CALCINOSIS CUTIS PROBABLY CAUSED BY SULPYRINE

We found 6 cases of calcinosis cutis, which is assumed to be caused by large intravenous dosis of sulpyrine injected against the pain of Hansen disease. There were 2 male and 4 female cases. Their age ranged from 56 to 86. The types of disease were as follows: 5 L-type and 1 T-type. The periods, in...

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Published inJapanese Journal of National Medical Services Vol. 46; no. 6; pp. 463 - 468
Main Author OHTAKA, Kou
Format Journal Article
LanguageJapanese
Published Japanese Society of National Medical Services 1992
一般社団法人 国立医療学会
Subjects
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ISSN0021-1699
1884-8729
DOI10.11261/iryo1946.46.463

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Abstract We found 6 cases of calcinosis cutis, which is assumed to be caused by large intravenous dosis of sulpyrine injected against the pain of Hansen disease. There were 2 male and 4 female cases. Their age ranged from 56 to 86. The types of disease were as follows: 5 L-type and 1 T-type. The periods, in which the longer large dose injection therapy was applied, were mainly distributed from 1954 to 1977; in the case 1, 4, 940 injections were carried out mainly at the lateral sides of both upper arms for last 10 years and we found the calcinosis on the same site. Table 1 shows the names of pains at that time, the site of calcinosis, serum Ca, P, Al-F, urea nitrogen and anti-PGL antibody ; no titers corresponding to the possible metabolic abnormality were observed in any case. Besides, the pathoThistological findings by H. E. staining, the differential thermal and gravitational analyses of extirpated calcium component, the identification of crystalline compounds by X-ray diffraction patterns, and the quantification of F, P and Ca by chemical analysis were performed, and thus we here report their results.
AbstractList We found 6 cases of calcinosis cutis, which is assumed to be caused by large intravenous dosis of sulpyrine injected against the pain of Hansen disease. There were 2 male and 4 female cases. Their age ranged from 56 to 86. The types of disease were as follows: 5 L-type and 1 T-type. The periods, in which the longer large dose injection therapy was applied, were mainly distributed from 1954 to 1977; in the case 1, 4, 940 injections were carried out mainly at the lateral sides of both upper arms for last 10 years and we found the calcinosis on the same site. Table 1 shows the names of pains at that time, the site of calcinosis, serum Ca, P, Al-F, urea nitrogen and anti-PGL antibody ; no titers corresponding to the possible metabolic abnormality were observed in any case. Besides, the pathoThistological findings by H. E. staining, the differential thermal and gravitational analyses of extirpated calcium component, the identification of crystalline compounds by X-ray diffraction patterns, and the quantification of F, P and Ca by chemical analysis were performed, and thus we here report their results.
