| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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タイトル |
Clinical Abdominal Kikuchi-Fujimoto Disease Resembling Macrophage Activation Syndrome Associated with Systemic Juvenile Idiopathic Arthritis: A Case Report |
| 言語 |
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言語 |
eng |
| キーワード |
|
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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 |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Fujita, Yuji
Ando, Yusuke
Kato, Tamae
Kuwashima, Shigeko
Yoshihara, Shigemi
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| 著者所属 |
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Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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Department of Radiology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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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
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| 抄録 |
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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 |
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Case Report |
| 出版者 |
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出版者 |
Dokkyo Medical Society |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
2436-522X |
| DOI |
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識別子タイプ |
DOI |
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関連識別子 |
10.51040/dkmj.2022-038 |
DKMJ-1-3-Fujita-Fulltext (161.5 kB)
