小児IgA血管炎診療ガイドライン 2023

出版社: 診断と治療社
著者:
発行日: 2023-07-07
分野: 臨床医学:内科  >  小児科学一般
ISBN: 9784787825636
電子書籍版: 2023-07-07 (電子版)
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商品紹介

小児IgA血管炎は皮膚症状・関節症状・消化器症状を三主徴とする小児に好発する血管炎である.小児期には頻度の少なくない疾患とされるが,全身性の疾患で合併症・併存症が多岐に及ぶため,治療には専門的な知識が要されることから、これまで国内には診療ガイドラインがなかった.この度学会を横断したガイドライン作成チームが結成され,国内で初の診療ガイドラインが上梓された.

目次

  • 発刊にあたって
    はじめに
    小児IgA血管炎診療ガイドライン2023 委員一覧
    本ガイドラインの作成について
    CQ・推奨一覧


    ◎小児IgA血管炎に対する治療の概略
    ◎小児紫斑病性腎炎に対する治療の概略

    I 総論

     1.小児IgA血管炎の概念と病態
     2.小児IgA血管炎の疫学と予後
     3.小児IgA血管炎の診断
     4.小児IgA血管炎の皮膚症状
     5.小児IgA血管炎の皮膚病理組織像
     6.小児IgA血管炎の関節症状
     7.小児IgA血管炎の消化器症状
     8.小児IgA血管炎のまれな合併症
     9.小児IgA血管炎の治療総論
     10.小児紫斑病性腎炎の概念と病態
     11.小児紫斑病性腎炎の診断
     12.小児紫斑病性腎炎の臨床分類,病理分類およびそれらと予後の相関
     13.小児紫斑病性腎炎の治療総論

    II クリニカルクエスチョン(CQ)

     CQ1 小児IgA血管炎患者に安静や運動制限は推奨されるか?
     CQ2 小児IgA血管炎患者に止血薬,血管強化薬投与は推奨されるか?
     CQ3 小児IgA血管炎患者の関節症状に消炎鎮痛薬やステロイド薬投与は推奨されるか?
     CQ4 小児IgA血管炎患者の消化器症状にステロイド薬投与は推奨されるか?
     CQ5 小児IgA血管炎患者の消化器症状に第XIII因子製剤投与は推奨されるか?
     CQ6 小児IgA血管炎患者の消化器症状に抗潰瘍薬投与は推奨されるか?
     CQ7 ステロイド薬に効果不十分な小児IgA血管炎重症/難治患者(腎炎を除く)に対する
         追加治療には,どのようなものがあるか?
     CQ8 小児紫斑病性腎炎の発症予防にステロイド薬は推奨されるか? 
     CQ9 小児紫斑病性腎炎にレニン・アンジオテンシン系(RA系)阻害薬は推奨されるか?
     CQ10 小児紫斑病性腎炎の重症例にステロイド薬および免疫抑制薬は推奨されるか?
     CQ11 小児紫斑病性腎炎の重症例にステロイドパルス療法は推奨されるか?
     CQ12 小児紫斑病性腎炎の重症例にパルスウロキナーゼ療法は推奨されるか?
     CQ13 小児紫斑病性腎炎の重症例に血漿交換療法は推奨されるか?
     CQ14 小児紫斑病性腎炎の重症例に口蓋扁桃摘出術およびステロイドパルス療法との
         併用は推奨されるか?

    PubMed検索式および検索件数

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

I 総論

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4) Ozen S, Ruperto N, Dillon MJ, et al. : EULAR/PReS endorsed consensus criteria for the classification childhood vasculitis, Ann Rheum Dis 2006 ; 65 : 936-941.
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P.14 掲載の参考文献
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