JaLCDOI 10.18926/40315
Title Alternative OUR EXPERIENCES OF INTRAARTICULAR HYDROCORTISONE INJECTION AND SPA TREATMENT FOR RHEUMATOID ARTHRITIS AND ARTHROSISDEFORMANS
FullText URL 017_019_032.pdf
Author Nakahara, Yasuhiro| Izumi, Tomokuni|
Abstract 1. We classified 89 cases of rheumatoid arthritis and arthrosis deformans according to Prof. T. Kodama's criteria as follows: 33 cases of (222) polyarthritis systemica (37%), 15 cases of (221) polyarthritis non systemica (16.8%) 22 cases of (111) monoarthrosis non systemica (24%), and others. 2. We analysed their symptoms following the criteria recommended by the New York Rheumatism Association and Prof. T. Kodama. In many cases of (222), their local and general symptoms were found to belong to Class III or IV, and in many cases of (111) and (221), to Class I or II. This shows that (222), here treated, was severer than (111) and (221) in both local and general conditions. The hepatic disorder and anemia were found to occur in patients with (222). 3. We treated these 89 cases chiefly by spa therapy and intraarticular injection of hydrocortisune, and evaluated the results by the criteria recommended by N. Y. R. A. and Prot. T. Kodama. Each of these treatments was more effective on (111), (121), and (221) than on (222). In all cases, the combined treatment with the said two measures was more efficacious than the separate treatment with each of the two. 4. The effects of the intraarticular hydrocortisone injections, 686 in total and mostly into knee joints, were examined. The most efficacious of these were obtained when the injection was made into fingers, toes or hip joints. In our experiences, the post-injection flare ups and the adverse effects of the treatments were observed in 2.8% of the cases treated, but they lasted only for a few days. 5. Of five cases of (222), where the combined treatment of hydrocortisone intraarticular injection and spa therapy was given for 5-14 months, detailed descriptions are given. By this treatment the physical abilities in joints of patients were improved remarkably and their general conditions were ameliorated gradually without any adverse effects.
Publication Title 岡山大学温泉研究所報告
Published Date 1956-03
Volume volume17
Start Page 19
End Page 32
ISSN 0369-7142
Related Url http://ousar.lib.okayama-u.ac.jp/metadata/40311
language 日本語
File Version publisher
NAID 40017532476
JaLCDOI 10.18926/40256
Title Alternative A Case of Gastric Polip
FullText URL 024_096_103.pdf
Author Matsumoto, Kinshi| Wakutani, Tohaku| Izumi, Tomokuni|
Abstract We examine patients seeking for spa treatment about erythrocyte sedimentation rate, Takata's reaction, blood picture, gastric juice, urinalysis and so on on their admittion and then repeat these tests once weekly to investigate the reaction of bathing in radioactive hot spring. A 65-year-old patient showed achylia gastrica every time in the test, but he complained no gastric symptom. On x-ray examination we found gastric polyp and verified this on operation.
Publication Title 岡山大学温泉研究所報告
Published Date 1959-01
Volume volume24
Start Page 96
End Page 103
ISSN 0369-7142
language 日本語
File Version publisher
NAID 40017532365
JaLCDOI 10.18926/40240
Title Alternative Clinical Study on the Treatment of Rheumatoid Arthritis Part III. Experiences of Capsulosynovectomia Genu Anterior Totalis for Rheumatoid Arthritis
FullText URL 026_020_030.pdf
Author Izumi, Tomokuni|
Abstract Capsulosynovectomia genu anterior totalis was performed on five cases had marked hydrops and capsular thickening of joints, in which intraarticular injection of hydrocortisone or prednisolone, balneotherapy and hydrotherapy had been repeated in vain for long period with long standing pain and gradual decrease in motor function. The progress was observed for six to seventeen months after the operation, obtaining following results. Rheumatic symptoms were significantly improved after operation and restortion of function was also valuable. No exacerbations in the other joints and general condition were noted with rather improvement in the sign. Further, these operated joints became to react better, differ from preoperative, to balneotherapy and "Fango" with noticeable effects on the restoration of articular function. In histological findings of the resected synovia four cases showed Rs. and one Fr. by T. Kodama's classification. It is, therefore, recommended to appreciate this kind of operation on the cases shown no effects in the treatment of adrenocortical hormone or hot spring bath, which led to the decrease in gait ability, on the standpoint of medical rehabilitation.
