Malignant Exophthalmos Associated with Multiple Myeloma.
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概要
- 論文の詳細を見る
We report a patient with malignant exophthalmos associated with multiple myeloma which showed no evidence of direct orbital involvement of plasma cells. This exophthalmos had similarities with Graves' ophthalmopathy, but the patient had no detectable autoimmune thyroid diseases. Plasmapheresis was effective not only for the treatment of heart and renal failure due to the myeloma kidney but also for the malignant exophthalmos. As the serum monoclonal IgG level was decreased by plasmapheresis, the improvement of proptosis, visual acuity, and hypertrophy of the extraocular muscle as measured by magnetic resonance imaging were observed. It is suggested that humoral factors removed by plasmapheresis might be involved in the pathogenesis of this nonendocrine exophthalmos.(Internal Medicine 32: 875-878, 1993)
- 社団法人 日本内科学会の論文
著者
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Nishikawa Tetsuo
The Department Of Medicine Yokohama Rosai Hospital For Labour Welfare Corporation
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Kino Tomoshige
The Second Department Of Internal Medicine School Of Medicine Chiba University
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Terano Takashi
The Second Department Of Internal Medicine Chiba University School Of Medicine
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Hirai Aizan
The Second Department Of Internal Medicine Chiba University School Of Medicine
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Morio Hiroshi
The Second Department Of Internal Medicine Chiba University School Of Medicine
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Tomizuka Takuya
The Second Department Of Internal Medicine Chiba University School Of Medicine
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Tamura Yasushi
The Second Department Of Internal Medicine Chiba University School Of Medicine
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Yoshida Sho
The Second Department Of Internal Medicine Chiba University School Of Medicine
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KINO Tomoshige
the Second Department of Internal Medicine, School of Medicine, Chiba University Hospital
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TERANO Takashi
the Second Department of Internal Medicine, School of Medicine, Chiba University Hospital
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SEYA Akira
the Second Department of Internal Medicine, School of Medicine, Chiba University Hospital
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HATTORI Yoko
the Second Department of Internal Medicine, School of Medicine, Chiba University Hospital
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MORIO Hiroshi
the Second Department of Internal Medicine, School of Medicine, Chiba University Hospital
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HIRAI Aizan
the Second Department of Internal Medicine, School of Medicine, Chiba University Hospital
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- Malignant Exophthalmos Associated with Multiple Myeloma.