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ID 116570
タイトル別表記
Diagnostic utility of FeNO for CTVA
著者
埴淵, 昌毅 Shikoku Central Hospital of the Mutual aid Association of Public School teachers KAKEN研究者をさがす
Kajimoto, Tatsuya Shikoku Central Hospital of the Mutual aid Association of Public School teachers
西條, 敦郎 Shikoku Central Hospital of the Mutual aid Association of Public School teachers KAKEN研究者をさがす
北川, 哲也 Shikoku Central Hospital of the Mutual aid Association of Public School teachers 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
chest tightness variant asthma
fractional exhaled nitric oxide
biomarker
資料タイプ
学術雑誌論文
抄録
A 50-year-old woman was referred to our hospital for further examination of severe constricting pain at the right-side dominant anterior chest. She had medical history of outgrown childhood asthma and allergies to several animals. Chest auscultation revealed no wheezes, rhonchi and other crackles. Laboratory findings showed an eosinophilia and an elevation of total immunoglobulin E. The results of an electrocardiogram, a chest X-ray and a chest CT were unremarkable. A fractional exhaled nitric oxide value remarkably elevated, but the abnormalities in pulmonary function test were modest. Her chest pain was ameliorated after inhaling procaterol. Based on these findings, a diagnosis of chest tightness variant asthma was formulated, and we started treatment with inhaled corticosteroid / long acting β2 agonist. At two-weeks after treatment, her symptom markedly improved and a fractional exhaled nitric oxide value decreased, which led to a definitive diagnosis of chest tightness variant asthma. A fractional exhaled nitric oxide value further decreased to the normal range in consistent with symptom disappearance at 10-months after treatment, indicating the usefulness of fractional exhaled nitric oxide as a promising marker for the diagnosis and clinical improvement of chest tightness variant asthma.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
出版者
Tokushima University Faculty of Medicine
68
3-4
開始ページ
389
終了ページ
392
並び順
389
発行日
2021-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系