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971.
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Yusuke Nakade Tadashi Toyama Kengo Furuichi Shinji Kitajima Yoshiyasu Miyajima Mihiro Fukamachi Akihiro Sagara Yasuyuki Shinozaki Akinori Hara Miho Shimizu Yasunori Iwata Hiroyasu Oe Mikio Nagahara Hiroshi Horita Yoshio Sakai Shuichi Kaneko Takashi Wada 《Clinical and experimental nephrology》2015,19(5):909-917
974.
Development and internal validation of a nomogram for predicting stone‐free status after flexible ureteroscopy for renal stones
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Kusaba N Yoshida H Ohkubo F Mishima K Shimamastu K Okamura T Sata M 《[Rinshō ketsueki] The Japanese journal of clinical hematology》2004,45(3):228-232
A 68-year-old man was diagnosed as having bronchial asthma in November 1996. He presented with leukocytosis in June 2002. The WBC count was 29,900/microliter with 82% mature neutrophils showing toxic granules. The neutrophil alkaline phosphatase score and serum level of vitamin B12 were elevated. Bone marrow demonstrated myeloid hyperplasia and plasmacytosis. Cytogenetic and molecular analyses were negative for Philadelphia chromosome and BCR/ABL fusion gene. Lambda-type Bence-Jones protein was detected on the serum and urinary immunoelectrophoresis. The coexistence of chronic neutrophilic leukemia and myeloma was suspected based on the clinical features. The serum level of granulocyte-colony stimulating factor (G-CSF) was elevated. Immunohistochemically, atypical plasma cells were positive for anti G-CSF antibody. Finally, we diagnosed this patient as having a G-CSF-producing myeloma. Treatment with melphalan and prednisolone was initiated without beneficial response. He was then admitted to our hospital for ROAD therapy (ranimustine, vincristine, melphalan, and dexamethasone). The neutrophil count decreased in parallel with the serum G-CSF level. These observations indicated that the neutrophilia in this case was probably caused by a reactive response to G-CSF secreted from the myeloma cells. 相似文献
979.
Reconstruction of bilateral branch pulmonary artery stenosis caused by Takayasu's aortitis. 总被引:1,自引:0,他引:1
Hiroo Shikata Shigeru Sakamoto Yoshimichi Ueda Shuji Tsuchishima Toshiaki Matsubara Hisateru Nishizawa Shinji Shono Masahiro Kanno Takashi Shimizu Junichi Matsubara 《Circulation journal》2004,68(8):791-794
A 63 year-old female presented with dyspnea on exertion. Her chest X-ray showed cardiomegaly, and right ventricular overload and tricuspid regurgitation were detected. Her pulmonary ventilation and blood flow scintigraphy findings were suspicious of pulmonary vascular disease; the diagnosis was pulmonary hypertension and bilateral branch pulmonary artery stenosis. After the inflammation settled, the stenotic bilateral branch pulmonary artery was reconstructed with a prosthetic vessel and the pulmonary pressure normalized immediately. A resected specimen revealed that the stenotic changes were from Takayasu's disease. The patient's postoperative course was uneventful, and pulmonary ventilation and blood scintigraphy returned to an almost normal range. At follow-up 5 years and 6 months after the operation, there was no evidence of pulmonary artery disease (eg, stenosis and/or ischemia) or of any change in the central vessels of the retina, the so-called Takayasu's retinopathy. 相似文献
980.
Strictureplasty for short duodenal stenosis in Crohn's disease 总被引:2,自引:0,他引:2
Takesue Y Yokoyama T Akagi S Ohge H Murakami Y Imamura Y Uemura K Kanehiro T Matsuura Y 《Journal of gastroenterology》2000,35(12):929-932
Involvement of the gastroduodenum is extremely rare in Crohn's disease. For obstructing duodenal Crohn's disease, bypass
procedures have traditionally been selected. However, more recently, strictureplasty has become an acceptable surgical option.
We treated two Crohn's disease patients with short proximal duodenal stenosis, using Finney-type strictureplasty. Their postoperative
courses were uneventful and they have remained asymptomatic during follow-up periods of more than 5 years, and 4 months, respectively.
Owing to the good clinical results of our two patients, we consider strictureplasty to be indicated for short proximal duodenal
stenosis in Crohn's disease.
Received: October 14, 1999 / Accepted: February 25, 2000 相似文献