JaLCDOI 10.18926/40137
タイトル(別表記) Two cases of bile duct anomalies
フルテキストURL 044_047_053.pdf
著者 村上 直樹| 時岡 正明| 市川 幸延| 池上 忠興| 高杉 潔| 北山 稔|
抄録 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.
出版物タイトル 岡山大学温泉研究所報告
発行日 1975-03-25
44巻
開始ページ 47
終了ページ 53
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
JaLCDOI 10.18926/21202
タイトル(別表記) Circulatory changes in rheumatoid fingers as estimated by thermography and photoelectric plethysmography
フルテキストURL pitser_046_015_023.pdf
著者 太田 隆正| 時岡 正明| 高杉 潔|
抄録 In an attempt to evaluate circulatory changes in patients with rheumatoid arthritis (RA), 20 patients with classical or definite RA as determined by ARA criteria and twenty healthy volunteers serving as control were randomly selected. None of the patients showed the clinical signs suggesting Raynaud's phenomenon. Thermograms as well as photoelectric plethysmograms were obtained solely from the right middle finger tip of each examinee. The whole hand was then immersed in the cold (10℃) water and kept there for one minute. After wiping away the wet hand with a dry towel very gently, we followed the sequential changes of the tempe· rature of the third finger tip and the period of time necessary for the tip to return to the original temperature prior to the cold water immersion was measured and expressed as 'return time' in minute. Before exposure to the cold, the mean values of temperature of the finger tips between the two groups were not significantly different. As opposed to the normal pattern in which one can find the warmest point at the finger tip and which was more frequently found in the control group of the current study, a type in which the distal part of the finger was much cooler than the proximal area (so-called 'distal cold type') was observed in 8 RA patients, whereas only four demonstrated this pattern in the control group. After brief exposure to the cold, eight out of 20 rheumatoid patients showed much prolonged return time (longer than 20 minutes), while only three of 20 controls remained with prolonged cool periphery, The difference between the two, however, was not statistically significant. Studies of the digital plethysmograph revealed that 70% of all the rheumatoids showed abnormal patterns: sclerotic and monophasic waves were discovered in 55% of the patients. In contrast, seventy percent of the normal control demonstra· ted normal wave pattern. Although the significant difference was not noted, the mean height of the systolic peak of the plethysmograph derived from the rheumatoid group tended to be much reduced, suggesting the reduced blood volume at the finger tips. Six RA patients and 13 normals who showed normal plethysmographic pattern before immersion in the cold water, demonstrated rapid return to the original temperature. Only in one normal control with a normal wave pattern, prolonged return time was observed, although the height of the systolic peak of the plethysmogram in this particular case was well within normal limit. Digital circulatory disturbance, however, was strongly suspected in eight RA patients with severely prolonged return time, They all showed abnormal wave patterns of the plethysmogram, including 2 cases with peripheral plateau wave, Markedly reduced heights of the systolic peaks were also demonstrated in all. Further elaborate studies including digital arteriography were indicated to implicate any organic change in the digital vessels, such as digital arteritis in RA first reported by Bywaters in 1957.
出版物タイトル 岡山大学温泉研究所報告
発行日 1977-03-25
46巻
開始ページ 15
終了ページ 23
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002310966
JaLCDOI 10.18926/21195
タイトル(別表記) The treatment of rheumatoid arthritis with D-penicillamine. Preliminary report
フルテキストURL pitsr_047_069_075.pdf
著者 石井 廣文| 高杉 潔| 北山 稔| 森永 寛|
抄録 Twenty patients with classical or definite rheumatoid arthritis were treated with D-Penicillamine. Favorable responses were observed in 75% of the patients. Significant improvement in clinical parameters, such as ESR, CRP, titers of rheumatoid factor and so forth, was noticed in twenty weeks of treatment. Withdrawal from penicillamine treatment was necessitated in four patients because of adverse reactions to the drug. Untoward effects included skin rash (most frequent), pruritis and loss of taste. From this preliminary study we presume that in earlier cases in which rheumatoid lesions may be reversible, more favorable clinical effects would be expected from this agent.
