{"created":"2023-06-20T15:49:06.329700+00:00","id":1381,"links":{},"metadata":{"_buckets":{"deposit":"d1466559-156f-4015-a351-caf89e9599c7"},"_deposit":{"created_by":18,"id":"1381","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"1381"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00001381","sets":["99:64:66"]},"author_link":["114","115","116","117","112","113","120","119","118","121"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"53","bibliographicPageStart":"49","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は8歳女児.掻痒性皮疹に対し、活性型ビタミンD3外用剤にて加療を受けていた.使用から半年後に食欲低下、倦怠感,情緒不安定を認めるようになったが、家人は本人の心理的な問題と考え、特に医療機関に受診することなく経過をみていた.使用から10カ月後に施行した血液検査で16.4mg/dlの高カルシウム(以下Ca)血症を認めた.活性型ビタミンD3外用剤の使用中止と輸液により、血清Ca値は正常化し臨床症状も改善した.活性型ビタミンD3外用剤の使用に際しては、バリア機能が低下した症例では経皮吸収により高Ca血症をおこす可能性があるため、臨床症状に留意するとともに、血清Ca値や腎機能のモニタリングを行う必要がある.注意すべき副作用を家人に説明し、早期発見に努める必要がある.不定愁訴を訴える児に対応する際は、問診にて外用剤をも含めた投薬内容の確認を怠らないこと、血液検査で高Ca血症の有無を確認することが重要である.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"121","nameIdentifierScheme":"WEKO"}],"names":[{"name":"SHICHIJO, 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剛司"}],"nameIdentifiers":[{"nameIdentifier":"117","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"渡邉, 力"}],"nameIdentifiers":[{"nameIdentifier":"118","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中津, 忠則"}],"nameIdentifiers":[{"nameIdentifier":"119","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松立, 吉弘"}],"nameIdentifiers":[{"nameIdentifier":"120","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-08-21"}],"displaytype":"simple","filename":"trchmj1701_49-53.pdf","filesize":[{"value":"805.8 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