2005-12 http://hdl.handle.net/10564/1573 2026-04-10T15:42:05Z 2026-04-10T15:42:05Z 吉本, 宗平 中谷, 公彦 浅井, 修 赤井, 靖宏 西野, 俊彦 岩野, 正之 斎藤, 能彦 椎木, 英夫 多武保, 光宏 藤本, 清秀 平尾, 佳彦 http://hdl.handle.net/10564/154 2017-05-29T06:09:10Z 2005-12-30T15:00:00Z

タイトル: 腎細胞癌により2次性膜性腎症を発症したと思われるネフローゼ症候群の1例 著者: 吉本, 宗平; 中谷, 公彦; 浅井, 修; 赤井, 靖宏; 西野, 俊彦; 岩野, 正之; 斎藤, 能彦; 椎木, 英夫; 多武保, 光宏; 藤本, 清秀; 平尾, 佳彦 抄録: A 69-year-old man was admitted to our hospital for evaluation of increasing edema. The laboratory findings showed that he had nephrotic syndrome. CT scan and MRI demonstrated a solid mass with a diameter of 4.0cm in the upper pole of the left kidney. Total left nephrectomy was performed on twenty-eighth day after admission. The histopathology of the removed kidney showed membranous nephropathy (MN) accompanied with clear cell renal cell carcinoma (RCC). Nephrectomy did not ameliorate nephrotic syndrome effectively and oral steroid administration was required for the treatment. Although MN is known to be commonly associated with malignancy, there are only 7 case reports describing association of MN with RCC. There is only one case report which showed complete remission of nephrotic syndrome after nephrectomy. We experienced a rare case with MN and RCC. It is essential to investigate the relationship between histological findings and the clinical course for the better understanding of the pathogenesis of tumor-associated MN.

2005-12-30T15:00:00Z 吉川, 正英 王寺, 幸輝 守屋, 圭 斉藤, 恒 石坂, 重昭 櫻井, 正樹 森井, 武志 福岡, 篤彦 浜田, 薫 木村, 弘 高群, 美和 殿村, 恭代 矢倉, 一 形岡, 博史 上野, 聡 中村(内山), ふくみ 広松, 賢治 名和, 行文 http://hdl.handle.net/10564/153 2017-05-29T06:06:33Z 2005-12-30T15:00:00Z

タイトル: 抗旋毛虫抗体陽性を示し、クマ肉生食により感染したと思われるウェステルマン肺吸虫症 著者: 吉川, 正英; 王寺, 幸輝; 守屋, 圭; 斉藤, 恒; 石坂, 重昭; 櫻井, 正樹; 森井, 武志; 福岡, 篤彦; 浜田, 薫; 木村, 弘; 高群, 美和; 殿村, 恭代; 矢倉, 一; 形岡, 博史; 上野, 聡; 中村(内山), ふくみ; 広松, 賢治; 名和, 行文 抄録: We treated a patient with paragonimiasis who showed a distinct immunopositivity for Trichinella spiralis. A 28-year-old male entered a local hospital in October 2003 because of acute renal failure, anemia, and multiple bone fractures. Intensive treatment was successfully performed, during which bilateral pleural effusion appeared transiently, with continuing eosinophilia and muscle weakness in the left upper arm. To examine the persistent eosinophilia and muscle weakness, the patient visited our hospital in April 2005. Neurological examinations and histological studies revealed muscle atrophy that was limited to the left upper arm, which was considered due to a local factor such as injection or injury. A hematological examination confirmed increased eosinophils (WBC 13300/μ1; eosinophils 44%). Further, chest X-P and CT images revealed a recurrence of bilateral pleural effusion and a nodular lesion in the upper lobe of the left lung. Since a strong immunopositivity against Paragonimus westermanii was demonstrated, we made a diagnosis of paragonimiasis. The patient was effectively treated with praziquantel and the clinical course was uneventful. In several interviews, the patient reported that he had not eaten crab; however, we discovered that he had eaten bear meat more than 5 times at a restaurant operated by his friend and ingested slices of raw bear meat on at least one occasion. A serological examination revealed a strong seropositivity for Trichinella spiralis. We considered that the Paragonimus westermanii infection in the present case was mediated by the ingestion of raw bear meat.

2005-12-30T15:00:00Z 辰巳, 公平 西久保, 敏也 釜本, 智之 坂東, 由香 内田, 優美子 西野, 正人 梅木, 弥生 亀岡, 洋祐 伊東, 玲子 鈴木, 和男 http://hdl.handle.net/10564/152 2017-05-29T06:07:05Z 2005-12-30T15:00:00Z

タイトル: Myeloperoxidase部分欠損症の1新生児例 著者: 辰巳, 公平; 西久保, 敏也; 釜本, 智之; 坂東, 由香; 内田, 優美子; 西野, 正人; 梅木, 弥生; 亀岡, 洋祐; 伊東, 玲子; 鈴木, 和男 抄録: We encountered an infant with partial myeloperoxidase deficiency detected with an automatic peripheral blood analyzer, Technicon H series. A male neonate was admitted to our Neonatal Intensive Care Unit due to respiratory disturbance and low birth weight. An automatic peripheral blood analyzer, Technicon H, showed partial myeloperoxidase deficiency, and blood findings were abnormal. However, there were no apparent infectious diseases during hospitalization. Genomic analyses of the MPO coding region of the patient and his family showed normal expression of MPO mRNA, and there was no mutation of MPO cDNA detected by the direct sequence analysis. It was determined that MPO mRNA of the patient and family members were transcribed normally. These findings suggest that manifestation of partial MPO deficiency in this patient was caused by some mechanisms other than the mutation of the MPO coding region.

2005-12-30T15:00:00Z 羽竹, 勝彦 工藤, 利彩 森村, 佳史 粕田, 承吾 石谷, 昭子 http://hdl.handle.net/10564/151 2017-05-29T06:06:33Z 2005-12-30T15:00:00Z

タイトル: 入浴中の急死について : 奈良県における状況と文献的考察 著者: 羽竹, 勝彦; 工藤, 利彩; 森村, 佳史; 粕田, 承吾; 石谷, 昭子 抄録: We investigated 685 cases of sudden death while bathing in Nara Prefecture in a period of 5 years from 2000 to 2004, and the following parameters were evaluated: month of death, age distribution, sex, discovery locations, discovery facilities, discovery history, and past history of the deceased. The number of men under 70 years of age was approximately twice that of women in the same age group. However, the number of women over 70 years of age was slightly greater than that of men in the same age group. The cases of sudden death were most frequent in winter, from December to February. While 94.5% of the deceased died at home, 93.7% were found dead in the bathtub. With respect to the manner in which the deceased were discovered, 50.3% of the cases were discovered because their time in the bath was noticed to be longer than usual. A past history of hypertension was observed in most of the deceased, and the incidences of cardiovascular diseases, diabetes mellitus, and cerebrovascular diseases were lower as compared to hypertension. In this study, we also review the considerations of the cause of death in the literature.

2005-12-30T15:00:00Z