[{"@context":"http:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/wiki.edu.vn\/jp\/wiki\/archives\/8468#BlogPosting","mainEntityOfPage":"https:\/\/wiki.edu.vn\/jp\/wiki\/archives\/8468","headline":"\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7 – Wikipedia","name":"\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7 – Wikipedia","description":"\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\uff08\u30ea\u30a6\u30de\u30c1\u305b\u3044\u30fb\u305f\u306f\u3064\u304d\u3093\u3064\u3046\u3057\u3087\u3046\u3001\u82f1 polymyalgia rheumatica; PMR\uff09\u3068\u306f\u3001\u30ea\u30a6\u30de\u30c1\u95a2\u9023\u75be\u60a3\u306e1\u3064\u3067\u300155\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba\u306b\u767a\u75c7\u3059\u308b\u3002\u6027\u5225\u306b\u3088\u308a\u5dee\u304c\u3042\u308a\u3001\u5973\u60272\u306b\u5bfe\u3057\u7537\u60271\u306e\u6bd4\u5f8b[1]\u3002 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\u56db\u80a2\u8fd1\u4f4d\u90e8\u306e\u5bfe\u79f0\u6027\u75bc\u75db\u3001\u3053\u308f\u3070\u308a\u3092\u4e3b\u5fb4\u3068\u3059\u308b[2]\u3002\u5178\u578b\u7684\u306a\u5408\u4f75\u75c7\u3068\u3057\u3066\u5074\u982d\u52d5\u8108\u708e(TA)\u304c\u3042\u308b[3]\u3002 \u300cPolymyalgia\u300d\u306f\u30ae\u30ea\u30b7\u30a2\u8a9e\u3067\u300c\u591a\u767a\u7b4b\u75db\u300d\u3068\u3044\u3046\u610f\u5473\u3002\u300crheumatica\u300d\u306f\u300c\u30ea\u30a6\u30de\u30c1\u6027\u300d\u3002\u300cRheuma\u300d\u306f\u53e4\u4ee3\u30ae\u30ea\u30b7\u30e3\u3067\u306f\u300c\u6d41\u308c\u300d\u306e\u3053\u3068\u3002 1888\u5e74\u306b\u30b9\u30b3\u30c3\u30c8\u30e9\u30f3\u30c9\u306e\u5185\u79d1\u533bWilliam Bruce\u306b\u3088\u3063\u3066\u300csenile rheumatic gout\uff08\u8001\u4eba\u6027\u30ea\u30a6\u30de\u30c1\u6027\u75db\u98a8\uff09\u300d\u3068\u3057\u3066\u521d\u3081\u3066\u5831\u544a\u3055\u308c\u30011957\u5e74\u306b\u82f1\u56fd\u306e\u5185\u79d1\u533bStuart Barber\u306b\u3088\u3063\u3066\u73fe\u5728\u306e\u540d\u79f0\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u3063\u305f\u3002 \u6b27\u7c73\u30fb\u767d\u4eba\u306b\u591a\u304f\u3001\u30b9\u30ab\u30f3\u30b8\u30ca\u30d3\u30a2\u534a\u5cf6\u306e\u8af8\u56fd\u306b\u591a\u304f\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u5bfa\u4e95\u8457\u306e\u7dcf\u8aac[4]\u306b\u3088\u308b\u3068 \u3042\u308b\u5831\u544a\u306b\u3088\u308b\u3068\u3001\u6709\u75c5\u7387\u306f10\u4e07\u4eba\u3042\u305f\u308a\u7d04500\u4eba\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u308b\u3002 \u5973\u6027\u306f\u7537\u6027\u306e2\u500d\u306e\u767a\u75c7\u7387\u3067\u3042\u308b\u3002 \u767a\u75c5\u5e74\u9f62\u306f\u5e73\u574765\uff5e70\u6b73\u3068\u3044\u308f\u308c\u3066\u304a\u308a\u300165\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u306f\u5168\u75c7\u4f8b\u306e\u7d0463%\u3092\u5360\u3081\u308b\u3002 \u907a\u4f1d\u5b50\u30ec\u30d9\u30eb\u3067\u306fHLA-DRB1 04\u3068HLA-DRB1 