JaLCDOI 10.18926/21106
Title Alternative 好塩基球からのヒスタミン遊離に関する研究. 3. 抗ヒトIgE に対する好塩基球の反応性と末梢血好酸球増多
FullText URL pitsr_054_035_038.pdf
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Mifune, Masaaki| Morinaga, Hiroshi| Nakagawa, Saburo| Kitani, Hikaru| Kimura, Ikuro|
Abstract Histamine release from basophils induced by anti-IgE was examined in 14 asthmatic subjects with blood eosinophilia. The subjects were divided into two groups; group I (with blood eosinophilia, positive skin test and positive RAST to house dust) and group II (with blood eosinophilia, negative skin test to various allergens and negative RAST to house dust). 1. Serum IgE levels in group I were much higher than those in group II. 2. Maximum percent histamine release induced by anti-IgE was much higher in group I than in group II. 3. Dose-response curve of anti-IgE-induced histamine release in group I showed consistent increase as anti-IgE concentrations increased. while, dose-response curve in group II was very low. These findings suggested that blood eosinophilia in group I might be elicited relating to IgE-mediated reaction. However, mechanism causing eosinophilia in group II was not clear in the present study.
Abstract Alternative 末梢血好酸球増多を示す気管支喘息14症例について,抗ヒトIgE による好塩基球からのヒスタミン遊離を検討した. ハウスダストに対する皮内反応およびRASTが陽性を示す症例群(groupI)では,血清IgE値が高く,また抗ヒトIgEによるMax. % ヒスタミン遊離も高く(50.7士5.0%),そのdoseresponse curveは抗ヒトIgE添加濃度が高くなるにつれて上昇する傾向を示した.一方種々のアレルゲンエキスに対する皮内反応が陰性で,かつRAST も陰性を示す症例群(group II)では,血清IgE値が低く,また抗ヒトIgEによるMax. % ヒスタミン遊離も低く(10.5士1.7%),そのdose-response curveは全般的に低く,抗ヒトIgE添加濃度が高いところではむしろ抑制される傾向を示した.
Publication Title 岡山大学温泉研究所報告
Published Date 1984-03-25
Volume volume54
Start Page 35
End Page 38
ISSN 0369-7142
language 英語
File Version publisher
NAID 120002310989
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Nakago, Jitsuo| Morinaga, Hiroshi| Ohtani, Jun| Tada, Shinya| Takahashi, Kiyoshi| Kimura, Ikuro|
Published Date 1984-04-30
Publication Title 岡山医学会雑誌
Volume volume96
Issue issue3-4
Content Type Journal Article
Author Inoue, Taeko| Tanizaki, Yoshiro| Morinaga, Hiroshi|
Published Date 1984-11-30
Publication Title 岡山大学温泉研究所報告
Volume volume55
Content Type Data or Dataset
JaLCDOI 10.18926/21095
Title Alternative Spa therapy for patients with chronic obstructive lung disease
FullText URL pitsr_055_007_010.pdf
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Morinaga, Hiroshi| Kitani, Hikaru| Nakagawa, Saburo| Kimura, Ikuro|
Abstract Histamine releasse from basophils induced by house dust and C. albicans was examined in 30 patients with bronchial asthma. House dust and C. albicans caused a significant amount of histamine release in subjects with a RAST score to corresponding allergen. A close correlation was found between house dust- and anti-IgE-induced histamine release. However, histamine release induced by C. albicans was considerably different from the release induced by anti-IgE.
Abstract Alternative ハウスダストあるいはカンジダが特異抗原である気管支喘息30例を対象に,それぞれの抗原刺激時の好塩基球からのヒスタミン遊離を,抗ヒトIgEによる遊離と比較検討した. 1. ハウスダストが原因抗原である症例の好塩基球からのヒスタミン遊離は,抗原刺激時41.8%,抗ヒトIgE刺激時40.8%であった. 2. カンジダが原因抗原である症例の好塩基球からのヒスタミン遊離は,抗原刺激時27.1%,抗ヒトIgE刺激時32.2%であった. 3. ハウスダストと抗ヒトIgEによる好塩基球からのヒスタミン遊離は,ほぼ同様の値を示した. 一方カンジダと抗ヒトIgEによるヒスタミン遊離の間には有意の 相関関係はみられなかった.
