{"created":"2023-06-20T15:56:40.811126+00:00","id":13643,"links":{},"metadata":{"_buckets":{"deposit":"1ce3d885-6a1c-44b4-924c-6619bb1fb4f2"},"_deposit":{"created_by":28,"id":"13643","owners":[28],"pid":{"revision_id":0,"type":"depid","value":"13643"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013643","sets":["172:173:500"]},"author_link":["27710","27711","43949","43948","33749","27716","27715","49827","33747","27713","49826","33751","49825","33748"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-04-25","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"40","bibliographicPageStart":"35","bibliographicVolumeNumber":"35","bibliographic_titles":[{"bibliographic_title":"日本赤十字社和歌山医療センター医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Wakayama Medical Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　消化器症状が先行した劇症1型糖尿病(FT1D)の1例を経験した。過去の自験例2例を踏まえ報告する。\n　症例は68歳男性。入院1週間前から下痢をしていた。入院4日前から口渇・多飲・多尿があった。当院受診時HbA1c(NGSP値) 6.6%、随時血糖 501mg/dl、尿ケトン体 (3+)であり、緊急入院となった。経過中に空腹時血清Cペプチドの枯渇を認め、膵島関連自己抗体は陰性であり、劇症1型糖尿病と診断した。入院後インスリン療法を開始し、全身状態に安定化に伴い、第12病日に退院となった。\n　劇症1型糖尿病は、約70％の症例で呼吸器症状や消化器症状が先行すると言われている。今症例及び過去の自験例2例の3例ともに消化器症状の先行が見られていた。今後、救急外来で初療を行う際には、感冒や腹痛などの主訴に対しても、尿検査や血糖測定を行う事が推奨される。","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"OMORI, Shohei"}]},{"nameIdentifiers":[{}],"names":[{"name":"Minamino, Hiroto"}]},{"nameIdentifiers":[{}],"names":[{"name":"MASUDA, Miki"}]},{"nameIdentifiers":[{}],"names":[{"name":"ITOH, Saya"}]},{"nameIdentifiers":[{}],"names":[{"name":"Iwahashi, Aya"}]},{"nameIdentifiers":[{}],"names":[{"name":"Hirobata, Tomonao"}]},{"nameIdentifiers":[{}],"names":[{"name":"Inoue, Gen"}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社和歌山医療センター"}]},"item_10001_relation_16":{"attribute_name":"情報源","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"日本赤十字社和歌山医療センター"}]}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本赤十字社和歌山医療センター"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN1051395X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-9927","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"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":"大森, 翔平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"南野, 寛人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"益田, 美紀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊藤, 沙耶"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩橋, 彩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"廣畠, 知直"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井上, 元"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-06-20"}],"displaytype":"simple","filename":"07.大森翔平.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"wakayama35_07","url":"https://redcross.repo.nii.ac.jp/record/13643/files/07.大森翔平.pdf"},"version_id":"ff5c4847-a8b2-4da9-9116-42cb8da264d3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"劇症１型糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"ケトアシドーシス","subitem_subject_scheme":"Other"},{"subitem_subject":"薬剤過敏症症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"免疫チェックポイント阻害薬","subitem_subject_scheme":"Other"},{"subitem_subject":"fulminant type1 diabetes mellitus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"katoacidosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"gastrointestinal symptoms","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Drug indused hypersensitivity syndromegastrointestinal symptoms","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"immune-checkpoint inhibitors","subitem_subject_language":"en","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":"消化器症状が先行した劇症１型糖尿病の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"消化器症状が先行した劇症１型糖尿病の1例"},{"subitem_title":"A case of fulminant type1 diabetes mellitus presented with gastrointestinal symptoms","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"28","path":["500"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-06-20"},"publish_date":"2018-06-20","publish_status":"0","recid":"13643","relation_version_is_last":true,"title":["消化器症状が先行した劇症１型糖尿病の1例"],"weko_creator_id":"28","weko_shared_id":-1},"updated":"2023-06-20T18:55:31.035022+00:00"}