Papers - UMEKITA Kunihiko
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UENO Shiro, MIYAUCHI Shunichi, UMEKITA Kunihiko, KUSUMOTO Norio, TAKAJO Ichiro, KUROKI Masayuki, KAI Yasufumi, NAGATOMO Yasuhiro, OKAYAMA Akihiko
Kansenshogaku Zasshi 82 ( 6 ) 644 - 649 2008.11
Language：English Publishing type：Research paper (scientific journal) Publisher：The Japanese Association for Infectious Diseases
A 74-year-old woman with hepatitis due to hepatitis C virus followed up using oral predonisolone (3mg/day) for two years because of hypergammaglobulinemia-associated purpura reported fever and lumbago in February 2005. Upon admission in June, she was found in chest-computed tomography to have atelectasia in the right middle lung lobe and a nodule with a cavity in the right lower lobe. She tested positive for tuberculous glycolipid antibody. Gallium scintigraphy showed an abnormal accumulation in the lower lumbar vertebra. Magnetic resonance imaging showed abnormal enhancement at L4, L5, and their intervertebral disc. <I>Mycobacterium intracellulare</I> (<I>M. intracellulare</I>) was detected in blood culture, bronchoalveolar lavage, and a biopsy specimen from the intervertebral disc, yielding a diagnosis of disseminated nontuberculous mycobacteriosis (NTM) due to <I>M. intracellulare</I>. She was treated with clarithromycin (CAM), ethambutol (EB), and rifampicin (RFP), but EB and RFP were discontinued due to of the fever they induced. She was then treated with a combination of CAM, levofloxacin, and streptomycin and followed up as an out patient. Based on case reports of disseminated NTM infection in Japan, the prognosis is poor and a protocol must be established for its treatment.
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12.白血球除去療法(LCAP)が長期間有効であった慢性C型肝炎合併関節リウマチの1例(一般論文,日本アフェレシス学会第14回九州地方会抄録) Reviewed
梅北 邦彦, 荻野 展永, 楠元 規生, 上野 史朗, 高城 一郎, 甲斐 泰文, 黒木 昌幸, 長友 安弘, 岡山 昭彦
日本アフェレシス学会雑誌 27 ( 3 ) 250 - 251 2008
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：日本アフェレシス学会
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Umekita K., Takajo I., Miyauchi S., Tsurumura K., Ueno S., Kusumoto N., Kai Y., Kuroki M., Sasaki T., Okayama A.
Modern Rheumatology 16 ( 4 ) 243 - 247 2006.8
Language：English Publishing type：Research paper (scientific journal) Publisher：Modern Rheumatology
Takayasu's arteritis (TA) is a rare disease that can be difficult to diagnose in its early stage. A young woman with a fever and neck pain was thought to have TA, although computed tomographic angiography did not show any specific changes of the arteries. [18F]fluorodeoxyglucose positron emission tomography ([18F]FDG-PET) was performed to detect the source of the inflammation. Specific accumulation of [18F]FDG-6-phosphate in the thoracic aorta and its direct branches was observed, leading to a diagnosis of TA. [18F]FDG-PET is therefore considered to be useful for the diagnosis of early-stage TA. © Japan College of Rheumatology 2006.