Publication Title 岡山大学温泉研究所報告
Published Date 1984-11-30
Volume volume55
Start Page 7
End Page 10
ISSN 0369-7142
language 英語
File Version publisher
NAID 120002310939
JaLCDOI 10.18926/21094
Title Alternative Spa therapy for patients with chronic obstructive lung disease
FullText URL pitsr_055_001_006.pdf
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Nakago, Jitsuo| Morinaga, Hiroshi| Ohtani, Jun| Kimura, Ikuro|
Abstract Thirty-six patients with chronic obstructive lung disease (34 cases with bronchial asthma, one case with chronic bronchiolitis and one case with pulmonary emphysema) have received spa therapy. Clinical effects of sa therapy on patients with bronchial asthma depended on patient age and asthma types classified by allergic reactions and clinical symptoms. Spa therapy was effective in the cases with ages more than 31 years and the cases with non-atopic type of bronchial asthma. Regarding asthma type classified by clinical symptoms, spa therapy was more effective in the cases with bronchiolar obstructive type and the cases with bronchospasm + hypersecretion type than in the cases with bronchospasm type of bronchial asthma.
Publication Title 岡山大学温泉研究所報告
Published Date 1984-11-30
Volume volume55
Start Page 1
End Page 6
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002311032
JaLCDOI 10.18926/21083
Title Alternative 好塩基球からのヒスタミン遊離に関する研究. 5.臨床的評価
FullText URL pitsr_056_017_021.pdf
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Morinaga, Hiroshi|
Abstract 過去3年間にわたり,気管支喘息患者末梢血好塩基球からのヒスタミン遊離について,ヒスタミン自動分析装置を用いて全血法により検討を加えてきた. 1. 抗ヒトIgE によるヒスタミン遊離は,症例間で著しい差がみられた. この際血清IgE値が高値を示す症例では全般的に高度なヒスタシソ遊離がみられたが,血清IgE値が正常かまたはむしろ低値を示す症例のヒスタミン遊離は,かなり高度なものから全くみられないものまでさまざまであった. 2.ハウスダストやカンジダなどの抗原物質によるヒスタミン遊離は,特異的IgE抗体依存性であり,抗体価が上昇するにつれヒスタミン遊離は高度となる傾向がみられた. しかし,ハウスダストとカンジダによるヒスタミン遊離には若干の差がみられた. すなわち,ハウスダストと抗ヒトIgE によるヒスタミン遊離の間には密接な関連がみられたが,カンジダと抗ヒトIgEの間には全く関連がみられなかった. またカンジダによるヒスタミン遊離においては,IgE系反応以外の反応が関与する可能性が一部示唆された.
Publication Title 岡山大学温泉研究所報告
Published Date 1985-03-30
Volume volume56
Start Page 17
End Page 21
ISSN 0369-7142
language 英語
File Version publisher
NAID 120002310985
JaLCDOI 10.18926/21084
Title Alternative Spa therapy for patients with chronic obstructive lung disease
FullText URL pitsr_056_023_026.pdf
Author Sudo, Michiyasu| Komagoe, Haruki| Tanizaki, Yoshiro| Morinaga, Hiroshi|
Abstract During last three years, 41 patients with chronic obstructive lung disease (39 cases with bronchial asthma and 2 cases with chronic bronchiolitis) received spa therapy at Department of Medicine, Okayama University Medical School, Misasa Medical Branch. 1. Twenty three (56%) out of 41 cases came from Okayama prefecture and 10 cases (24.4%) from Tottori prefecture for spa therapy. In twenty five (61.0%) out of 41 cases, their ages were over 50 years. 2. Thirty nine patients with bronchial asthma were divided into three asthma types classified by clinical symptoms : Ia ; 16 cases (41.0%), Ib; 13 cases (33.3%) and II ; 10 cases (25.7%). Pulmonary function tests for these patients showed that small airways obstruction was most remarkable in type II asthma. 3. The mean serum IgE level of all asthmatic patients (39 cases) was 653.9U/ml. In skin test by allergens, positive immediate skin reaction was shown in 18 cases (46.2%) by Candida and 12 cases (30.8%) by house dust. Specific IgE anti-bodies were found in 9 cases (23.1%) for house dust and 3 cases (7.7%) for Candida.
