2,238 results match your criteria: "Faculty of Medicine and Graduate School of Medicine.[Affiliation]"

Natural Recovery of Very Limited Elbow Flexion After Rare Lateral Humeral Condylar Fracture in a 4-Year-Old Boy: A Case Report.

JBJS Case Connect

October 2024

Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

Article Synopsis
  • - A 4-year-old boy experienced malunion after surgery for a rare elbow fracture, leading to limited elbow flexion of 50°.
  • - An MRI revealed a step-off in the cartilage as the cause of his flexion limitation.
  • - After 5 years of conservative treatment, the boy's elbow flexion improved to 135°, and the cartilage step-off resolved, demonstrating potential for recovery in pediatric elbow fractures.
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Background: Cough variant asthma (CVA) is characterized by cough as a sole symptom and normal pulmonary function. However, it is unclear whether CVA really common among asthmatic patients with normal forced expiratory volume in 1 second (FEV1). The aim of this study was to evaluate the incidence of cough alone symptom among the subjects with normal FEV1 and to evaluate their differences from ordinary asthmatic subjects.

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Article Synopsis
  • A 71-year-old woman experienced severe allergic reactions, including anaphylaxis, after receiving an injection of JOYCLU, highlighting potential risks associated with the treatment.
  • Although a basophil activation test (BAT) showed no positive findings, the case underscores the need for better testing methods and caution during JOYCLU administration, especially as OA cases increase.
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Tubulointerstitial nephritis with IgM-positive plasma cells complicated by liver failure.

CEN Case Rep

October 2024

Department of Rheumatology, Endocrinology, and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 14, Nishi 5, Kita-ku, Sapporo, 060-8648, Japan.

Article Synopsis
  • Tubulointerstitial nephritis (TIN) is an inflammation of the kidney interstitium, often involving T cells, with a newer classification called IgMPC-TIN characterized by IgM-positive plasma cell infiltration.
  • A 70-year-old woman with Fanconi syndrome and renal tubular acidosis was diagnosed with IgMPC-TIN, showing improvement in renal function after corticosteroid treatment, but ultimately died from liver failure and complications.
  • The autopsy findings indicated liver issues such as nodular regenerative hyperplasia, suggesting that IgMPC-TIN can also manifest in liver diseases, expanding its known associations beyond just primary biliary cholangitis (PBC).
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Impaired immunoproteasomal function exacerbates renal ischemia-reperfusion injury.

Exp Mol Pathol

December 2024

Department of Pathology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan; Department of Surgical Pathology, Hokkaido University Hospital, Sapporo 060-8648, Japan. Electronic address:

Oxidative stress caused by reactive oxygen species (ROS) is involved in the pathogenesis of renal ischemia-reperfusion injury (I/R injury), a major cause of acute kidney injury and delayed graft function (DGF). DGF is an early transplant complication that worsens graft prognosis and patient survival, but the underlying molecular changes are unclear. The proteasome is a multicatalytic enzyme complex that degrades both normal and damaged proteins, and recent studies have revealed that the immunoproteasome, a specific proteasome isoform whose proteolytic activity enhances the generation of antigenic peptides, plays critical roles in the cellular response against oxidative stress.

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Article Synopsis
  • The study aimed to analyze the treatment patterns for brain metastases among radiation oncologists within the Federation of Asian Organizations for Radiation Oncology (FARO).
  • Conducted via an online survey, responses were gathered from 32 radiation oncologists across 13 countries, revealing that most worked in academic centers and utilized SRS or fSRT for treatment.
  • The results indicated common practices, such as a preference for treating fewer and smaller brain metastases, but highlighted the need for broader surveys that include community hospitals to get a more comprehensive understanding of care patterns.
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Unilateral absence of the pulmonary artery (UAPA) is a rare congenital condition. When UAPA occurs without associated congenital heart disease, it is referred to as isolated unilateral absence of the pulmonary artery (IUAPA). IUAPA is frequently not diagnosed until adulthood.

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Introduction: Oligometastasis and oligoprogression (OP) has not been adequately defined in extensive-stage SCLC (ES-SCLC) and may be a good indication for adding local treatment. Therefore, this multicenter study aimed to investigate the prognostic impact of oligometastasis and OP in ES-SCLC.

Methods: We enrolled patients who received chemoimmunotherapy between September 2019 and June 2022.

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Article Synopsis
  • - The hypoechoic halo is a common ultrasound finding in giant cell arteritis (GCA), but it can sometimes be misinterpreted due to arteriosclerosis.
  • - Researchers investigated the specific distribution of GCA lesions and introduced the "string of beads sign" to assess luminal irregularities in long-axis images.
  • - The study found that combining the string of beads sign with the hypoechoic halo improved diagnostic accuracy for GCA, showing a C-statistic of 1.00 compared to 0.89 for the halo alone.
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  • Distal femoral varus osteotomy (DFVO) is a surgical procedure used to correct knee valgus malalignment, but its impact on stress distribution in the knee joint hasn't been thoroughly studied in real-life scenarios.
  • This study aimed to analyze subchondral bone density in non-arthritic knees versus those with valgus malalignment, evaluate changes in bone density after DFVO, and link leg alignment to these changes.
  • Researchers examined data from 14 patients who underwent DFVO for osteoarthritis due to valgus malalignment and compared it with a control group, finding significant differences in bone density distribution before and after the surgery.
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Article Synopsis
  • An 89-year-old woman from Japan had a skin condition that made her skin very red and scaly.
  • Doctors found some unusual changes in her skin cells and discovered she had mutations in two specific genes (IL36RN and CARD14).
  • She later developed small, round spots on her skin that looked normal, but tests showed these spots might be different from her red, scaly skin despite having the same gene mutations.
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Pretreatment pathology study in anti-LGI1 encephalitis.

