The Japanese Journal of Dermatology
Online ISSN : 1346-8146
Print ISSN : 0021-499X
ISSN-L : 0021-499X
Volume 125 , Issue 7
Showing 1-7 articles out of 7 articles from the selected issue
Seminar for Medical Education
Original Articles
  • Tsuyoshi Awazawa, Kentaro Hayashi, Yoshiyuki Kariya, Shigetaka Matori, ...
    2015 Volume 125 Issue 7 Pages 1409-1417
    Published: June 20, 2015
    Released: June 24, 2015
    Nerve block is a favored local anesthetic technique, particularly in cases for which general, epidural, or spinal anesthesia cannot be employed. It is also useful for perioperative pain management. Recently, we sometimes encounter situations in which it is difficult to locate an anesthesiologist even in key hospitals, so it is also an advantage that unassisted dermatologists can safely carry out nerve blocks, especially in emergency cases. We have achieved favorable outcomes using nerve block techniques for skin surgery in our department. In this report, we review 34 surgical cases operated under nerve block anesthesia on the lower extremities from April 2012 to March 2013.
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  • Yuki Inaba, Masanari Kodera, Nanae Horisawa, Yoshihito Tanaka, Yu Inas ...
    2015 Volume 125 Issue 7 Pages 1419-1423
    Published: June 20, 2015
    Released: June 24, 2015
    In this study, we examined the clinical characteristics of 12 systemic sclerosis (SSc) patients (5 males and 7 females) with anti-RNA polymerase antibodies (anti-RNAP) among the 200 SSc patients who presented to our hospital from 1992 to 2013. The mean mRSS (modified Rodnan total skin thickness score) was 14.2. 6 patients (50%) met the SRC (Scleroderma renal crisis) criteria, and 5 patients (41%) had a history of cancer. The duration of scleroderma at the time of the cancer diagnosis was from -0.5 years to +8 years. It has been reported that anti-RNAP positive SSc patients have a greater risk for SRC, and recently reported that they increase the risk for cancer in a Caucasian population. Our study confirmed that Japanese patients with anti-RNAP antibodies were associated with a significantly increased risk of cancer.
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  • Shoko Tajima, Korefumi Nakamura, Toshihiro Takai, Yozo Murata, Kimiko ...
    2015 Volume 125 Issue 7 Pages 1425-1430
    Published: June 20, 2015
    Released: June 24, 2015
    We present the case of a patient diagnosed with adult T-cell leukemia/lymphoma (ATLL) with multiple molluscum contagiosum. Her cutaneous symptoms rapidly disappeared after she developed a non-tuberculous mycobacterial infection. Patients with ATLL are immunodeficient due to lowering of both cellular and innate immunity. In this case, we believe that the immunodeficiency supported multiple molluscum contagiosum. When the mycobacterial infection occurred, the Th1/2 balance switched to Th1 and cellular immunity was activated, along with the innate immunity. The patient's immunity thus improved and the refractory molluscum contagiosum disappeared.
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