| Japanese |
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| Title | ガリウムシンチグラフィが有用であった無痛性亜急性甲状腺炎 |
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| Subtitle | 症例報告 |
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| Authors | 三宅秀敏*, 田中良一*, 竹岡宏*, 清末一路*, 脇坂昌紀*, 上野真一郎*, 森宣* |
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| Authors(kana) | |
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| Organization | *大分医科大学放射線科 |
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| Journal | 核医学 |
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| Volume | 29 |
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| Number | 12 |
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| Page | 1475-1478 |
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| Year/Month | 1992/12 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」甲状腺の腫脹や疼痛はみられず発熱, 全身倦怠感, 関節痛を主訴に来院した無痛性亜急性甲状腺炎の2症例を報告した. 入院時甲状腺疾患は疑われていなかったが, 持続する不明熱の精査目的で行ったガリウムシンチグラフィにて甲状腺に異常集積を認めて初めて甲状腺の精査が行われた. 血液生化学的には赤沈亢進, CRP陽性, 白血球軽度増多のほかにアルカリフォスファターゼ高値がみられ骨関節疾患や肝胆道疾患を疑ったが異常は指摘できなかった. 甲状腺の腫脹や疼痛がなくても発熱, 赤沈亢進, アルカリフォスファターゼ高値がみられ, これらの原因が明らかでないときには亜急性甲状腺炎を疑ってみる必要がある. 「I. はじめに」亜急性甲状腺炎の多くは甲状腺の腫脹や疼痛を主訴に来院するので, 特徴的な臨床症状および血液生化学的検査にて比較的容易に診断される. ところが, 稀に典型的な臨床症状を呈さないために甲状腺の精査が遅れ, 診断に苦慮することがある. |
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| Practice | 臨床医学：一般 |
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| Keywords | Painless subacute thyroiditis, Radiogallium scintigraphy, Alkaline phosphatase. |
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| English |
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| Title | Unsuspected Painless Subacute Thyroiditis Detected by Radiogallium Scintigraphy |
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| Subtitle | Case Report |
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| Authors | Hidetoshi MIYAKE, Ryoichi TANAKA, Hiroshi TAKEOKA, Hiro KIYOSUE, Masaki WAKISAKA, Shinichiro UENO, Hiromu MORI |
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| Authors(kana) | |
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| Organization | Department of Radiology, Oita Medical University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 29 |
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| Number | 12 |
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| Page | 1475-1478 |
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| Year/Month | 1992/12 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]Two cases of painless subacute thyroiditis were presented in whom fever, fatigue and arthralgia except for thyroidal pain and swelling were complained. Until a intense uptake of the thyroid was found on radiogallium scintigraphy, the examinations of the thyroid had not been done. Laboratory data showed increased erythrocyte sedimentation rate, C-reactive protein and serum alkaline phosphatase, and mild leukocytosis. Skeletal, hepatic and biliary diseases were denied. In patients who have fever, increased erythrocyte sedimentation rate and serum alkaline phosphatase elevation without apparent sources, thyroid function should be evaluated because subacute thyroiditis can be associated with elevation of the serum alkaline phosphatase. |
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| Practice | Clinical medicine |
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| Keywords | Painless subacute thyroiditis, Radiogallium scintigraphy, Alkaline phosphatase. |
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