http://hdl.handle.net/10564/1535 1999-12 2026-04-09T01:17:38Z http://hdl.handle.net/10564/571 タイトル: 第120回奈良医学会 : 学会記事 1999-12-31T15:00:00Z http://hdl.handle.net/10564/570 タイトル: 99年度WJEMA夏期総合大会の報告 著者: 土居, 真太郎 1999-12-30T15:00:00Z http://hdl.handle.net/10564/569 タイトル: 空腸瘻を形成した横行結腸原発悪性リンパ腫の1例 著者: 後一, 肇; 川野, 貴弘; 西浦, 公章; 中谷, 公彦; 藤本, 伸一; 藤井, 謙裕 抄録: A 55-year-old male complaining of diarrhea was admitted to our hospital. Colonoscopic findings showed a constrictic lesion with fistula in the transversecolon. Barium enema revealed a circumferential constriction and jejunal fistula. Partial colectomy and jejunotomy was perfomed. Histopathological examination of the resected tissue showed non-Hodgkin, diffuse lymphoma, large celltype. 1999-12-30T15:00:00Z http://hdl.handle.net/10564/568 タイトル: 橋本病を合併した特発性血小板減少性紫斑病の1例 著者: 団野, 大介; 山野, 繁; 中谷, 公彦; 藤井, 謙裕; 佐々木, 弥寿延; 藤本, 伸一; 椎木, 英夫; 土肥, 和紘; 中村, 忍 抄録: We report a case of idiopathic thrombocytopenic purpura with Hashimoto' s thyroiditis. A 67-year-old female was admitted to our hospital for bleeding tendency in December 1992. Laboratory findings were as follows : platelet count was 3,000/mm3, PA -IgG was 605 ng/10^7 cells, megakaryocyte count in bone marrow examination was 117/μl, free T3 was 68.8 ng/dl, free T4 was 1.8 μg/dl, TSH was 395.7 μu/ml, anti-thyroglobulin antibody was ×400, and anti-microsome antibody was ×25,600. The patient was diagnosed as having idiopathic thrombocytopenic purpura (ITP) with Hashimoto's thyroiditis. Prednisolone was administered for ITP, and levothyroxine sodium for Ha- shimoto's thyroiditis. The platelet count increased. Anti-thyroglobulin antibody and anti -microsome antibody were ×400 and ×25,600 respectively in December 1992. They became depressed to under ×100 and 25,600 in January 1993, and to under ×100 and under ×100 in July 1997. This case suggests that a common immunological mechanism exists between ITP and Hashimoto's thyroiditis, and that prednisolone is effective for both thrombocytopenia due to ITP and hypothyroidism due to Hashimoto's thyroiditis. 1999-12-30T15:00:00Z