{"created":"2023-06-20T16:00:26.725452+00:00","id":18869,"links":{},"metadata":{"_buckets":{"deposit":"b1a9a519-9997-457a-929a-848e2eaa2f06"},"_deposit":{"created_by":41,"id":"18869","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"18869"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018869","sets":["340:341:733"]},"author_link":["70761","70764","70765","70763","70762"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"108","bibliographicPageStart":"105","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"}]}]},"item_10001_description_4":{"attribute_name":"著者ID","attribute_value_mlt":[{"subitem_description":"高知赤十字病院","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"89 歳女性．X 年 10 月に労作時呼吸困難が出現し，CT で両側下葉優位の気管支血管束に沿った網状影・浸潤影と牽引性気管支拡張像を認め，線維性非特異性間質性肺炎（NSIP）が考えられた．抗 SS-A 抗体が陽性だったがシェーグレン症候群の診断基準は満たさず，特発性 NSIP と診断した．本症例は認知症などの基礎疾患を持つ高齢者であったが，症状と肺病変の悪化を認め治療介入が必要と考えた．入院にて少量ステロイドと免疫抑制薬の併用療法を開始し，退院時には在宅酸素療法を導入した．その後は，外来にて治療を継続し，経時的に呼吸困難は改善し，HRCT の陰影および KL-6 の値も改善を認めた．経過中，腎機能低下のためタクロリムスを減量し，糖尿病の悪化に対してシタグリプチンを再開したが，その他感染\n症など大きな有害事象は認めなかった．高齢者の間質性肺炎の治療について定まった見解は無いが，少量ステロイドと免疫抑制薬の併用療法を選択することで，比較的安全に有効な治療を行うことができた．","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":"小倉, 拓也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"豊田, 優子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"森田, 優"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近藤, 圭大"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中内, 友合江"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-06-02"}],"displaytype":"simple","filename":"初期臨床研修医 小倉拓也.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.27-22  ","url":"https://redcross.repo.nii.ac.jp/record/18869/files/初期臨床研修医 小倉拓也.pdf"},"version_id":"8944ac52-5836-4ac4-af11-1f92357a0b7e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"特発性非特異性間質性肺炎","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者","subitem_subject_scheme":"Other"},{"subitem_subject":"ステロイド","subitem_subject_scheme":"Other"},{"subitem_subject":"免疫抑制薬","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":"高齢者の特発性非特異性間質性肺炎の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高齢者の特発性非特異性間質性肺炎の一例"}]},"item_type_id":"10001","owner":"41","path":["733"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-06-02"},"publish_date":"2023-06-02","publish_status":"0","recid":"18869","relation_version_is_last":true,"title":["高齢者の特発性非特異性間質性肺炎の一例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:34:26.728055+00:00"}