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勉強メモ 8/11

・骨形成marker 血液
 オステオカルシン、骨型ALP

・エンブレル
癌5年以内は使えない

・DISH
全身性特発性骨増殖症

・Quanty feron
TB-Abとリンパ球を混ぜる…
ツ反のハンディとれる

・新生児ループス
デキサメサゾンの使用に躊躇なく

・DLE
ステロイドやタクロリムス外用
ホントは抗マラリア薬つかいたいのに…
安いし副作用ないし…
でも、薬害、とされて日本では使えなくなった

・梅毒血清反応
 「…なんか、ヒトの血と牛血まぜたら沈んだよ」

抗カルジオリピン抗体についても考える

半数は梅毒
1/4は一過性RB
1/4はPLT減少とか…

ふつうは血清・IgG分離するとどちらも沈降するが、
β2GP1がないと、血清では沈むがIgGでは沈まない

・ループスアンチコアグラント
これあると、血栓形成率高い

・ONH
骨髄への自己免疫
そのescapeでmutantふえる
→ステロイドでmutantおさえる
  …再生不良性貧血と同じ

・HCV
→10%がクリオグロブリン血症
 →10%が血管炎

・先端肥大症

サンドスタチン
下垂体・術前2週間投与し、PRLの減少をチェック

骨変形は手術しても戻らないのが問題…

コハク酸脱水底嘘
頚部pure ganglinoma かなり合併

・下垂体腺腫
負荷試験で卒中起こる可能性ある

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