Publication Title 岡山大学温泉研究所報告
Published Date 1985-03-30
Volume volume56
Start Page 23
End Page 26
ISSN 0369-7142
language 日本語
File Version publisher
NAID 120002311025
Author Tanizaki, Yoshiro|
Published Date 1985-10-30
Publication Title 岡山医学会雑誌
Volume volume97
Issue issue9-10
Content Type Journal Article
JaLCDOI 10.18926/19678
Title Alternative Spa therapy for bronchial asthma. Annual changes of characteristics of asthmatics admitted during the past four years.
FullText URL 057_037_041.pdf
Author Tanizaki, Yoshiro| Sudo, Michiyasu| Komagoe, Haruki| Morinaga, Hiroshi|
Abstract 1982年1月から1985年12月までの4年間に三朝分院内科へ入院し,温泉療法を受けた気管支喘息45例を対象にその年次推移を検討した。1.性別:初期2年間は男性の入院症例が多い状況であったが,後期2年間では男女比はほぼ等しかった。2.年令:年次推移はみられず,その平均年令は50±2才の間にあった。3.地域分布:初期2年間は岡山県からの入院症例が多数をしめたが,後期2年間ではむしろ鳥取県からの入院症例が増加する傾向がみられた。4.入院期間:初期2年間の平均入院期間は6.7カ月,6.5カ月とかなり長くなる傾向がみられたが,後期2年間ではそれぞれ3.0カ月,1.5カ月と明らかな短縮傾向がみられた。5.臨床病型:いずれの年度においても重症化傾向の強いⅠb型,Ⅱ型が多くみられたが,各年度間には差はみられなかった。6.ステロイド剤使用状況:年度の経過とともにその使用量は減少して いく傾向が示された。
Abstract Alternative Annual changes of characteristics, sex, area (Prefecture) of patients' coming from, term of admission, clinical classification of asthma and use of glucocorticoids, were examined in 45 patients with bronchial asthma who were admitted at Misasa Hospital, Okayama University Medical School and received spa therapy during the past four years from 1982 to 1985. In the first two years from 1982 to 1983, more patients with bronchial asthma were admitted from Okayama Prefecture, and the majority of them had severe asthma attacks and were more dependent on steroid-therapy. On the other hand, in the past two years from 1984 to 1985, number of patients with bronchial asthma from Tottori Prefecture increases, and their attacks were less severe and less dependent on steroid-therapy compared to the patients admitted during the first two years. Term of admission became shorter in the past two years than in the first two years. Any differences between the first and the past two years were not shown in sex, patient age and asthma types classified by clinical symptoms.
