{"created":"2023-05-15T16:36:53.945968+00:00","id":10102,"links":{},"metadata":{"_buckets":{"deposit":"1b596e8f-1688-4b7a-9c8c-5915326fb061"},"_deposit":{"created_by":2,"id":"10102","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"10102"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00010102","sets":["29:30:1713167819629:769"]},"author_link":["40634","40630","40632","40636","40631","40637","40638","40635","40633"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"32","bibliographicPageStart":"29","bibliographicVolumeNumber":"57","bibliographic_titles":[{"bibliographic_title":"Acta Medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"We report the case of a 58-year-old male presenting with an impairment of the left-sided visual acuity caused by compressive\noptic neuropathy, and marked bilateral proptosis. Blood test showed markedly elevated IgG4 (1830 mg/dl) and positive\nTSH receptor-stimulating antibodies (200%), but the thyroid function test were normal. Orbital MRI revealed abnormal soft tissue\nproliferation around the optic nerve and fusiform enlargement of the extraocular muscles. Systemic CT analysis detected\nmultiple lymph node swelling, pseudotumor in the lung, retroperitoneal fibrosis, and kidney lesions. We considered that the eye\nmanifestation was most likely caused by IgG4-related idiopathic orbital inflammation. Systemic administration of a moderate\ndose of prednisolone dramatically improved the compression of the optic nerve, as shown by the improvement of the visual\nacuity and the MRI findings. The clinical course made thyroid-associated ophthalmopathy unlikely. In conclusion, an overall\nconsideration of the clinical picture and extensive work-up of any possible differential diagnosis including measurement of the\nserum levels of IgG4 was highly useful in making the diagnosis of the patient.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta Medica Nagasakiensia, 57(1), pp.29-32; 2012","subitem_description_type":"Other"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagasaki University School of Medicine"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508430","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_text_63":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_value":"長崎大学医学部"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Haraguchi, Ai"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ando, Takao"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ueki, Ikuko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Horie, Ichiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Imaizumi, Misa"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Usa, Toshiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamasaki, Satoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Origuchi, Tomoki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawakami, Atsushi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-22"}],"displaytype":"detail","filename":"ActMed57_29.pdf","filesize":[{"value":"126.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ActMed57_29.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/10102/files/ActMed57_29.pdf"},"version_id":"18f74798-f1b7-4350-ba44-c92a68007132"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"compressive optic neuropathy","subitem_subject_scheme":"Other"},{"subitem_subject":"proptosis","subitem_subject_scheme":"Other"},{"subitem_subject":"IgG4","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"A case of compressive optic neuropathy putatively caused by IgG4-related idiopathic orbital inflammation.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A case of compressive optic neuropathy putatively caused by IgG4-related idiopathic orbital inflammation."}]},"item_type_id":"3","owner":"2","path":["769"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-05-16"},"publish_date":"2012-05-16","publish_status":"0","recid":"10102","relation_version_is_last":true,"title":["A case of compressive optic neuropathy putatively caused by IgG4-related idiopathic orbital inflammation."],"weko_creator_id":"2","weko_shared_id":2},"updated":"2024-04-16T05:30:42.068202+00:00"}