A Case of Ileal Perforation Caused by Methotrexate-associated Lymphoproliferative Disorder Article Swipe
Shingo Kawano
,
Masahiro Tamura
,
Shun Ishiyama
,
Makoto Takahashi
,
Michitoshi Goto
,
Kazuhiro Sakamoto
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.3919/jjsa.78.2469
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.3919/jjsa.78.2469
メトトレキサート（methotrexate:MTX）は，その免疫抑制作用によりリンパ増殖性疾患の発症リスクを増加させる因子として知られている．今回，MTX治療中のリンパ増殖性疾患により，回腸穿孔を発症した症例を経験した．症例は77歳，女性．関節リウマチに対して5年前からMTXを内服していた．急激な腹痛を認め来院した．腹部全体に圧痛および反跳痛を認めた．腹部CTで腹腔内遊離ガス像と腹水を認め，消化管穿孔による汎発性腹膜炎の診断で緊急手術を施行した．腹腔内には混濁した腹水と回腸に穿孔を認め，穿孔部を含めた回腸を部分切除し，人工肛門を造設した．病理組織学的検査でMTX関連びまん性大細胞型B細胞性リンパ腫を認め，それによる穿孔と診断した．術後はMTXを中止し，リンパ増殖性疾患は改善した．MTX関連リンパ増殖性疾患による消化管穿孔はまれで，本疾患について若干の文献的考察を加えて報告する．
Related Topics
Concepts
Methotrexate
Medicine
Perforation
Gastroenterology
Internal medicine
Post-transplant lymphoproliferative disorder
Lymphoproliferative disorders
Pharmacology
Lymphoma
Materials science
Punching
Rituximab
Metallurgy
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3919/jjsa.78.2469
- https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdf
- OA Status
- diamond
- Cited By
- 2
- References
- 4
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2805793633
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2805793633Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3919/jjsa.78.2469Digital Object Identifier
- Title
-
A Case of Ileal Perforation Caused by Methotrexate-associated Lymphoproliferative DisorderWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-01-01Full publication date if available
- Authors
-
Shingo Kawano, Masahiro Tamura, Shun Ishiyama, Makoto Takahashi, Michitoshi Goto, Kazuhiro SakamotoList of authors in order
- Landing page
-
https://doi.org/10.3919/jjsa.78.2469Publisher landing page
- PDF URL
-
https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdfDirect OA link when available
- Concepts
-
Methotrexate, Medicine, Perforation, Gastroenterology, Internal medicine, Post-transplant lymphoproliferative disorder, Lymphoproliferative disorders, Pharmacology, Lymphoma, Materials science, Punching, Rituximab, MetallurgyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2020: 1, 2018: 1Per-year citation counts (last 5 years)
- References (count)
-
4Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
Full payload
| id | https://openalex.org/W2805793633 |
|---|---|
| doi | https://doi.org/10.3919/jjsa.78.2469 |
| ids.doi | https://doi.org/10.3919/jjsa.78.2469 |
| ids.mag | 2805793633 |
| ids.openalex | https://openalex.org/W2805793633 |
| fwci | 0.43208792 |
| type | article |
| title | A Case of Ileal Perforation Caused by Methotrexate-associated Lymphoproliferative Disorder |
| biblio.issue | 11 |
| biblio.volume | 78 |
| biblio.last_page | 2473 |
| biblio.first_page | 2469 |
| topics[0].id | https://openalex.org/T10185 |
| topics[0].field.id | https://openalex.org/fields/27 |
| topics[0].field.display_name | Medicine |
| topics[0].score | 0.9973999857902527 |
| topics[0].domain.id | https://openalex.org/domains/4 |
| topics[0].domain.display_name | Health Sciences |
| topics[0].subfield.id | https://openalex.org/subfields/2734 |
| topics[0].subfield.display_name | Pathology and Forensic Medicine |
| topics[0].display_name | Lymphoma Diagnosis and Treatment |
| topics[1].id | https://openalex.org/T10950 |
| topics[1].field.id | https://openalex.org/fields/27 |
| topics[1].field.display_name | Medicine |
| topics[1].score | 0.9959999918937683 |
| topics[1].domain.id | https://openalex.org/domains/4 |
| topics[1].domain.display_name | Health Sciences |
| topics[1].subfield.id | https://openalex.org/subfields/2739 |
| topics[1].subfield.display_name | Public Health, Environmental and Occupational Health |
| topics[1].display_name | Acute Lymphoblastic Leukemia research |
| topics[2].id | https://openalex.org/T11157 |
| topics[2].field.id | https://openalex.org/fields/27 |
| topics[2].field.display_name | Medicine |
| topics[2].score | 0.9955999851226807 |
| topics[2].domain.id | https://openalex.org/domains/4 |
| topics[2].domain.display_name | Health Sciences |
| topics[2].subfield.id | https://openalex.org/subfields/2716 |
| topics[2].subfield.display_name | Genetics |
| topics[2].display_name | Chronic Lymphocytic Leukemia Research |
| is_xpac | False |
| apc_list | |
| apc_paid | |
| concepts[0].id | https://openalex.org/C2781059491 |
| concepts[0].level | 2 |
| concepts[0].score | 0.9536599516868591 |
| concepts[0].wikidata | https://www.wikidata.org/wiki/Q422232 |
