{"created":"2023-06-19T11:22:44.628491+00:00","id":673,"links":{},"metadata":{"_buckets":{"deposit":"4b4de555-6bb4-4714-872d-690e27bf7c4e"},"_deposit":{"created_by":12,"id":"673","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"673"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000673","sets":["14:32"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"79","bibliographicPageStart":"73","bibliographicVolumeNumber":"30","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":"尋常性白斑は難治性の後天性の色素異常症であり，特に，露出部位に生じた場合，美容的な悩みは深刻である。尋常性白斑治療におけるナローバンドUVB（NBUVB）照射の有効性はすでに欧米において確立されている。本稿では，2001年６月から2006年12月までに当科を受診した全身型の尋常性白斑患者49例についてNBUVB 照射治療を行い，その有効性と美容的な問題点について述べた。尋常性白斑49例中43例が10回照射以内で色素再生をみている。しかしながら，経過を十分観察しえた患者のうち，白斑面積の半分以上の色素再生を見た例は全体の47％の症例にとどまり，文献的にも東洋人では欧米のデータよりも改善率が低い傾向が窺えた。また，NBUVB 治療の美容的な問題についても考察した。本疾患のNBUVB 治療部位の多くは，ぶち（まだら模様）の色素再生パターンを呈している。色素再生がみられても，まだら模様の状態では，きれいに治っているとは言い難い。色素の再生が頭打ちになったときには，１回あたりの照射エネルギーを増加することにより，色素再生が促進されることもある。さらに，NBUVB 治療では，白斑部位と周囲皮膚とのコントラストの増強もみられるが，比較的低エネルギー量の照射と日焼け止めの使用により改善し得た。尋常性白斑において，NBUVB 照射療法は有効ではあるが，単独で完璧な治療法とはいえず，併用治療や個別にあるいは部位別に治療方針を立てるなど，きめの細かい配慮が必要である。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Demitsu, Toshio","nameLang":"en"}]},{"names":[{"name":"Azuma, Ryuichi","nameLang":"en"}]},{"names":[{"name":"Iwata, Motoko","nameLang":"en"}]},{"names":[{"name":"Hiratsuka, Yuichiro","nameLang":"en"}]},{"names":[{"name":"Osawa, Masumi","nameLang":"en"}]},{"names":[{"name":"Umemoto, Naoka","nameLang":"en"}]},{"names":[{"name":"Enomoto, Yukino","nameLang":"en"}]},{"names":[{"name":"Amano, Noriko","nameLang":"en"}]},{"names":[{"name":"Okada, Eiko","nameLang":"en"}]},{"names":[{"name":"Kakurai, Maki","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":"出光, 俊郎","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"東, 隆一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岩田, 基子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"平塚, 裕一郎","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"大沢, 真澄","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"梅本, 尚可","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"榎本, 由貴乃","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"天野, 紀子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岡田, 栄子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"加倉井, 真樹","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":"2019-08-13"}],"displaytype":"detail","filename":"自治医科大学紀要1881-252X(30)p73-79.pdf","filesize":[{"value":"2.4 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要1881-252X(30)p73-79","url":"https://jichi-ir.repo.nii.ac.jp/record/673/files/自治医科大学紀要1881-252X(30)p73-79.pdf"},"version_id":"43f479f5-f4c0-4d74-82ae-99ae102295f7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"色素脱失","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"色素再生","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"紫外線治療","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"審美批評","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"depigmentation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"re-pigmentation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"phototherapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"aesthetic criticism","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"尋常性白斑に対する紫外線治療－ナローバンドUVB 照射治療の効果と審美的批評－","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"尋常性白斑に対する紫外線治療－ナローバンドUVB 照射治療の効果と審美的批評－","subitem_title_language":"ja"},{"subitem_title":"Narrow band UVB therapy for vitiligo vulgaris at Jichi Medical University Saitama Medical Center －Therapeutic effects and aesthetic criticism－","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["32"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-08-13"},"publish_date":"2019-08-13","publish_status":"0","recid":"673","relation_version_is_last":true,"title":["尋常性白斑に対する紫外線治療－ナローバンドUVB 照射治療の効果と審美的批評－"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:07:42.711762+00:00"}