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Kanazawa-shi, Japan

Tasaka S.,Keio University | Tokuda H.,Social Health Insurance Central General Hospital | Sakai F.,Saitama University | Fujii T.,Tokyo Medical University | And 9 more authors.
Internal Medicine | Year: 2010

Background: The clinical features of pneumocystis pneumonia (PCP) differ according to the predisposing factors responsible for immunosuppression. Although PCP in patients with acquired immunodeficiency syndrome (AIDS) has been extensively described, its characteristics in non-AIDS patients, such as those with malignancies, are not thoroughly documented. Study objective: To characterize and compare the clinical and imaging features of PCP in patients with malignancies with those in AIDS patients. Design: A multi-center retrospective study. Patients and Measurements: We evaluated the clinical and radiological features of PCP in 21 patients with malignancies and in 17 with AIDS. Clinical presentation, serum markers, oxygenation, CT findings, and outcome were examined. Results: The patients with malignancies showed shorter durations of symptoms before PCP was diagnosed. The levels of serum markers and the oxygenation index did not differ. CT showed diffuse or widespread ground-glass opacity (GGO) in all of the patients evaluated. None of the AIDS patients demonstrated consolidation, whereas half of the patients with malignancy showed consolidation along with GGO. The extent of GGO scored on CT images was significantly greater in the AIDS patients. No correlation was observed between the CT findings and other clinical parameters. All of the AIDS patients recovered from PCP, whereas six patients with malignancies died within a month after the onset of PCP. Conclusion: The characteristics of the CT images differed between the patient groups with different underlying disorders, although it remains to be determined whether CT findings are associated with other clinical features or are predictive of the outcome of PCP. © 2010 The Japanese Society of Internal Medicine. Source

Takato H.,Cellular Transplantation Biology | Yasui M.,Kanazawa Municipal Hospital | Waseda Y.,Cellular Transplantation Biology | Wada T.,Kanazawa University | Fujimura M.,Cellular Transplantation Biology
Allergology International | Year: 2011

Background: Microscopic polyangiitis is a vasculitic disease that may result in a pulmonary renal syndrome. Anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis is strongly associated with infection. Case Summary: We describe a case of microscopic polyangiitis that developed in a patient with MPO-ANCA positive pulmonary fibrosis following infection with mycoplasma. A renal biopsy was undertaken following the detection of microscopic hematuria during follow-up but no abnormal findings were evident. The MPO-ANCA titer increased following infection with mycoplasma pneumonia and a second renal biopsy demonstrated crescentic glomerulonephritis. The degree of pulmonary fibrosis was unaffected. Discussion: The present case suggests that the mycoplasma infection triggered the elevation of MPO-ANCA titer and provoked glomerulonephritis in a patient with MPO-ANCA positive IPF. This case indicates the importance of testing for MPO-ANCA at the time of initial diagnosis, performing urinalysis and examining the urine sediment during follow-up and being alert to the potential onset of vasculitis in cases of pulmonary fibrosis. © 2011 Japanese Society of Allergology. Source

Komatsu J.,Kanazawa University | Sakai K.,Kanazawa University | Hamaguchi T.,Kanazawa University | Sugiyama Y.,Kanazawa Municipal Hospital | And 2 more authors.
Prion | Year: 2014

We report a Japanese patient with Creutzfeldt-Jakob disease (CJD) with a V203I homozygous mutation of the prion protein gene (PRNP). A 73-year-old woman developed rapidly progressive gait disturbance and cognitive dysfunction. Four months after the onset, she entered a state of an akinetic mutism. Gene analysis revealed a homozygous V203I mutation in the PRNP. Familial CJD with a V203I mutation is rare, and all previously reported cases had a heterozygous mutation showing manifestations similar to those of typical sporadic CJD. Although genetic prion diseases with homozygous PRNP mutations often present with an earlier onset and more rapid clinical course than those with heterozygous mutations, no difference was found in clinical phenotype between our homozygous case and reported heterozygous cases. © 2014 Taylor & Francis Group, LLC. Source

Kumahata K.,Japan Advanced Institute of Science and Technology | Mori F.,Japan Advanced Institute of Science and Technology | Ishikawa S.,Kanazawa Municipal Hospital | Matsuzawa T.,Japan Advanced Institute of Science and Technology
Journal of Biomechanical Science and Engineering | Year: 2010

The nasal cavity performs several important functions for the inhaled air, such as temperature and humidity adjustments. Although it is necessary to obtain velocity, temperature, and humidity distributions during inhalation in order to understand the nasal cavity's functions, it is difficult to measure them noninvasively in the nasal cavity. Therefore, we have continued to study nasal flow simulation with heat and humidity transport. In such a simulation, the governing equations include a continuum equation and the equations describing momentum, energy, and water transport. The temperature and humidity of the inhaled air are adjusted by heat and water exchange on the nasal cavity wall's surface. Therefore, in the simulation, these roles of the wall in the energy and water transport equations were included as the boundary conditions. Although in related studies of nasal flow simulation with heat and humidity transport, the nasal cavity wall's surface temperature and humidity were constant, here they were treated as degrees of using Newton's cooling law. A flow including temperature and humidity in a realistic human nasal cavity shape was simulated. The simulation results agreed well with the measurements reported by Keck at al. Therefore, this study concludes that our model can simulate the heat and humidity exchange occurring in the nasal cavity. In addition, it was found that the temperature and humidity adjustment functions worked effectively in the front and narrow regions of the nasal cavity. © 2010 by JSME. Source

Nakase J.,Kanazawa University | Aiba T.,Kanazawa Municipal Hospital | Goshima K.,Toyama Municipal Hospital | Takahashi R.,Kanazawa nishi Hospital | And 4 more authors.
Knee Surgery, Sports Traumatology, Arthroscopy | Year: 2014

Purpose: The aim of this study was to compare ultrasonography stages of the tibial tuberosity development and physical features. Methods: This study examined 200 knees in 100 male football players aged 10-15 years. Tibial tuberosity development on ultrasonography was divided into 3 stages: Sonolucent stage (stage S), Individual stage (stage I), and Connective stage (stage C). Age, height, quadriceps and hamstring muscle tightness, and muscle strength in knee extension and flexion were determined. These findings were compared with the respective stages of development. Results: The tibial tuberosity was stage S in 27 knees, stage I in 69 knees, and stage C in 104 knees, with right and left sides at the same stage in 95 %. Average age and height significantly increased with advancing tibial tuberosity development. Quadriceps tightness increased with tibial tuberosity development. Hamstring tightness decreased with development. The strength of both knee extension and flexion increased with advancing development, with a greater change seen in knee extension, hamstring/quadriceps ratio: stage C, 0.74; stage A, 0.64; stage E, 0.53. Conclusions: Osgood-Schlatter pathogenesis reportedly involves increased quadriceps tightness with rapidly increasing femoral length during tibial tuberosity development. In this study, it was confirmed that quadriceps tightness increased, yet hamstring tightness decreased, suggesting that quadriceps tightness is not due to femoral length alone. Other factors, including muscle strength, may be involved. The study shows that thigh muscle tightness and thigh muscle performance change with the skeletal maturation of the distal attachment of the patellar tendon. These results add new information to the pathogenesis of Osgood-Schlatter disease. Level of evidence: Cross-sectional study, Level III. © 2012 Springer-Verlag Berlin Heidelberg. Source

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