{"_buckets": {"deposit": "e156d646-e9f0-40f3-93ee-04e73adf9fdf"}, "_deposit": {"created_by": 29, "id": "18439", "owners": [29], "pid": {"revision_id": 0, "type": "depid", "value": "18439"}, "status": "published"}, "_oai": {"id": "oai:redcross.repo.nii.ac.jp:00018439", "sets": ["407"]}, "author_link": ["50998", "3543", "69646", "44373"], "item_10002_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2005-12-01", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "90", "bibliographicPageStart": "85", "bibliographicVolumeNumber": "25", "bibliographic_titles": [{"bibliographic_title": "静岡赤十字病院研究報"}, {"bibliographic_title": "Journal of Japanese Red Cross Shizuoka Hospital", "bibliographic_titleLang": "en"}]}]}, "item_10002_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は54歳,女性.主訴は手指壊疽.平成13年12月発症の強皮症(びまん型),間質性肺炎でステロイド,シクロスポリン,D-ペニシラミンなどで加療されていたが,治療抵抗性で皮膚硬化,手指壊疽が悪化し,入退院を繰り返していた.平成17年1月,右III,IV指尖の壊疽が進行したため入院.Prostaglandin E1,Prostaglandin I2で治療していたが,入院45日目に血栓性血小板減少性紫斑病を発症,その6日後より血漿交換療法を計9回施行し,改善を認めた.後日von Willebrand factor切断酵素活性は12%と低下していたことが判明した.血栓性血小板減少性紫斑病の発症には,von Willebrand factor切断酵素活性の低下やそのImmunogloblin G型インヒビターの存在が関与しているといわれている.本症例でもvon Willebrand factor切断酵素活性の低下が認められた.また,強皮症に合併した血栓性血小板減少性紫斑病と強皮症腎クリーゼは病態が似ているが,治療法が異なり鑑別が重要である.両病態を比較しながら本症例について報告する(著者抄録)", "subitem_description_type": "Abstract"}]}, "item_10002_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "69646", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "OKUBO, Ayako"}]}]}, "item_10002_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "静岡赤十字病院"}]}, "item_10002_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN10167098", "subitem_source_identifier_type": "NCID"}]}, "item_10002_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0911-9833", "subitem_source_identifier_type": "ISSN"}]}, "item_10002_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": "大久保, 彩子"}], "nameIdentifiers": [{"nameIdentifier": "44373", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "山崎, 哲"}], "nameIdentifiers": [{"nameIdentifier": "50998", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "曽我, 隆義"}], "nameIdentifiers": [{"nameIdentifier": "3543", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "9000003761670", "nameIdentifierScheme": "CiNii ID", "nameIdentifierURI": "http://ci.nii.ac.jp/nrid/9000003761670"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2022-12-20"}], "displaytype": "simple", "download_preview_message": "", "file_order": 0, "filename": "jrcsh2501_85-90.pdf", "filesize": [{"value": "3.1 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 3100000.0, "url": {"label": "pdf008985", "url": "https://redcross.repo.nii.ac.jp/record/18439/files/jrcsh2501_85-90.pdf"}, "version_id": "48cab0ff-687b-4c7b-ba10-fcf65c518bbf"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "von Willebrand因子", "subitem_subject_scheme": "Other"}, {"subitem_subject": "強皮症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "血漿交換", "subitem_subject_scheme": "Other"}, {"subitem_subject": "紫斑病", "subitem_subject_scheme": "Other"}, {"subitem_subject": "血栓性血小板減少性", "subitem_subject_scheme": "Other"}, {"subitem_subject": "systemic sclerosis", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "thrombotic thrombocytopenic purpura", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "von Willebrand factor-cleaving protease", "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "強皮症に血栓性血小板減少性紫斑病を合併した1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "強皮症に血栓性血小板減少性紫斑病を合併した1例"}, {"subitem_title": "Thrombotic Thrombocytopenic Purpura in The Setting of Systemic Sclerosis", "subitem_title_language": "en"}]}, "item_type_id": "10002", "owner": "29", "path": ["407"], "permalink_uri": "https://redcross.repo.nii.ac.jp/records/18439", "pubdate": {"attribute_name": "公開日", "attribute_value": "2022-12-20"}, "publish_date": "2022-12-20", "publish_status": "0", "recid": "18439", "relation": {}, "relation_version_is_last": true, "title": ["強皮症に血栓性血小板減少性紫斑病を合併した1例"], "weko_shared_id": -1}