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Japanese journal of medicine最新文献

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Chronic active "lupoid" hepatitis and HLA system; report of 6 cases. 慢性活动性“类脂性”肝炎与HLA系统6例报告。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.299
Y Horie, H Kawasaki, C Hirayama, A Suyama
{"title":"Chronic active \"lupoid\" hepatitis and HLA system; report of 6 cases.","authors":"Y Horie,&nbsp;H Kawasaki,&nbsp;C Hirayama,&nbsp;A Suyama","doi":"10.2169/internalmedicine1962.30.299","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.299","url":null,"abstract":"<p><p>During the 12 years from 1977 to 1988 in Tottori University Hospital, 6 cases (4.2%) with chronic active \"lupoid\" hepatitis were encountered among 143 patients with histologically proven chronic active hepatitis. HLA antigens were studied; BW 22 and CW 1 were strongly associated, and A 11 was rather associated with the rare disorder in Japan. These results suggested that Japanese patients with chronic active \"lupoid\" hepatitis have different HLA markers from those in Caucasian patients, which may be attributable to rare specificity in the HLA system rather than different mechanisms of pathogenesis.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"299-303"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13102047","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
An autopsied case of primary epipharyngeal rhabdomyosarcoma presenting Garcin syndrome. 以Garcin综合征为表现的原发性咽横纹肌肉瘤的尸检病例。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.379
S Hakusui, K Fujishiro, A Takahashi
{"title":"An autopsied case of primary epipharyngeal rhabdomyosarcoma presenting Garcin syndrome.","authors":"S Hakusui,&nbsp;K Fujishiro,&nbsp;A Takahashi","doi":"10.2169/internalmedicine1962.30.379","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.379","url":null,"abstract":"<p><p>A 61-year-old housewife had complained of unilateral facial pain and had been treated as prolonged trigeminal neuralgia by a dentist. When she came to our clinic, the III-X cranial nerves of the right side were involved. A base view of the skull indicated destructive lesions of the right side middle cranial fossa, and a diagnosis of Garcin syndrome was made. Neurosurgical operation, X-ray radiation and chemotherapy improved to some extent the neurological condition temporarily. Postmortem examination showed an epipharyngeal rhabdomyosarcoma occupying the maxillary sinus, and extradural space of the cranial base on the right side.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"379-82"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13101149","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
Cerebral blood flow and metabolism in an amnestic patient with left thalamic infarction--a positron emission tomographic study. 左丘脑梗死健忘症患者的脑血流和代谢——正电子发射断层扫描研究。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.367
Y Okada, S Sadoshima, K Fujii, Y Kuwabara, Y Ichiya, M Fujishima
{"title":"Cerebral blood flow and metabolism in an amnestic patient with left thalamic infarction--a positron emission tomographic study.","authors":"Y Okada,&nbsp;S Sadoshima,&nbsp;K Fujii,&nbsp;Y Kuwabara,&nbsp;Y Ichiya,&nbsp;M Fujishima","doi":"10.2169/internalmedicine1962.30.367","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.367","url":null,"abstract":"<p><p>A 30-year-old man with left thalamic infarction developed severe amnesia. The positron emission tomography showed a decrease in cerebral blood flow and oxygen metabolism in the left thalamus and the ipsilateral frontal cortex (-20% to -12% of asymmetry index) both at day 11 and at 5 months after onset, although amnestic symptoms certainly improved during that period. The selective hypometabolism of the cerebral cortex suggested the remote effects of neuronal fiber disconnection between the left thalamus and the ipsilateral frontal cortex, which did not parallel the clinical course.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"367-72"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13101236","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
Prevention of the febrile reaction occurring on reinfusion of cell-free and concentrated autogenous ascites. 预防无细胞和浓缩自体腹水回输发热反应。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.311
S Katoh, H Tatsukawa, M Kondoh, M Inoue, K Ida, F Miyagawa
