1997-10 http://hdl.handle.net/10564/1520 2026-04-09T03:39:27Z 2026-04-09T03:39:27Z 山本, 一彦 馬場, 雅渡 北山, 若紫 高山, 賢一 正田, 晨夫 杉村, 正仁 http://hdl.handle.net/10564/397 2017-05-29T06:06:57Z 1997-10-30T15:00:00Z

タイトル: 当科における顎骨外骨症の臨床的検討 著者: 山本, 一彦; 馬場, 雅渡; 北山, 若紫; 高山, 賢一; 正田, 晨夫; 杉村, 正仁 抄録: Two hundred forty cases of exostosis in the oral cavity were clinically investigated. Patients were 57 males and 183 females and mostly in their 4 th to 6 th decades of age. Torus palatinus was observed in 143 patients and torus mandibularis in 126 patients. Symptoms such as pain and abnormal sensation were found in 38% of patients. Torus palatinus were mostly 15-25 mm in size and morphologically flat and spindle types. Three fourths of torus mandibularis were bilaterally observed and multiple type was found more frequently than single type. Twenty-five percents of torus palatinus were accompanied by torus mandibularis. Surgical excision was performed in 25 cases, mostly in cases with symptoms.

1997-10-30T15:00:00Z 内田, 優美子 西久保, 敏也 箕輪, 秀樹 野上, 恵嗣 上辻, 秀和 下山, 弘展 吉田, 裕慈 川口, 千晴 中山, 雅博 高橋, 幸博 吉岡, 章 http://hdl.handle.net/10564/396 2017-05-29T06:06:49Z 1997-10-30T15:00:00Z

タイトル: 先天性絞扼輪症候群の2例 著者: 内田, 優美子; 西久保, 敏也; 箕輪, 秀樹; 野上, 恵嗣; 上辻, 秀和; 下山, 弘展; 吉田, 裕慈; 川口, 千晴; 中山, 雅博; 高橋, 幸博; 吉岡, 章 抄録: We encountered two cases of congenital constriction band syndrome (CCBS). The first case was 11-day-old boy weighing 3,150g delivered at 38 weeks of gestational age. He revealed constriction band on the proximal part of the right index, digitus medius and digitus anularis. These fingers were shortened and syndactyly between digitus medius and digitus anularis was present with fenestration. The second case was a 0-day-old girl weighing 1,590g delivered at 36 weeks of gestational age. Fetal echography revealed decreased amniotic fluid and intrauterine growth retardation at 36 gastational weeks. She had a constriction band of the left wrist joint with deformity of the left hand. Both infants were diagnosed with congenital constriction band syndrome based on the presence of a typical constriction band, without any other anomaly. Therefore, disruption of the amniotic membrane was speculated to have occurred at 5 to 7 weeks of gestational age.

1997-10-30T15:00:00Z 高井, 英子 山野, 繁 勝山, 慶之 松田, 尚史 椎木, 英夫 藤井, 謙裕 土肥, 和紘 遠藤, 武弘 小西, 陽一 中村, 忍 http://hdl.handle.net/10564/395 2017-05-29T06:06:53Z 1997-10-30T15:00:00Z

タイトル: 不明熱と高IgM血症を呈した悪性リンパ腫の1剖検例 著者: 高井, 英子; 山野, 繁; 勝山, 慶之; 松田, 尚史; 椎木, 英夫; 藤井, 謙裕; 土肥, 和紘; 遠藤, 武弘; 小西, 陽一; 中村, 忍 抄録: We report a case of an 80-year-old man with non-Hodgkin's lymphoma and high serum level of IgM. He was admitted to our hospital because of fever of unknown etiology and hoarseness. Seven weeks before the current admission, the patient was admitted to another hospital because of high fever, cough, and anasarca on January 26, 1994. High serum level of IgM was detected by immunoelectrophoresis in February 1994. Laboratory tests on admission revealed leucopenia (2,200/μl), high serum level of LDH (1,012IU/l) and IgM (1,509mg/dl). An abdominal computed tomographic (CT) scan revealed hepatosplenomegaly without lymphadenopathy. The patient was diagnosed as having non-Hodgkin's lymphoma (small lymphocytic + plasmacytoid) by autopsy. Lymphadenopathy was not detected, but tumor cells were microscopically detected in jugular, axillary, mediastinal, and adbominal lymphnodes. Also tumor cells had infiltrated to the liver, kidneys, spleen, and pancreas. Immunohistochemical staining for anti-IgM, IgG, κ-light chain, and λ-light chain showed positive in lymphoid cells. We experienced a difficult case to diagnose as malignant lymphoma for lack of lymphadenopathy.

1997-10-30T15:00:00Z Fujii, Yoshihiro Kishimoto, Tadashi Dohi, Kazuhiro http://hdl.handle.net/10564/394 2017-06-11T23:20:26Z 1997-10-30T15:00:00Z

タイトル: RESPONSE TO THE FUROSEMIDE TEST MAY PREDICT THE EFFECTS OF DELAPRIL ON RENAL FUNCTION IN PATIENTS WITH CHRONIC RENAL INSUFFICIENCY 著者: Fujii, Yoshihiro; Kishimoto, Tadashi; Dohi, Kazuhiro 抄録: Background : It is not clear whether the administration of an angiotensin- converting enzyme (ACE) inhibitor consisitently slows the progression of disease in patients with renal disease. We investigated the usefulness of the furosemide test in predicting the efficacy of delapril, an ACE inhibitor, in patients with chronic renal insuffi- clency. Methods : Delapril (7.5 mg to 15 mg) was administered daily to 24 patients with chronic renal insufficiency as indicated by a serum concentration of creatinine (Scr) between 1.2 mg/dl and 3.0 mg/dl. Patients were classified into improved, unchanged, and worsened groups based on the effect of delapril on the Scr. We measured the following parameters before the administration of delapril for a mean of 9 months blood pressure, Scr, urinary protein excretion, urinary sodium excretion, and changes in the renin and aldosterone response (the PRA ratio and PAC ratio) to a furosemide test. Results : Renal function was improved in 6 patients, unchanged in 8 patients, and worsend in 10 patients after delapril treatment. Urinary protein excretion was decreased, but not significantly, in all three groups. No significant differences in baseline parameters were observed among the groups before treatment. The PRA ratio was significantly higher in the group showing improvement vs. the groups showing either no improvement or a worsening of renal function. Conclusions : Delapril tended to reduce the urinary excretion of protein in patients with chronic renal insufficienty. However, delapril did not consistently reduce the rate of decline in glomerular filtration rate. The protective effect of this drug on renal function appeared to be related to the renin response to furosemide test.

1997-10-30T15:00:00Z