We found 6 cases of calcinosis cutis, which is assumed to be caused by large intravenous dosis of sulpyrine injected against the pain of Hansen disease. There were 2 male and 4 female cases. Their age ranged from 56 to 86. The types of disease were as follows: 5 L-type and 1 T-type.The periods, in which the longer large dose injection therapy was applied, were mainly distributed from 1954 to 1977; in the case 1, 4, 940 injections were carried out mainly at the lateral sides of both upper arms for last 10 years and we found the calcinosis on the same site.Table 1 shows the names of pains at that time, the site of calcinosis, serum Ca, P, Al-F, urea nitrogen and anti-PGL antibody ; no titers corresponding to the possible metabolic abnormality were observed in any case.Besides, the pathoThistological findings by H. E. staining, the differential thermal and gravitational analyses of extirpated calcium component, the identification of crystalline compounds by X-ray diffraction patterns, and the quantification of F, P and Ca by chemical analysis were performed, and thus we here report their results. ハンセン病患者の痛みに対して, スルピリンを大量に注射したために発生したと思われる皮膚石灰沈着症が6例発見された. 男性2名, 女性4名で, 年齢は56歳から86歳までであった. 病型はL型5例, T型1例.大量長期間に注射を受けた時期は, 1954年から1977年までにとくに多く, 症例1の場合は過去10年間に4940本の注射を主として左右の上腕外側に受けており, その部位に一致して石灰沈着の発生が認められた.当時の痛みの病名, 石灰沈着の部位, 血清Ca, P, Al-F, 尿素N. 値およびRA法による抗PGL抗体などを一括して表示したが, CaやPの代謝異常を疑う数値は, どの症例にも見られなかった.なお, H. E. 染色による病理組織所見, 摘出した石灰成分の示差熱と重量分析, X線回折図による結晶性化合物の同定, 化学分析によるF, P, Caの定量を試みたのであわせて報告する.
Author OHTAKA, Kou
Author_FL 大高 興
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DocumentTitleAlternate スルピリンによると思われる皮膚石灰沈着症
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一般社団法人 国立医療学会
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References 3) Herd JK et al: Calcinosis Universalis Complicating Dermatomyositis its Treatment with Nat EDTA. Report of Two Cases in Children, Arthritis Rheum, 7: 259, 1964
2) 青木和夫: 現代皮膚科学大系, 299, (山村雄一他, 1版) 17: 中山書店, 東京, 1980
9) 大高興: ハンセン病患者の痛みに対するレーザー治療の効果ならびにバリ治療との比較検討, 医療, 45 (3): 253, 1991
8) 大高興: ハンセン病患者の痛みに対するバリ治療の効果, 医療, 42 (2): 162, 1988
10) 大高興: らい患者に見られる皮膚石灰沈着症について, 日らい会誌, 60 (1): 48, 1991
4) Lian JB et al: Gamma-Carboxyglutamate Excretion and Calcinosis in Juvenile Dermatomyositis, 25 (9): 1094, 1982
5) 飯島茂子: 高度な皮膚石灰沈着症を示した小児皮膚筋炎の1例, 皮の臨, 33 (6), 771, 1991
6) Lever WF et al: Calcinosis cutis, Histopathology of the Skein 6th Ed, 420: Lippincott, Philadelphia, 1983
7) 高島重孝: 疼痛対策研究班報告書 (原田萬雄他), 長島愛生園, 岡山, 1976
1) 川岸尚子他: 皮膚石灰沈着症とその統計, 皮の臨, 33 (11): 1549, 1991
References_xml – reference: 1) 川岸尚子他: 皮膚石灰沈着症とその統計, 皮の臨, 33 (11): 1549, 1991
– reference: 5) 飯島茂子: 高度な皮膚石灰沈着症を示した小児皮膚筋炎の1例, 皮の臨, 33 (6), 771, 1991
– reference: 8) 大高興: ハンセン病患者の痛みに対するバリ治療の効果, 医療, 42 (2): 162, 1988
– reference: 9) 大高興: ハンセン病患者の痛みに対するレーザー治療の効果ならびにバリ治療との比較検討, 医療, 45 (3): 253, 1991
– reference: 2) 青木和夫: 現代皮膚科学大系, 299, (山村雄一他, 1版) 17: 中山書店, 東京, 1980
– reference: 10) 大高興: らい患者に見られる皮膚石灰沈着症について, 日らい会誌, 60 (1): 48, 1991
– reference: 3) Herd JK et al: Calcinosis Universalis Complicating Dermatomyositis its Treatment with Nat EDTA. Report of Two Cases in Children, Arthritis Rheum, 7: 259, 1964
– reference: 4) Lian JB et al: Gamma-Carboxyglutamate Excretion and Calcinosis in Juvenile Dermatomyositis, 25 (9): 1094, 1982
– reference: 6) Lever WF et al: Calcinosis cutis, Histopathology of the Skein 6th Ed, 420: Lippincott, Philadelphia, 1983
– reference: 7) 高島重孝: 疼痛対策研究班報告書 (原田萬雄他), 長島愛生園, 岡山, 1976
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Snippet We found 6 cases of calcinosis cutis, which is assumed to be caused by large intravenous dosis of sulpyrine injected against the pain of Hansen disease. There...
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StartPage 463
SubjectTerms calcinosis cutis
chemical analysis of deposited calcium
Hansen disease
sulpyrine
スルピリン
ハンセン病
沈着石灰の化学分析
皮膚石灰沈着症
Title CALCINOSIS CUTIS PROBABLY CAUSED BY SULPYRINE
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