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Volume 109, Issue 9
Displaying 1-5 of 5 articles from this issue
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Miki Shino, Atsuko Furuta, Jun Uchida, Seido Ooki, Harumi Suzaki2006 Volume 109 Issue 9 Pages 689-695
Published: September 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSIn recent years, a new stick-type odor identification test, the odor-stick identification test for Japanese (OSIT-J) has been developed in Japan. Thirteen odors familiar to Japanese people are used in this test. The OSIT-J is an olfactory discrimination test and is significantly correlated with the average recognition threshold of T & T olfactometry, which is the standard olfactory acuity test used in Japan. In this study, we evaluated the accuracy of the OSIT-J in patients with olfactory disturbances. We compared the OSIT-J and T & T olfactometry results and examined the sensitivity and specificity of the OSIT-J. Using the OSIT-J, olfactory disturbances were diagnosed in more than 70% based on the average recognition threshold determined by T & T olfactometry. OSIT-J is a simple test and is recommended for use in clinical practice for evaluating olfactory disturbances.View full abstractDownload PDF (1716K) -
Mika Adachi, Sachiko Matsutani2006 Volume 109 Issue 9 Pages 696-702
Published: September 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSHenoch-Schönlein purpura nephritis (HSPN) is an important complication of Henoch-Schönlein purpura (HSP). Pathological findings in the kidney are similar to those for IgA nephritis, which is characterized by the deposition of IgA immune complex in the glomerular mesangium. Since a tonsillectomy is useful for IgA nephritis, this procedure holds great promise for the treatment HSPN.
In the present study, we assessed the effectiveness of a tonsillectomy in children with HSPN whose conditions could not be controlled by medication, including predonisone and cyclophosphamide. Seven patients (four boys and three girls) with histologically well-defined HSPN who had undergone a tonsillectomy between 1998 and 2000 and who had been followed for more than 6 postoperative months were retrospectively examined. The age of the patients ranged between 3 and 13 years (average, 7.6±3.2 years) at the time of operation. Postoperative changes in urinary data were assessed according in the severity of the pathological findings in the kidney and the patient's clinical condition. The severity of the pathological findings in the kidney was determined based on the classification of the International Study of Kidney Disease (ISKDC) and the Index of Glomeruler Lesion (IGL). All patients examined in the present study had an ISKDC classification of over grade II. One patient had a grade IV classification, 3 had a grade III classification, and 3 had a grade II classification. The patients were placed in one of five clinical groups: 1) nephritic-nephrotic syndrome, 2) acute nephritic syndrome, 3) nephritic syndrome, 4) over 1g/day of proteinuria without hypoalbuminemia or oedema, or 5) below 1g/day of proteinuria with or without hematuria. One patient was classified in group 1, 1 was group classified in 2, 2 were classified in group 3, 2 were classified in group 4 and 1 was classified in group 5. The mean observation period was 74±6.4 months.
The hematuria and proteinuria resolved in all patients, regardless of their preoperative pathological or clinical severity, within 12 postoperative months. During the observation period, no relapse was observed. Moreover, all medication, including steroid use, was stopped within the observation period. Therefore, a tonsillectomy was considered to be effective for the treatment of children with HSPN whose conditions cannot be controlled using medication.View full abstractDownload PDF (504K) -
Naoki Saka, Toru Seo, Keiko Kashiba, Takaya Nishida2006 Volume 109 Issue 9 Pages 703-706
Published: September 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSToxic shock-like syndrome (TSLS) is a form of rapidly progressing septic shock that can lead to multiple organ failure and has a high mortality rate of 30%. We report a rare case of TSLS affecting the head and neck. A 40-year-old man complained of redness and swelling of the neck with vomiting and diarrhea. His blood pressure dropped, and multiple organ failure occurred.
Streptcoccus pyogenes, Group A, was identified in a blood culture, and he was diagnosed as having TSLS. He was treated with high-dose carbapenem, clindamysin, and gamma globulin. Continuous hemodiafiltration (CHDF) and PMX-DHP was applied to prevent sepsis and multiple organ failure. Debridement of the neck was performed on day 16. He recovered gradually and was discharged from hospital on day 45. A total resection is required to treat TSLS, but such a procedure is difficult to perform in the head and neck region. Our case improved without resection but after debridement and general control.
TSLS should be first treated by medication and then by surgery, consisting of either debridement or resection.View full abstractDownload PDF (1179K) -
[in Japanese]2006 Volume 109 Issue 9 Pages 712-715
Published: September 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSDownload PDF (1390K) -
[in Japanese]2006 Volume 109 Issue 9 Pages 716-717
Published: September 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSDownload PDF (197K)
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