{"created":"2023-06-19T11:22:38.518681+00:00","id":436,"links":{},"metadata":{"_buckets":{"deposit":"4912c582-cbfc-4d25-9205-5127715801ec"},"_deposit":{"created_by":12,"id":"436","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"436"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000436","sets":["14:23"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"28","bibliographicPageStart":"23","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は75歳男性。骨粗鬆症の治療中に多発関節痛，低リン血症，ALP高値を認めたため低リン血症性骨軟化症を疑われ当科紹介となった。FGF23高値であり腫瘍性骨軟化症を疑った。CT，MRI，FDGPET，骨シンチなどの各種画像検査で左坐骨孔に責任病変を疑う所見を認め，局在確定診断目的にFGF23全身静脈サンプリングを施行した。静脈サンプリングの結果，左内腸骨静脈でのFGF23高値に加えて総腸骨静脈から下大静脈にかけて２か所でFGF23のステップアップを認めた。画像検査と総合的に検討した結果，左坐骨孔部の腫瘍が責任病変と診断した。腫瘍摘除後血清リン値は正常化し，全身の疼痛も消失した。今回我々は局在診断目的に施行した全身静脈サンプリングで，解釈に難渋した腫瘍性骨軟化症の１例を経験したので報告する。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Yamashita, Yumiko","nameLang":"en"}]},{"names":[{"name":"Kurashina, Tomoyuki","nameLang":"en"}]},{"names":[{"name":"Igarashi, Mayuko","nameLang":"en"}]},{"names":[{"name":"Isoda, Masayo","nameLang":"en"}]},{"names":[{"name":"Murakami, Akiko","nameLang":"en"}]},{"names":[{"name":"Saito, Shinsuke","nameLang":"en"}]},{"names":[{"name":"Okada, Nobukazu","nameLang":"en"}]},{"names":[{"name":"Takahashi, Manabu","nameLang":"en"}]},{"names":[{"name":"Nagashima, Shuichi","nameLang":"en"}]},{"names":[{"name":"Okada, Kenta","nameLang":"en"}]},{"names":[{"name":"Ebihara, Ken","nameLang":"en"}]},{"names":[{"name":"Akiyama, Toru","nameLang":"en"}]},{"names":[{"name":"Mitsuhiro, Nokubi","nameLang":"en"}]},{"names":[{"name":"Ishibashi, Shun","nameLang":"en"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-252X","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"山下, 裕美子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"倉科, 智行","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"五十嵐, 真由子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"磯田, 雅代","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"村上, 明子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"斎藤, 新介","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岡田, 修和","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"高橋, 学","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"安藤, 明彦","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"永島, 秀一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岡田, 健太","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"海老原, 健","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"秋山, 達","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"野首, 光弘","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"石橋, 俊","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-04-23"}],"displaytype":"detail","filename":"自治医科大学紀要1881-252X(40)p23-28 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findings","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2018-04-23"},"publish_date":"2018-04-23","publish_status":"0","recid":"436","relation_version_is_last":true,"title":["局在診断目的の全身静脈サンプリングの結果の解釈に難渋した腫瘍性骨軟化症の１例"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:03:00.836386+00:00"}