{"created":"2023-06-20T14:25:36.296391+00:00","id":776,"links":{},"metadata":{"_buckets":{"deposit":"1733bfb2-cc4e-4ece-892e-44e8092e793e"},"_deposit":{"created_by":3,"id":"776","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"776"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00000776","sets":["81:50"]},"author_link":["3233","3232","3226","3230","3221","3222","3225","3229","3234","3231","3224","3228","3227","3223"],"item_2_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-07-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"108","bibliographicPageStart":"105","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"Dokkyo journal of medical sciences"}]}]},"item_2_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"[目的]バセドウ病 (GD) と破壊性甲状腺炎 (DT) の迅速鑑別法にはTSHレセプター抗体の有無,甲状腺エコー検査,遊離T3/T4 (FT3/FT4),総T3/T4比 (T3/T4),総ALP (T-ALP),甲状腺血流が有用とされている.そのうち最も鋭敏な指標となりうる項目を検討した.[方法]2007年から未治療で当科を受診したGD:15名,無痛性甲状腺炎(PT):8名,亜急性甲状腺炎( SAT):10名( DT:18名) を対象として,FT3/FT4,T3/T4,T-ALP,上甲状腺動脈平均血流速度( mean velocity STA) を測定した.[結果]年齢:GD51.2± 18.8歳,DT49.3±21.0歳,FT3/FT4:GD3.3±1.0,DT2.9±1.9,T3/T4:GD15.9±4.7,DT15.2± 3.3,T-ALP( U/l):GD431.3 ±196.6,DT299.1±163.2,mean velocitySTA( cm/s):GD65.0±8.7,DT41.0± 7.0,(P < 0.0001).[結論]今回の検討ではmean velocity STA がGD とDT の鑑別に最も有用であった.","subitem_description_type":"Other"}]},"item_2_description_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"It is important to make a rapid differentialdiagnosis of Graves'Diseases (GD) and Destructive Thyroiditis(DT). However, it is often difficult to make a distinctionwithout measurement of radioactive iodine uptake(RAIU). Instead of measurement of RAIU, measuringFreeT3/FT4ratio (FT3/FT4), totalT3/T4ratio (T3/T4),total alkaline phosp hatase activity( T-ALP), blood flow inthe thyroid, is useful for differential diagnosis. We searchedfor the parameters is most sensitive parameter for rapiddifferential diagnosis.Patients and Methods:We investigated on 33 patientswith untreated hyperthyroidism (15 with GD and 18 withDT). When 33 patients were first seen in our hospital, wemeasured FT3/FT4, T3/T4, T-ALP, and mean velocity inthe superior thyroid arteries( STA).Results:In comparison between GD and DT, mean velocitySTA was significantly increased in patients with GD.In the group of GD, FT3/FT4 and T-ALP tend to be higherin patients with GD but without statistical significance.Conclusion:Mean velocity STA might be the most sensitiveparameter for rapid differential diagnosis of GD andDT.","subitem_description_type":"Other"}]},"item_2_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_type":"Other"}]},"item_2_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581"}]},"item_2_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03855023","subitem_source_identifier_type":"ISSN"}]},"item_2_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"},{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"},{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"},{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"},{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"},{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"},{"subitem_text_value":"獨協医科大学内科学(内分泌代謝)"}]},"item_2_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}]},"item_2_title_3":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_title":"バセドウ ビョウ ト ハカイセイ コウジョウセン エン ノ ショシンジ ニオケル ジンソク カンベツホウ"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中野, 亜有子"},{"creatorName":"ナカノ, アユコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 國弘"},{"creatorName":"スズキ, クニヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"富澤, 敦子"},{"creatorName":"トミザワ, アツコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平間, 記子"},{"creatorName":"ヒラマ, ノリコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伴場, 信之"},{"creatorName":"バンバ, ノブユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"服部, 良之"},{"creatorName":"ハットリ, ヨシユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"笠井, 貴久男"},{"creatorName":"カサイ, キクオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ayuko, Nakano","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kunihiro, Suzuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Atsuko, Tomizawa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Noriko, Hirama","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nobuyuki, Banba","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshiyuki, Hattori","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kikuo, Kasai","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-05-24"}],"displaytype":"detail","filename":"KJ00006363261.pdf","filesize":[{"value":"231.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006363261.pdf","url":"https://dmu.repo.nii.ac.jp/record/776/files/KJ00006363261.pdf"},"version_id":"8eab0e32-8474-4de8-b578-9c9d1575e57b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"バセドウ病"},{"subitem_subject":"破壊甲状腺炎"},{"subitem_subject":"上甲状腺動脈血流速度"},{"subitem_subject":"Grave's Disease","subitem_subject_language":"en"},{"subitem_subject":"Destructive Thyroiditis","subitem_subject_language":"en"},{"subitem_subject":"mean velocity in the superior thyroid arteries","subitem_subject_language":"en"}]},"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":"バセドウ病と破壊性甲状腺炎の初診時における迅速鑑別法","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"バセドウ病と破壊性甲状腺炎の初診時における迅速鑑別法"},{"subitem_title":"Rapid Differential Diagnosis of Graves'Disease and Destractive Thyroiditis in Untreated Patients with Thyrotoxicosis","subitem_title_language":"en"}]},"item_type_id":"2","owner":"3","path":["50"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-24"},"publish_date":"2017-05-24","publish_status":"0","recid":"776","relation_version_is_last":true,"title":["バセドウ病と破壊性甲状腺炎の初診時における迅速鑑別法"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-20T16:16:42.315644+00:00"}