{"created":"2023-06-19T08:42:08.031624+00:00","id":9771,"links":{},"metadata":{"_buckets":{"deposit":"23d2b4b5-5e3b-4287-b33c-727700333992"},"_deposit":{"created_by":2,"id":"9771","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"9771"},"status":"published"},"_oai":{"id":"oai:gunma-u.repo.nii.ac.jp:00009771","sets":["719:760:761:859"]},"author_link":["39879","39885","39875","39876","39882","39878","39884","39881","39883","39886","39877","39880"],"item_6_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case of Goodpasture's Syndrome with Recurrent Alveolar Hemorrhage Successfully Treated with Repeated Immunosuppressive Therapy and Plasma Exchange"}]},"item_6_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"41","bibliographicPageStart":"37","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"The Kitakanto medical journal = 北関東医学"}]}]},"item_6_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kishida, Koichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kanamoto, Masafumi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kamiyama, Aya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Matsuoka, Hiroaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tobe, Masaru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Saito, Shigeru"}],"nameIdentifiers":[{}]}]},"item_6_description_39":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_6_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Goodpasture 症候群(Goodpasture's syndrome,GPS)は,抗基底膜(Glomerular basement membrane, GBM)抗体によるII 型アレルギーから肺胞出血と急速進行性糸球体腎炎(Rapidly progressive glomerulonephritis, RPGN)を特徴とする疾患であり,1 寛解導入・維持療法により再燃は稀とされている.今回我々は副腎皮質ステロイド薬の内服困難からGPSが再燃,集中治療管理が必要になった症例を経験した.症例は 52 歳男性.肺胞出血と腎不全を呈した GPS に対し,寛解導入療法を行い一旦症状改善,維持透析中であったが,副腎皮質ステロイド薬の内服困難から肺胞出血が再燃した.入院後早期に免疫抑制療法と肺胞出血に注意しながら血漿交換療法,ならびに呼吸状態の慎重な管理を行い,患者は無事独歩退院となった.寛解導入後早期の免疫抑制療法の中断により,再燃が稀とされている GPS も容易に症状再燃の可能性があることに十分注意が必要である.","subitem_description_type":"Abstract"}]},"item_6_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北関東医学会"}]},"item_6_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-2826","subitem_source_identifier_type":"ISSN"}]},"item_6_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10585677","subitem_source_identifier_type":"NCID"}]},"item_6_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"岸田, 浩一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金本, 匡史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"神山, 彩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松岡, 宏晃"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"戸部, 賢"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 繁"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-23"}],"displaytype":"detail","filename":"69_37.pdf","filesize":[{"value":"907.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"69_37.pdf","url":"https://gunma-u.repo.nii.ac.jp/record/9771/files/69_37.pdf"},"version_id":"4f6be7b4-24cd-4a45-b274-0055dc7df551"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Goodpasture 症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"免疫抑制療法","subitem_subject_scheme":"Other"},{"subitem_subject":"肺胞出血","subitem_subject_scheme":"Other"},{"subitem_subject":"Goodpasture’s syndrome","subitem_subject_scheme":"Other"},{"subitem_subject":"immunosuppressive therapy","subitem_subject_scheme":"Other"},{"subitem_subject":"alveolar hemorrhage","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"肺胞出血が再燃した Goodpasture 症候群に再度免疫抑制療法,血漿交換療法を行い治療し得た 1 症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"肺胞出血が再燃した Goodpasture 症候群に再度免疫抑制療法,血漿交換療法を行い治療し得た 1 症例"},{"subitem_title":"A Case of Goodpasture's Syndrome with Recurrent Alveolar Hemorrhage Successfully Treated with Repeated Immunosuppressive Therapy and Plasma Exchange","subitem_title_language":"en"}]},"item_type_id":"6","owner":"2","path":["859"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-03-23"},"publish_date":"2023-03-23","publish_status":"0","recid":"9771","relation_version_is_last":true,"title":["肺胞出血が再燃した Goodpasture 症候群に再度免疫抑制療法,血漿交換療法を行い治療し得た 1 症例"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2023-06-19T09:53:57.305019+00:00"}