Sneddon's Syndrome (Livedo Racemosa and Cerebral Infaction) Presenting Psychiatric Disturbance and Shortening of Fingers and Toes
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概要
- 論文の詳細を見る
A 24-year-old man with livedo racemosa and psychiatric disturbances, manifesting as low intelligence (IQ 80) and delusions, had anti-cardiolipin antibody and showed shortening of the fingers and toes. A skin biopsy of the livedo lesion revealed endoarteritis obliterans, being compatible with Sneddons syndrome. MRI of the brain demonstrated multiple infarction and moderate cortical atrophy. A single photon emission tomography of the brain showed a marked reduction of the blood flow in the front-temporal lobe. These findings might relate to the psychiatric disturbance. After intravenous administration of cyclophosphamide and the start of oral prednisolone, the anti-cardiolipin antibody level decreased and his physical condition improved. However, a low dose of haloperidol is still necessary to maintain his mental condition.(Internal Medicine 35: 668-673, 1996)
- 社団法人 日本内科学会の論文
著者
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Imai Hirokazu
The Third Department Of Internal Medicine Akita University School Of Medicine
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Kume Masaaki
The Third Department Of Internal Medicine Akita University School Of Medicine
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MIURA Akira
the Third Department of Internal Medicine, Akita University School of Medicine
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Motegi Mutsuhito
The Third Department Of Internal Medicine Akita University School Of Medicine
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NAMURA Ikuro
the Department of Psychiatry, Akita University School of Medicine
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Namura Ikuro
The Department Of Psychiatry Akita University School Of Medicine
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Miura Akira
The Third Department Of Internal Medicine Akita University School Of Medicine
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