Author Inoue, Taeko| Ikegami, Tadaoki| Morinaga, Hiroshi|
Published Date 1970-03-30
Publication Title 岡山大学温泉研究所報告
Volume volume39
Content Type Data or Dataset
JaLCDOI 10.18926/40170
Title Alternative Study on the conbined therapy of spa and gold salt in rheumatoid arthritis Part II. An experience of granulocytopenia possibly caused by gold salt preparation
FullText URL pitsr_039_037_042.pdf
Author Ikegami, Tadaoki| Yahata, Takaaki| Kitayama, Minoru| Morinaga, Hiroshi|
Abstract A thirty seven years old woman with rheumatoid arthritis was instituted gold salt intramuscularly twice a week on the nineteenth hospital day. On the fifty fourth day, however, it was discontinued at the total dosis of 180 mg because of the skin rush. In about ten days after stopping gold injection appeared high fever with shivering and granulocytopenia was demonstrated. With immediate administration of ACTH, adrenocortical hormons etc. including blood transfusion the abnormal findings of the blood pictures returned to normal and the patient became well. Recently, gold salts are so widely used in treatment of rheumatoid arthritis as one of specific antirheumatic agents that the possible severe side effect such as granulocytopenia, if quite rare, should always be considered in the course of gold therapy.
Publication Title 岡山大学温泉研究所報告
Published Date 1970-03-30
Volume volume39
Start Page 13
End Page 35
ISSN 0369-7142
language 日本語
File Version publisher
JaLCDOI 10.18926/40169
Title Alternative Clinical studies on electromyographic changes in rheumatoid arthritis Part II. Electromyographic changes in treated rheumatoid arthritis during 3 months after admission
FullText URL 039_013_035.pdf
Author Ikegami, Tadaoki|
Abstract Electromyograms were recorded on 15 patients with rheumatoid arthritis (12 cases of classical rheumatoid arthritis and 3 cases of definite rheumatoid arthritis) and 5 cases of healthy controls. The muscles selected were the biceps brachii, opponens pollicis and abductor pollieis brevis, and following results were obtained: 1) The amplitude and mean potential duration in rheumatoid arthritis were less than controls, the differences being statistically significant. 2) Electromyographic evidence of myogenic atrophy was demonstrated in the small hand muscles and proximal muscles. 3) Myogenic atrophy due to steroid therapy was considered in proximal muscles, while the small hand muscles were affected more rarely. 4) Myogenic atrophy in stage III-IV were less than those in stage I-II, but in the m. opponens pollicis there were little differences. 5) Myogenic atrophy in inactive rheumatoid arthritis were significantly less than those in active, but in the m. opponens pollicis no marked changes were observed. 6) Myogenic atrophy of the m. opponens pollicis were more than that of m. abductor pollicis brevis.
Publication Title 岡山大学温泉研究所報告
Published Date 1970-03-30
Volume volume39
Start Page 13
End Page 35
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002398497
JaLCDOI 10.18926/40168
Title Alternative Clinical studies on electromyographic changes in rheumatoid arthritis Part I. Electromyographic changes in rheumatoid arthritis
FullText URL pitsr_039_001_012.pdf
Author Ikegami, Tadaoki|
Abstract Electromyograms were recorded on 15 patients with rheumatoid arthritis (12 cases of classical rheumatoid arthritis and 3 cases of definite rheumatoid arthritis) and 5 cases of healthy controls. The muscles selected were the biceps brachii, opponens pollicis and abductor pollieis brevis, and following results were obtained: 1) The amplitude and mean potential duration in rheumatoid arthritis were less than controls, the differences being statistically significant. 2) Electromyographic evidence of myogenic atrophy was demonstrated in the small hand muscles and proximal muscles. 3) Myogenic atrophy due to steroid therapy was considered in proximal muscles, while the small hand muscles were affected more rarely. 4) Myogenic atrophy in stage III - IV were less than those in stage I·II, but in the m. opponens pollicis there were little differences. 5) Myogenic atrophy in inactive rheumatoid arthritis were significantly less than those in active, but in the m. opponens pollicis no marked changes were observed. 6) Myogenic atrophy of the m. opponens pollicis were more than that of m. abductor pollicis brevis.
