{"_buckets": {"deposit": "bc121da5-cc6c-448e-a68f-752508fc338f"}, "_deposit": {"id": "2000667", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2000667"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:02000667", "sets": ["456", "1661840400705"]}, "author_link": [], "item_1627361970403": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2021-07", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "7", "bibliographicPageEnd": "135", "bibliographicPageStart": "131", "bibliographicVolumeNumber": "135", "bibliographic_titles": [{"bibliographic_title": "新潟医学会雑誌", "bibliographic_titleLang": "ja"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "【症例】8歳男児.8歳9か月時に複視が出現し,その78日後,啼泣後に目の周囲に点状出血を認めた.精査の結果,重症筋無力症と免疫性血小板減少症の合併と診断した.臨床症状は眼筋症状のみだったが,鼻筋の誘発筋電図でwaningを認めたことより,潜在全身型の重症筋無力症と診断した.眼瞼下垂症状が軽微であったこと,重症筋無力症と免疫性血小板減少症の合併は稀で小児の報告例は1例のみであることから診断に苦慮した.入院11日目よりプレドニゾロンの内服を開始し,漸増した.プレドニゾロンの漸増に伴い,血小板減少は改善した.眼瞼下垂と複視も改善傾向となったが,寛解は得られなかったため,入院32日目からステロイドパルス療法を1クール行った.ステロイドパルス療法後,眼瞼下垂と複視は消失した.プレドニゾロンの内服を継続し,入院40日目に退院した.退院後は症状の再燃なく経過し,プレドニゾロンを漸減・終了した.【結語】重症筋無力症と免疫性血小板減少症の合併例は報告が少なく,確立された有効な治療はない.胸腺摘除の報告が多いが,小児期発症の場合,ステロイド治療が有効である.今後のより良い診療のためには,報告の蓄積が必要である.", "subitem_description_language": "ja", "subitem_description_type": "Abstract"}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会", "subitem_publisher_language": "ja"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0029-0440", "subitem_source_identifier_type": "PISSN"}]}, "item_access_right": {"attribute_name": "アクセス権", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "佐藤, 大祐", "creatorNameLang": "ja"}, {"creatorName": "Sato, Daisuke", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "今村, 勝", "creatorNameLang": "ja"}, {"creatorName": "Imamura, Masaru", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "大橋, 伯", "creatorNameLang": "ja"}, {"creatorName": "Ohashi, Tsukasa", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "齋藤, 昭彦", "creatorNameLang": "ja"}, {"creatorName": "Saitoh, Akihiko", "creatorNameLang": "en"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2022-08-30"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "135(7)_131-135.pdf", "filesize": [{"value": "781KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": "781KB", "url": {"objectType": "fulltext", "url": "https://niigata-u.repo.nii.ac.jp/record/2000667/files/135(7)_131-135.pdf"}, "version_id": "659f7dd2-4f41-4f85-a9bf-444d82bc6bbc"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "重症筋無力症", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "免疫性血小板減少症", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ステロイド", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "重症筋無力症と免疫性血小板減少症を合併した男児例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "重症筋無力症と免疫性血小板減少症を合併した男児例", "subitem_title_language": "ja"}, {"subitem_title": "A Male Case of Myasthenia Gravis with Immune Thrombocytopenia", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1661840400705"], "permalink_uri": "http://hdl.handle.net/10191/0002000667", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2022-08-30"}, "publish_date": "2022-08-30", "publish_status": "0", "recid": "2000667", "relation": {}, "relation_version_is_last": true, "title": ["重症筋無力症と免疫性血小板減少症を合併した男児例"], "weko_shared_id": -1}
http://hdl.handle.net/10191/0002000667
http://hdl.handle.net/10191/0002000667