ÆüËܸƵ۴ï³Ø²ñ»ï Âè8´¬Âè4¹æ¡Ê2019ǯ7·î¹æ¡Ë
ȯ¹Ô¡§ÆüËܸƵ۴ï³Ø²ñ
ÊÔ½¸¡¦´Æ½¤¡§ÆüËܸƵ۴ï³Ø²ñÏÂʸ»ïÊÔ½¸°Ñ°÷²ñ
ISSN¡§2186-5884
¥µ¥¤¥º A4ÊÑ·Á¡¿¥Ú¡¼¥¸¿ô 80¥Ú¡¼¥¸
2019ǯ7·î10Æüȯ¹Ô
¢¨¼õÃíÈÎÇä¤È¤Ê¤ê¤Þ¤¹°Ù¡¢Æþ¶â³Îǧ¸å¡¢È¯Á÷¤Þ¤Ç¤Ë10Æü¤Û¤É¤ª»þ´Ö¤ò¤¤¤¿¤À¤¤Þ¤¹¡£
¢¨¡ÖÆüËܸƵ۴ï³Ø²ñ»ï¡×¤Îǯ´Ö¹ØÆɤò¤´´õ˾¤ÎÊý¤Ï¤³¤Á¤é¤Ø¤´Ï¢Íí¤¯¤À¤µ¤¤¡£
Ìܼ¡
¸¶Ãø
COPD´µ¼Ô¤ËÂФ¹¤ëSABA¥¢¥·¥¹¥È¥æ¡¼¥¹¤Î¸ú²Ì¤ÏLABA¤ÎÍ̵¤Ë¤è¤ê°Û¤Ê¤ë
¼íÌ͵µ×¡¤ÇòÌÚ¡¡¡¡¾½¡¤°ÂÆ£¡¡¼é½¨¡¤ÌîÅÄ¡¡½ãÌ顤ËÙ¡¡¡¡¡¡æÆ¡¤²Ã²ì¾ëÈþÃÒ»Ò¡¤ÃæÅç¡¡¼£Åµ¡¤°ÂÉô¡¡¡¡¿ò¡¤¿ÊÆ£¡¡¡¡¾æ
¾ÉÎã
Ç¿¶»¤ò¹çÊ»¤·¤¿Ê¢¹Ð¶À²¼ÃÀǹŦ½Ð½Ñ¸å¤Î°ä»ÄÃÀÀФˤè¤ë²£³ÖË첼ǿáç¤Î1Îã
ÀÖß·¡¡Æࡹ¡¤¿¹²¬¡¡¡¡Íª¡¤»³²¼¡¡Í¸Ê¡¤Ý¯°æ¡¡¡¡ÌÒ¡¤¹âÅÄ¡¡Ï³°¡¤¾®Åç¡¡±Ñ»Ì
¾ÉÎã
µÞ®¤Ê·Ð²á¤ò¤¿¤É¤Ã¤¿B·¿¥¤¥ó¥Õ¥ë¥¨¥ó¥¶¥¦¥¤¥ë¥¹´¶À÷¤Ëȼ¤¦·ìµåìÅ¿©¾É¸õ·²¤Î1˶¸¡Îã
Ìø¡¡¡¡¾»¹°¡¤¹â¶¶¡¡ÃÎÇ·¡¤èßë¡¡½Ô»Ë¡¤ã·Æ£¡¡¡¡½ß¡¤»³Åº¡¡²í¸Ê
¾ÉÎã
¿¡´ï¤Ë½ê¸«¤òÄ褷anti-IFN-¦ÃÃæϼ«¸Ê¹³ÂΤ¬ÍÛÀ¤Ç¤¢¤Ã¤¿ÇżïÀMAC¾É¤Î1Îã
µÈ¸¶¡¡¼ÂÎ롤¹â·¬¡¡¡¡½¤¡¤²Ï¹¾¡¡ÂçÊ塤»³±©¡¡Íª²ð¡¤Ô¢°æ¡¡±Ñ¼£¡¤½©ÅÄ¡¡·û»Ö
¾ÉÎã
Ç¿¶»Áß਽Ѥò»Ü¹Ô¤·¤¿Propionibacterium acnesÇ¿¶»¤Î1Îã
¹â¸¶¡¡¡¡Ë¡¤¾¾±º¡¡Áᵨ¡¤»³Â¼¡¡¹§°ì¡¤º´µ×´Öµ®»Î¡¤À¾ÌÚ¡¡°ìů¡¤¿åÌî¡¡»Ëϯ
¾ÉÎã
̵¼£ÎŤǷڲ÷¤·¤¿¹³EJ¹³ÂÎÍÛÀ´Ö¼ÁÀÇÙ±ê¤Î1Îã
°ð³À¡¡Íº»Î¡¤¿ùËÜ¡¡¿Æ¼÷¡¤¿·°æ¡¡¡¡Å°¡¤³Þ°æ¡¡¹§É§¡¤°ÂÉô¡¡Í´»Ò¡¤°æ¾å¡¡µÁ°ì
¾ÉÎã
¥ê¥Ä¥¥·¥Þ¥Ö¤ò´Þ¤à½¸³ØŪ¼£ÎŤǵßÌ¿¤·¤¿clinically amyopathic dermatomyositis¹çÊ»´Ö¼ÁÀÇÙ±ê¤Î1Îã