Publication Title 岡山大学温泉研究所報告
Published Date 1959-10
Volume volume26
Start Page 20
End Page 30
ISSN 0369-7142
language 日本語
File Version publisher
JaLCDOI 10.18926/40239
Title Alternative Clinical Study on the Treatment of Rheumatoid Arthritis Part II. Experiences of Intraarticular Injection of Prednisolone for Rheumatoid Arthritis
FullText URL 026_008_019.pdf
Author Izumi, Tomokuni|
Abstract Meticorterone (Prednisolone acetate) were injected into joints of 33 cases of rheumatoid arthritis, 172 times in total, with better results. Although intraarticular injection of prednisolone is, at present, to be one of the most effective treatment for rheumatoid arthritis, one must pay attention at the appearance of general effect in frequent and abundant injection. Comparative studies were performed on the effects of intraarticular injectons of prednisolone T. B. A, (on twelve cases), hydrocortisone acetate and meticorterone. Prednisolone T. B. A. was proved markedly longer effect in local with minimum general effect, It was, therefore, thought that prednisolone T. B. A. was safest and most effective in intraarticular therapy on the rheumatoid arthritis.
Publication Title 岡山大学温泉研究所報告
Published Date 1959-10
Volume volume26
Start Page 8
End Page 19
ISSN 0369-7142
language 日本語
File Version publisher
JaLCDOI 10.18926/40238
Title Alternative Clinical Study on the Treatment of Rheumatoid Arthritis Part I. Therapeutic Experiences by Hot Spring Bath and "Fango" using Clay of Nigyo-pass
FullText URL pitsr_026_001_007.pdf
Author Izumi, Tomokuni|
Abstract Rheumatoid arthritis, thought incurable for many years, was treated by radioactive hot spring bath and uranium deposit clay at Ningyo-pass. The therapeutic effects of balneotherapy and "Fango" were stUdied comparatively. Results of hot spring bath for one month were effective in 63 of 73 cases (86.3 per cent), and 60 per cent even in (222) chr., in which attaind Grade III. It was thought that therapeutic effect of bathing on (222) chr. was increased using together with adrenocortical hormone. Uranium deposit clay at Ningyo-pass was used on 59 cases of this disease, in form of "Fango" and local bath in mud. It was effective in 60.8 per cent of 171 joints, and in 53.4 per cent of 131 joints of (222) chr. It showed that this was valuable as a local therapy for those incurable types of the disease.
Publication Title 岡山大学温泉研究所報告
Published Date 1959-10
Volume volume26
Start Page 1
End Page 7
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002462886
JaLCDOI 10.18926/19620
Title Alternative RHEUMATOID ARTHRITIS AND THORN'S TEST
FullText URL 015_029_033.pdf
Author Izumi, Tomokuni|
Abstract In a course of balneotherapy of rheumatoid arthritis, there was no proper standard to judge the therapeutic effect. In this circumstance, Thorn's test and a measurement of red cell sedimentation rate were applied to ten patients with rheumatoid arthritis before and after balneotherpy, and it was found that, although patients before therapy showed a low value of Thorn's test and a faster rate of red cell sedimentation, after released from various symptoms by balneotherapy they had a higher value of Thorn's test and a slower rate of red cell sedimentation. Therefore, these two tests above described may be used as a standard for a judgement of the effect of balneotherapy to patients with rheumatoid arthritis.
Publication Title 岡山大学温泉研究所報告
Published Date 1955-03-25
Volume volume15
Start Page 29
End Page 33
ISSN 0369-7142
Related Url http://ousar.lib.okayama-u.ac.jp/21510
language 日本語
File Version publisher
NAID 120002314144