Polymyalgia rheumatica 6例の臨床的検討
1. 当院における polymyalgia rheumatica 6例の臨床的検討及びその内2例 (痴呆合併例, 眼瞼下垂, 複視合併例) の症例提示を行った. 2. 臨床症状では, 四肢近位筋痛, 体幹痛, 関節痛, 発熱, 体重減少が特徴的であり, 血沈亢進, CRP強陽性など強い急性期反応を示した. 3. 生検例, 剖検例において血管炎の存在は認められず, また, 体液性免疫異常を示す所見もほとんど得られなかった....
Saved in:
| Published in | 日本老年医学会雑誌 Vol. 23; no. 5; pp. 469 - 476 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本老年医学会
30.09.1986
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.23.469 |
Cover
| Abstract | 1. 当院における polymyalgia rheumatica 6例の臨床的検討及びその内2例 (痴呆合併例, 眼瞼下垂, 複視合併例) の症例提示を行った. 2. 臨床症状では, 四肢近位筋痛, 体幹痛, 関節痛, 発熱, 体重減少が特徴的であり, 血沈亢進, CRP強陽性など強い急性期反応を示した. 3. 生検例, 剖検例において血管炎の存在は認められず, また, 体液性免疫異常を示す所見もほとんど得られなかった. |
|---|---|
| AbstractList | 1. 当院における polymyalgia rheumatica 6例の臨床的検討及びその内2例 (痴呆合併例, 眼瞼下垂, 複視合併例) の症例提示を行った. 2. 臨床症状では, 四肢近位筋痛, 体幹痛, 関節痛, 発熱, 体重減少が特徴的であり, 血沈亢進, CRP強陽性など強い急性期反応を示した. 3. 生検例, 剖検例において血管炎の存在は認められず, また, 体液性免疫異常を示す所見もほとんど得られなかった. |
| Author | 名倉, 博史 大山, 俊郎 金丸, 和富 朝長, 正徳 |
| Author_xml | – sequence: 1 fullname: 金丸, 和富 organization: 現 東京都老人医療センター – sequence: 1 fullname: 名倉, 博史 organization: 現 東京都老人医療センター – sequence: 1 fullname: 大山, 俊郎 organization: 現 東京都老人医療センター – sequence: 1 fullname: 朝長, 正徳 organization: 現 東京大学脳研神経病理 |
| BookMark | eNpFj8tKw0AYhWdRwVr7AO76Aokz-eeWpRSvFHSh6-GfZJImJK1M4qJLQRAUfABx6aIrH8CFL-Otj2GgoptzOHA4nG-L9GbzmSNkh9EQGIfd3PkCW18kTRhByGXcI30KlAYxU7BJhk1TWCo0j7mUtE-Cs3m1qBdY5QWO_NRd1dgWCY7kx9v9-_XL6nb5-Xr3_Xjz9fy0Wj5sk40Mq8YNf31ALg72z8dHweT08Hi8NwlKJhQGWSIZKOWkdVrQNIuUyLjNNCAwqkALlnCFqbKKqwidSLWk1gqwoosx0zAgJ-vdsmkxd-bSFzX6hUHfnauc-YdkseQmAiPW0vH-lZIpelMi_AByK1yP |
| ContentType | Journal Article |
| Copyright | 社団法人 日本老年医学会 |
| Copyright_xml | – notice: 社団法人 日本老年医学会 |
| DOI | 10.3143/geriatrics.23.469 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EndPage | 476 |
| ExternalDocumentID | article_geriatrics1964_23_5_23_5_469_article_char_ja |
| GroupedDBID | ALMA_UNASSIGNED_HOLDINGS CS3 F5P JSF KQ8 OK1 RJT |
| ID | FETCH-LOGICAL-j157a-fc61377e6be850df275f4bf83a31073851c47ad7b7472ae5d860bb53b572a9183 |
| ISSN | 0300-9173 |
| IngestDate | Wed Sep 03 06:30:14 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 5 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j157a-fc61377e6be850df275f4bf83a31073851c47ad7b7472ae5d860bb53b572a9183 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/geriatrics1964/23/5/23_5_469/_article/-char/ja |
| PageCount | 8 |
| ParticipantIDs | jstage_primary_article_geriatrics1964_23_5_23_5_469_article_char_ja |
| PublicationCentury | 1900 |
| PublicationDate | 1986/09/30 |
| PublicationDateYYYYMMDD | 1986-09-30 |
