{"created":"2025-02-23T06:41:40.888976+00:00","id":2013723,"links":{},"metadata":{"_buckets":{"deposit":"a8a854b9-e29c-4882-828d-f3d862737969"},"_deposit":{"created_by":41,"id":"2013723","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"2013723"},"status":"published"},"_oai":{"id":"oai:hiroshima.repo.nii.ac.jp:02013723","sets":["1727147343679:1730442224523:1730442239371"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"Pemphigus Vulgaris with Marked Stenosis of the Esophageal Orifice from an Osteoporosis Drug: a Case Study with Long-term Follow-up","subitem_title_language":"en"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Ishibashi, Takuya","creatorNameLang":"en"}],"familyNames":[{"familyName":"Ishibashi","familyNameLang":"en"}],"givenNames":[{"givenName":"Takuya","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Hirakawa, Katsuhiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"Hirakawa","familyNameLang":"en"}],"givenNames":[{"givenName":"Katsuhiro","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Takeno, Sachio","creatorNameLang":"en"}],"familyNames":[{"familyName":"Takeno","familyNameLang":"en"}],"givenNames":[{"givenName":"Sachio","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Takumida, Masaya","creatorNameLang":"en"}],"familyNames":[{"familyName":"Takumida","familyNameLang":"en"}],"givenNames":[{"givenName":"Masaya","givenNameLang":"en"}]}]},"item_1617186476635":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1617186499011":{"attribute_name":"Rights","attribute_value_mlt":[{"subitem_rights":"Copyright (c) 2017 Hiroshima University Medical Press"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"Pemphigus Vulgaris","subitem_subject_scheme":"Other"},{"subitem_subject":"Stenosis of esophageal orifice","subitem_subject_scheme":"Other"},{"subitem_subject":"Osteoporosis drug","subitem_subject_scheme":"Other"},{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"Pemphigus vulgaris produces multiple and intractable erosions of the oral mucosa in the head and neck region. We describe a case of pemphigus vulgaris that showed erosions in the hypopharynx and stenosis of the esophageal orifice from an osteoporosis drug. A 73-year-old woman was admitted with oral intake difficulty and erosions in the hypopharynx. During the first admission, we could not make a definite diagnosis by biopsy or blood examination. The condition of the mucosa worsened subsequently; an esophagram showed marked stenosis of the esophageal orifice. As a possible factor exacerbating the stenosis, an osteoporosis drug was considered. The stenosis was improved by balloon expansion. One year after the first medical examination, we finally made a definite diagnosis of pemphigus vulgaris from the results of a blood examination in which anti-desmoglein 3 turned positive when the hypopharyngeal erosions and stenosis of the esophageal orifice became worse. Systemic treatment with a steroid was effective for the control of pemphigus vulgaris; restenosis of the esophageal orifice was recognized twice during a state of remission, and careful follow-up will be necessary in the future.","subitem_description_language":"en"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_publisher":"Hiroshima University Medical Press"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_1617186920753":{"attribute_name":"Source Identifier","attribute_value_mlt":[{"subitem_source_identifier":"0018-2052","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"2433-7668","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA00664312","subitem_source_identifier_type":"NCID"}]},"item_1617187024783":{"attribute_name":"開始ページ","attribute_value_mlt":[{"subitem_start_page":"27"}]},"item_1617187056579":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"30","bibliographicPageStart":"27","bibliographicVolumeNumber":"66","bibliographic_titles":[{"bibliographic_title":"Hiroshima Journal of Medical Sciences"},{"bibliographic_title":"Hiroshima Journal of Medical Sciences"}]}]},"item_1617258105262":{"attribute_name":"item_1617258105262","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1617353299429":{"attribute_name":"Relation","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.24811/hjms.66.2_27","subitem_relation_type_select":"DOI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.24811/hjms.66.2_27","subitem_relation_type_select":"DOI"}}]},"item_1617605131499":{"attribute_name":"File","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2023-03-18"}],"displaytype":"simple","filename":"HiroshimaJMedSci_66_27.pdf","filesize":[{"value":"731.2 KB"}],"mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hiroshima.repo.nii.ac.jp/record/2013723/files/HiroshimaJMedSci_66_27.pdf"},"version_id":"17dc4b58-4ef7-4895-8d64-609127b42de0"}]},"item_1732771732025":{"attribute_name":"旧ID","attribute_value":"44646"},"item_title":"Pemphigus Vulgaris with Marked Stenosis of the Esophageal Orifice from an Osteoporosis Drug: a Case Study with Long-term Follow-up","item_type_id":"40003","owner":"41","path":["1730442239371"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-18"},"publish_date":"2023-03-18","publish_status":"0","recid":"2013723","relation_version_is_last":true,"title":["Pemphigus Vulgaris with Marked Stenosis of the Esophageal Orifice from an Osteoporosis Drug: a Case Study with Long-term Follow-up"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2025-02-26T05:36:49.948787+00:00"}