イハラ　トシコ   Toshiko Ito-Ihara   猪原　登志子    所属   川崎医科大学  医学部 応用医学　先端医療開発学    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Survey of Japanese dermatological vasculitis specialists on cases of cutaneous arteritis (cutaneous polyarteritis nodosa).
掲載誌名	正式名：The Journal of dermatology 略　 称：J Dermatol ISSNコード：13468138/03852407
掲載区分	国外
巻・号・頁	47(5),pp.534-537
著者・共著者	Takaharu Ikeda, Tamihiro Kawakami, Yoshihiro Arimura, Naoko Ishiguro, Akihiro Ishizu, Fuyu Ito, Toshiko Ito-Ihara, Naoko Okiyama, Sachiko Ono, Kazuo Suzuki, Koji Sugawara, Mariko Seishima, Masanari Kodera, Maiko Tanaka, Minoru Hasegawa, Fukumi Furukawa, Yukie Yamaguchi, Ayumi Yoshizaki,
発行年月	2020/05
概要	We developed a questionnaire to examine the findings of cutaneous arteritis among dermatological specialists experienced in vasculitis as certified by the Committee for guidelines for the management of vasculitis and vascular disorders of the Japanese Dermatological Association. We sent a questionnaire to 12 dermatological facilities identified through the revised Committee for guidelines for the management of vasculitis and vascular disorders of the Japanese Dermatological Association. Retrospective data obtained from 84 patients at the 12 dermatological facilities between 2012 January 2016 December were evaluated. The 84 patients were categorized into two groups, a systemic steroid treatment group (group 1, n = 52) and a no systemic steroid treatment group (group 2, n = 32). C-reactive protein in group 1 patients was significantly higher than that in group 2 patients. Frequency of fever, arthritis, myalgia- and peripheral neuropathy in group 1 was significantly higher than that in group 2. We propose that these symptoms could serve as early markers for the transfer from cutaneous arteritis to systemic polyarteritis nodosa. We further suggest that patients who are subsequently associated with cerebral hemorrhage and infarction, who are originally diagnosed as having cutaneous arteritis, could progress to systemic polyarteritis nodosa. The study demonstrated that it is important for dermatologists to detect these findings early in order to establish an accurate diagnosis and a timely treatment.
DOI	10.1111/1346-8138.15273
PMID	32096266