-
Article type: Cover
2013 Volume 62 Issue 5 Pages
Cover11-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Index
2013 Volume 62 Issue 5 Pages
Toc5-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
App17-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Akio Niimi
Article type: Article
2013 Volume 62 Issue 5 Pages
515-522
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Shigeharu Fujieda, Yumi Ito, Masafumi Sakashita, Yoshimasa Imoto
Article type: Article
2013 Volume 62 Issue 5 Pages
523-531
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Tomomitsu Hirota, Mayumi Tamari
Article type: Article
2013 Volume 62 Issue 5 Pages
532-538
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
539-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Motohiro Ebisawa
Article type: Article
2013 Volume 62 Issue 5 Pages
540-547
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Hirohisa Takano
Article type: Article
2013 Volume 62 Issue 5 Pages
548-554
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Atsuhito Nakao
Article type: Article
2013 Volume 62 Issue 5 Pages
555-559
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Atsushi Kamijo, Yumi Kuroda, Kyousuke Hatsushika, Masami Nakajima, Tak ...
Article type: Article
2013 Volume 62 Issue 5 Pages
560-565
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
Introduction: Up to 30% of the Japanese population suffers from Japanese cedar pollinosis, and some of these patients also have severe perennial allergies or other pollen allergies. Posterior nasal neurectomy has recently been reported as effective treatment for severe perennial allergic and intrinsic rhinitis. However, the efficacy of this surgery for seasonal allergic rhinitis has not been shown. In this study, the effectiveness of posterior nasal neurectomy combined with inferior turbinate surgery for patients with Japanese cedar pollinosis with concomitant intractable perennial allergies was evaluated with a questionnaire. Subjects and Methods: Nine patients with Japanese cedar pollinosis, who also had perennial allergies, and undergone posterior nasal neurectomy combined with inferior turbinate surgery from April in 2005 to July in 2008, were enrolled. A numeric rating scale (NMR) was used to evaluate clinical symptoms in the pre- and post-surgery periods. The frequency of medication (oral administration and nasal spray) during the cedar pollinosis season was also evaluated. Results: The NMR scores for all nasal and eye symptoms during cedar pollinosis season were significantly reduced after the surgery. The frequency of medication during the season was dramatically decreased after surgery. Conclusion: The present study demonstrates that posterior nasal neurectomy combined with inferior turbinate surgery is a highly effective treatment for Japanese cedar pollinosis. Since the Japanese cedar pollinosis season is limited to 2 to 3 months, such surgery is indicated for patients who suffer from severe perennial allergies and are also sensitized to some allergens such as Japanese cedar and ragweed pollen.
View full abstract
-
Atsushi Shibasaki, Hajime Kurosawa, Gen Tamura
Article type: Article
2013 Volume 62 Issue 5 Pages
566-573
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
Background and objective: MostGraph is an apparatus for measuring respiratory resistance and respiratory reactance, using the forced oscillation technique. Because these parameters are measured during tidal breathing of subjects, measuring technique is easy with little burden on subjects. In the present study, we conducted spirometry and MostGraph at the same time and examined the clinical significance of parameters of MostGraph. Methods: Subjects were 52 out-patients who underwent a reversibility test. Spirometry and MostGraph are simultaneously practiced both before and after short acting β_2 agonist (SABA) inhalation. Results: Between each parameter of both methods before SABA inhalation, we confirmed significant correlations between many indexes of both manners. Above all, the strongest correlation was found between Fres and FEV_1. In relationships between the percent changes of each parameter of both techniques by SABA inhalation, we also found a significant correlation between percent change of Fres and that of FEV_1. In addition, there was a hyperbolic relation between change in Fres and that in FEV_1 by SABA inhalation. Conclusion: We confirmed not only that airway narrowing itself significantly correlates with Fres, but also that elastic resistance of respiratory system changes in association with change of airway narrowing. Thus, our findings suggest that the percent change of Fres may provide a diagnostic criterion for a reversibility test in all parameters of MostGraph.
View full abstract
-
Taeru Kitabayashi, Sayuri Sato, Mitsuru Adachi
Article type: Article
2013 Volume 62 Issue 5 Pages
574-578
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
We experienced a 10-year-old boy who had anaphylaxis after eating rose-flavored soft-serve ice cream. The patient felt a sense of discomfort in his throat when eating apple, peach, loquat, Japanese pear, and kiwi fruit. Therefore, we measured specific IgE antibodies to allergen components by ImmunoCAP ISAC. Consequently, the patient gave positive results for all PR-10 proteins from birch, alder, hazel, apple, peach, peanut, hazelnut, and soybean, so we diagnosed him with Pollen Food Allergy Syndrome (PFAS) induced by cross reactivity with pollens of birch family and fruits of rose family. When we conducted the skin prick test as is for red rose syrup because of the belief that anaphylaxis was caused by the rose ingredient contained in rose-flavored soft-serve ice cream, the patient gave a strong positive result. However, the results were negative for rose essence and Food Red No. 2 contained. Subsequently, it was found that red rose syrup contained apple juice. Therefore, we conducted the prick-prick test for apple, and the patient was confirmed to be strongly positive to apple. We thus identified apple as the cause of anaphylaxis. Since there is no legal obligation of labeling specific raw materials when directly selling manufactured and processed food products to general consumers, it is possible for general consumers to mistakenly take them in without knowing the containment of allergic substances. It is believed that the labeling method should be improved in the future.
View full abstract
-
Yu Hara, Soichiro Kanoh, Yuji Fujikura, Shuichi Kawano, Kazuhisa Misaw ...
Article type: Article
2013 Volume 62 Issue 5 Pages
579-584
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
A 62-year-old man was suffering from bronchial asthma and referred to our institution with dry cough and dyspnea on exertion in November, 2010. He was diagnosed with eosinophilic granulomatosis with polyangiitis (EPGA, formerly Churg-Strauss syndrome) by chest radiographic findings, blood eosinophilia, mononeuritis multiplex and cardiomyopathy. Steroid therapy was started and he was rapidly improved. Steroid therapy had been tapered off by May, 2012. After 2 months, however, progressive dyspnea, neural symptoms, deafness, re-elevation of blood eosinophils and bilateral multifocal infiltrations appeared. He was re-admitted to our institution. Transbronchial lung biopsy (TBLB) specimens revealed extra-vascular granuloma, eosinophilic vasculitis and eosinophilic pneumonia and we diagnosed him with the reccurence of EGPA. He was improved by steroid pulse therapy, then tapered. This case was the antineutrophil cytoplasmic autoantibodies negative EGPA. The case of EGPA with granuloma and vasculitis diagnosed by TBLB was rare.
View full abstract
-
[in Japanese]
Article type: Article
2013 Volume 62 Issue 5 Pages
585-586
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
587-589
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
590-593
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
594-599
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
600-601
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
602-603
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
604-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
605-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
605-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
606-612
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
613-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
614-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
615-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
616-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
617-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
618-619
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
619-620
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
620-621
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
621-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
622-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
623-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
624-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
625-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
626-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
627-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
628-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
629-630
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
631-632
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
633-635
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
636-638
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
638-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
638-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
639-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
640-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
640-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2013 Volume 62 Issue 5 Pages
640-
Published: May 30, 2013
Released on J-STAGE: February 10, 2017
JOURNAL
FREE ACCESS