{"created":"2023-06-20T15:50:31.865035+00:00","id":3322,"links":{},"metadata":{"_buckets":{"deposit":"f170f304-f8f4-4746-8af8-11b6398c214a"},"_deposit":{"created_by":18,"id":"3322","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3322"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003322","sets":["99:64:116"]},"author_link":["6820","49","131","54","48","129","47","212"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"58","bibliographicPageStart":"53","bibliographicVolumeNumber":"12","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":"患者は67歳,女性.2005年7月より全身倦怠感,食欲不振があり,当科に入院した.BMI 22.4kg/l,腋毛・恥毛は稀少であった.低Na 血症(120mEq/l)があり,血漿ACTH20.4pg/ml,Cortisol 4.3μg/dl,DHEA-S 167ng/ml,尿中17-OHCS 2.1mg/日より続発性副腎不全が疑われた.視床下部ホルモン負荷試験では,ACTH・PRL・TSH の反応は保たれるも,GH・LH・FSH の低反応,PRL 高値などから,主に視床下部~茎部障害による下垂体機能低下症と診断した.一方,free T40.6ng/dlと甲状腺機能低下があり,抗甲状腺抗体は陽性であった.MRIでは下垂体~茎部に連続する嚢胞性病変があり,内部はT1でやや低,T2で高信号を呈し,辺縁はGdで均一に増強された.ステロイド補充後に尿崩症が顕性化したが,その後,甲状腺ホルモン補充のないままT4は正常化し,7ヶ月後のMRIで嚢胞性病変は縮小していた.尿崩症状態は不変ながら,LH・FSH分泌は改善しており,DHEA-S786ng/ml とACTH 分泌の回復も示唆された.形態的にラトケ嚢胞の可能性も否定できないが,慢性甲状腺炎の合併や下垂体前葉機能が回復した点などは非典型的であり,稀な症例と考えられた.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"SHINTANI, Yasumi"}]}]},"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/2007pdf/009.pdf","subitem_relation_type_select":"URI"}}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","subitem_source_identifier_type":"ISSN"}]},"item_5_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":"新谷, 保実"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"金崎, 淑子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"當別當, 洋平"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"吉田, 智則"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮, 恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"城野, 良三"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"長田, 淳一"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-04-15"}],"displaytype":"simple","filename":"trchmj1201_53-58.pdf","filesize":[{"value":"823.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002128","url":"https://redcross.repo.nii.ac.jp/record/3322/files/trchmj1201_53-58.pdf"},"version_id":"294dfb6b-3e91-4bb6-9d9b-3893efa160a5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"下垂体機能低下症副腎不全","subitem_subject_scheme":"Other"},{"subitem_subject":"尿崩症","subitem_subject_scheme":"Other"},{"subitem_subject":"慢性甲状腺炎","subitem_subject_scheme":"Other"},{"subitem_subject":"ラトケ嚢胞","subitem_subject_scheme":"Other"},{"subitem_subject":"リンパ球性下垂体炎","subitem_subject_scheme":"Other"},{"subitem_subject":"hypopituitarism","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"adrenal failure","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetes insipidus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"chronic thyroiditis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Rathke’s cleft cyst","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"lymphocytic","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":"続発性副腎不全と中枢性尿崩症を呈し,下垂体嚢胞性病変の縮小と前葉機能の回復が認められた下垂体機能低下症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"続発性副腎不全と中枢性尿崩症を呈し,下垂体嚢胞性病変の縮小と前葉機能の回復が認められた下垂体機能低下症の1例"},{"subitem_title":"A Case of Hypopituitarism Complicated by Secondary Adrenal Failure and Central Diabetes Insipidus Where the Pituitary Cystic Lesion Diminished in Size and Anterior Lobe Function Recovered","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["116"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-04-15"},"publish_date":"2013-04-15","publish_status":"0","recid":"3322","relation_version_is_last":true,"title":["続発性副腎不全と中枢性尿崩症を呈し,下垂体嚢胞性病変の縮小と前葉機能の回復が認められた下垂体機能低下症の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:02:19.359021+00:00"}