{"created":"2023-06-20T15:59:52.165271+00:00","id":17991,"links":{},"metadata":{"_buckets":{"deposit":"c7ea4648-4cb3-46a7-93bc-4142bb6512d6"},"_deposit":{"created_by":41,"id":"17991","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"17991"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017991","sets":["340","340:341","340:341:648"]},"author_link":["68401","68400","68402","68404","68403"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-04-15","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"91","bibliographicPageStart":"87","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Kochi Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"自己免疫性膵炎（Autoimmune Pancreatitis：AIP）は原因不明な疾患であるが発症に自己免\n疫機序の関与が推定されている．一方，AIP 治療の中心はステロイドであるが，AIP 発症以前に糖\n尿病がある場合，ステロイド治療により糖尿病コントロールが増悪する可能性がある．今回，2 型糖\n尿病の加療中に HbA1c が増悪したことを契機に自己免疫性膵炎の診断に至った 2 例を経験したので\n報告する．2 例ともステロイド治療で AIP は改善し，HbA1c の悪化なく 1 日総インスリン量（Total\nDaily Dose of insulin: TDD）が減量できた．このことは，糖毒性の解除や日常生活の行動変容による\nインスリン抵抗性の改善が関与したものと思われる．短期間で急激な糖尿病増悪を認めた場合は AIP\nも鑑別に挙げることが重要である","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高知赤十字病院"}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"高知赤十字病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","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":"寺田, 潤紀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辻, 和也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂本, 敬"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小松, 俊哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"有井, 薫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-15"}],"displaytype":"simple","filename":"糖尿病増悪が診断契機となった自己免疫性膵炎の2 例.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_9","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.25-06","url":"https://redcross.repo.nii.ac.jp/record/17991/files/糖尿病増悪が診断契機となった自己免疫性膵炎の2 例.pdf"},"version_id":"33fdcb01-77f0-463a-8973-e6461198a80b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"AIP","subitem_subject_scheme":"Other"},{"subitem_subject":"IgG4","subitem_subject_scheme":"Other"},{"subitem_subject":"HbA1c","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"ステロイド","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":"糖尿病増悪が診断契機となった自己免疫性膵炎の 2例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"糖尿病増悪が診断契機となった自己免疫性膵炎の 2例"}]},"item_type_id":"10001","owner":"41","path":["340","341","648"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-04-15"},"publish_date":"2022-04-15","publish_status":"0","recid":"17991","relation_version_is_last":true,"title":["糖尿病増悪が診断契機となった自己免疫性膵炎の 2例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:49:01.407124+00:00"}