| PublicationDate_xml | – month: 09 year: 1986 text: 1986/09/30 day: 30 |
| PublicationDecade | 1980 |
| PublicationTitle | 日本老年医学会雑誌 |
| PublicationTitleAlternate | 日老医誌 |
| PublicationYear | 1986 |
| Publisher | 一般社団法人 日本老年医学会 |
| Publisher_xml | – name: 一般社団法人 日本老年医学会 |
| References | 3) Hamrin B: Polymyalgia arteritica. Acta Med Scand 192 (Suppl 533): 1, 1972. 18) Lowenstein MB, Bridgeford PH, Vasey FB, Germain BF, Espinoza LR: Increased frequency HLA-DR3 and DR4 in polymyalgia rheumatica-giant cell arteritis. Arthritis Rheum 26: 925-927, 1983. 5) Liang GC, Simkin PA, Mannik M: Immunoglobulins in temporal arteritis: An immunofluorescent study. Ann Internm Med 81: 19-24, 1974. 20) Miller LD, Stevens MB: Skeletal manifestations of polymyalgia rheumatica. JAMA 240: 27-29, 1978. 6) Papaioannou CC, Gupta RC, hunder GG, McDuffile FC: Circulating immune complexes in giant cell arteritis and polymyalgia rheumatica. Arthritis Rheum 23: 1021-1025, 1980. 17) Hazleman B, Goldstone A, Voak D: Association of polymyalgia rheumatica and giant cell arteritis with HLA-B8. Br Med J 15: 989-991, 1977. 23) Henderson DRF, Dixon A ST. J: Synovitis in polymyalgia rheumatica. Rheumatol Rehabil 14: 244-250, 1975. 4) Fauchald P, Rygvold O, Øystese B: Temporal arteritis and polymyalgia rheumatica: Clinical and biopsy findings. Ann Intern Med 77: 845-852, 1972. 22) Nalbandian RM, Henry RL, Williams GA, et al: Polymyalgia rheumatica and giant cell arteritis-Rational diagnosis and treatment predirected on disordered prostaglandin metabolism. Medical Hypothesis 7: 1169-1182, 1981. 13) 高橋貞雄, 井上雅裕, 満田基温, 那須範満, 小松原良雄: Polymyalgia rheumatica の1例. リウマチ 21 (3): 220-226, 1981. 10) Reid AH, Maloney AFJ: Giant cell arteritis and arteriolitis associated with amyloid angiopathy in an elderly mongol. Acta Neuropath (Berl) 27: 131-137, 1974. 25) Dickson ER, Maldonado JE, Sheps SG, Chain JA: Systemic giant-cell arteritis with polymyalgia rheumatica. JAMA 224: 1496-1498, 1973. 16) Liang GC, Simkin PA, Hunder GG, Wilske KR, Healey LA: Familial aggregation of polymyalgia rheumatica and giant cell arteritis. Arthritis Rheum 17: 19-24, 1974. 26) Hazleman BL, Maclennan ICM, Esiri MM: Lymphocyte proliferation to artery antigen as a positive diagnostic test in polymyalgia rheumaticas. Ann Rheum Dis 34: 122-127, 1975. 8) Nightingale S, Venables GS, Bates D: Polymyalgia rheumatica with diffuse cerebral disease responding rapidly to steroid therapy. J Neurol Neurosurg Psychiatry 45: 841-843, 1982. 7) Bacon PA, Doherty SM: Hepatitis-B antibody in polymyalgia rheumatica. Lancet 13: 471-478, 1975. 