Keywords 気管支喘息 (Bronchial asthma) 温泉療法 (spa therapy) 臨床病型 (asthma type)
Publication Title 環境病態研報告
Published Date 1986-07
Volume volume57
Start Page 37
End Page 41
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309135
Author Inoue, Taeko| Tanizaki, Yoshiro| Morinaga, Hiroshi|
Published Date 1986-07
Publication Title 環境病態研報告
Volume volume57
Content Type Data or Dataset
JaLCDOI 10.18926/19683
Title Alternative Studies on anti-allergic actions of tranilast (Rizaben®)
FullText URL 057_042_045.pdf
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Morinaga, Hiroshi| Ohtani, Jun| Kimura, Ikuro|
Abstract 抗アレルギー剤(脱顆粒抑制剤)の1つであるtranilastの肥満細胞の遊離機序に対する抑制作用について検討を加えた。1.抗原刺激時の肥満細胞の(45)Ca uptakeおよびヒスタミン遊離に対して,tranilastは有意の抑制作用を示したが,comp.48/80刺激時にはtranilastの(45)Ca uptake,ヒスタミン遊離に対する抑制作用はほとんどみられなかった。2.phosphatidylserine添加時には,(45)Ca uptakeに対するtranilastの抑制作用は減弱傾向を示し,この傾向はヒスタミン遊離に対する作用に比べより高度であった。3.抗原および抗ヒトIgEによる好塩基球からのヒスタミン遊離に対して,tranilastは明らかな抑制作用を示さなかった。
Abstract Alternative Tlanilast is clinically used for bronchial asthma as one of the prophylactic agents for asthma attacks. In this study, anti-allergic actions of tranilast were examined in (45)Ca uptake of and histamine release from target cells of IgE after stimulation with antigen, anti-IgE and camp. 48/80. 1. (45)Ca uptake of and histamine release from rat peritoneal mast cells stimulated by antigen were significantly inhibited by preincubation of the cells with tranilast. Inhibition by tranilast of increased (45)Ca uptake of mast cells by addition of phosphatidylserine were less, although inhibition of histamine release was not so affected by addition of phosphatidylserine. No significant inhibition by tranilast of (45)Ca uptake and histamine release was not observed when the cells were stimulated by camp. 48/80. 2. Tranilast showed any inhibitory effects on basophil histamine release induced by antigen and anti-IgE.
Keywords トラニラスト (tranilast) (45)Ca取り込み ((45)Ca uptake) ヒスタミン遊離 (histamine release) 肥満細胞 (mast cell) 好塩基球 (basophils)
Publication Title 環境病態研報告
Published Date 1986-07
Volume volume57
Start Page 42
End Page 45
ISSN 09133771
language 日本語
File Version publisher
NAID 120002308998
Author Matsubara, Fumie| Sudo, Michiyasu| Tanizaki, Yoshiro| Morinaga, Hiroshi|
Published Date 1987-08
Publication Title 環境病態研報告
Volume volume58
Content Type Data or Dataset
JaLCDOI 10.18926/19710
Title Alternative Study on anti-allergic action of Terfenadine
FullText URL 058_005_011.pdf
Author Tanizaki, Yoshiro| Komagoe, Haruki| Sudo, Michiyasu| Kitani, Hikaru|
Abstract 選択的H(1)受容体拮抗薬であるTerfenadineの抗アレルギー作用,特にIgE系反応によるヒスタミン,およびCa ionophore A23187による好中球からのleukotrienes遊離に対する抑制作用を,ヒト末梢血白血球を用いて検討した。1.Terfenadineは,抗ヒトIgE刺激による健康人好塩基球および特異抗原刺激による気管支喘息患者好塩基球からのヒスタミン遊離に対して,全血法でのin vitro添加実験では有意の抑制作用を示さなかった。 2.洗浄白血球法によるin vitro添加実験では,Terfenadineは特異抗原および抗ヒトIgE刺激時の気管支喘息患者好塩基球からのヒスタミン,Ca ionophore A23187刺激時のleukotriene B(4)遊離に対して有意の抑制効果を示した。3.Terfenadineの内服によるin vivoの抑制実験では,IgE系反応による健康人および気管支喘息患者好塩基球からのヒスタミン遊離に対して有意の抑制効果は見られなかったが,特異抗原による皮膚反応に対しては明らかな抑制作用が観察された。以上より,Terfenadineは,組織肥満細胞および組織へと遊走してきた好塩基球に対してはある程度の抑制作用を有しているものと考えられた。
Abstract Alternative Anti-allergic action of terfenadine, one of the H(1) receptor inhibitors, was examined by human basophil histamine release induced by anti-IgE or a specific allergen (house dust), and the release of leukotriens from leucocytes stimulated by Ca ionophore A23187. 1. Terfenadine did not inhibit the release of histamine from basophils of healthy subjects induced by anti-IgE, and also of patients with bronchial asthma induced by house dust when the in vitro examination was performed by a whole blood method. 2. Histamine release from basophils of patients with bronchial asthma was significantly inhibited when washed leucocytes was preincubated with terfenadine in vitro. The release of LT B(4) from leucocytes was also inhibited. 3. In vivo examination of inhibitory action of terfenadine showed no effect on basophil histamine release of healthy subjects by anti-IgE and of asthmatic subjects by house dust, although skin test by house dust in these subjects was inhibited 60 min after administration in vivo. These results show that terfenadine inhibits the release of chemical mediators from tissue mast cells, and basophils migrating into local allergic sites.
