{"created":"2023-05-15T09:06:17.109657+00:00","id":12926,"links":{},"metadata":{"_buckets":{"deposit":"2009dd66-33ad-4e5a-aec1-c7bfefea050e"},"_deposit":{"created_by":14,"id":"12926","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"12926"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00012926","sets":["1875:1978:1980"]},"author_link":["19155","19156","19157"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"78","bibliographicPageStart":"75","bibliographicVolumeNumber":"71","bibliographic_titles":[{"bibliographic_title":"市立札幌病院医誌 = Acta medica nosocomi Sapporo = The Journal of Sapporo City General Hospital"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は43歳、男性。IgA腎症による慢性腎不全にて16年間の血液透析を経て、生体腎移植を施行した(ドナー：45歳の姉、血液型適合(O型)、HLA：4ミスマッチ)。免疫抑制剤はバジリキシマブ、タクロリムス、ミコフェノール酸モフェチル、メチルプレドニゾロン(MPZ)の4剤で導入しMPZは3日間で中止した。移植後は即座に利尿がみられ、移植後4日目には血清クレアチニン(Cre)1.62mg/dlまで低下した。しかし、移植後9日目にCre1.85mg/dlと上昇し、腎生検したところボーダーラインチェンジの所見であった。MPZ、500mg/日を3日間施行し、Cre 1.45mg/dlで退院となった。その後経過良好であったが、移植後3か月目に2g/日の蛋白尿を認め腎生検を施行した結果、IgA腎症の再発と診断された。扁桃腺摘出術を行い、MPZパルス療法を施行した。現在、Creは低下し、尿蛋白も減少している。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立札幌病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-6073","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"平田, 裕哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"堀田, 記世彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"深澤, 雄一郎"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"l425671275.pdf","filesize":[{"value":"710.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"l425671275.pdf","url":"https://sapmed.repo.nii.ac.jp/record/12926/files/l425671275.pdf"},"version_id":"62ec88cf-3f00-4bd2-b80e-4bd180cf5366"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"移植後早期に再発したIgA腎症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"移植後早期に再発したIgA腎症の1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1980"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-05-15"},"publish_date":"2014-05-15","publish_status":"0","recid":"12926","relation_version_is_last":true,"title":["移植後早期に再発したIgA腎症の1例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T04:31:06.705037+00:00"}