出版物タイトル 岡山大学温泉研究所報告
発行日 1978-03-25
47巻
開始ページ 69
終了ページ 75
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002310960
JaLCDOI 10.18926/21192
タイトル(別表記) Enumeration of T-cells in peripheral blood as well as in joint fluid from patients with rheumatoid arthritis (RA) and the effect of cyclophosphamide
フルテキストURL pitsr_047_041_048.pdf
著者 時岡 正明| 高杉 潔|
抄録 Gradient centrifugation was quite useful in obtaining "mononuclear" cell fractions from synovial fluids derived from patients with rheumatoid arthritis. The ratio of lymphocytes to monocytoid cells was similar to that seen in peripheral blood. Prior treatment of the fluid with hyaluronidase was found to be necessary to obtain a satisfactory yield of the cells. Sheep erythrocyte rosette-forming lymphocytes (T-cells) were studied in 18 paired samples of synovial fluid and blood in RA and 15 control blood samples from normal persons were also examined. In the paired synovial fluid and blood samples from the RA patients, the mean percentages of the T-cells were 56.6 and 47.1 respectively and the difference was statistically significant (0.01<p<0.05). There was no significant difference between T-cell percentages in rheumatoid and control peripheral blood. In two RA patients receiving cyclophosphamide over an average period of 20 weeks, sequential studies of T-cells were performed on both the blood and synovial fluid. By the tenth week of treatment, they were markedly reduced in both synovial fluid and peripheral blood. By the 12th to the 15th week, however, at a time when the cumulative dose of cyclophosphamide was 5,000 mg, a rebound increase in T-cells was observed in the synovial effusion. The numbers of the T-cells in the blood concomitantly showed only a minimal rebound.
出版物タイトル 岡山大学温泉研究所報告
発行日 1978-03-25
47巻
開始ページ 41
終了ページ 48
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002310963
JaLCDOI 10.18926/21182
タイトル(別表記) Prevalence of periCardial effusion in patients with rheumatoid arthritis -An echocardiographic study-
フルテキストURL pitsr_048_049_054.pdf
著者 石井 廣文| 道明 道弘| 田中 淳太郎| 高杉 潔|
抄録 In order to determine the incidence of pericardial effusion in rheumatoid arthritis (RA), echocardiographic studies were performed on patients with classical or definite RA as determined by ARA criteria, none of whom showed any clinical cardiac symptoms at the time of examination. Of 50 RA patients studied so far, fifteen (30%) showed evidence of posterior pericardial effusion, as recorded on the strip charts. Additionally, in one full-blown case of rheumatoid vasculitis, massive accumulation of pericardial fluid was demonstrable. Compared to those without pericardial effusion, patients shown to have pericardial fluid tended to have decreased RBC, Hct, Hgb, serum protein concentration and increased ESR. The statistical difference between the two groups was significant (P<0.005). The most conspicuous difference between the two, however, was noted in the degree of hypoalbuminemia that is more profound in the effusion positive group (P<0.005). The possible cause of fluid retention in the pericardial cavity in RA was briefly discussed.
出版物タイトル 岡山大学温泉研究所報告
発行日 1979-03-25
48巻
開始ページ 49
終了ページ 54
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002310937
JaLCDOI 10.18926/21181
タイトル(別表記) A case of SLE with non-erosive joint deformity -Jaccoud's type arthropathy-
フルテキストURL 048_043_048.pdf
著者 田中 淳太郎| 道明 道弘| 高杉 潔| 入野 昭三| 森永 寛|
抄録 A case of SLE in a twenty-eight year old woman, who had polyarthritis with non-erosive joint deformity, was reported. Differential diagnosis in this case included (1) rheumatoid arthritis (2) postrheumatic fever arthritis (Jaccoud's arthritis) and (3) the overlap syndrome between SLE and rheumatoid arthritis. Laboratory findings on this patient and review on literature, however, strongly suggested that this lady had been suffering from Jaccoud's type arthropathy of SLE. Corticosteroid therapy was initiated and the clinical course of the patient thereafter has been more than favorable.
出版物タイトル 岡山大学温泉研究所報告
発行日 1979-03-25
48巻
開始ページ 43
終了ページ 48
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 40000321139
JaLCDOI 10.18926/21145
タイトル(別表記) Pulmonary lesions in rheumatoid arthritis-survey of chest radiographs in patients admitted with rheumatoid arthritis during last ten years
フルテキストURL pitsr_051_001_015.pdf
著者 谷崎 勝朗| 小田 康広| 田中 淳太郎| 駒越 春樹| 高杉 潔| 森永 寛| 原田 寛| 木村 郁郎|
抄録 Chest radiographs were examined in 147 patients with rheumatoid arthritis who were admitted at the Department ofInternal Medicine, Okayama University, Misasa Medical Branch during last ten years. The results were as follows. 1) Diffuse micronodular shadow on chest radiographs was shown in eighty nine out of 147 cases (60.5%), although the incidence of micronodular shadow was 47.3% in the other types except type 1, demonstrating the shadow limitted in the part of lower lung fields. The incidence in type 2 and 3, revealing micronodular shadow distributed over lung fields, was 22.4%. 2) The incidence of micronodular shadow was more frequently found in females than in males. The results obtained here was different from those previously reported. 3) The cases with type 2 and 3 tended to demonstrate a long duration of the desease, acceleration of ESR, positive rheumatoid factors, and elevation of serum γ-globulin and IgG levels, compared with the other types and cases without radiological findings. 4) Pulmonary lesions induced by treatment of gold or penicillamine were not recognized, except one suspected case with gold therapy.
