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Internal Medicine 12/2005; 44(11):1202-3. · 0.94 Impact Factor
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ABSTRACT: Two brothers and their mother, who had allergic rhinitis caused by Japanese cedar pollen, developed silent thyroiditis in spring. In addition, these three patients had the same HLA haplotype. Another brother, the father, and the paternal grandmother, who did not have allergic rhinitis caused by Japanese cedar pollen, did not show symptoms of silent thyroiditis. The present study indicates that genetic and/or environmental factors are important in the development of this familial type of silent thyroiditis.
Endocrine Journal 11/2005; 52(5):617-21. · 2.03 Impact Factor
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ABSTRACT: A 48-year-old man with autoimmune Addison disease developed the following paraneoplastic neurologic syndromes (PNNS): limbic encephalitis, opsoclonus/myoclonus, and sensorimotor and autonomic neuropathies. An anterior mediastinal mass detected on a chest computed tomographic scan was found on resection to be a noninvasive lymphocytic thymoma. The PNNS went into remission 1 year after the thymectomy. This is the first case of thymoma associated with autoimmune Addison disease and PNNS to be described in the literature.
The American Journal of the Medical Sciences 02/2005; 329(1):48-51. · 1.39 Impact Factor
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Internal Medicine 08/2004; 43(7):628-9. · 0.94 Impact Factor
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ABSTRACT: A 28-year-old woman with thyroid hemiagenesis, who had been diagnosed as having Graves' disease, became pregnant during the course of methimazole treatment. The treatment was terminated in the second trimester. She delivered a normal infant at full term. She became thyrotoxic 3 months after the delivery, hypothyroid 6 months after the delivery, and finally euthyroid 11 months after the delivery without undergoing any treatment. This clinical course indicates that she developed silent thyroiditis after the delivery. A diagnosis of thyroid hemiagenesis was made on the basis of ultrasonography of the thyroid and 99mTc-pertechnetate thyroid scintiscan.
Internal Medicine 05/2004; 43(4):306-9. · 0.94 Impact Factor
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ABSTRACT: The objective of this study was to examine whether the tension of tendon tissue could be measured using electrical impedance and, if so, whether the errors in measurement of the initial tension of a reconstructed anterior cruciate ligament obtained using electrical impedance were small enough to allow its use in clinical practice. The patella-patellar tendon-tibia complex from 35 pig knees was dissected. The relationship between the impedance of the patellar tendon and the traction stress loaded on the patellar tendon, and the repeatability of stress-impedance curves was examined in 15 knees. The relationship between impedance and strain was examined in 5, the influence of the tendon traction direction on tendon impedance was examined in 5, and the influence of the axial torsional deformation of the tendon on tendon impedance was examined in 5. Moreover, the relationship between the initial tension of a reconstructed ligament measured using electrical impedance and the load applied to the reconstructed ligament was examined in the remaining 5 knees. The change in electrical impedance of the patellar tendon due to traction was mostly caused by the strain of the tendon. The mean repeatability was 9.1%, the mean error due to differences in traction direction was 9.7%, and the mean error due to axial torsional deformation was 6.8%. There was a very strong correlation between the tension of the reconstructed ligament measured using electrical impedance and the force applied to the reconstructed ligament. Therefore, electrical impedance can be used to measure tendon tension, and it serves to measure the initial tension of a reconstructed ligament consisting of tendon tissue.
Journal of Orthopaedic Science 02/2004; 9(3):302-9. · 0.84 Impact Factor
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Internal Medicine 11/2002; 41(10):905-6. · 0.94 Impact Factor
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Internal Medicine 05/2002; 41(4):323-4. · 0.94 Impact Factor
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Nihon Naika Gakkai Zasshi 02/2002; 91(1):464-6.
