1.Application of Yokukansan
Seigou AKAO ; Koichiro KAWASHIMA ; Emi SAITO ; Satoshi MASUZUGAWA ; Kazuo YAMADA
Kampo Medicine 2011;62(3):479-508
2.Atypical Onset of Eosinophilic Granulomatosis with Polyangitis in a Patient with Long-term Well-controlled Bronchial Asthma
Satoshi Akao ; Hideharu Hagiya ; Kou Hasegawa ; Takahiro Nada ; Eri Nakamura ; Kosuke Kimura ; Koichi Waseda ; Yoshihisa Hanayama ; Kentaro Deguchi ; Fumio Otsuka
General Medicine 2015;16(2):99-102
Eosinophillic glanuromatosis with polyangitis (EGPA) usually occurs in patients with a recent history (usually less than 10 years) of uncontrolled bronchial asthma. Here we describe a case of EGPA that occurred in a 68-year-old female who had well-controlled bronchial asthma for 17 years. A leukotriene receptor antagonist that had been prescribed one week before onset might have triggered the disease. Our case shows that there is a wide spectrum of clinical characteristics of EGPA, making diagnosis difficult in a primary care setting.
3.Loiasis in a Japanese traveler returning from Central Africa
Tetsuro Kobayashi ; Kayoko Hayakawa ; Momoko Mawatari ; Makoto Itoh ; Nobuaki Akao ; Rie Roselyne Yotsu ; Jun Sugihara ; Nozomi Takeshita ; Satoshi Kutsuna ; Yoshihiro Fujiya ; Shuzo Kanagawa ; Norio Ohmagari ; Yasuyuki Kato
Tropical Medicine and Health 2015;advpub(0):-
We encountered a probable case ofloiasis in a returned traveler from Central Africa. A 52-year-old Japanese womanpresented to our hospital complaining of discomfort in her eyes and skin. She reportedhaving frequently visited Central Africa over many years and having been extensivelyexposed to the rainforest climate and ecosystem. Although no microfilariae werefound in her blood, there was an elevated level of IgG antibodies against thecrude antigens of Brugia pahangi,which have cross-reactivity with Loa loa.She was treated with albendazole for 21 days, after which the antigen-specificIgG level decreased and no relapse occurred.
4.Loiasis in a Japanese Traveler Returning from Central Africa
Tetsuro Kobayashi ; Kayoko Hayakawa ; Momoko Mawatari ; Makoto Itoh ; Nobuaki Akao ; Rie R. Yotsu ; Jun Sugihara ; Nozomi Takeshita ; Satoshi Kutsuna ; Yoshihiro Fujiya ; Shuzo Kanagawa ; Norio Ohmagari ; Yasuyuki Kato
Tropical Medicine and Health 2015;43(2):149-153
We encountered a probable case of loiasis in a returned traveler from Central Africa. A 52-year-old Japanese woman presented to our hospital complaining of discomfort in her eyes and skin. She reported having frequently visited Central Africa over many years and having been extensively exposed to the rainforest climate and ecosystem. Although no microfilariae were found in her blood, there was an elevated level of IgG antibodies against the crude antigens of Brugia pahangi, which have cross-reactivity with Loa loa. She was treated with albendazole for 21 days, after which the antigen-specific IgG level decreased and no relapse occurred.