Publication Title 岡山大学温泉研究所報告
Published Date 1970-03-30
Volume volume39
Start Page 1
End Page 12
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002398496
JaLCDOI 10.18926/40160
Title Alternative Clinical studies on electromyographic changes in rheumatoid arthritis Part III. Effect of radioactive hot spring baths
FullText URL pitsr_040_001_017.pdf
Author Ikegami, Tadaoki|
Abstract The author observed the changes in electromyographic patterns of 14 patients with rheumatoid arthritis (13 cases of classical rheumatoid arthritis and one case of definite rheumatoid arthritis) bathed 2 or 3 times daily in hot spring water at Misasa Spa, at a temperature of 40±1℃, 5-10 minutes. The electromyographic examination was performed on the biceps brachii, opponens pollicis and the abductor pollicis brevis. Intramuscular temperature was measured in the deltoid muscle. The results were as follows. 1) The intramuscular temperature in cases of rheumatoid arthritis did not deviate from normal subjects. 2) After the general spring bathing the intramuscular temperature increased about 1℃ and it had no difference between the patients with rheumatoid arthritis and normal subjects. 3) With increasing intramuscular temperature by the general spring bathing in cases of active rheumatoid arthritis the mean potential amplitude decreased and the mean potential duration increased. 4) With increasing intramuscular temperature by the general spring bathing in cases of inactive rheumatiod arthritis the mean amplitude increased and the mean duration decreased. 5) The patterns of potential duration and amplitude before and after a bath on re-examination, one month after a series of the general spring baths, showed a tendency of reverse of the initial patterns. 6) After two months of a series of the general spring baths, the patterns of electromyographic changes of patients with rheumatoid arthritis following the bathing were similar to the initial patterns.
Publication Title 岡山大学温泉研究所報告
Published Date 1971-03-26
Volume volume40
Start Page 1
End Page 17
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002398152
JaLCDOI 10.18926/40142
Title Alternative A case of systemic lupus erythematosus with idiopathic thrombocytopenic purpura
FullText URL pitsr_042_025_029.pdf
Author Ichikawa, Yukinobu| Ikegami, Tadaoki| Kitayama, Minoru| Morinaga, Hiroshi|
Abstract A 24-year-old woman was presented in whom thrombocytopenic purpura appeared during antiinflammatory drugs therapy for arthralgia. At that time she had a positive LE cell preparation, positive antinuclear factor and false positive serum test for syphilis. Steroid hormon and ACTH therapy were started under the diagnosis of systemic lupus erythematosus. In the 23-rd hospital days, she had a negative LE cell preparation, negative antinuclear factor and negative serum test for syphilis. In the 28-th days after stopping steroid hormon and ACTH therapy, positive LE cell preparation and positive antinuclear factor appeared again.
Publication Title 岡山大学温泉研究所報告
Published Date 1973-03-25
Volume volume42
Start Page 25
End Page 29
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002398146
JaLCDOI 10.18926/40137
Title Alternative Two cases of bile duct anomalies
FullText URL 044_047_053.pdf
Author Murakami, Naoki| Tokioka, Masaaki| Ichikawa, Yukinobu| Ikegami, Tadaoki| Takasugi, Kiyoshi| Kitayama, Minoru|
Abstract We reported two cases of biIe duct anomalies detected by percutaneons transhepatic cholangiography. The first case was a 53-years-old woman who had a long cystic duct running paralleI to, and apparently adhered to a common hepatic duct distally, thus forming one large duct separated by a thin membrane within. Stenosis of the lower bile duct and subsequent dilatation of the proximal part of the duct were also demonstrated. In the second case, 5-years-old girl, the most conspicuous findings include stenosis of the extrahepatic duct with the resultant dilatation of the proximal par t of the common hepatic duct and bilateral hepatic ducts. Distally displaced opening of the common biIe duct to the duodenum and aberrant run of the duodenum were also disrcovered radiographically.
Publication Title 岡山大学温泉研究所報告
Published Date 1975-03-25
Volume volume44
Start Page 47
End Page 53
ISSN 0369-7142
language 日本語
File Version publisher