jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
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Volume 56, Issue 6
Displaying 1-5 of 5 articles from this issue
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Original Article
  • Angina Bullosa Haemorrhagica (ABH) and Oral Allergy Syndrome (OAS)
    Asako KISHIMOTO, Motoko INO, Naoki TADA, Toyohiko MINAMI, Chiyonori IN ...
    2010 Volume 56 Issue 6 Pages 237-242
    Published: 2010
    Released on J-STAGE: November 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.237
    JOURNAL FREE ACCESS
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    This report presents 2 cases of angina bullosa haemorrhagica (ABH) that were suspected to be induced by oral allergy syndrome (OAS). ABH is characterized by idiopathic oral blood blisters that usually occur during or just after eating. No previous reports have yet identified a clear relationship with allergies, although the physical stimulation of eating hard food has been considered to be one of the causes. OAS is a type of contact allergy caused by food and usually appears during or just after eating. Many patients also complain of itching and other stimulating symptoms. One of the cases of ABH occurred on the buccal mucosa after eating melon, and the other occurred on the soft palate after eating apple. Both patients felt itching in the mouth, and the ABH appeared while the former case was sucking and the latter was stroking the palate with the tongue. Both patients have pollinosis of Japanese cedar and showed positive antibodies against white birch. These findings suggest that OAS could be one of the causes of ABH, and an allergy test, including the antibody to white birch, would thus be helpful in making a diagnosis.
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  • Primary thyroid lymphoma : A report of three cases
    Masahiko TAURA, Kenichi KAMIZONO, Masayoshi EJIMA, Takashi HARA, Ryuji ...
    2010 Volume 56 Issue 6 Pages 243-248
    Published: 2010
    Released on J-STAGE: November 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.243
    JOURNAL FREE ACCESS
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    Primary thyroid lymphoma is a rare disease, representing approximately 2-3% of all thyroid malignancies, and 1-2.5% of all lymphomas. It is frequently associated with Hashimoto's thyroiditis, and is usually the non-Hodgkin type. The main symptom is rapidly growing goiter. This report presents three cases. The first case was an 86-year-old female who developed air-way obstruction and underwent an urgent tracheotomy. A part of thyroid tissue was taken for pathological examination. She was diagnosed to have thyroid lymphoma. Another case was a 55-year-old male who had a large thyroid tumor that strongly oppressed the trachea. A thyroid biopsy revealed lymphoma. The third case was 75-year-old male, that presented with dyspnea, underwent emergency surgery and was diagnosed with thyroid lymphoma. All three cases were successfully treated with chemotherapy. When a rapidly growing mass developed in thyroid, it is of particular importance to speculate lymphoma for proper diagnosis and treatment.
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  • A case of laryngeal submucosal hematoma due to excessive anticoagulant effects
    Hideyuki KIYOHARA, Motohiro SAWATSUBASHI, Kazutaka TAKAIWA, Shizuo KOM ...
    2010 Volume 56 Issue 6 Pages 249-253
    Published: 2010
    Released on J-STAGE: November 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.249
    JOURNAL FREE ACCESS
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    Warfarin potassium is an oral anticoagulant that can reduce the risk of thromboembolic events, however, it increases the risk of hemorrhage. We experienced a case which showed significant airway narrowing of a hematoma of the laryngeal submucosa due to the effect of excessive Warfain potassium. The case was an 80-year-old male. He had taken warfarin potassium to prevent the development of an embolism due to paroxysmal atrial fibrillation. He came to our hospital complaining of bloody sputum in March 2009. Because we observed significant swelling of his bilateral arytenoids due to a submucous hematoma, we performed an emergency tracheostomy. By administering a warfarin potassium cancelling agent and vitamin K, the laryngeal swelling thereafter gradually improved, and the tracheostoma could be closed.
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  • Efficacy of single-dose Levofloxacin for prophylaxis during clean head and neck surgery
    Nayuta TSUSHIMA, Akihiro HOMMA, Satoshi FUKUDA
    2010 Volume 56 Issue 6 Pages 254-258
    Published: 2010
    Released on J-STAGE: November 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.254
    JOURNAL FREE ACCESS
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    [Background] For a short operation, it has been proposed that a single administration of antibiotics is sufficient to prevent postoperative infection. However, in many cases, antibiotics are used for a few days or longer after operations in Japan.  [Purpose] LVFX is a broad-spectrum fluoroquinolone drug. It is active against both gram-positive and gram-negative bacteria. It is well known that the efficacy of quinolone drugs depend on their concentration. We used a single dose of 500 mg LVFX for antimicrobial prophylaxis.  [Patients and methods] The patients included in this study were those who underwent clean head and neck surgery at Hokkaido University Hospital between January 2008 and December 2009. They took LVFX 2 hours before their operation.  [Results] A total of 36 patients were included in the study. None of them developed a postoperative infection. There were no side effect that were obviously related to the LVFX.  [Conclusion] We confirmed that single-dose LVFX is effective for prophylaxis during clean head and neck surgery. Therefore, Japanese institutions should consider changing their use of antimicrobial prophylaxis agents.
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Clinical Notes
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