ログイン
言語:

WEKO3

  • トップ
  • ランキング


インデックスリンク

インデックスツリー

  • RootNode

メールアドレスを入力してください。

WEKO

One fine body…

WEKO

One fine body…

アイテム

  1. 050 医学部, 大学院医学系研究科
  2. 0502 紀要・刊行物
  3. 05021 信州医学雑誌
  4. Vol. 71 No. 5

先行した慢性再発性多発性骨髄炎に対するアダリムマブ治療経過中に高安動脈炎の診断に至った1例

http://hdl.handle.net/10091/0002001723
http://hdl.handle.net/10091/0002001723
89b12c74-e24d-45da-b503-c88fda3c5379
名前 / ファイル ライセンス アクション
shinshuishi71-5_3.pdf shinshuishi71-5_3.pdf
Item type 学術雑誌論文 / Journal Article(1)
公開日 2023-10-10
タイトル
タイトル 先行した慢性再発性多発性骨髄炎に対するアダリムマブ治療経過中に高安動脈炎の診断に至った1例
タイトル
タイトル A Case Diagnosed with Takayasu Arteritis during the Course of Treatment with Adalimumab for Chronic Recurrent Multifocal Osteomyelitis
言語
言語 jpn
DOI
関連タイプ isIdenticalTo
関連識別子 https://doi.org/10.11441/shinshumedj.71.269
関連名称 10.11441/shinshumedj.71.269
キーワード
主題 takayasu arteritis, chronic recurrent multifocal osteomyelitis, adalimumab, tocilizumab, 18F-FDG-PET/CT
高安動脈炎, 慢性再発性多発性骨髄炎, アダリムマブ, トシリズマブ, 18F-FDG-PET/CT
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 竹内, 詩緒

× 竹内, 詩緒

ja 竹内, 詩緒

Search repository
丸山, 悠太

× 丸山, 悠太

ja 丸山, 悠太

Search repository
中沢, 洋三

× 中沢, 洋三

ja 中沢, 洋三

Search repository
信州大学研究者総覧へのリンク
氏名 丸山, 悠太
URL https://soar-rd.shinshu-u.ac.jp/profile/ja.WUTFPUym.html
信州大学研究者総覧へのリンク
氏名 中沢, 洋三
URL https://soar-rd.shinshu-u.ac.jp/profile/ja.yCSFuNkh.html
出版者
出版者 信州医学会
引用
内容記述 信州医学雑誌 71(5) : 269-275, (2023)
書誌情報 信州医学雑誌

巻 71, 号 5, p. 269-275, 発行日 2023-10-10
抄録
内容記述 A 15-year-old female was referred to our hospital because of fever and fatigue for 1 month. C-reactive protein elevation was observed (8.2 mg/dL), and imaging studies including 18F-fluoro-D-glucose-positron emission tomography/computed tomography (FDG-PET/CT) showed no abnormal findings. Prednisolone (PSL) was started, and her fever went down subsequently. When PSL was tapered, fever and headache recurred ; so tocilizumab (TCZ) was initiated as a treatment for systemic juvenile idiopathic arthritis, and fever was resolved. Six months later she experienced pain around both knees. Multifocal abnormal bone marrow signals were observed through magnetic resonance imaging. Lesion bone biopsy revealed nonspecific inflammation without malignancy or infection. Our diagnosis was chronic recurrent multifocal osteomyelitis (CRMO), naproxen was started, and TCZ was switched to adalimumab (ADA). However, her pain around both knees and headache persisted. A year after CRMO diagnosis, 18F-FDG-PET/CT re-examination revealed FDG accumulation in the common carotid artery, subclavian artery, aortic arch, and femoral artery to the popliteal artery. Contrast-enhanced CT showed vessel wall thickening and arterial stenosis. Accordingly, the patient was diagnosed with Takayasu arteritis. PSL was increased, and azathioprine was initiated, and ADA was switched to subcutaneous TCZ. At the 10-month follow-up, headache and leg pain had decreased, and the steroid dose was tapered.   CRMO is a noninfectious, autoinflammatory disease causing recurrent sterile inflammatory bone lesions. CRMO has been described in association with other inflammatory conditions such as Takayasu arteritis. Physicians should consider that in a case of CRMO with persistent inflammation after treatment, other inflammatory diseases such as Takayasu arteritis may coexist.
資源タイプ(コンテンツの種類)
ISSN
収録物識別子タイプ PISSN
収録物識別子 0037-3826
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00120815
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
戻る
0
views
See details
Views

Versions

Ver.1 2023-10-20 07:01:55.595260
Show All versions

Share

Mendeley Twitter Facebook Print Addthis

Cite as

エクスポート

OAI-PMH
  • OAI-PMH JPCOAR 2.0
  • OAI-PMH JPCOAR 1.0
  • OAI-PMH DublinCore
  • OAI-PMH DDI
Other Formats
  • JSON
  • BIBTEX

Confirm


Powered by WEKO3


Powered by WEKO3