{"title":"Prevention of the febrile reaction occurring on reinfusion of cell-free and concentrated autogenous ascites.","authors":"S Katoh,&nbsp;H Tatsukawa,&nbsp;M Kondoh,&nbsp;M Inoue,&nbsp;K Ida,&nbsp;F Miyagawa","doi":"10.2169/internalmedicine1962.30.311","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.311","url":null,"abstract":"<p><p>The febrile reaction that occurs on reinfusion of ascites was studied. Intravenous reinfusion of ascites was performed 213 times in 63 cases of ascites, which were refractory to treatment with various drugs including diuretics. In order to prevent fever on reinfusion of ascites, a screen filter and a depth filter were used; the results were more favorable with the screen filter. Fibrin was considered to be one of the substances removable by the screen filter. HPLC analysis of the filtered and concentrated ascites, after passage through the screen filter, revealed a fraction corresponding to albumin. Intravenous injection of this fraction into rabbits caused fever. Although the screen filter cannot completely prevent fever on reinfusion of ascites, it appears useful to prevent fever in some patients.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"311-7"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13102049","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: 15
Selective IgG2,4 subclass and IgE deficiencies in an adult patient with recurrent pneumonia. 成人复发性肺炎患者的选择性IgG2、4亚类和IgE缺乏
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.338
H Ninomiya, H Hasegawa, T Fukuoka, T Shiosaka, T Yamauchi, O Saiki, S Fujita, Y Kobayashi
{"title":"Selective IgG2,4 subclass and IgE deficiencies in an adult patient with recurrent pneumonia.","authors":"H Ninomiya,&nbsp;H Hasegawa,&nbsp;T Fukuoka,&nbsp;T Shiosaka,&nbsp;T Yamauchi,&nbsp;O Saiki,&nbsp;S Fujita,&nbsp;Y Kobayashi","doi":"10.2169/internalmedicine1962.30.338","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.338","url":null,"abstract":"<p><p>A 28-year-old woman with recurrent pneumonia was found to have selective IgG2, 4 subclass and IgE deficiencies. She had a history of repeated episodes of otitis media and sinusitis in childhood. Her total immunoglobulin level was slightly below the normal range, and selective deficiencies of IgG2, 4 and IgE were found. Although lymphocyte responses to several mitogens were within the normal ranges, peripheral blood mononuclear cells produced only IgM when stimulated by Staphylococcus aureus Cowan 1 and interleukin-2. Gene deletion of the IgG2, 4 subclass was not found, but polymorphism of the IgG gene was detected by DNA analysis of the patient's lymphocytes.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"338-42"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13101229","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
The present status of active tuberculosis in a general hospital; a study of 186 cases. 某综合医院活动性肺结核的现状分析对186例病例的研究。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.304
H Yamada, O Katoh, K Hiura, Y Nakanishi, S Kuroki, Y Aoki, Y Nakahara, M Yamaguchi
{"title":"The present status of active tuberculosis in a general hospital; a study of 186 cases.","authors":"H Yamada,&nbsp;O Katoh,&nbsp;K Hiura,&nbsp;Y Nakanishi,&nbsp;S Kuroki,&nbsp;Y Aoki,&nbsp;Y Nakahara,&nbsp;M Yamaguchi","doi":"10.2169/internalmedicine1962.30.304","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.304","url":null,"abstract":"<p><p>To study the present status of TB in a general hospital, we reviewed the records of 186 patients with TB at the Saga Medical School Hospital. Ninety-two patients (49.5%) had extrapulmonary tuberculosis and 59 patients (31.7%) had complicated severe diseases. The variety of TB lesions and underlying diseases often caused diagnostic delay and misdiagnosis. In fact, 16 cases were not identified to be TB until after death. The TB prevalence was significantly high in malignant disease, diabetes mellitus, collagen disease and chronic renal failure among the total number of patients discharged. Twenty-one patients developed TB while on an intensive therapy for underlying diseases. Unfortunately, 22 patients with TB died in our hospital. These findings suggest that special care must be taken to prevent TB in a general hospital. We emphasize that early diagnosis of TB depends on the suspicion of this infection on the part of the physician.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"304-10"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13102048","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
