Juntendo Medical Journal
Online ISSN : 2759-7504
Print ISSN : 2187-9737
ISSN-L : 2187-9737

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Diagnosis and Management of Heat-related Illness: Clinical and Molecular Perspectives
JULIE HELMSKENTA KONDOKUNISHIKO NAGAKARITOSHIAKI IBA
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ジャーナル オープンアクセス 早期公開

論文ID: JMJ25-0024-R

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 Heat-related illness (HRI) represents a growing public health challenge in the context of global warming. Ranging from mild symptoms such as heat cramps to life-threatening heatstroke, HRI requires prompt recognition and appropriate management to reduce morbidity and mortality. The diagnosis of HRI is primarily based on clinical symptoms but is supported by laboratory evaluation, especially in severe cases. Heatstroke, the most critical form, is defined by core body temperature ≥ 40°C and central nervous system dysfunction. In addition to conventional laboratory markers, recent advances in molecular biology have identified several biomarkers, such as heat shock proteins, HMGB1 (High Mobility Group Box 1), and mitochondrial DNA, which may improve early and accurate detection and prognostication. This review summarizes the diagnostic approach to HRI, highlighting key clinical findings, laboratory assessments, and emerging molecular markers.

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© 2025 The Juntendo Medical Society. This is an open access article distributed under the terms of Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original source is properly credited.

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