19) Chuang TY, Hunder GG, Illstrup DM, Kurland LT: Polymyalgia rheumatica: A 10-year epidemiologic and clinical study. Ann Intern Med 97: 672-680, 1982. 9) 伊藤粋子, 広野茂: Polymyalgia rheumatica で発症し, 精神症状を伴った側頭動脈炎の1例. 内科 52: 169-172, 1983. 15) 関川巌. 奈須一, 高崎芳成, 橋本博史, 塩川優一, 滝和博: 血中 Immune complex 高値を認めた polymayalgia rheumatica の一例. 日本臨床免疫学会会誌 8: 40-46, 1985. 1) Bruce W: Senile rheumatic gout. Brit Med J 2: 811-813, 1888. 11) Dimant J, Grob D, Brunner NG: Ophthalmoplegia, ptosis, and miosis in temporal arteritis. Neurology (N. Y.) 30: 1054-1058, 1980. 2) Barber HS: Myalgia syndrome with constitutional effects. Polymyalgia rheumatics. Ann Rheum Dis 16: 230-237, 1957. 21) Myles AB: Polymyalgia rheumatica and giant cell arteritis: A seven-year survey. Rheumatol Rehabil 14: 231-235, 1975. 24) Boyle AC, Beatty DC: Polymyalgia rheumatica. Proc Roy Soc Med 54: 681-684, 1961. 14) 林俊治, 広瀬源二郎, 川田純也, 小田禄平, 小副川寛: Polymyalgia rheumatica 4症例の臨床的検討. 臨床神経 24: 901-907, 1984. 12) 高杉潔, 西原龍司: Temporal arteritis の合併が確認された polymyalgia rheumatica: 症状の提示と本邦報告例の文献的考察. 厚生省特定疾患系統的血管病変に関する調査研究報告, 厚生省, 東京, 1978, p229-238. |
| References_xml | – reference: 12) 高杉潔, 西原龍司: Temporal arteritis の合併が確認された polymyalgia rheumatica: 症状の提示と本邦報告例の文献的考察. 厚生省特定疾患系統的血管病変に関する調査研究報告, 厚生省, 東京, 1978, p229-238. – reference: 10) Reid AH, Maloney AFJ: Giant cell arteritis and arteriolitis associated with amyloid angiopathy in an elderly mongol. Acta Neuropath (Berl) 27: 131-137, 1974. – reference: 4) Fauchald P, Rygvold O, Øystese B: Temporal arteritis and polymyalgia rheumatica: Clinical and biopsy findings. Ann Intern Med 77: 845-852, 1972. – reference: 16) Liang GC, Simkin PA, Hunder GG, Wilske KR, Healey LA: Familial aggregation of polymyalgia rheumatica and giant cell arteritis. Arthritis Rheum 17: 19-24, 1974. – reference: 9) 伊藤粋子, 広野茂: Polymyalgia rheumatica で発症し, 精神症状を伴った側頭動脈炎の1例. 内科 52: 169-172, 1983. – reference: 21) Myles AB: Polymyalgia rheumatica and giant cell arteritis: A seven-year survey. Rheumatol Rehabil 14: 231-235, 1975. – reference: 15) 関川巌. 奈須一, 高崎芳成, 橋本博史, 塩川優一, 滝和博: 血中 Immune complex 高値を認めた polymayalgia rheumatica の一例. 日本臨床免疫学会会誌 8: 40-46, 1985. – reference: 20) Miller LD, Stevens MB: Skeletal manifestations of polymyalgia rheumatica. JAMA 240: 27-29, 1978. – reference: 7) Bacon PA, Doherty SM: Hepatitis-B antibody in polymyalgia rheumatica. Lancet 13: 471-478, 1975. – reference: 6) Papaioannou CC, Gupta RC, hunder GG, McDuffile FC: Circulating immune complexes in giant cell arteritis and polymyalgia rheumatica. Arthritis Rheum 23: 1021-1025, 1980. – reference: 