Interrelation between esophageal varices, and systemic and hepatic hemodynamics in male patients with compensated cirrhosis. 男性代偿性肝硬化患者食管静脉曲张与全身和肝脏血流动力学的关系。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.318
A Kobayashi, Y Katsuta, T Aramaki, H Okumura
{"title":"Interrelation between esophageal varices, and systemic and hepatic hemodynamics in male patients with compensated cirrhosis.","authors":"A Kobayashi,&nbsp;Y Katsuta,&nbsp;T Aramaki,&nbsp;H Okumura","doi":"10.2169/internalmedicine1962.30.318","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.318","url":null,"abstract":"<p><p>The interrelation between endoscopic findings in esophageal varices, and systemic and hepatic hemodynamic abnormalities was studied in 76 male patients with compensated cirrhosis. Observation of these patients revealed a hyperdynamic systemic circulation, represented by an increased cardiac output and reduced total systemic vascular resistance with an enlarged circulating plasma volume and without an increase in heart rate, in comparison with 23 male patients with chronic hepatitis. In patients with cirrhosis and esophageal varices, the hyperdynamic circulatory state was closely related to the condition of the varices, in which a progress in the form was accompanied by an advance in the degree of hyperdynamism with an increase in circulating plasma volume. Whereas the extent of the varices as indicated by the location was closely related to a rise in the wedged hepatic venous pressure. The shunt volume through the portal-systemic collaterals requires further study to elucidate the mechanism of hyperdynamic circulation.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"318-25"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13102050","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: 9
Human trophoblastic cells metabolize 25-hydroxyvitamin D3 in vitro. 人滋养细胞体外代谢25-羟基维生素D3。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.326
T Okabe, S Ishizaka, M Fujisawa
{"title":"Human trophoblastic cells metabolize 25-hydroxyvitamin D3 in vitro.","authors":"T Okabe,&nbsp;S Ishizaka,&nbsp;M Fujisawa","doi":"10.2169/internalmedicine1962.30.326","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.326","url":null,"abstract":"<p><p>Human trophoblastic cells (T3M-3) metabolized 25-hydroxyvitamin D3 into two more polar metabolites during in vitro incubations. A two-step high pressure liquid chromatography system revealed two unique elution positions of those trophoblastic cell-derived metabolites that exactly co-migrated with the elution positions of 5(Z)-19-nor-10-oxo-25-hydroxyvitamin D3 and 5(E)-19-nor-10-oxo-25-hydroxyvitamin D3, respectively. These unique metabolites did not bind specifically to a protein receptor for 1,25-dihydroxyvitamin D3.</p>","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"326-9"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12823963","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
Hemorrhagic cystitis caused by bleomycin treatment. 博来霉素治疗引起出血性膀胱炎。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.392
I Komiya, M Nojiri, S Kuriya, Y Saito
{"title":"Hemorrhagic cystitis caused by bleomycin treatment.","authors":"I Komiya,&nbsp;M Nojiri,&nbsp;S Kuriya,&nbsp;Y Saito","doi":"10.2169/internalmedicine1962.30.392","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.392","url":null,"abstract":"","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"392"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12883059","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: 2
Disorder of pericardial fluid cholesterol metabolism in cholesterol pericarditis. 胆固醇性心包炎患者心包液胆固醇代谢紊乱。
Japanese journal of medicine Pub Date : 1991-07-01 DOI: 10.2169/internalmedicine1962.30.393
E Noiri, T Itoh
{"title":"Disorder of pericardial fluid cholesterol metabolism in cholesterol pericarditis.","authors":"E Noiri,&nbsp;T Itoh","doi":"10.2169/internalmedicine1962.30.393","DOIUrl":"https://doi.org/10.2169/internalmedicine1962.30.393","url":null,"abstract":"","PeriodicalId":14798,"journal":{"name":"Japanese journal of medicine","volume":"30 4","pages":"393"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2169/internalmedicine1962.30.393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13101151","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: 5
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