Keywords 夕一フェナンジン (Terfenadine) lgE系反応 (IgE-mediated reaction) ヒスタミン (histamine) 好塩基球 (basophils)
Publication Title 環境病態研報告
Published Date 1987-08
Volume volume58
Start Page 5
End Page 11
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309197
JaLCDOI 10.18926/19731
Title Alternative Spa therapy for bronchial asthma 1. Climatotherapy, its clinical effects
FullText URL 058_031_034.pdf
Author Tanizaki, Yoshiro| Sudo, Michiyasu|
Abstract 気管支喘息に対する温泉療法,特に温泉所在地(保養地)の環境,すなわち気候条件の喘息に対する影響について,文献的考察を加えた。気候療法としては,主として山岳気候,海洋性気候,洞窟気候などが,喘息の治療に応用されている。これらの気候は,いずれも喘息に対して有効的に作用することが示されているが,それぞれの特徴を持っている。例えば,山岳気候は酸素分圧が低いこと,水蒸気圧が低いことなどが特徴であり,そのため生体がそれに適合するためにはある程度の時間が必要となる。一方海洋性気候は,海塩粒子を含んでおり,海水エロゾル中のカルシウムやマグネシウムなどが良い影響を与えると考えられている。また洞窟気候は,水分含量が均一であり,電解質,特に陰イオンが多く,これが粘膜活性や浄化活性を亢進させると言われている。またいずれの気候療法も,副腎皮質機能の活性化をもたらすと考えられている。
Abstract Alternative Spa therapy includes influence of environmental factors, especially climate around the place at which spa therapy is performed. In the present article, the effects of environmental climate around the hot springs on bronchial asthma were discussed according to the reports published. Mountain climate, sea climate and underground climate are reported to be effective for the therapy of bronchial asthma. Although these climates have shown remarkable effectiveness on bronchial asthma, each of them has climatic characteristics in treatment for bronchial asthma. Mountain climate has low content of oxygen and low vapor pressure, and patients with bronchial asthma require several weeks to adapt themselves for the climate. Sea climate is rich in cations and anions, and Ca(2+) and Mg(2+) included in sea water aerosol act beneficially on mucous membrane of airways in patiepts with bronchial asthma. Underground climate includes a lot of anions, which activate the activity of mucous membrane and ability of clearance of airways. Each climate also activate the function of adrenal glands.
