{"created":"2023-06-20T15:50:30.697650+00:00","id":3293,"links":{},"metadata":{"_buckets":{"deposit":"de659199-78b5-4364-834a-760d7c958567"},"_deposit":{"created_by":18,"id":"3293","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3293"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003293","sets":["99:64:115"]},"author_link":["6820","46","49","48","6637","292","6638","129","47","7272"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"71","bibliographicPageStart":"65","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は19歳,男性.1週間前より全身倦怠,嘔気,口渇が出現し,近医を受診した.著明な高血糖(561mg/dl)を指摘され,当院に緊急入院した.意識は清明,血圧133/88mmHg,脈拍116/分,頸部に甲状腺腫(Ⅱ~Ⅲ度)あり.検査にて尿糖(3+),ケトン体(3+),血糖572mg/dl,動脈血pH7.233,BE-19.5から糖尿病性ケトアシドーシスと診断し,生理食塩水輸液とインスリン持続静注を開始し,その後,強化インスリン療法に移行した.甲状腺腫の存在から,自己免疫性1型糖尿病を疑ったが,GAD 抗体・ICA などの膵島関連自己抗体は全て陰性であった.臨床経過と入院時HbA1C 7.8,空腹時血中CPR0.2ng/ml から劇症1型糖尿病の可能性も示唆されたが,尿中CPR40.1μg/日(10日後再検で15.8μg/日),グルカゴン負荷後の血中CPR1.3ng/ml,膵外分泌酵素の上昇はなく,診断基準を満たさなかった.甲状腺関連自己抗体は全て陰性で,その後も内因性インスリン分泌能の回復はなく,境界例の急性発症非自己免疫性1型糖尿病と考えられた.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"YAMAMOTO, Eiji"}]}]},"item_5_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_5_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":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2008pdf/013.pdf","subitem_relation_type_select":"URI"}}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 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mellitus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"goiter","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":"technical report"}]},"item_title":"甲状腺腫を伴い,劇症1型糖尿病様の発症・経過を示した非自己免疫性1型糖尿病1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"甲状腺腫を伴い,劇症1型糖尿病様の発症・経過を示した非自己免疫性1型糖尿病1例"},{"subitem_title":"A Case with Non-Autoimmune Type1Diabetes Mellitus Complicated by Goiter in which the Manner of Onset and Course Resembled Those of Fulminant Type1 Diabetes 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