出版物タイトル 岡山大学温泉研究所報告
発行日 1981-03-25
51巻
開始ページ 1
終了ページ 15
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002310957
JaLCDOI 10.18926/21124
タイトル(別表記) A case report of a patient with chronic pancreatitis successfully treated by endoscopic elimination of protein plugs
フルテキストURL pitsr_053_061_065.pdf
著者 武田 正彦| 田中 淳太郎| 高杉 潔| 原田 英雄| 万治 忠福| 森永 寛| 鶴見 哲也| 藤井 靖久|
抄録 Presented here is a case report of a 56 years old male patient with chronic pancreatitis in which a dramatic improvement in symptoms and objective findings were noted after endoscopic elimination of protein plugs. In September, 1979, he had an acute onset of pancreatitis followed by pseudocyst formation and the following combined operations were performed: resection of the pseudocyst, resection of the body and tail of the pancreas along with the spleen, partial resection of the stomach and the transverse colon, and gastroenterostomy according to Billroth I method. He had been followed up at out-patient clinic for chronic pancreatitis and diabetes until January 14,1979 when he was hospitalized for anorexia, loss of weight, pretibial edema, and upper-abdominal pain. The patient's condition was characterized by emaciation (height 152 cm, weight 37 kg), anemia (Hb 7.9g/dl), hypoproteinemia (serum protein 4.2 g/dl) , and hypolipidemia (total cholesterol 73 mg/dl). Abdominal ultrasound, abdominal CT and ERCP revealed stones in the pancreatic duct. Symptoms and objective findings were only partially improved by medical regimens. Subsequently we performed endoscopic cannulation of the pancreatic duct for elimination of pancreatic stones. Successful elimination of large numbers of protein plugs resulted in dramatic improvement of symptoms and objective findings. This procedure proved to add a new important tool in the treatment of chronic pancreatitis.
出版物タイトル 岡山大学温泉研究所報告
発行日 1983-03-25
53巻
開始ページ 61
終了ページ 65
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002311007
JaLCDOI 10.18926/21123
タイトル(別表記) Role of endoscopic elimination of protein plug in the treatment of chronic pancreatitis
フルテキストURL 053_057_060.pdf
著者 田中 淳太郎| 武田 正彦| 高杉 潔| 原田 英雄| 万治 忠福|
抄録 Endoscopic aspiration of pure pancreatic juice (ppj) was performed on 65 patients with chronic pancreatitis (cp) or suspected CP primarily for evaluating the validity of biochemical and physiochemical analysis of PPJ in the study of pathogenesis, pathophysiology and diagnosis of CP. PPJ was collected from within the main pancreatic duct by endoscopic retrograde catheterization of the papilla. With increasing experience, it has been revealed that various numbers of protein plugs are contained in PPJ obteined from patients with CP or suspected CP and that endoscopic elimination of protein plugs can provide them with dramatic relief from abdominal pain and back pain. The purpose of this report is to evaluate the role of endoscopic elimination of protein plugs in the treatment of CP. The following conclusions were obteined: (1) endoscopic elimination of protein plugs from within the pancreatic duct is useful. at least on a short-term basis, for relieving abdominal pain and back pain in one-forth of patients with CP or suspected CP; (2) this procedure can be an effective therapeutic tool in selected cases of CP or suspected CP where no prominent stenotic lesions are noted in the major pancreatic duct system and abstinence from alcohol bevarage is strictly observed.
出版物タイトル 岡山大学温泉研究所報告
発行日 1983-03-25
53巻
開始ページ 57
終了ページ 60
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 40000321176
著者 平木 潔| 太田 善介| 入野 昭三| 三好 勇夫| 瀬崎 達雄| 原田 英雄| 鈴木 信也| 大里 尚司| 永森 俤一郎| 守屋 純一郎| 六車 昌士| 高杉 潔| 駄場崎 浩| 池田 一彦|
発行日 1965-06-30
出版物タイトル 岡山医学会雑誌
77巻
5-6号
資料タイプ 学術雑誌論文