Severe Diabetic Scleredema with Extension to the Extremities and Effective Treatment Using Prostaglandin E1.
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- IKEDA Yukio
- The Second Department of Internal Medicine, Kochi Medical School
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- SUEHIRO Tadashi
- The Second Department of Internal Medicine, Kochi Medical School
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- ABE Tomoki
- The Second Department of Internal Medicine, Kochi Medical School
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- YOSHIDA Toshinori
- The Second Department of Internal Medicine, Kochi Medical School
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- SHIINOKI Tomoko
- The Second Department of Internal Medicine, Kochi Medical School
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- TAHARA Kiyoshi
- The Second Department of Internal Medicine, Kochi Medical School
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- NISHIYAMA Mitsuru
- The Second Department of Internal Medicine, Kochi Medical School
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- OKABAYASHI Tomoaki
- The Second Department of Internal Medicine, Kochi Medical School
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- NAKAMURA Toshihiro
- The Second Department of Internal Medicine, Kochi Medical School
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- ITOH Hiroyuki
- The Second Department of Internal Medicine, Kochi Medical School
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- HASHIMOTO Kozo
- The Second Department of Internal Medicine, Kochi Medical School
書誌事項
- タイトル別名
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- Severe Diabetic Scleredema with Extensi
この論文をさがす
抄録
We report a 49-year-old woman with severe diabetic scleredema (DS). The patient had noninsulin-dependent diabetes mellitus (NIDDM) for 9 years and noticed thickened skin on her back 3 years previously. Her DS rapidly extended to her back and extremities with pain and immobility. Her symptoms of DS improved dramatically after establishing strict glycemic control and intravenous administration of prostaglandin E1 (PGE1). However, the histological findings of her skin biopsy did not change even after the treatment for 12 weeks, and her symptoms worsened again after discontinuation of glycemic control and PGE1 treatment. The causes of DS have been considered to be metabolic abnormalities associated with hyperglycemia and hypoxia in the skin due to diabetic microangiopathy. PGE1 was an effective treatment for DS in our patient. Strict control of hyperglycemia and PGE1 treatment may be sufficient to manage DS, although a very long treatment period is necessary. <br>(Internal Medicine 37: 861-864, 1998)
収録刊行物
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- Internal Medicine
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Internal Medicine 37 (10), 861-864, 1998
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679845610880
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- NII論文ID
- 10007514518
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- NII書誌ID
- AA10827774
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- COI
- 1:STN:280:DyaK1M%2FlsVCntg%3D%3D
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- ISSN
- 13497235
- 09182918
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- NDL書誌ID
- 4603297
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- PubMed
- 9840709
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可