著者 岡山大学温泉研究所|
発行日 1973-03-25
出版物タイトル 岡山大学温泉研究所報告
42巻
資料タイプ その他
著者 岡山大学温泉研究所|
発行日 1973-03-25
出版物タイトル 岡山大学温泉研究所報告
42巻
資料タイプ その他
JaLCDOI 10.18926/40143
タイトル(別表記) Rheumatoid arthritis and Sjögren's syndrome
フルテキストURL 042_031_045.pdf
著者 市川 幸延|
抄録 1. Parotid Sialography Parotid sialograms were investigated in 29 patients with classical or definite RA according to the criteria of the American Rheumatism Association (one of whom had scleroderma), 5 patients with SLE (according to the Dubois's criteria, three were definite, one probable and another possible SLE), 3 patients with other autoimmune diseases (Hashimoto's thyroiditis, colitis ulcerosa and undiagnosed collagen disease), 3 patients with polyarthralgia and 10 patients with nonautoimmune diseases. Sialographic technique was performed by modified Rubin's Method using contrast medium Conray-400. Sialectasis which is pathognomonic of Sjögren's syndrome (SS) alone was observed in 6 patients with RA (20.7%) (3 punctate and 3 globular patterns) and 2 patients with SLE (one punctate and another globular pattern). Retention of the contrast medium in the duct for at least 5 minutes after the injection was observed in patients with RA, one patient with SLE and one patient with colitis ulcerosa. Sial ectasis and retention almost always existed together, and were observed in patients from young to older one. Although dilatation of the Stensen's duct and subalveolar dissection also existed together, they were observed in only older patients. It appeared that the former is the specific findings of SS and the latter is the non-specific findings according to the aging. Dry mouth was complained in 7 sialectasis (87.5%), 3 subalveolar dissection (60.0%), 10 retention (62.5%) and 9 normal sialogram (37.5%). Salivary hyposecretion (less than 10 ml/10min) was observed in 4 sialectasis (50%), one subalveolar dissection (20%), 6 dilatation of the Stensen's duct (37.5%), 5 retention (45.5%) and one normal sialogram (4.2%). These results show that sialectasis and retention are well correlated with salivary hyposecretion, but dry mouth is not so diagnostic in SS. Two patients with SLE had sialectasis were young women and showed normal salivary and lacrimal secretion. These cases may be supported by Heaton's hypothesis that SS is a benign and chronic form of SLE, or thay may be a subclinical state of SS. 2. Schirmer test Sixty seven patients (36RA, 6SLE, 3 other autoimmune diseases, 3 polyarthralgia and 19 non-autoimmune diseases) were examined by Schirmer test. Besides lacrimal hyposecretion was observed in RA and other autoimmune diseases, it began in younger age. These results show that autoimmune diseases have a sicca element in themselves. Compared with the results of sialography, Schirmer test was not correlated with sialectasis and retention. Dry eye was complained in only 4 patients (13.3%) with lacrimal hyposecretion (less than 10mm/5min) and all patients with dry eye had keratoconjunctivitis sicca (KCS). Dry eye is more diagnostic than Schirmer test. 3. Corneal staining by 1% rose bengal solution Twenty five patients with RA or SLE were examned corneal staining (Holm's type A) was observed in 5 patients with RA (20%). Staining of the medial and lateral bulbar conjunctiva (Holm's type B and C) were observed in 6 patients with RA (24%) and one patient with SLE. Nine patients with positive staining (type A, B and C) (75%) showed lacrimal hyposecretion. Dry eye was complained in 4 patients with type A staining (80%), but no patient with type B and C complained dry eye. Dry eye appears to be specific for the diagnosis of SS as sialectasis on the sialogram. 4. Salivary secretion All amount of saliva was collected during ten minutes chewing two pieces of gum. All of 21 patients with non-autoimmune diseases showed more than 10 ml/10min, and slight degree of salivary hyposecretion was observed with aging. Nine patients with RA (25.7%) showed salivary hyposecretion (less than 10ml/10min), besides it began in younger age. It was also observed in patients with other autoimmune diseases. Only 36.4% patients with salivary hyposecretion showed sialectasis on the sialogram. It can be supposed that patients with sialectasis and good salivary secretion are subclinical states of SS, and that this state is depends on the compensative function of the glands. Therefore, it is impossible to suppose the salivary dysfunction from the complaints of patients alone. It is required that saliva must be analysed not only quantitativly but also qualitativly (such as RA factor, complement and lysozome). Dry mouth was not only complained in 9 patients who showed salivary hyposecretion (81.8%). but in 10 patients showed normal secretion (50%). Dry mouth appears to be less specific for the diagnosis of SS than dry eye. 5. Diagnosis of SS Vanslow's criteria of SS was modified as follows. (1) Major : ① Sialectasis or salivary gland enlargement ② Positive corneal staining (type A) ③ Classical or definite RA (according to the criteria of the ARA) (2) Minor : ① Arthritis ② History ot salivary gland swelling ③ Dry mouth or salivary hyposecretion (less than 10ml/10min) ④ Dry eye or positive Schirmer test (less than 10mm/5min). Three major was diagnosed as definite, 2 major as probable and one major with one or more minor as possible SS. Of 35 patients with RA, definite (8.6%), probable (17.1%) and possible SS (54.3%) were obserevd. Two of SLE (33.3%) were possible SS. One patients with undiagnosed collagen disease was possible SS. Clinically, definite and probable SS may be diagnosed as Sjögren's syndrome. Two possible SS with SLE may be supporsed as subclinical states of SS who do not yet exhibite full criteria. Compared with the clinical and laboratory findings of these definite, probable and possible SS with RA, it was supporsed that positive antinuclear factor or positive LE cells in RA patients almost always represents SS, drug allergy, especially to gold therapy may be a manifestation of SS. Hypergammaglobulinemia, extreme elevation of erythrocyte sedimentation rate, struma, lymphnode enlargement in RA patients must be suspected of SS. Although one possible SS with SLE and one probable SS with RA showed positive ANF (peripheral pattern), it is impossible to differentiate SS from SLE by ANF alone. Because Suzuki et al. reported that 15.4% of SS had showed positive ANF (peripheral pattern). Examinations of salivary glands including sialography must be performed in patients with SLE in the future. To detect a subclinical SS, sialography and corneal staining must be performed even in patients with no sicca symptom, because of the compensatory functions of salivary and lacrimal glands.