Keywords 気候療法 (climatotherapy) 気管支喘息 (bronchial asthrna) 山岳気候 (mountain climate) 海洋性気候 (sea climate) 洞窟気候 (underground climate)
Publication Title 環境病態研報告
Published Date 1987-08
Volume volume58
Start Page 31
End Page 34
ISSN 09133771
language 日本語
File Version publisher
NAID 120002308993
JaLCDOI 10.18926/19735
Title Alternative Spa therapy for bronchial asthma 2. Clinical and fundamental evaluation procedures
FullText URL 058_035_039.pdf
Author Tanizaki, Yoshiro| Sudo, Michiyasu|
Abstract 気管支喘息に対する温泉療法の効果が,これまでどのような評価方法により判定されてきているのかについて,若干の文献的考察を加えた。効果に対する評価方法は,臨床的評価と作用機序と関連した評価方法とに分けて考えることができる。臨床的評価方法としては,自,他覚症状の改善,同時に使用された薬剤の減量の程度,あるいは,肺機能検査の各パラメーターの変動の比較などの方法により行なわれている。一方作用機序と関連した評価では,喘息の発症機序とある程度関連した温泉療法の作用を中心に検討が加えられている。例えば,喘息の発症機序として重要な位置を占める免疫アレルギー反応,自立神経系,内分泌系などと関連した指標を用いて,その変動を観察することによって,効果を明らかにしようとする試みがなされている。これらの検討は極めて意義深いが,なお今後IgE系反応や気道の過敏性との関連 などについての追求が必要であるように考えられる。
Abstract Alternative Evaluation procedures for effectiveness of spa therapy on bronchial asthma were discussed according to the reports published. The evaluation procedures could be divided into tow groups : procedures by clinical observations and procedures by findings relating to action mechanisms of spa therapy. Clinical evaluations have been performed by subjective and objective symptoms, the degree of reduction of drugs used for treatment of bronchial asthma, and improvement of each parameter in ventilatory function test. The results obtained by these procedures are frequently reported as clinical observations. On the other hand, evaluations based on the findings relating to action mechanisms of spa therapy have been carried out as follows : 1) observations for immuno-allergic reactions which play an important role in pathogenic mechanisms of bronchial asthma. 2) observations for autonomic nerve system, and 3) for endocrine glands, which have a close correlation with onset mechanisms of bronchial asthma. The results obtained by these findings before and after spa therapy are much interesting, and should be investigated furthermore.
Keywords 温泉療法 (spa therapy) 気管支喘息 (bronchial asthrna) 免疫アレルギー反応 (immuno-allergic reaction) 自律神経系 (autonomic nerve) 内分泌系 (endocrine)
Publication Title 環境病態研報告
Published Date 1987-08
Volume volume58
Start Page 35
End Page 39
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309078
JaLCDOI 10.18926/19764
Title Alternative Clinical studies on steroid-dependent intractable asthma
FullText URL 059_047_053.pdf
Author Kitani, Hikaru| Araki, Hiroyuki| Sudo, Michiyasu| Tanizaki, Yoshiro| Tsuji, Mituaki| Takahashi, Kiyoshi| Kimura, Ikuro|
Abstract ステロイド依存性重症難治性喘息56例について免疫アレルギー学的検討を行った。その結果41才以降発症のLate Onset Asthmaが約半数を占め,血清IgE値が比較的低値であり,ハウスダストに対しての皮内反応,特異的IgE抗体価,ヒスタミン遊離はいずれも全般的に低く,カンジダに対しての皮内反応,特異的IgG抗体価はむしろ比較的高く,肺機能では末梢気道閉塞の傾向が窺われ,臨床分類では,気管支攣縮+過分泌型,および細気管支閉塞型が多数を占める等の特徴を有することが明らかにされた。
Abstract Alternative Clinical studies on steroid-dependent intractable asthma were carried out in 56 patients relating to immuno-allergic aspects. 1. In most half of the patients with steroid-dependent intractable asthma, age at onset of the disease was 41 years old or over (so-called "Late Onset Asthma"). 2. The frequency of positive skin reaction for house dust was relatively low. whereas that for Candida was relatively high. 3. The serum IgE concentrations of these patients were in general low. Many patients showed low serum IgE concentrations of less than 300IU/ml. The concentrations of specific IgE antibodies for house dust and Candida albicans were also low. 4. The concentrations of specific IgG antibodies for Candida albicans were high compared to those for house dust. 5. Basophil histamine release induced by house dust and Candida albicans was not so remarkable in majoriy of these patients, while anti-IgE-induced histamine release from basophils ranged widely. 6. In these patients, small airway obstruction was suggested in ventilatory function test. 7. In clinical classificatin of asthma, type Ⅰa; bronchospasm type was a few, while type Ⅰb; hypersecretion and type Ⅱ; bronchiolor obstruction type were dominant in the cases studied here.