11) Dimant J, Grob D, Brunner NG: Ophthalmoplegia, ptosis, and miosis in temporal arteritis. Neurology (N. Y.) 30: 1054-1058, 1980. – reference: 18) Lowenstein MB, Bridgeford PH, Vasey FB, Germain BF, Espinoza LR: Increased frequency HLA-DR3 and DR4 in polymyalgia rheumatica-giant cell arteritis. Arthritis Rheum 26: 925-927, 1983. – reference: 13) 高橋貞雄, 井上雅裕, 満田基温, 那須範満, 小松原良雄: Polymyalgia rheumatica の1例. リウマチ 21 (3): 220-226, 1981. – reference: 5) Liang GC, Simkin PA, Mannik M: Immunoglobulins in temporal arteritis: An immunofluorescent study. Ann Internm Med 81: 19-24, 1974. – reference: 3) Hamrin B: Polymyalgia arteritica. Acta Med Scand 192 (Suppl 533): 1, 1972. – reference: 24) Boyle AC, Beatty DC: Polymyalgia rheumatica. Proc Roy Soc Med 54: 681-684, 1961. – reference: 8) Nightingale S, Venables GS, Bates D: Polymyalgia rheumatica with diffuse cerebral disease responding rapidly to steroid therapy. J Neurol Neurosurg Psychiatry 45: 841-843, 1982. – reference: 2) Barber HS: Myalgia syndrome with constitutional effects. Polymyalgia rheumatics. Ann Rheum Dis 16: 230-237, 1957. – reference: 17) Hazleman B, Goldstone A, Voak D: Association of polymyalgia rheumatica and giant cell arteritis with HLA-B8. Br Med J 15: 989-991, 1977. – reference: 14) 林俊治, 広瀬源二郎, 川田純也, 小田禄平, 小副川寛: Polymyalgia rheumatica 4症例の臨床的検討. 臨床神経 24: 901-907, 1984. – reference: 22) Nalbandian RM, Henry RL, Williams GA, et al: Polymyalgia rheumatica and giant cell arteritis-Rational diagnosis and treatment predirected on disordered prostaglandin metabolism. Medical Hypothesis 7: 1169-1182, 1981. – reference: 25) Dickson ER, Maldonado JE, Sheps SG, Chain JA: Systemic giant-cell arteritis with polymyalgia rheumatica. JAMA 224: 1496-1498, 1973. – reference: 1) Bruce W: Senile rheumatic gout. Brit Med J 2: 811-813, 1888. – reference: 19) Chuang TY, Hunder GG, Illstrup DM, Kurland LT: Polymyalgia rheumatica: A 10-year epidemiologic and clinical study. Ann Intern Med 97: 672-680, 1982. – reference: 23) Henderson DRF, Dixon A ST. J: Synovitis in polymyalgia rheumatica. Rheumatol Rehabil 14: 244-250, 1975. – reference: 26) Hazleman BL, Maclennan ICM, Esiri MM: Lymphocyte proliferation to artery antigen as a positive diagnostic test in polymyalgia rheumaticas. Ann Rheum Dis 34: 122-127, 1975. |
| SSID | ssib058494660 ssj0055462 ssib002821993 ssib005879752 ssib000994798 ssib000940319 |
| Score | 1.338928 |
| Snippet | 1. 当院における polymyalgia rheumatica 6例の臨床的検討及びその内2例 (痴呆合併例, 眼瞼下垂, 複視合併例) の症例提示を行った. 2. 臨床症状では, 四肢近位筋痛, 体幹... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 469 |
