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Article type: Cover
2014 Volume 63 Issue 7 Pages
Cover13-
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Article type: Index
2014 Volume 63 Issue 7 Pages
Toc6-
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Article type: Appendix
2014 Volume 63 Issue 7 Pages
App18-
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Masayuki Shima
Article type: Article
2014 Volume 63 Issue 7 Pages
891-900
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Tatsuya Mimura
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2014 Volume 63 Issue 7 Pages
901-906
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2014 Volume 63 Issue 7 Pages
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Hiroyuki Mochizuki
Article type: Article
2014 Volume 63 Issue 7 Pages
908-913
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Katsuaki Sato
Article type: Article
2014 Volume 63 Issue 7 Pages
914-919
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Tetsuo Watanabe, Masashi Suzuki
Article type: Article
2014 Volume 63 Issue 7 Pages
920-927
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Background: It has been reported that Japanese cedar pollinosis patients develop symptoms in the autumn. We investigated the atmospheric Japanese cedar pollen dispersion in the autumn at the Oita University Faculty of Medicine Complex. Method: We set up a Durham sampler on the roof (30m from the ground) of the Oita University Faculty of Medicine complex and investigated atmospheric pollen counts every day from October 1 to December 31, from 2003 through 2012. Results: The total pollen counts in the autumn per year ranged from 5.4 to 52.2 (/cm^2). The maximum pollen counts per day ranged from 0.6 to 9.6 (/cm^2). The number of days with pollen dispersion ranged from 14 to 46 days. Although there was no correlation between the total pollen counts in the autumn and the those of the next spring, there was a significant correlation between the total pollen counts in the autumn and the meteorological conditions in July. In a multivariate logistic regression analysis, the month, temperature, low humidity and wind speed were independently associated with the day of pollen dispersion. Conclusion: A small amount of Japanese cedar pollen was detected during the period from October to December at our institute. It was thought that some of the male flowers formed during the summer bloomed and scattered pollen in the autumn. As the pollen counts in the autumn were low, we need careful studies to determine whether patients with Japanese cedar pollinosis show symptoms in the autumn.
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Kaoruko Shimizu, Satoshi Konno, Hirokazu Kimura, Takahiro Ogi, Natsuko ...
Article type: Article
2014 Volume 63 Issue 7 Pages
928-937
Published: August 01, 2014
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Purpose: To investigate changes in the prevalence of adult asthma and allergic rhinitis from 2006 to 2011 in Kamishihoro, a town in Hokkaido, Japan. Methods: The Japanese edition of the European Community Respiratory Health Survey questionnaire was completed by 1472 residents aged from 20 to 81 years old. (718 men, 749 women). The age and gender distribution of respondents matched that of respondents in 2006. Results: Response rates were 98.1% in 2011 and 95.8% in 2006. Wheezing in the last 12 months was reported by 10.7% of men and 8.3% of women in 2011, compared to 12.9% and 9.8%, respectively, in 2006. The questions "Have you ever had asthma?" followed by "Was this confirmed by a doctor?" both received positive answers from 7.9% of men and 7.5% of women in 2011, compared to 5.7% and 6.3%, respectively, in 2006. The rate of current smoking was 34.8% in men and 14.7% in women in 2011, compared to 42.8% and 17.2%, respectively, in 2006. A "Yes" answer to the questionnaire item, "Do you have any nasal allergies, including hay fever?" (defining allergic rhinitis) was given by 23.2% of men and 25.4% of women in 2011, compared to 17.6% and 23.0%, respectively, in 2006. The prevalence of allergic rhinitis was increased, particularly among younger respondents. Conclusion: Rates of current asthma and allergic rhinitis increased, whereas the rate of wheezing in the past 12 months decreased from 2006 to 2011. Optimal treatment of asthma might be related to these trends.
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Koji Nishimoto, Seiichiro Suzuki, Tomohiro Uto, Shinya Sagisaka, Jun S ...
