{"@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/1390282679656194560.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.4009/jsdt.42.403"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"10325092"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/10325092"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I10325092"}},{"identifier":{"@type":"NAID","@value":"10024930975"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2009290430"}}],"dc:title":[{"@language":"en","@value":"Clinical experience of plasma exchange in 4 cases of Guillain-Barre syndrome(GBS) complicated by chronic renal failure"},{"@language":"ja","@value":"血漿交換が有効であったギラン・バレー症候群を合併した維持透析患者の４症例"},{"@value":"症例報告 血漿交換が有効であったギラン・バレー症候群を合併した維持透析患者の4症例"},{"@language":"ja-Kana","@value":"ショウレイ ホウコク ケッショウ コウカン ガ ユウコウ デ アッタ ギラン バレー ショウコウグン オ ガッペイ シタ イジ トウセキ カンジャ ノ 4 ショウレイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Guillain-Barré syndrome (GBS) is a clinical entity characterized by acute onset and paralyzing inflammatory peripheral nerve involvement. Plasma exchange (PE) and intravenous immunoglobulin (IVIg) have been recommended to date as treatment modalities for GBS, and the efficacy of these two treatments was reported to be equivocal in patients without renal failure. Since the incidence of GBS in hemodialysis patients is rare, the therapeutic recommendation for GBS in patients with renal failure has not yet been established. We encountered 4 hemodialysis patients complicated by GBS. In 2 of these patients, we initially administered IVIg, but there was no beneficial effect was observed. Therefore, we performed PE on these patients. A remarkable improvement on their muscular strength was observed immediately after PE. We selected PE as the first line of treatment for GBS based on these experiences. Therefore, the subsequent 2 patients were initially treated with PE and the results were successful. We conclude that PE is better than IVIg for the patients with renal failure."},{"@language":"ja","@value":"ギラン・バレー症候群（以下GBS）は，急速に進行する四肢筋力低下を主症状とするニューロパチーである．一般的にGBSの治療については，単純全血漿交換（以下PE）や免疫グロブリン大量療法（以下IVIg，400mg/kg/日×5日間）が推奨されており，その効果は同等とされている．しかし，維持透析患者に合併する症例数は少なく治療方針についても一定の見解が得られていない．われわれは，GBSと診断された維持透析患者4症例を経験した．2症例に対しては，第一選択で施行したIVIgで効果がなく，PEを施行したところ，施行直後より筋力の改善を認めた．残りの2症例ではPEを第一選択とした．4症例ともにPE施行後順調な経過をたどった．維持透析患者のGBSの治療にはIVIgよりPEが有効であると考えられる．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222483711363","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000001578169"}],"foaf:name":[{"@language":"en","@value":"Tsujita Makoto"},{"@language":"ja","@value":"辻田 誠"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711367","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000014279028"}],"foaf:name":[{"@language":"en","@value":"Oshitani So"},{"@language":"ja","@value":"押谷 創"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711362","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000014279030"}],"foaf:name":[{"@language":"en","@value":"Mimura Tetsushi"},{"@language":"ja","@value":"三村 哲史"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711366","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000001578168"}],"foaf:name":[{"@language":"en","@value":"Asano Yasuyuki"},{"@language":"ja","@value":"浅野 靖之"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711365","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000014279029"}],"foaf:name":[{"@language":"en","@value":"Sugiyama Yutaka"},{"@language":"ja","@value":"杉山 豊"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711360","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000000301517"}],"foaf:name":[{"@language":"en","@value":"Naruse Tomohiko"},{"@language":"ja","@value":"成瀬 友彦"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711364","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Watanabe Yuzo"},{"@language":"ja","@value":"渡邊 有三"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Kasugai Municipal Hospital"},{"@language":"ja","@value":"春日井市民病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222483711361","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Hirayama Mikio"},{"@language":"ja","@value":"平山 幹生"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"春日井市民病院神経内科"},{"@language":"en","@value":"Department of Nurology, Kasugai Municipal Hospital"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13403451"},{"@type":"EISSN","@value":"1883082X"},{"@type":"NDL_BIB_ID","@value":"000000091485"},{"@type":"ISSN","@value":"13403451"},{"@type":"LISSN","@value":"13403451"},{"@type":"NCID","@value":"AN10432053"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Toseki Igakkai Zasshi"},{"@language":"ja","@value":"日本透析医学会雑誌"},{"@language":"en","@value":"Nihon Toseki Igakkai Zasshi"},{"@language":"en","@value":"Journal of Japanese Society for Dialysis Therapy"},{"@language":"en","@value":"J. Jpn. Soc. Dial. Ther."},{"@language":"ja","@value":"透析会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Society for Dialysis Therapy"},{"@language":"ja","@value":"一般社団法人 日本透析医学会"}],"prism:publicationDate":"2009","prism:volume":"42","prism:number":"5","prism:startingPage":"403","prism:endingPage":"408"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"http://id.ndl.go.jp/bib/10325092"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I10325092"},{"@id":"https://search.jamas.or.jp/link/ui/2009290430"}],"availableAt":"2009","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Guillain-Barr%C3%A9%20syndrome%20(GBS)","dc:title":"Guillain-Barré syndrome (GBS)"},{"@id":"https://cir.nii.ac.jp/all?q=plasma%20exchange","dc:title":"plasma exchange"},{"@id":"https://cir.nii.ac.jp/all?q=hemodialysis","dc:title":"hemodialysis"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%AE%E3%83%A9%E3%83%B3%E3%83%BB%E3%83%90%E3%83%AC%E3%83%BC%E7%97%87%E5%80%99%E7%BE%A4","dc:title":"ギラン・バレー症候群"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%A1%80%E6%BC%BF%E4%BA%A4%E6%8F%9B","dc:title":"血漿交換"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%A1%80%E6%B6%B2%E9%80%8F%E6%9E%90","dc:title":"血液透析"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144445201536","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The spectrum of antecedent infections in Guillain-Barré syndrome"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292619158620288","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@value":"Carbohydrate mimicry between human ganglioside GM1 and\n            <i>Campylobacter jejuni</i>\n            lipooligosaccharide causes Guillain–Barré 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