Keywords ステロイド依存性喘息 (Steroid-dependent asthma) 血清IgE (Serum-IgE) 特異的IgE (Specific lgE) 特異的IgG (Specific IgG) 中高年発症型喘息 (Late onset asthma)
Publication Title 環境病態研報告
Published Date 1988-08
Volume volume59
Start Page 47
End Page 53
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309074
JaLCDOI 10.18926/19762
Title Alternative Atopic asthma in patients of middle or advanced age
FullText URL 059_042_046.pdf
Author Araki, Hiroyuki| Kitani, Hikaru| Sudo, Michiyasu| Tanizaki, Yoshiro|
Abstract 中高年令(41才以上)のアトピー型喘息患者の特徴を明らかにするために,アトピー型喘息患者88例を0~20才,21~40才,41~60才,61才以上の各年令別に分け,年令,性別,発症年令,既往歴,家族歴,末梢血好酸球,血清IgE値,皮内反応の各項目について検討を加えた。結果は,中高年のアトピー型喘息患者は1)その年代の全喘息患者に占める割合は低く,2)男性が多く,3)平均発症年令は高く,4)その他のアレルギー性疾患の既往歴を持たない症例が比較的多く,5)皮内反応では,ハウスダスト陽性率が比較的低く,カンジダ,アスペルギルスの陽性率は比較的高い傾向にあった。6)家族歴,末梢血好酸球,血清IgE値では,明らかな傾向は認められなかった。
Abstract Alternative In order to elucidate the characteristics of atopic asthma in patients of middle or advanced age (over 41 years old), 88 atopic asthmatic patients were divided into 4 groups according to their ages, 0~20, 21~40, 41~60 and over 61 years old, and age, sex, age of onset, past history, family history, number of peripheral eosinophils, serum IgE and skin test were compared among these groups. The results were as follows: Atopic ashmatic patients of middle or advanced age were 1) less frequent in all asthmatic patients of same age group, 2) more frequent in males than in females, 3) higher in averaged age of onset, 4) more frequent in cases without other allergic past histories, 5) less frequently positive to house dust and more frequently positive to Candida and Aspergillus in skin test, 6) not different in family history, number of peripheral eosinophils and serum IgE compared to other groups.
Keywords アトピー (Atopy) 中高年令者 (patients of middle or advanced age) 喘息 (asthma)
Publication Title 環境病態研報告
Published Date 1988-08
Volume volume59
Start Page 42
End Page 46
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309184
Author Matsubara, Fumie| Sudo, Michiyasu| Tanizaki, Yoshiro|
Published Date 1988-08
Publication Title 環境病態研報告
Volume volume59
Content Type Data or Dataset
JaLCDOI 10.18926/19769
Title Alternative Allergic reactions for severe intractable asthma and spa therapy
FullText URL 059_062_067.pdf
Author Tanizaki, Yoshiro|
Abstract 予後良好と言われる気管支喘息が,どのような反応系により重症難治化傾向を取るのか,そして温泉療法がどのように作用するのかについて,若干の検討を加えた。まず関与する反応系は,その惹起相,反応相(液性因子相,細胞性因子相)の組合せにより,代表的な3つの反応系に分類することができる。1)IgE-肥満細胞(惹起相);ヒスタミン(ロイコトリエン)(液性因子相);リンパ球,好塩基球,好酸球(細胞性因子相),2)IgG-好中球;ロイコトリエン;好中球,リンパ球,マクロファージ,3)非IgE系反応;PAF;好酸球,3')非IgE系反応;ロイコトリエン;リンパ球。このような機序がもし存在するとすれば,1)の反応系の関与する喘息はアトピー型喘息,2)は中高年発症型喘息,3)は所謂内因性喘息,3')は中高年発症型喘息として把握される可能性が強い。温泉療法は,気道清浄化作用および副腎皮質機能改善作用により,これらの反応系の発現を抑制する。
Abstract Alternative Reactions for severe intractable asthma and actions of spa therapy on the reactions were discussed. Reactions participatng in onset mechanism of bronchial asthma were divided into three major groups. The first group comprises IgE-mast cell (eliciting phase), histamine (leukotrienes) (reactive phase; humoral phase), and lymphocytes-basophils-eosinophils (reactive phase; cellular phase). The second group comprises IgG-neutrophils, leukotrienes, and neutrophils-lymphocytes-macrophages. The third group is induced by non-IgE reactions, followed by PAF and eosinophils (with blood eosinophilia), and by leukotrienes and lymphocytes (without blood eosinophilia). If these reactions are really present and participate in onset mechanism of bronchial asthma, the first group could be observed in atopic asthma, the second one in late onset asthma, and the third one in so-called intrinsic asthma with blood eosinophilia and in late onset asthma without blood eosinophilia. Spa therapy has clearing actions of airway and improves function of adrenal glands in severe intractable asthma.
