{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390012801490672384.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2336/nishinihonhifu.84.422"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"032503246"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/032503246"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I032503246"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/nishinihonhifu/84/5/84_422/_pdf"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2023029311"}}],"dc:title":[{"@language":"en","@value":"A Case of Circumscribed Palmar Hypokeratosis"},{"@language":"ja","@value":"Circumscribed Palmar Hypokeratosis の 1 例"},{"@language":"ja-Kana","@value":"Circumscribed Palmar Hypokeratosis ノ 1レイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"ja","@value":"<p>53 歳，女性。当科初診の20 年前に右拇指球部に自覚症状の伴わない陥凹性紅色局面が出現し，その後拡大した。皮疹部に外傷歴や刺激行為はなかった。ダーモスコピーでは紅色無構造であった。皮膚生検では健常部から病変部にかけて角層が階段状に菲薄化し，それに伴い顆粒層も菲薄化していた。Circumscribed palmar hypokeratosis の診断となった。活性型ビタミン D3 製剤を外用し，治療開始後 2 カ月の時点で辺縁の陥凹がわずかに平坦化した。本疾患は表皮の角化異常，ヒトパピローマウイルス感染，外傷などが原因として考えられているが，確立した見解はない。治療法は活性型ビタミン D3 製剤の外用，液体窒素凍結療法，外科的切除などの報告があるが，保存的治療では奏効しないことも多く確立した見解はない。本疾患は認知度が低く，誤診されることも多いため，中高年女性の掌蹠に生じた陥凹性紅斑を認めた場合，本疾患に留意する必要がある。本疾患の病態の解明や治療の確立のために，今後さらなる症例の蓄積が望まれる。</p>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410012801490672386","@type":"Researcher","foaf:name":[{"@language":"en","@value":"NAKAMOTO Sumire"},{"@language":"ja","@value":"仲本 すみれ"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"九州大学大学院医学研究院皮膚科学分野"},{"@language":"en","@value":"Department of Dermatology, Graduate School of Medical Sciences, Kyushu University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410012801490672385","@type":"Researcher","foaf:name":[{"@language":"en","@value":"TSUJI Gaku"},{"@language":"ja","@value":"辻 学"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"九州大学大学院医学研究院皮膚科学分野"},{"@language":"en","@value":"Department of Dermatology, Graduate School of Medical Sciences, Kyushu University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410012801490672387","@type":"Researcher","foaf:name":[{"@language":"en","@value":"NAKAHARA Makiko"},{"@language":"ja","@value":"中原 真希子"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"九州大学大学院医学研究院皮膚科学分野"},{"@language":"en","@value":"Department of Dermatology, Graduate School of Medical Sciences, Kyushu University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410012801490672384","@type":"Researcher","foaf:name":[{"@language":"en","@value":"NAKAHARA Takeshi"},{"@language":"ja","@value":"中原 剛士"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"九州大学大学院医学研究院皮膚科学分野"},{"@language":"en","@value":"Department of Dermatology, Graduate School of Medical Sciences, Kyushu University"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03869784"},{"@type":"LISSN","@value":"03869784"},{"@type":"EISSN","@value":"18804047"},{"@type":"NDL_BIB_ID","@value":"000000017954"},{"@type":"ISSN","@value":"03869784"},{"@type":"NCID","@value":"AN00183881"}],"prism:publicationName":[{"@language":"en","@value":"The Nishinihon Journal of Dermatology"},{"@language":"ja","@value":"西日本皮膚科"},{"@language":"en","@value":"Nishinihon J Dermatol"},{"@language":"en","@value":"Nishi Nihon Hifuka"},{"@language":"ja","@value":"西日皮膚"}],"dc:publisher":[{"@language":"en","@value":"Western Division of Japanese Dermatological Association"},{"@language":"ja","@value":"日本皮膚科学会西部支部"}],"prism:publicationDate":"2022-10-01","prism:volume":"84","prism:number":"5","prism:startingPage":"422","prism:endingPage":"424"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/032503246"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I032503246"},{"@id":"https://www.jstage.jst.go.jp/article/nishinihonhifu/84/5/84_422/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2023029311"}],"availableAt":"2022-10-01","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Circumscribed%20palmar%20hypokeratosis","dc:title":"Circumscribed palmar hypokeratosis"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%99%A5%E5%87%B9%E6%80%A7%E7%B4%85%E8%89%B2%E5%B1%80%E9%9D%A2","dc:title":"陥凹性紅色局面"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%B4%BB%E6%80%A7%E5%9E%8B%E3%83%93%E3%82%BF%E3%83%9F%E3%83%B3%20D3%20%E8%A3%BD%E5%89%A4","dc:title":"活性型ビタミン D3 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