"<p><p>A case of acute interstitial nephritis associated with uveitis is presented, An 18-year-old man developed uveitis followed by renal dysfunction. Moderate renal dysfunction (sCr 3.0 mg/dl), and increased levels of urinary beta 2 microglobulin (over 8,000 micrograms/I) were observed. Renal tissue obtained by open renal biopsy revealed severe infiltration of mononuclear cells in the tubulo-interstitial area. The majority of infiltrating cells were CD4-positive T cells demonstrated by immunoperoxidase staining, suggesting the involvement of T cell-mediated delayed hypersensitivity. Corticosteroid was effective against both uveitis and renal dysfunction. The possible pathogenesis of this syndrome is reviewed from the literature.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"548-52"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.548","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Sex and age differences in ventricular gradient. 心室梯度的性别和年龄差异。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.504
K Yamauchi, I Sotobata
{"title":"Sex and age differences in ventricular gradient.","authors":"K Yamauchi,&nbsp;I Sotobata","doi":"10.2169/internalmedicine1962.30.504","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.504","url":null,"abstract":"<p><p>Sex and age differences of ventricular gradient (G) were analyzed and normal ranges were determined in normal Japanese subjects (120 men and 74 women), whose resting heart rate was within the range of 65 to 75 beats/min. Women showed a larger Z component in AT and a smaller Y and larger Z component in G than men. The common trend in age differences was a decrease in Y component of G in both men and women. The ranges obtained in the present study can be applied in automatic VCG analysis, in particular for the differentiation of primary and secondary ST-T changes.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"504-8"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Treatment of infective endocarditis with granulocyte colony-stimulating factor. 粒细胞集落刺激因子治疗感染性心内膜炎。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.593
Y Hanazono, K Miyazono, H Tsuchimochi, K Yamaoki, K Miyagawa, H Hirai, Y Yazaki, F Takaku
{"title":"Treatment of infective endocarditis with granulocyte colony-stimulating factor.","authors":"Y Hanazono,&nbsp;K Miyazono,&nbsp;H Tsuchimochi,&nbsp;K Yamaoki,&nbsp;K Miyagawa,&nbsp;H Hirai,&nbsp;Y Yazaki,&nbsp;F Takaku","doi":"10.2169/internalmedicine1962.30.593","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.593","url":null,"abstract":"<p><p>Granulocyte colony-stimulating factor (G-CSF) is a glycoprotein hormone which stimulates the proliferation and differentiation of a subset of granulocyte precursors and enhances some functional activities of mature neutrophils. We tested the effects of G-CSF on a patient with intractable infective endocarditis. The white blood cell count was increased 3-fold and the inflammatory reactions such as C-reactive protein and erythrocyte sedimentation rate were completely normalized without any side effects. This is the first report describing the use of G-CSF for infective endocarditis. Administration of G-CSF might be suitable for treating intractable infections which cannot be controlled by antibiotics alone.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"593-6"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12888585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
A case of IgM-associated mesangial proliferative glomerulonephritis with a giant paramesangial spherical deposit. igm相关性系膜增生性肾小球肾炎伴巨大系膜旁球形沉积物1例。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.588
S Inokuchi, M Yokomatsu, K Funabiki, I Shirato, S Nakayama, M Yoshida, Y Tomino, H Koide
{"title":"A case of IgM-associated mesangial proliferative glomerulonephritis with a giant paramesangial spherical deposit.","authors":"S Inokuchi,&nbsp;M Yokomatsu,&nbsp;K Funabiki,&nbsp;I Shirato,&nbsp;S Nakayama,&nbsp;M Yoshida,&nbsp;Y Tomino,&nbsp;H Koide","doi":"10.2169/internalmedicine1962.30.588","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.588","url":null,"abstract":"<p><p>We report a case of IgM-associated mesangial proliferative glomerulonephritis with microscopic hematuria and renal tubular dysfunction. On electron microscopy, a giant spherical deposit was observed in the glomerular paramesangial area. Deposition of C3 in the glomerular mesangial areas was not observed by immunofluorescence. IgM-associated mesangial proliferative glomerulonephritis is clinically characterized by nephrotic syndrome, mild proteinuria and/or hematuria, tubular dysfunction or renal failure, suggesting that it is considered to be a heterogeneous disorder.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"588-92"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.588","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between clinico-pathological findings and prognosis in diabetic nephropathy patients. 糖尿病肾病患者临床病理表现与预后的关系。
Japanese journal of medicine Pub Date : 1991-11-01 DOI: 10.2169/internalmedicine1962.30.612
Y Suzuki, M Arakawa
{"title":"The relationship between clinico-pathological findings and prognosis in diabetic nephropathy patients.","authors":"Y Suzuki,&nbsp;M Arakawa","doi":"10.2169/internalmedicine1962.30.612","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.612","url":null,"abstract":"","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 6","pages":"612-6"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12959591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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