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  1. Dokkyo Medical Journal
  2. 1(3) 2022

Clinical Abdominal Kikuchi-Fujimoto Disease Resembling Macrophage Activation Syndrome Associated with Systemic Juvenile Idiopathic Arthritis: A Case Report

https://dmu.repo.nii.ac.jp/records/5266
https://dmu.repo.nii.ac.jp/records/5266
39dd4228-33ab-48c7-b01b-2255da326c9e
名前 / ファイル ライセンス アクション
DKMJ-1-3-13.pdf DKMJ-1-3-Fujita-Fulltext (161.5 kB)
Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Clinical Abdominal Kikuchi-Fujimoto Disease Resembling Macrophage Activation Syndrome Associated with Systemic Juvenile Idiopathic Arthritis: A Case Report
言語
言語 eng
キーワード
主題Scheme Other
主題 abdominal Kikuchi-Fujimoto disease
キーワード
主題Scheme Other
主題 interleukin-18
キーワード
主題Scheme Other
主題 macrophage activation syndrome
キーワード
主題Scheme Other
主題 systemic juvenile idiopathic arthritis
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Fujita, Yuji

× Fujita, Yuji

en Fujita, Yuji

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Ando, Yusuke

× Ando, Yusuke

en Ando, Yusuke

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Kato, Tamae

× Kato, Tamae

en Kato, Tamae

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Kuwashima, Shigeko

× Kuwashima, Shigeko

en Kuwashima, Shigeko

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Yoshihara, Shigemi

× Yoshihara, Shigemi

en Yoshihara, Shigemi

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著者所属
値 Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Radiology, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 3, p. 253-256, 発行日 2022-09
抄録
内容記述タイプ Abstract
内容記述 A 13-year-old girl presented with fever for the past ten days without any other symptoms. Laboratory findings revealed leukopenia, low platelet count, and high lactate dehydrogenase and ferritin levels. Abdominal ultrasonography revealed mild splenomegaly and lymphadenopathy in proximity to the head of the pancreas. The patient's condition suggested macrophage activation syndrome associated with systemic juvenile idiopathic arthritis. However, her serum interleukin-18 level was 1743 pg/mL; therefore, urgent systemic corticosteroid treatment was deemed unnecessary as macrophage activation syndrome associated with systemic juvenile idiopathic arthritis was ruled out. The patient was afebrile the following day and showed improved laboratory and ultrasonographic findings without treatment. Clinical Kikuchi-Fujimoto disease was diagnosed based on transient lymphadenopathy, laboratory findings, and a self-limited clinical course. Although this patient met the early diagnostic criteria of macrophage activation syndrome with suspected systemic juvenile idiopathic arthritis, serum interleukin-18 is useful for ruling it out. Pediatricians should keep in mind that Kikuchi-Fujimoto disease may cause abdominal lymphadenopathy.
記事種別
値 Case Report
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-522X
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.2022-038
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