出版物タイトル 岡山大学温泉研究所報告
発行日 1973-03-25
42巻
開始ページ 31
終了ページ 45
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 40017532309
JaLCDOI 10.18926/40142
タイトル(別表記) A case of systemic lupus erythematosus with idiopathic thrombocytopenic purpura
フルテキストURL pitsr_042_025_029.pdf
著者 市川 幸延| 池上 忠興| 北山 稔| 森永 寛|
抄録 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.
出版物タイトル 岡山大学温泉研究所報告
発行日 1973-03-25
42巻
開始ページ 25
終了ページ 29
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002398146
JaLCDOI 10.18926/40141
タイトル(別表記) Preliminary experiments of electron probe X-ray microanalyzer (JXA5A)
フルテキストURL pitsr_042_009_023.pdf
著者 田崎 耕市| 平野 英雄|
抄録 Preliminary experiments on the accuracy of quantitative microprobe analysis for the instrument set in the Institute for Themal Spring Research, Okayama University were carried out. Dead time of the instrument ranged about 5.5-5.6 microsecond, which delayed 1.5 microsecond than usual value. Bombarding by finely focused electron beam, intensities of the characteristic X-ray of alkali metal such as NaKα and KKα decreased drastically in five to ten minutes. Intensities of the characteristic X-ray decreased in relation to the degree of off-focusing, when the spectrometer fixed at optically focused position. Readjusting of spectrometer after every move of sample was indispensable for the proof of accurate intensities. Applying BENCE and ALBEE'S correction method, empirical a factors was approved of preferable for quantitative analyses of silicates than calculated α factors.
出版物タイトル 岡山大学温泉研究所報告
発行日 1973-03-25
42巻
開始ページ 9
終了ページ 23
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002398145
JaLCDOI 10.18926/40140
タイトル(別表記) Zoned alternation of gibbsite and clay mInerals in the vermicular gibbsite
フルテキストURL pitsr_042_001_007.pdf
著者 田崎 和江|
抄録 Vermicular gibbsite aggregates found in the weathered pumice layer (the Kurayoshi pumice) at Yotsuzuka, western part of Tottori Prefecture, range in size from 5 to lOmm (Fig.1). They are more or less twisted and show some cleavages perpendicular to the long axis. Vermicular gibbsite are milky white colored and usually coated with dark brown color. X-ray diffraction patterns show strong renections for gibbsite, kaoline minerals, hydrobiotite and a relatively small amount of hydrated halloysite (Fig.3), Kaoline minerls are rather abundant at the white part. On the other hand, the dark brown part is rich in hydrobiotite. Differential thermal analysis shows the endothermic reaction for the dehydration of gibbsite at 310℃ and of kaoline minerals, hydrated halloysite and hydrobiotite at 550℃ (Fig.4). Electron microscopy shows that the gibbsite consist of peculiarly warped rods (Plate 1). The clay minerals which are looked like "cracked rice grain" are seemingly kaoline minerals or hydrated halloyslte. By the electron microprobe scanning across the vermicular gibbsite, the triform structure is revealed, such as the gibbsite rich part, the hydrobiotite rich part and kaoline minerals rich part (Fig.5 and 6). Gibbsite and clay minerals (hydrobiotite or kaoline minerals) grow alternately zone by zone (Fig.7). The width of each zone ranges in size from 20 to 40 micron.
出版物タイトル 岡山大学温泉研究所報告
発行日 1973-03-25
42巻
開始ページ 1
終了ページ 7
ISSN 0369-7142
言語 Japanese
論文のバージョン publisher
NAID 120002398144
著者 岡山大学温泉研究所|
発行日 1973-03-25
出版物タイトル 岡山大学温泉研究所報告
42巻
資料タイプ その他
著者 岡山大学温泉研究所|
発行日 1973-03-25
出版物タイトル 岡山大学温泉研究所報告
42巻
資料タイプ その他