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Oe, Kotaro ; Araki, Tsutomu ; Nakashima, Akikatsu ; Sato, Katsuaki ; Konno, Tetsuo ; Yamagishi, Masakazu
概要:
A 73-year-old man was admitted to our hospital because of bilateral foot pain. He was treated with thrombolysis for cere
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bral infarction about 5 months ago. Anticoagulants had not been used because of hemorrhagic infarction. The pulses of bilateral pedal arteries were palpable, but cyanosis was present in the bilateral toes. Laboratory data indicated azotemia and eosinophilia. Magnetic resonance imaging revealed multiple plaques of the thoracic and abdominal aorta, one of which was ulcerated. Skin biopsy proved the diagnosis of cholesterol crystal embolism (CCE). Because no invasive vascular procedure was performed, we assumed that CCE in this patient was related to thrombolysis. We should be cautious for late onset of CCE after thrombolysis. © 2010 The Japanese Society of Internal Medicine.
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Oe, Kotaro ; Araki, Tsutomu ; Konno, Tetsuo ; Ino, Hidekazu ; Yamagishi, Masakazu
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Mori, Kiyoo ; Yamada, Kazunori ; Konno, Tetsuo ; Inoue, Dai ; Uno, Yoshihide ; Watanabe, Michio ; Okuda, Miho ; Oe, Kotaro ; Kawano, Mitsuhiro ; Yamagishi, Masakazu
概要:
We herein report the case of a 65-year-old man with pericardial involvement associated with autoimmune pancreatitis. Che
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st CT imaging showed pericardial thickening. The patient responded to corticosteroid therapy, and the pericardial thickening resolved. Multiple organs are involved in immunoglobulin G4 (IgG4)- related disease (IgG4-RD); however, only a few cases of IgG4-related chronic constrictive pericarditis have been reported. To our knowledge, this is the first reported case of IgG4-RD with pericardial involvement at an early stage. This case indicates that recognizing pericardial complications in autoimmune pancreatitis is important and that CT imaging may be useful for obtaining the diagnosis and providing follow-up of pericardial lesions in cases of IgG4-RD. © 2015 The Japanese Society of Internal Medicine.
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Oe, Kotaro ; Araki, Tsutomu ; Hayashi, Kenshi ; Yamagishi, Masakazu
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Oe, Kotaro ; Mori, Kiyoo ; Konno, Tetsuo ; Yoneda, Takashi ; Ueyama, Katsushi ; Yamagishi, Masakazu ; 今野, 哲雄 ; 米田, 隆 ; 山岸, 正和
概要:
A 62-year-old woman was admitted to hospital because of nausea. A grade 5/6 continuous murmur was audible near the left
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sternal border at the second intercostal space. Chest X-ray showed cardiomegaly and bilateral pleural effusion. She was diagnosed as heart failure and a diuretic was prescribed. After remission of the heart failure, echocardiography showed shunt flow from the right coronary cusp to the right ventricle. Aortography revealed that an aneurysm of the right coronary sinus of Valsalva had ruptured into the right ventricle. Coronary angiography revealed a single coronary artery. Chest computed tomography revealed persistent left superior vena cava. Surgical repair was carried out and the patient made an uneventful recovery. In addition to these cardiovascular abnormalities, she had Wildervanck syndrome (Klippel-Feil syndrome, Duane syndrome and sensorineural hearing disturbance), blepharoptosis and short stature. This rare combination has not been reported previously. (Circ J 2007; 71: 1485 - 1487)<br />出版者照会後に全文公開
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Oe, Kotaro ; Mori, Kiyoo ; Otsuji, Michio ; Konno, Tetsuo ; Fujino, Noboru ; Yamagishi, Masakazu
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金沢大学医薬保健研究域医学系<br />This is the first report of a case of Takotsubo cardiomyopathy with a hyperglycemic hyperosmolar sta
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te (HHS). This case presented with marked ST-segment elevation and electrical alternans, uncommon findings in Takotsubo cardiomyopathy. We believe that hyperosmolarity-induced myocardial dehydration and consequent increase in intracellular calcium concentration may be the mechanism of Takotsubo cardiomyopathy and electrical alternans in HHS
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