¸¶¡¡¡¡¡¡Å¯¡¤ÅçÅÄ¡¡ÍµÇ·¡¤»³Æâ¡¡½¨ÂÀ¡¤¿À¡¡¡¡Ì÷¿Í¡¤ÇÏÅè¡¡½¨¹Í¡¤º£À¥¡¡ÎèºÚ
¾ÉÎã
IgG4´ØÏ¢¼À´µ¤ÈRosai-DorfmanɤδÕÊ̤òÍפ·¤¿¶»Ëì±ê¤Î1Îã
ÊҶ͡¡Í´»Ê¡¤Ìðºî¡¡Í§ÊÝ¡¤·ºÉô¡¡¸÷Àµ¡¤ÌøÀľ¼ù¡¤ÆüÌî¡¡½Óɧ¡¤ÎëÌÚ¡¡Çîµ®
¾ÉÎã
ÆÃȯÀÇÙÀþ°Ý¾É¤Ë¹çÊ»¤·¤¿Æñ¼£Àµ¤¶»¤ËÂФ··ì±Õ¶Å¸ÇÂè¾·°ø»ÒÀ½ºÞ¤¬ÁÕ¸ú¤·¤¿1Îã
´Øë¡¡½¡Ç·¡¤³ÞÌÚ¡¡¡¡ÁÂÀÅÄ¡¡½Õɧ¡¤¹âß·¡¡À»»Ò¡¤ËÜ´Ö¡¡¡¡±É¡¤µÈ¼¡¡Ë®É§
¾ÉÎã
¥Ë¥Ü¥ë¥Þ¥Ö¤¬ÁÕ¸ú¤·¤¿¿Ê¹ÔÇÙ´â¤È¿©Æ»´â¤ÎƱ»þÀ½ÅÊ£´â¤Î1Îã
·¦ÅÄ¡¡¹¬»Ê¡¤¿åÌî¡¡·½»Ò¡¤°ÂÅÄ¡¡½Ó²ð¡¤Ê¡ÅÄ¡¡¹¨Àµ¡¤°æ¾å¡¡Çî²í
¾ÉÎã
¥Ë¥Ü¥ë¥Þ¥ÖÅêÍ¿Ãæ¤Ëµ¤´É»ÙÓé¤òȯ¾É¤·¤¿¿Ê¹ÔÈ󾮺Ù˦ÇÙ´â¤Î1Îã
°ëÌî¡¡ÂÙÊ塤¾®Àî¡¡¾°É§¡¤Ã«¡¡¤Þ¤æ»Ò¡¤À¾ÄÔ¡¡¡¡²í¡¤À¾¡¡¡¡¹Ì°ì
¾ÉÎã
Ó½·ì¤Ë¹çÊ»¤·¤¿¤¿¤³¤Ä¤Ü¾É¸õ·²¤Î3Îã¤Î¸¡Æ¤
µÈÀî¡¡¿ÎÈþ¡¤²¬ËÜ¡¡æư졤üⶶͳ´õ»Ò¡¤°ËÆ£¡¡¡¡½á¡¤ü⿹¡¡´´Íº¡¤¹â¶¶¡¡Ïµ×
¾ÉÎã
¼«¸ÊÌȱÖÀç¹±ê¤Î´²²òÃæ¤Ë¸ý³é¡¤Â¿Ç¢¤È¤È¤â¤ËÇÙÉÂÊѤ¬½Ð¸½¤·¤¿IgG4´ØÏ¢¼À´µ¤Î1Îã
ÇßÅÄ¡¡Î´»Ö¡¤Ã«Ìî¡¡¸ùŵ¡¤Èþº´¡¡·ò°ì¡¤Ê¡¸¶¡¡ÆØϯ¡¤¶âÀ®¡¡Ê¸Ê¿¡¤¼ÆÅÄ¡¡ÍÛ¸÷
¾ÉÎã
Äã»ÀÁÇ·ì¾É¤ÎÁý°¤ò¤ß¤¿platypnea-orthodeoxia¾É¸õ·²¤Î1Îã
À¶¿å¡¡°ìÈÏ¡¤ÌîÅÄ¡¡À®Èþ¡¤Åļ¹áºÚ»Ò¡¤À¾ÅÄ¡¡Âó»Ê¡¤¿¹²¼¡¡¡¡Íµ¡¤¾¾²¬¡¡ÍοÍ
²èÁü¿ÇÃÇ
FDG¹â½¸ÀѤòÄ褷¤¿¤¿¤á¡¤¹çÊ»¤·¤¿ÇÙ´â¤È¤Î´ÕÊ̤˶ìθ¤·¤¿´ï¼Á²½ÇÙ±ê¤Î1Îã
°ë»³¡¡Àµ»Ò¡¤úð°æ¡¡¹¨²ð¡¤Ãª¶¶¡¡¹°µ®¡¤¾åÌÌï¹á¡¤Ã«ËÜ¡¡ÂöÌ顤ÀÐÀĪµ×
²èÁü¿ÇÃÇ
XÀþ¼Ì¿¿¤¬Ãº»À¥é¥ó¥¿¥ó¿åÏÂʪ¥Á¥å¥¢¥Ö¥ë¾û¤Î¸íÓë¤Î¿ÇÃǤËÍÍѤǤ¢¤Ã¤¿1Îã
Âçµ×ÊݽéÈþ¡¤üâÌÚ¡¡Íº´ð¡¤Åļ¡¡ÃÒ¹¨¡¤»³¸ý¾¼»°Ïº¡¤¶¶ËÜ¡¡´öÂÀ¡¤ÅÌÚ¡¡¹§Ç·