バゼックス症候群/長期療養中のgood news

・悪性腫瘍が転移ではなくて皮膚病変を伴うことがあります。なので、ある種の皮膚病変をみた場合は悪性腫瘍の合併を思い浮かべないといけません。↓のようなレポートがありました。

A Case of Bazex Syndrome

Kotaro Ikeda, Keishi Kanno, Yuichiro Otani, Masanori Ito

https://www.jstage.jst.go.jp/article/internalmedicine/61/3/61_7568-21/_article/-char/ja

Intern Med 61: 443-444, 2022

・『医学書院医学大辞典第２版』でバゼックス症候群を調べてみたらⅠとⅡがあって、Ⅱが今回のレポートに当てはまります↓

バゼックス-グリフィス症候群

[英]Bazex-Griffith syndrome

[同義語]バゼックス症候群Ⅱ Bazex syndrome　Ⅱ

腫瘍随伴性に肢端角化症が起こる症候群。上気道の腫瘍または他の臓器の腺癌が原因であることが多い。手，足，鼻，耳などに角化症が徐々に起こる。（W. A. Griffith，20世紀，皮膚科，英）　Bazex A, Griffith WA: Acrokeratosis paraneoplastica-a new cutaneous marker of malignancy. Br J Dermatol 103:301-306, 1980

・日本語のレポート（画像診断のクイズ）↓

https://www.jstage.jst.go.jp/article/naika/107/12/107_2543/_pdf

あっという間に以下日記

・皆様、ご無沙汰しております。私が、死んだと思われて方もいるかも知れませんが、生きております。2/10から体調悪く2/20まで休んでおりました。2月21日（月）から働き出しております。休んでいる間、体調が良いときは、古ーい雑誌を見たりAmazon Prime Videoでアニメを観ていたりしておりました。本日はお休みでしたが、仕事がたまっているので午前中は「出勤」して、重症の患者さんを診るのと事務作業をしておりました。その後たまっていた支払・振り込み、買い物をして12時半に帰ってきました。昼食食べながらPrime Video観たあとは、ゆっくりとお勉強。夕方は配偶者とスシローにいってきました。

・休んでいる間に、社会医学研究という医学雑誌に私の論文が載ったことと、Occupational medicineに論文が受理されたことです。病んでおりましたが、ホッとしました。これから徐々に仕事と勉強のペースをあげていきます。

・補足：Prime videoでは『攻殻機動隊』（シーズン1）と『鬼滅の刃』（立志編）を観ておりました。前者は終了、後者はまだ途中です。久々にアニメ観ましたが、やっぱり自分はアニメが好きだなと再認識（オタクじゃないけど）。ちょっとこの調子で、『けいおん』や『日常』、ガンダムシリーズ、『銀河英雄伝説』、エヴァンゲリオン等見続けるかも．．．

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