Keywords 気管支喘息 (Bronchial asthma) 難治性喘息 (lntractable asthma)  アレルギー反応 (Allergic reaction) 温泉療法 (Spa therapy)
Publication Title 環境病態研報告
Published Date 1988-08
Volume volume59
Start Page 62
End Page 67
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309085
JaLCDOI 10.18926/19743
Title Alternative Spe therapy for chronic respiratory disease-in subjects admitted in 1987.
FullText URL 059_001_007.pdf
Author Tanizaki, Yoshiro| Sudo, Michiyasu| Kitani, Hikaru| Araki, Hiroyuki|
Abstract 1987年1月より12月までの1年間に当院へ入院した慢性呼吸器疾患患者52例を対象に,その背景因子,免疫アレルギー学的要素および温泉療法の臨床効果について検討を加えた。1.対象52例のうちわけは,気管支喘息37例,瀰漫性汎細気管支炎3例,慢性咳嗽3例,アレルギー性肉芽腫性血管炎2例,慢性気管支炎2例,過敏性肺臓炎2例,気管支拡張症,肺気腫,広汎性肺結核症各1例であった。2.これら52症例のうち,温泉療法を受けた症例は36例(69.2%)であった。3.対象症例の地域分布と温泉療法を受けた症例との関係では,鳥取県内の入院症例(26例)で温泉療法を受けた症例は11例(42.3%)であり,県外(遠隔地)からの入院症例(26例)で温泉療法を受けた症例は25例(96.2%)であった。4.温泉療法の臨床効果では,気管支喘息では30例中25例(83.3%)で有効であり,その他1瀰漫性汎細気管支炎,アレルギー性肉芽腫性血管炎,気管支拡張症などで有効であった。
Abstract Alternative Backgrounds, immunoallergological characteristics and clinical effects of apa therapy were examined in patients with chronic respiratory diseases admitted at Misasa Branch Hospital in 1987. 1. Fifty five patients with chronic respiratory diseases comprised 37 patients with bronchial asthma, 3 with diffuse panbronchiolitis, 3 with chronic cough, 2 with allergic granulomatous angitis, 2 with chronic bronchitis, 2 with hypersensitivity pneumonitis, each 1 with bronchiectasia, pulmonary emphysema and lung tuberculosis. 2. Thirty six patients (69.2%) out of the 52 cases had spa therapy. 3. Out of 22 patients coming from Tottori prefecture, 11 cases (42.3%) received spa therapy. On the other hand, spa therapy was carried out for 25 cases (96.2%) out of the 26 cases coming from the other prefectures (long distant areas). 4. Spa therapy was effective in 25 cases (83.3%) out of the 30 patients with bronchial asthma. Spa therapy was also effective for patients with diffuse panbronchiolitis, allergic granulomatous angitis and bronchiectasia.
Keywords 気管支喘息 (Bronchial asthma) 瀰漫性汎細気管支炎 (Diffuse panbronchiolitis) 気管支炎 気管支肺胞洗浄法 (Bronchoalveolar lavage) 温泉療法 (Spa therapy)
Publication Title 環境病態研報告
Published Date 1988-08
Volume volume59
Start Page 1
End Page 7
ISSN 09133771
language 日本語
File Version publisher
NAID 120002309207