01\u306e\u95a2\u9023\u304c\u5831\u544a\u3055\u308c\u3066\u304d\u3066\u3044\u308b\u3002 \u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\u306f\u816b\u760d\u968f\u4f34\u75c7\u5019\u7fa4\u306e\u4e00\u3064\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u308b\u3002[5]","datePublished":"2019-02-28","dateModified":"2019-02-28","author":{"@type":"Person","@id":"https:\/\/wiki.edu.vn\/jp\/wiki\/archives\/author\/lordneo#Person","name":"lordneo","url":"https:\/\/wiki.edu.vn\/jp\/wiki\/archives\/author\/lordneo","image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/c9645c498c9701c88b89b8537773dd7c?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/c9645c498c9701c88b89b8537773dd7c?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Enzyklop\u00e4die","logo":{"@type":"ImageObject","@id":"https:\/\/wiki.edu.vn\/wiki4\/wp-content\/uploads\/2023\/11\/book.png","url":"https:\/\/wiki.edu.vn\/wiki4\/wp-content\/uploads\/2023\/11\/book.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/ja.wikipedia.org\/wiki\/Special:CentralAutoLogin\/start?type=1x1","url":"https:\/\/ja.wikipedia.org\/wiki\/Special:CentralAutoLogin\/start?type=1x1","height":"1","width":"1"},"url":"https:\/\/wiki.edu.vn\/jp\/wiki\/archives\/8468","about":["Wiki"],"wordCount":723,"articleBody":"\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\uff08\u30ea\u30a6\u30de\u30c1\u305b\u3044\u30fb\u305f\u306f\u3064\u304d\u3093\u3064\u3046\u3057\u3087\u3046\u3001\u82f1 polymyalgia rheumatica; PMR\uff09\u3068\u306f\u3001\u30ea\u30a6\u30de\u30c1\u95a2\u9023\u75be\u60a3\u306e1\u3064\u3067\u300155\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba\u306b\u767a\u75c7\u3059\u308b\u3002\u6027\u5225\u306b\u3088\u308a\u5dee\u304c\u3042\u308a\u3001\u5973\u60272\u306b\u5bfe\u3057\u7537\u60271\u306e\u6bd4\u5f8b[1]\u3002\u80a9\u3001\u80a1\u95a2\u7bc0\u3001\u4f53\u5e79\u304b\u3089\u8fd1\u4f4d\u7b4b\u306b\u3046\u305a\u304f\u3088\u3046\u306a\u75db\u307f[1]\u3001\u904b\u52d5\u6642\u75db\u304c\u8a8d\u3081\u3089\u308c\u3001\u5bdd\u8fd4\u308a\u304c\u75db\u304f\u3066\u3067\u304d\u306a\u3044\u3068\u3044\u3063\u305f\u75c7\u72b6\u304c\u7279\u5fb4\u7684\u3067\u3042\u308b\u3002\u5ba2\u89b3\u7684\u306a\u7b4b\u529b\u4f4e\u4e0b\u306f\u660e\u3089\u304b\u3067\u306f\u306a\u304f[1]\u3001\u4f53\u91cd\u6e1b\u5c11\u3084\u3084\u308b\u6c17\u304c\u304a\u304d\u306a\u3044\u306a\u3069\u306e\u75c7\u72b6\u3092\u8a8d\u3081\u308b\u3053\u3068\u3082\u591a\u3044\u3002\u5de8\u7d30\u80de\u6027\u52d5\u8108\u708e\u3068\u540c\u4e00\u75be\u60a3\u3068\u3068\u3089\u3048\u308b\u8003\u3048\u65b9\u3082\u3042\u308b[2]\u3002\u56db\u80a2\u8fd1\u4f4d\u90e8\u306e\u5bfe\u79f0\u6027\u75bc\u75db\u3001\u3053\u308f\u3070\u308a\u3092\u4e3b\u5fb4\u3068\u3059\u308b[2]\u3002\u5178\u578b\u7684\u306a\u5408\u4f75\u75c7\u3068\u3057\u3066\u5074\u982d\u52d5\u8108\u708e(TA)\u304c\u3042\u308b[3]\u3002\u300cPolymyalgia\u300d\u306f\u30ae\u30ea\u30b7\u30a2\u8a9e\u3067\u300c\u591a\u767a\u7b4b\u75db\u300d\u3068\u3044\u3046\u610f\u5473\u3002\u300crheumatica\u300d\u306f\u300c\u30ea\u30a6\u30de\u30c1\u6027\u300d\u3002\u300cRheuma\u300d\u306f\u53e4\u4ee3\u30ae\u30ea\u30b7\u30e3\u3067\u306f\u300c\u6d41\u308c\u300d\u306e\u3053\u3068\u30021888\u5e74\u306b\u30b9\u30b3\u30c3\u30c8\u30e9\u30f3\u30c9\u306e\u5185\u79d1\u533bWilliam