{"created":"2023-06-20T15:46:07.390844+00:00","id":691,"links":{},"metadata":{"_buckets":{"deposit":"125ca984-b304-402c-b3e6-2cefccafa687"},"_deposit":{"created_by":4,"id":"691","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"691"},"status":"published"},"_oai":{"id":"oai:uoeh-u.repo.nii.ac.jp:00000691","sets":["13:25:29"]},"author_link":["1845","1850","1844","1848","1849","1846","1851","1847"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"60","bibliographicPageStart":"55","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"産業医科大学雑誌"},{"bibliographic_title":"Journal of UOEH","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は56歳女性．外傷を契機に全身倦怠感や悪心・嘔吐が出現し近医入院．高カルシウム血症を伴う意識障害や全身の皮疹が出現したため当科転院となった．臨床症候（意識障害，食欲不振，悪心・嘔吐，血圧低下，発熱）および検査所見（血中cortisol 1.2 μg/dl と低値，高カルシウム血症11.0 mg/dl，末梢血好酸球増多1,600 /μl ）より副腎皮質機能低下症と診断．皮膚生検で好酸球浸潤を認め，最終的にprednisolone 30 mg/day内服により上記症状は改善した．同症で認められる一般検査所見として高カルシウム血症および末梢血好酸球増多が知られているが，本例のように著明な症状を呈することは稀であるので報告する． \nA 56 year old female was admitted to a local hospital after developing symptoms, including generalized fatigue, nausea and vomiting, from trauma. She was relocated to our hospital because she developed other symptoms, including disturbance of consciousness from hypercalcemia and a rash over her entire body. Her clinical symptoms (disturbance of consciousness, loss of appetite, nausea, vomiting, decrease in blood pressure, fever) and examination findings (low blood cortisol levels (1.2 μg/dl ), hypercalcemia (11.0 mg/dl ), peripheral blood eosinophilia (1,600 /μl )) lead to a diagnosis of adrenal insufficiency. In addition, a skin biopsy indicated eosinophilic infiltration, although her condition improved in the end with an oral dose of 30 mg/day of prednisolone. Hypercalcemia and peripheral blood eosinophilia are commonly known examination findings for adrenocortical insufficiency, but it is rare for either of these to be present as clinical symptoms. ","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"産業医科大学（産業医科大学学会）"}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"Journal of UOEH"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.uoeh-u.ac.jp/kouza/journal/intro_e.html","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"産業医科大学雑誌"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.uoeh-u.ac.jp/kouza/journal/intro_j.html","subitem_relation_type_select":"URI"}}]},"item_10001_select_24":{"attribute_name":"記事区分","attribute_value_mlt":[{"subitem_select_item":"症例報告"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"ISSN　0387-821X(PRINT), ISSN 2187-2864(ONLINE)","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":"山本 , 直"},{"creatorName":"ヤマモト, スナオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1844","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡田 , 洋右"},{"creatorName":"オカダ, ヨウスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1845","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"新生 , 忠司"},{"creatorName":"アラオ, タダシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1846","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"田中, 良哉"},{"creatorName":"タナカ, ヨシヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1847","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamamoto, Sunao ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1848","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Okada, Yosuke ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1849","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Arao, Tadashi ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1850","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tanaka, Yoshiya ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1851","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-07-27"}],"displaytype":"detail","filename":"08-山本 直，他.pdf","filesize":[{"value":"4.4 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"S00037108","url":"https://uoeh-u.repo.nii.ac.jp/record/691/files/08-山本 直，他.pdf"},"version_id":"b0e4fbd7-ff6a-4e62-8136-c9ed6da98e4c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"副腎皮質機能低下症","subitem_subject_scheme":"Other"},{"subitem_subject":"高カルシウム血症","subitem_subject_scheme":"Other"},{"subitem_subject":"末梢血好酸球増多","subitem_subject_scheme":"Other"},{"subitem_subject":"adrenocortical insufficiency","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hypercalcemia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"eosinophilia","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"著明な高カルシウム血症と末梢血好酸球増多を呈した続発性副腎皮質機能低下症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"著明な高カルシウム血症と末梢血好酸球増多を呈した続発性副腎皮質機能低下症の1例"},{"subitem_title":"Secondary Adrenocortical Insufficiency Complicated by Marked Hypercalcemia and Eosinophilia: A Case Report","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"4","path":["29"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-08-03"},"publish_date":"2020-08-03","publish_status":"0","recid":"691","relation_version_is_last":true,"title":["著明な高カルシウム血症と末梢血好酸球増多を呈した続発性副腎皮質機能低下症の1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-06-20T15:59:44.498075+00:00"}