J Neurol Sci

November 2024

Department of Neurology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. Electronic address:

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Article Synopsis
  • * Eighteen patients with C-OPLL, specifically those experiencing myelopathy and deep sensory disturbances, were assessed alongside 18 healthy participants, utilizing motion analysis with wearable sensors.
  • * Results indicated that C-OPLL patients with deep sensory disturbances adopted different neck postures, often bending their necks more while walking and climbing stairs, which could lead to further neck issues and worsening symptoms.
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  • Chronic lymphoproliferative disorder of natural killer cells (CLPD-NK) is a rare disease with high NK cell counts that is often asymptomatic, but can lead to symptoms like fatigue, fever, and autoimmune diseases.
  • A 61-year-old male patient diagnosed with CLPD-NK experienced numbness and elevated protein levels in cerebrospinal fluid, indicating potential immunological issues, which were treated with steroids and immunoglobulin therapy.
  • Despite treatment alleviating some symptoms, the patient developed significant autonomic dysfunction, leading to issues like diarrhea and orthostatic hypotension, while tests for specific antibodies were negative, and a nerve biopsy suggested lymphocytic infiltration.
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Article Synopsis
  • The study aimed to collect real-world data on VEXAS syndrome, focusing on disease activity, treatments, remission rates, and adverse events over a prospective period.
  • Researchers enrolled suspected patients in Japan, utilizing a new disease activity measure (VEXASCAF) and recorded various health metrics, including UBA1 gene variant analysis.
  • Out of 55 patients, 30 were found to have pathogenic UBA1 variants, with limited remission reported, frequent adverse events including deaths and infections, and a need for high-dose glucocorticoids to manage symptoms.
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Free flap transfer is a well-established treatment for foot reconstruction in patients with chronic limb-threatening ischemia (CLTI) and can achieve prolonged amputation-free survival. However, reports on ulcer recurrence after free flap transfer are scarce, with most focusing on trauma patients. Therefore, we retrospectively reviewed patients with CLTI who underwent free flap reconstruction at our institution over a 17-year period.

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Type XVII Collagen-Specific CD4 T Cells Induce Bullous Pemphigoid by Producing IL-5.

J Invest Dermatol

September 2024

Department of Dermatology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. Electronic address:

Article Synopsis
  • Bullous pemphigoid is an autoimmune skin disease caused by antibodies against type XVII collagen, leading to blister formation and inflammation in the skin.
  • Researchers created specific CD4 T cell lines that recognize the collagen and tested their effects by transferring them into specially designed mice that only express human COL17.
  • The study found that certain T cell lines caused symptoms similar to bullous pemphigoid, and high levels of IL-5 cytokine were linked to this effect; blocking IL-5 reduced the skin damage and antibody production.
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  • The study aimed to evaluate the quality of deep learning-reconstructed fluid-attenuated inversion recovery (DLR-FLAIR) images from undersampled data and compare them to fully sampled standard FLAIR images.
  • Thirty patients with white matter hyperintensities were examined, with fully sampled images taken and accelerated images created using one-third of that data through deep learning.
  • Results showed that DLR-FLAIR images had significantly less noise and better quality, as rated by neuroradiologists, and closely matched the visibility of hyperintensities found in standard FLAIR images, with 97% rated as nearly identical.
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Purpose: Reconstructing soft tissue defects around the knee with free flaps presents challenges in recipient vessel selection. Although the superficial femoral artery (SFA) offers exposure ease and anatomical stability, concerns arise regarding its distance from the defect site, difficulty in performing anastomosis and potential peripheral ischaemia. This study aimed to reassess the suitability of SFA as a recipient vessel for knee reconstructions by examining our cases and those from previous reports.

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Effects of glucokinase haploinsufficiency on the pancreatic β-cell mass and function of long-term high-fat, high-sucrose diet-fed mice.

J Diabetes Investig

December 2024

Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Aims/introduction: We previously showed that glucokinase haploinsufficiency improves the glucose tolerance of db/db mice by preserving pancreatic β-cell mass and function. In the present study, we aimed to determine the effects of glucokinase haploinsufficiency on the β-cell mass and function of long-term high-fat, high-sucrose (HFHS) diet-fed mice.

Materials And Methods: Four-week-old male glucokinase haploinsufficient (Gck) mice and 4-week-old male wild-type (Gck) mice (controls) were each divided into two groups: an HFHS diet-fed group and a normal chow-fed group, and the four groups were followed until 16, 40 or 60 weeks-of-age.

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