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JaLCDOI 10.18926/14955
Title Alternative 気管支喘息患者における努力肺活量(% FVC)の低下と気道炎症ならびに臨床病型との関連
FullText URL 069_028_034.pdf
Author Mitsunobu, Fumihiro| Mifune, Takashi| Hosaki, Yasuhiro| Ashida, Kozo| Yokota, Satoshi| Tsugeno, Hirofumi| Tanizaki, Yoshiro| Ochi, Koji| Harada, Hideo|
Abstract Clinical features of asthmatics with a low % FVC (<80%) were studied in relation to airway inflammation and clinical asthma types. 1. Twenty four (75.0%) of the 32 subjects with a low % FVC had steroid-dependent intractable asthma. 2. A significant association between % FVC value and clinical asthma type was found. The value of % FVC was significantly lower in subjects with type II asthma (bronchiolar obstruction), in which significantly decreased proportion of lymphocytes,and significantly increased proportion of neutrophils in bronchoalveolar lavage (BAL) fluid were observed, than in those with type la-1 (simple bronchoconstriction) with (P<0.001) and without glucocorticoid therapy (P<0.02). 3. The % FVC value was significantly improved after treatment in type lb (hypersecretion) with BAL eosinophilia, but not in those with type II with BAL neutrophilia. These results demonstrate that marked decrease of % FVC in patients with asthma correlated with airway inflammation, and that airway reversibility by medication is very low in patients with type II asthma.
Keywords ventilatory function FEV1.0 bronchoalveolar lavage bronchial reversibility
Publication Title 岡大三朝分院研究報告
Published Date 1998-12
Volume volume69
Start Page 28
End Page 34
ISSN 0918-7839
language English
File Version publisher
NAID 120002308252
JaLCDOI 10.18926/14835
Title Alternative 気管支喘息における気管支肺胞洗浄液中の細胞成分に対する加齢および副腎皮質ホルモンの影響
FullText URL 72_016_022.pdf
Author Mitsunobu, Fumihiro| Hosaki, Yasuhiro| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Nishida, Norikazu| Takata, Shingo| Yokoi, Tadashi| Tanizaki, Yoshiro|
Abstract Effects of aging and glucocorticoid therapy on bronchoalveolar lavage (BAL) cells, particularly lymphocytes, neutrophils and eosinophils, were examined in 81 patients with asthma. 1. The proportion of BAL lymphocytes tended to increase with aging in asthmatics under age 69 years, and the proportion was significantly higher in patients with asthma between the ages of 60 and 69 than in those under age 39 and between the ages of 40 and 49. 2. The proportions of BAL neutrophils and eosinophils were not related to aging. 3. The proportion of BAL lymphocytes was higher in patients without glucocorticoid therapy than in those with steroid-dependent intractable asthma (SOIA) in those under age 69 years. In patients between the ages of 50 and 59, the proportion of BAL lymphocytes was significantly higher in patients without glucocorticoids than in those with SOIA. 4. The proportion of BAL neutrophils was higher in patients without glucocorticoid therapy than in those with SOIA, and the difference was significant in patients between the ages of 60 and 69. 5. The proportion of BAL eosinophils was not related to glucocorticoid therapy. These results suggest that the proportion of BAL lymphocytes and neutrophils is affected by aging and glucocorticoid therapy, but not BAL eosinophils.
Keywords aging asthma glucocorticoid therapy BAL cells
Publication Title 岡大三朝分院研究報告
Published Date 2002-02-01
Volume volume72
Start Page 16
End Page 22
ISSN 0918-7839
language English
File Version publisher
NAID 120002308605
JaLCDOI 10.18926/14775
Title Alternative A case of anti - neutrophil cytoplasmic autoantibody-associated vasculitis: Resolution after early diagnosis
FullText URL 73_088_092.pdf
Author Ichikawa, Hirohisa| Ashida, Kozo| Ono, Katsuichiro| Takata, Shingo| Yokoi, Tadashi| Nagata, Takuya| Okamoto, Makoto| Tsugeno, Hirohumi| Nishida, Norikazu| Hosaki, Yasuhiro| Mitsunobu, Fumihiro| Tanizaki, Yoshiro| Noguchi, Yoshinori| Tanimoto, Mitsune|
Abstract 症例は76歳男性03年前肺気腫と診断された。今回呼吸器リハビリテーション目的で当院に入院の運びとなった。入院時より37-38'Cの発熱を認め,下気道感染を疑い抗生剤で加療したが改善しなかった.入院時の検尿検査で蛋白・潜血陽性であり,血清MPO-ANCAが307U/mlと高値を示した。血清クレアチニン値も徐々に上昇してきたため,MPO-ANCA関連血管炎と診断した.プレドニゾロン投与を開始したところ,症状及び検査所見は速やかに改善した.
Keywords ANCA関連血管炎 早期診断 顕微鏡的多発血管炎
Publication Title 岡大三朝医療センター研究報告
Published Date 2003-02-01
Volume volume73
Start Page 88
End Page 92
ISSN 1348-1258
language Japanese
File Version publisher
NAID 120002308580
Author Okatani, Teruta|
Published Date 1966-09-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue7-9
Content Type Journal Article
Author Suzaki, Masanori|
Published Date 1966-05-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue4-5
Content Type Journal Article
Author Morimoto, Setsuo|
Published Date 1966-05-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue4-5
Content Type Journal Article
Author Kotsuka, Takashi|
Published Date 1966-03-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue2-3
Content Type Journal Article
Author Kotsuka, Takashi|
Published Date 1966-03-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue2-3
Content Type Journal Article
Author Katano, Takashi|
Published Date 1966-01-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue1
Content Type Journal Article
Author Katano, Takashi|
Published Date 1966-01-30
Publication Title 岡山医学会雑誌
Volume volume78
Issue issue1
Content Type Journal Article
Author Yamada, Yukio|
Published Date 1991
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue11-12
Content Type Journal Article
Author Yokoyama, Nobuji|
Published Date 1990-02
Publication Title 岡山医学会雑誌
Volume volume102
Issue issue1-2
Content Type Journal Article
Author Ishibashi, Ken|
Published Date 1991
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue4
Content Type Journal Article
Author Ishibashi, Ken|
Published Date 1991
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue4
Content Type Journal Article
Author Yokota, Satoshi|
Published Date 1992
Publication Title 岡山医学会雑誌
Volume volume104
Issue issue5-6
Content Type Journal Article
Author Nishimura, Masataka|
Published Date 1991
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue11-12
Content Type Journal Article
Author Nakayama, Kengo|
Published Date 1992
Publication Title 岡山医学会雑誌
Volume volume104
Issue issue5-6
Content Type Journal Article
Author Nakayama, Kengo|
Published Date 1992
Publication Title 岡山医学会雑誌
Volume volume104
Issue issue5-6
Content Type Journal Article
Author Fujita, Michio|
Published Date 1992
Publication Title 岡山医学会雑誌
Volume volume104
Issue issue3-4
Content Type Journal Article
Author Kuroda, Masahiro| Hiraki, Yoshio| Kawasaki, Shouji|
Published Date 1991-08
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue7-8
Content Type Journal Article