Bruce\u306b\u3088\u3063\u3066\u300csenile rheumatic gout\uff08\u8001\u4eba\u6027\u30ea\u30a6\u30de\u30c1\u6027\u75db\u98a8\uff09\u300d\u3068\u3057\u3066\u521d\u3081\u3066\u5831\u544a\u3055\u308c\u30011957\u5e74\u306b\u82f1\u56fd\u306e\u5185\u79d1\u533bStuart Barber\u306b\u3088\u3063\u3066\u73fe\u5728\u306e\u540d\u79f0\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u3063\u305f\u3002\u6b27\u7c73\u30fb\u767d\u4eba\u306b\u591a\u304f\u3001\u30b9\u30ab\u30f3\u30b8\u30ca\u30d3\u30a2\u534a\u5cf6\u306e\u8af8\u56fd\u306b\u591a\u304f\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u5bfa\u4e95\u8457\u306e\u7dcf\u8aac[4]\u306b\u3088\u308b\u3068\u3042\u308b\u5831\u544a\u306b\u3088\u308b\u3068\u3001\u6709\u75c5\u7387\u306f10\u4e07\u4eba\u3042\u305f\u308a\u7d04500\u4eba\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u308b\u3002\u5973\u6027\u306f\u7537\u6027\u306e2\u500d\u306e\u767a\u75c7\u7387\u3067\u3042\u308b\u3002\u767a\u75c5\u5e74\u9f62\u306f\u5e73\u574765\uff5e70\u6b73\u3068\u3044\u308f\u308c\u3066\u304a\u308a\u300165\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u306f\u5168\u75c7\u4f8b\u306e\u7d0463%\u3092\u5360\u3081\u308b\u3002\u907a\u4f1d\u5b50\u30ec\u30d9\u30eb\u3067\u306fHLA-DRB1 04\u3068HLA-DRB1 01\u306e\u95a2\u9023\u304c\u5831\u544a\u3055\u308c\u3066\u304d\u3066\u3044\u308b\u3002\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\u306f\u816b\u760d\u968f\u4f34\u75c7\u5019\u7fa4\u306e\u4e00\u3064\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u308b\u3002[5]\u4ee5\u4e0b\u306e\u57fa\u6e96\u304c\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u3002Bird and Wood Criteria\uff081979\u5e74\uff09\u4e21\u5074\u80a9\u306b\u75db\u307f\u3068\u3053\u308f\u3070\u308a\u304c\u3042\u308b\u3002\u767a\u75c7\u304b\u30892\u9031\u9593\u4ee5\u5185\u306b\u75c7\u72b6\u304c\u5b8c\u6210\u3059\u308b\u3002\u8d64\u6c88\u304c40mm\/hr\u4ee5\u4e0a\u306b\u4ea2\u9032\u3059\u308b\u3002\u671d\u306e\u3053\u308f\u3070\u308a\uff08\u981a\u90e8\u3001\u80a9\u7532\u5e2f\u3001\u8170\u5e2f\uff09\u304c1\u6642\u9593\u4ee5\u4e0a\u7d9a\u304f\u3002\u5e74\u9f62\u304c55\u6b73\u4ee5\u4e0a[1]\u3002\u3046\u3064\u72b6\u614b\u306a\u3044\u3057\u4f53\u91cd\u6e1b\u5c11\u304c\u3042\u308b[3]\u3002\u4e21\u5074\u4e0a\u8155\u90e8\u7b4b\u306e\u5727\u75db\u4e0a\u8a187\u9805\u76ee\u306e\u3046\u30613\u9805\u76ee\u3092\u6e80\u305f\u3059\u3068\u304d\u3001\u307e\u305f\u306f1\u9805\u76ee\u4ee5\u4e0a\u3092\u307f\u305f\u3057\u3001\u81e8\u5e8a\u7684\u3001\u75c5\u7406\u7d44\u7e54\u5b66\u7684\u306b\u5074\u982d\u52d5\u8108\u306e\u7570\u5e38\u304c\u8a8d\u3081\u3089\u308c\u308b\u3068\u304d\u3001\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u308b\u3002Jones