杏林大学呼吸器内科　『あんずの呼吸 part2』

当教室への連絡をいつでもお待ちしております．
23c2230＠mail.goo.ne.jp
入局，大歓迎です！

Calcium oxalate crystal deposition in a patient with Aspergilloma due to Aspergillus niger.

2013年09月10日 | 医局のソファー
Calcium oxalate crystal deposition in a patient with Aspergilloma due to Aspergillus niger.

Oda M, Saraya T, Wakayama M, Shibuya K, Ogawa Y, Inui T, Yokoyama E, Inoue M, Shimoyamada H, Fujiwara M, Ota T, Takizawa H, Goto H.

J Thorac Dis. 2013 Aug;5(4):E174-8.
PMID: 23991333

臨床推論８番勝負

2013年09月07日 | 医局のソファー

合宿型カンファレンス「臨床推論８番勝負」のご案内

昨年６月と１０月にそれぞれ阪南市と水戸市で行われた、あの「尋常じゃないカンファレンス」が、

「臨床推論８番勝負」としてリターン！します。

http://www.pref.ibaraki.jp/bukyoku/hoken/isei/ishikakuho/wakateishi/seminar.html

医学生、研修医、医師のみなさんはどなたでも参加大歓迎です。

今回はとっておきの臨床推論ケースを揃えてのカンファレンスでお待ちしています。

前半戦４症例終了後は、温泉で体調を整えたあと、豪華なメニューの食事を取りながら、後半戦に臨みます。後半戦では、お好みのドリンクを飲みながら学習を深めていきます。

翌日も、さまざまなテーマの講演会やＷＳを取り揃えております。

なお、申し込みは９月１０日までとなっており、お早めの申し込みをお勧めいたします。


Bronchial Schwannoma Masquerading as Cause of Hemoptysis in a Patient with Pulmonary Embolism

2013年07月12日 | 医局のソファー

Bronchial Schwannoma Masquerading as Cause of Hemoptysis in a Patient with Pulmonary Embolism

General Medicine
Vol. 14 (2013) No. 1 p. 67-71

Tomoko Nagatomo1), Takeshi Saraya1), Masuo Nakamura1), Yasutaka Tanaka1), Akira Nakajima1), Atsuko Yamada1), Yukari Ogawa1), Naoki Tsujimoto1), Erei Sohara1), Toshiya Inui1), Mitsuru Sada1), Manabu Ishida1), Miku Oda1), Ichiro Hirukawa1), Masachika Fujiwara3), Teruaki Oka4), Hidefumi Takei2), Tomoyuki Goya2), Hajime Takizawa1), Hajime Goto1)

1) Department of Respiratory Medicine, Kyorin University School of Medicine 2) Department of Surgery, Kyorin University School of Medicine 3) Department of Pathology, Kyorin University School of Medicine 4) Kanto Central Hospital of the Mutual Aid Association of Public School Teachers, Japan, Division of Pathology and Central Clinical Laboratory

Evidence for hypohydrosis as clinical clue to diagnosis of Horner's syndrome

2013年05月27日 | 医局のソファー


Evidence for hypohydrosis as clinical clue to diagnosis of Horner's syndrome

BMJ Case Reports 2013; doi:10.1136/bcr-2013-009732

Manabu Higaki
Daisuke Kurai,
Anri Ito,
Takeshi Saraya

Summary
A 59-year-old man presented with hypohydrosis in his left upper extremity and left hand, and
experienced difficulty in gripping the steering wheel while driving. One year prior to admission,
he had felt pain and/or paresthesias in his left anterior chest, left shoulder area and
left periaxillar area, which corresponded to involvement of dermatomes in T1–T3.
He was diagnosed with Horner's syndrome caused by lung tumour,
which was located at the apical posterior wall along with the second to fourth ribs.
The tumour interrupted sympathetic neurons at the T1–T4 level.
The degree of hypohydrosis was successfully evaluated by the starch–iodine technique,
dermal thermography and a skin surface hygrometer. After radiation therapy,
hypohydrosis and pain or paresthesias improved partially, and he was discharged uneventfully.

Black Pleural Effusion

2013年04月24日 | 医局のソファー
胸水のLightの基準のLight先生との共著です

Black Pleural Effusion

Am J Med 2013 in press

Takeshi Saraya,
Richard W. Light,
Hajime Takizawa,
Hajime Goto,

Background
Black pleural effusions are extremely rare and have been reported in patients with infection, malignancy, and hemorrhage. However, no review articles appear to have focused on this rare clinical presentation.

Purpose
To classify and characterize diseases causing “black pleural effusion” based on the pathophysiological mechanisms involved.

Methods
We searched the medical literature to find reports of “black pleural effusion” using the PubMed database.

Results
We identified 8 cases and classified the underlying diseases into the following 4 entities based on pathophysiological conditions: 1) infection (Aspergillus niger and Rhizopus oryzae); 2) malignant melanoma, in which cells contain melanin pigment; 3) hemorrhage and hemolysis associated with non-small cell lung cancer or rupture of a pancreatic pseudocyst; and 4) other causes (charcoal-containing empyema). Discrimination between biliopleural fistula and pancreatico-pleural fistula, which also mimicking in color, was easily achieved by focusing on pleural amylase levels, elevation of pleural indirect bilirubin, presence of pleural glycoholic acid, and the predominant site of pleural effusion.

Conclusion
Black pleural effusions can be divided into 4 major categories based on the underlying pathophysiological conditions


Prognostic Factors in 194 Patients with Chronic Necrotizing Pulmonary Aspergillosis

2013年04月10日 | 医局のソファー
Prognostic Factors in 194 Patients with Chronic Necrotizing Pulmonary Aspergillosis

杏林から埼玉循環器呼吸器病センターに勉強に行っていた埼玉でのお仕事。中本先生らの報告。

Nakamoto K, Takayanagi N, Kanauchi T, Ishiguro T, Yanagisawa T, Sugita Y.
Source
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Japan.


Evidence for reactivation of HHV6 in generalized lymphadenopathy in a patient with DIHS

2013年03月30日 | 医局のソファー
Evidence for reactivation of human herpes virus 6 in generalized lymphadenopathy in a patient with drug-induced hypersensitivity syndrome.

J Clin Microbiol. 2013 Mar 27. [Epub ahead of print]

Saraya T, Mikoshiba M, Kamiyama H, Yoshizumi M, Tsuchida S, Tsukagoshi H, Ishioka T, Terada M, Tanabe E, Tomioka C, Ishii H, Kimura H, Kozawa K, Shiohara T, Takizawa H, Goto H.


Department of Respiratory Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Abstract

The present case provides direct evidence of human herpes virus 6 reactivation in resected lymph node tissue in a patient with drug-induced hypersensitivity syndrome. This case clearly demonstrates that appropriate pathological evaluation of lymphadenopathy for drug-induced hypersensitivity syndrome, which mimics malignant lymphoma in clinical, radiological, and pathological findings, is required.

PMID: 23536404

Step up式　感染症診療のコツ

2013年03月02日 | 医局のソファー
感染症診療のコツ

本郷先生の書籍が出ました！
一家に一冊！


BEAM（Bunkodo Essential & Advanced Mook）
Step Up式
感染症診療のコツ
初期研修から後期研修まで
編集
本郷偉元（武蔵野赤十字病院感染症科副部長）
BEAM(Bunkodo Essential & Advanced Mook)編集委員会
B5判・316頁・2色刷
2013年2月28日発行
定価 5,460円（本体 5,200円）
ISBN978-4-8306-8148-6