Article type: Article
2014 Volume 63 Issue 7 Pages
938-944
Published: August 01, 2014
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A 76-year-old male was admitted to our hospital because of fever and erythema on the face and extremity. Skin biopsy of the erythematous lesions showed dense neutrophilic infiltrations and diagnosis of Sweet's syndrome was made. Chest computed tomography on admission revealed ground glass opacities in the right upper and lower lung fields. Bronchoalveolar lavage (BAL) showed increased lymphocytes and neutrophils. A search for bacteria, mycobacteia and fungi in BAL fluid was negative. Trans-bronchial lung biopsy revealed intraluminal organization and fibrinous exudates. Neutrophilic infiltrations were scant. These pathological findings were compatible with organizing pneumonia. Bone marrow aspiration was performed because of slight anemia and thrombocytopenia, and a diagnosis of myelodysplastic syndrome was made. Oral prednisone (PSL) of 30mg/day induced rapid resolution of radiologic and cutaneous lesions and was tapered to 10mg/day, then radiologic lesions worsened. Steroid pulse therapy followed by PSL 45mg and immunosuppressive agent resulted in a resolution of his conditions. This case was rare in that organizing pneumonia was associated with Sweet's syndrome.
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Yuta Koizumi, Hidenori Arai, Hiroyuki Nagase, Seiya Kano, Naoko Tachiz ...
Article type: Article
2014 Volume 63 Issue 7 Pages
945-950
Published: August 01, 2014
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We recently experienced a 29-year-old female with anaphylaxis caused by linseed included in homemade bread. This is the first report of linseed-induced allergy in Japan. She obtained the linseed-containing ingredients of bread by mail order. We performed skin-prick tests and basophil degranulation tests using extracts of the ingredients and commercially available linseeds; both tests showed positive results for linseed. The patient's serum was also positive for linseed-specific IgE. Since linseeds are included in various kinds of foods and exposure to them is increasing, linseeds may need to be recognized as a potential trigger of immediate-type allergy in Japan.
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Tomoe Inoue, Atsushi Kamijo, Masami Nakajima, Han Matsuda, Hitoshi Ino ...
Article type: Article
2014 Volume 63 Issue 7 Pages
951-957
Published: August 01, 2014
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We report herein two cases of allergic fungal rhinosinusitis accompanied by bone destruction of the adjacent nasal sinuses. The first case involved a 21-year-old man who presented with left exophthalmos. Computed tomography (CT) showed soft tissue lesions in the left paranasal sinuses and destruction of the left lamina papyraceae, as well as infiltration of the lesion into the orbit. In the second case, a 39-year-old man, CT showed bone destruction of the skull base and medial wall of the left orbit. In both cases, total serum immunoglobulin (Ig)E level was > 1000IU/mL and fungus-specific IgEs were increased. Fungal hyphae were identified within the mucus on histopathological examination in both cases; however, no fungal invasion of the mucosa was apparent. Final diagnosis was allergic fungal rhinosinusitis (AFRS) in both cases. AFRS is a relatively new disease concept that was proposed in the early 1980s, with disease characteristics very similar to eosinophilic rhinosinusitis. Occasionally, AFRS must be differentiated from malignant disease or invasive fungal rhinosinusitis, so an understanding of the clinical features is important.
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[in Japanese], [in Japanese]
Article type: Article
2014 Volume 63 Issue 7 Pages
958-960
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[in Japanese]
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2014 Volume 63 Issue 7 Pages
961-962
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[in Japanese]
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2014 Volume 63 Issue 7 Pages
963-
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[in Japanese]
Article type: Article
2014 Volume 63 Issue 7 Pages
964-965
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Article type: Appendix
2014 Volume 63 Issue 7 Pages
966-969
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2014 Volume 63 Issue 7 Pages
970-1008
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2014 Volume 63 Issue 7 Pages
1009-1024
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Article type: Appendix
2014 Volume 63 Issue 7 Pages
1026-1034
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Article type: Appendix
2014 Volume 63 Issue 7 Pages
1035-1036
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2014 Volume 63 Issue 7 Pages
1038-1041
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2014 Volume 63 Issue 7 Pages
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Article type: Appendix
2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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2014 Volume 63 Issue 7 Pages
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Article type: Cover
2014 Volume 63 Issue 7 Pages
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