and Hazleman Criteria\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\u306e\u66ab\u5b9a\u7684\u5206\u985e\u57fa\u6e96(2012\u5e74)[6]\u4e0a\u80a2\u30fb\u4e0a\u8155\u306b\u9650\u3089\u305a\u3001\u4e0b\u80a2\u3067\u3082\u8fd1\u4f4d\u7b4b\u512a\u4f4d\u306e\u81ea\u767a\u75db\u3084\u628a\u63e1\u75db\u304c\u307f\u3089\u308c\u308b\u3002\u95a2\u7bc0\u306e\u5727\u75db\u306f\u307f\u3089\u308c\u306a\u3044\u3002\u8996\u8a3a\u30fb\u8074\u8a3a\u3067\u306f\u7570\u5e38\u306f\u307f\u3089\u308c\u306a\u3044\u3002\u611f\u899a\u5668\u306e\u7570\u5e38\u306f\u57fa\u672c\u7684\u306b\u306f\u306a\u3044\u304c\u3001\u5de8\u7d30\u80de\u6027\u52d5\u8108\u708e\u5408\u4f75\u4f8b\u3067\u306f\u8996\u899a\u7570\u5e38\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u3002PMR\u3067\u306f\u8840\u7ba1(\u5fc3\u81d3\u3001\u8133\u3001\u672b\u68a2\u8840\u7ba1)\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u306f\u5bfe\u7167\u7fa4\u3088\u308a\u3082\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd42.6\uff09\u3002[7]\u9451\u5225\u75be\u60a3[\u7de8\u96c6]\u4ee5\u4e0b\u306e\u75be\u60a3\u3068\u306e\u9451\u5225\u304c\u5fc5\u8981\u3067\u6709\u308b[1]\u300220\uff5e15mg\/\u65e5\u7a0b\u5ea6\u306e\u4f4e\u7528\u91cf\u30b9\u30c6\u30ed\u30a4\u30c9\u304c\u8457\u52b9\u3059\u308b[2]\u3002^ a b c d e f \u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7 MSD\u30de\u30cb\u30e5\u30a2\u30eb \u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30eb\u7248^ a b c d \u30a4\u30e4\u30fc\u30ce\u30fc\u30c8 2015: \u5185\u79d1\u30fb\u5916\u79d1\u7de8 \u30e1\u30c7\u30a3\u30c3\u30af\u30fb\u30e1\u30c7\u30a3\u30a2 ISBN 978-4896325102^ a b \u4f50\u91ce\u7d71\u3001\u300c\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\u300d \u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u96d1\u8a8c 2007 \u5e74 96 \u5dfb 10 \u53f7 p. 2214-2219, doi:10.2169\/naika.96.2214^ \u5bfa\u4e95\u5343\u5c0b, \u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\u3001\u5de8\u7d30\u80de\u6027\u52d5\u8108\u708e. Medical Practice (1994) 11:531^ Ann Rheum Dis 2014 Oct; 73:1769.^ Dasgupta B, et al. 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism\/American College of Rheumatology collaborative initiative. Ann Rheum Dis 2012;71(4):484-92.^ Hancock AT et al. Risk of vascular events in patients with polymyalgia rheumatica. CMAJ 2014 Jul 28; [e-pub ahead of print]. doi:10.1503\/cmaj.140266^ Weigand S, et al. J Rheumatol. 2014;41(4):730-734.\u5916\u90e8\u30ea\u30f3\u30af[\u7de8\u96c6]"},{"@context":"http:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https:\/\/wiki.edu.vn\/jp\/wiki\/#breadcrumbitem","name":"Enzyklop\u00e4die"}},{"@type":"ListItem","position":2,"item":{"@id":"https:\/\/wiki.edu.vn\/jp\/wiki\/archives\/8468#breadcrumbitem","name":"\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7 – Wikipedia"}}]}]