{"created":"2023-06-20T15:59:44.394881+00:00","id":17765,"links":{},"metadata":{"_buckets":{"deposit":"c47cf726-b5a6-4148-88c0-f498a1fbc521"},"_deposit":{"created_by":22,"id":"17765","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"17765"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017765","sets":["100:90:640"]},"author_link":["67471","67469","67470","67473","43347","67467","67466","67468","67465","67472","49615"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"89","bibliographicPageStart":"85","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌"},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は、80歳、男性。繰り返す両上肢のしびれ感のため前医を受診し、脳梗塞と診断されアスピリンを処方されたが、右手の動かしにくさが出現したため当院を受診した。ヘパリン持続静注後も一過性の運動・感覚障害が出現し、頭部MRIでは複数の血管領域に急性〜亜急性期梗塞を認めた。血小板減少、溶血性貧血、破砕赤血球を認め、A Disintegrin-like and Metalloproteinase with Thrombospondin type 1 motifs 13(ADAMTS13)活性低下、ADAMTS13抗体陽性から、後天性血栓性血小板減少性紫斑病(TTP)による脳梗塞と診断した。血漿交換とステロイド投与により軽快した。TTPは早期の治療開始により転帰改善が期待できるため、血小板減少と溶血性貧血を伴う脳梗塞では高齢であってもTTPを鑑別にあげ、TTPが疑われた場合は遅延なく治療を開始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":"67473","nameIdentifierScheme":"WEKO"}],"names":[{"name":"NISHII, 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stroke as initial presentation of thrombotic thrombocytopenic purpura in an elderly patient","subitem_title_language":"en"}]},"item_type_id":"5","owner":"22","path":["640"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-05-13"},"publish_date":"2021-05-13","publish_status":"0","recid":"17765","relation_version_is_last":true,"title":["脳梗塞で初発した高齢発症血栓性血小板減少性紫斑病の一例"],"weko_creator_id":"22","weko_shared_id":-1},"updated":"2023-06-20T17:55:06.061002+00:00"}