{"created":"2023-06-20T15:50:17.542174+00:00","id":2957,"links":{},"metadata":{"_buckets":{"deposit":"55426419-5cd4-40da-85af-790930f98008"},"_deposit":{"created_by":18,"id":"2957","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"2957"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00002957","sets":["99:64:65"]},"author_link":["55","57","45","46","49","218","6670","6671","6673","217","95","47","192","6669","6672"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"87","bibliographicPageStart":"82","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical 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と高値であり，左顎下腺の組織診断にてIgG4陽性形質細胞の浸潤を認めたので，IgG4関連疾患と診断した．PSL40mg／日の投与により，顎下腺と腎腫瘤は速やかに縮小した．糖尿病については，血糖コントロールにインスリン1日需要量約40単位を要しており増悪傾向にある．IgG4関連疾患にはステロイド治療が著効するが，自己免疫性膵炎に関連して増悪した既存の糖尿病が改善する例は少なく，糖尿病の新規発症も報告されている．","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 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