| SubjectTerms | リウマチ性多発筋痛症 免疫異常 血管炎 |
| Title | Polymyalgia rheumatica 6例の臨床的検討 |
| URI | https://www.jstage.jst.go.jp/article/geriatrics1964/23/5/23_5_469/_article/-char/ja |
| Volume | 23 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 日本老年医学会雑誌, 1986/09/30, Vol.23(5), pp.469-476 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library issn: 0300-9173 databaseCode: KQ8 dateStart: 19640101 customDbUrl: isFulltext: true dateEnd: 99991231 titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html omitProxy: true ssIdentifier: ssj0055462 providerName: Colorado Alliance of Research Libraries |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrR3LbtQw0CpFQlwQT_HWHvBplSUPP49J6lUFKgKplXqL4jxKV9CisnuAGxISEkgcOCKOHHriAzjwM7z6Gcw4yW4KHKAgRZETj8czHjszszv2EHID1UAeMOlZP7ceKywmci-YV0oZVWEFCqzEjcJrd8TqBru1yTeXjr3pRS3NpnZUPP3tvpKjSBXegVxxl-xfSHaOFF5AGeQLd5Aw3P9Ixnd3Hzx5CO7_1nY-3Ltfzdzxq_lQUMNoYqhKqInAVKSxoUZRcPtjRQ2nSUxVTI2kGgqMGkFjRnWKMACgTN9gxVoNDbkrpDR2YMpHtIhK04RhQaU0SbAQr9C4ISBF_EZTnVAdOOTQ3fxHWawBirAGYBVeIG3EoEPEhqjGh-ChBrpdcb1BQXfw8Ao7gsKYJmEfHtiKpSMzwMvBQ2djxz50H3XMOnjHn15xJEMT2cALx1HksBiaRIufSQKtRBfT0U7slhcgDwdJudGSSAY0RfoTh0kAGuwCgWO4hv84yL2PeeT7oFiatC2d5ml2WrcrjPfUCGvS17QWCWsy5Pys7CIwdWGGbuF8xmwOj0dhNJq3PHSGeDtDswUsnsOWhVHGmxs0yzog3O6XTcDnOB5KITAryO17PZNdM9z41nvWTPZcdnDhMSZ08Y1XUks-N6HB3sWMBn5nLWGQZPtPXzM-TeQB8nbzF87ASpyAz9TFWzoTcP00OdX6boO44eAMWZrkZ8mJtTY65RzxeutxsFiPA_Hl06vPzz4cvNj_-vHl97fPv71_d7D_-jzZGJv1dNVr05F4k4DL3KsLgcdzVsJWivtlHUpeM1urKAcXCQ-FCgom81Ja8NDDvOKlEr61PLIcHjWozgtkeWd3p7pIBtbWuV9BfRDkYCJLVfuhrWzJldA5Y8UlkjaMZo-aM2eyo0jw8n_BcoWcXKynq2R5ujerroEhPrXX3cz4AZ1Iq3s |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Polymyalgia+rheumatica+6%E4%BE%8B%E3%81%AE%E8%87%A8%E5%BA%8A%E7%9A%84%E6%A4%9C%E8%A8%8E&rft.jtitle=%E6%97%A5%E6%9C%AC%E8%80%81%E5%B9%B4%E5%8C%BB%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E9%87%91%E4%B8%B8%2C+%E5%92%8C%E5%AF%8C&rft.au=%E5%90%8D%E5%80%89%2C+%E5%8D%9A%E5%8F%B2&rft.au=%E5%A4%A7%E5%B1%B1%2C+%E4%BF%8A%E9%83%8E&rft.au=%E6%9C%9D%E9%95%B7%2C+%E6%AD%A3%E5%BE%B3&rft.date=1986-09-30&rft.pub=%E4%B8%80%E8%88%AC%E7%A4%BE%E5%9B%A3%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E8%80%81%E5%B9%B4%E5%8C%BB%E5%AD%A6%E4%BC%9A&rft.issn=0300-9173&rft.volume=23&rft.issue=5&rft.spage=469&rft.epage=476&rft_id=info:doi/10.3143%2Fgeriatrics.23.469&rft.externalDocID=article_geriatrics1964_23_5_23_5_469_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0300-9173&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0300-9173&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0300-9173&client=summon |