| concepts[0].display_name | Methotrexate |
| concepts[1].id | https://openalex.org/C71924100 |
| concepts[1].level | 0 |
| concepts[1].score | 0.9463983178138733 |
| concepts[1].wikidata | https://www.wikidata.org/wiki/Q11190 |
| concepts[1].display_name | Medicine |
| concepts[2].id | https://openalex.org/C2778456384 |
| concepts[2].level | 3 |
| concepts[2].score | 0.5438873767852783 |
| concepts[2].wikidata | https://www.wikidata.org/wiki/Q1508510 |
| concepts[2].display_name | Perforation |
| concepts[3].id | https://openalex.org/C90924648 |
| concepts[3].level | 1 |
| concepts[3].score | 0.5121983885765076 |
| concepts[3].wikidata | https://www.wikidata.org/wiki/Q120569 |
| concepts[3].display_name | Gastroenterology |
| concepts[4].id | https://openalex.org/C126322002 |
| concepts[4].level | 1 |
| concepts[4].score | 0.46384838223457336 |
| concepts[4].wikidata | https://www.wikidata.org/wiki/Q11180 |
| concepts[4].display_name | Internal medicine |
| concepts[5].id | https://openalex.org/C2781146716 |
| concepts[5].level | 4 |
| concepts[5].score | 0.4477899372577667 |
| concepts[5].wikidata | https://www.wikidata.org/wiki/Q1594599 |
| concepts[5].display_name | Post-transplant lymphoproliferative disorder |
| concepts[6].id | https://openalex.org/C2776995267 |
| concepts[6].level | 3 |
| concepts[6].score | 0.4253499507904053 |
| concepts[6].wikidata | https://www.wikidata.org/wiki/Q4165484 |
| concepts[6].display_name | Lymphoproliferative disorders |
| concepts[7].id | https://openalex.org/C98274493 |
| concepts[7].level | 1 |
| concepts[7].score | 0.32450729608535767 |
| concepts[7].wikidata | https://www.wikidata.org/wiki/Q128406 |
| concepts[7].display_name | Pharmacology |
| concepts[8].id | https://openalex.org/C2779338263 |
| concepts[8].level | 2 |
| concepts[8].score | 0.1390984058380127 |
| concepts[8].wikidata | https://www.wikidata.org/wiki/Q208414 |
| concepts[8].display_name | Lymphoma |
| concepts[9].id | https://openalex.org/C192562407 |
| concepts[9].level | 0 |
| concepts[9].score | 0.0 |
| concepts[9].wikidata | https://www.wikidata.org/wiki/Q228736 |
| concepts[9].display_name | Materials science |
| concepts[10].id | https://openalex.org/C2778527123 |
| concepts[10].level | 2 |
| concepts[10].score | 0.0 |
| concepts[10].wikidata | https://www.wikidata.org/wiki/Q11750728 |
| concepts[10].display_name | Punching |
| concepts[11].id | https://openalex.org/C2780653079 |
| concepts[11].level | 3 |
| concepts[11].score | 0.0 |
| concepts[11].wikidata | https://www.wikidata.org/wiki/Q412323 |
| concepts[11].display_name | Rituximab |
| concepts[12].id | https://openalex.org/C191897082 |
| concepts[12].level | 1 |
| concepts[12].score | 0.0 |
| concepts[12].wikidata | https://www.wikidata.org/wiki/Q11467 |
| concepts[12].display_name | Metallurgy |
| keywords[0].id | https://openalex.org/keywords/methotrexate |
| keywords[0].score | 0.9536599516868591 |
| keywords[0].display_name | Methotrexate |
| keywords[1].id | https://openalex.org/keywords/medicine |
| keywords[1].score | 0.9463983178138733 |
| keywords[1].display_name | Medicine |
| keywords[2].id | https://openalex.org/keywords/perforation |
| keywords[2].score | 0.5438873767852783 |
| keywords[2].display_name | Perforation |
| keywords[3].id | https://openalex.org/keywords/gastroenterology |
| keywords[3].score | 0.5121983885765076 |
| keywords[3].display_name | Gastroenterology |
| keywords[4].id | https://openalex.org/keywords/internal-medicine |
| keywords[4].score | 0.46384838223457336 |
| keywords[4].display_name | Internal medicine |
| keywords[5].id | https://openalex.org/keywords/post-transplant-lymphoproliferative-disorder |
| keywords[5].score | 0.4477899372577667 |
| keywords[5].display_name | Post-transplant lymphoproliferative disorder |
| keywords[6].id | https://openalex.org/keywords/lymphoproliferative-disorders |
| keywords[6].score | 0.4253499507904053 |
| keywords[6].display_name | Lymphoproliferative disorders |
| keywords[7].id | https://openalex.org/keywords/pharmacology |
| keywords[7].score | 0.32450729608535767 |
| keywords[7].display_name | Pharmacology |
| keywords[8].id | https://openalex.org/keywords/lymphoma |
| keywords[8].score | 0.1390984058380127 |
| keywords[8].display_name | Lymphoma |
| language | en |
| locations[0].id | doi:10.3919/jjsa.78.2469 |
| locations[0].is_oa | True |
| locations[0].source.id | https://openalex.org/S43051214 |
| locations[0].source.issn | 1345-2843, 1882-5133 |
| locations[0].source.type | journal |
| locations[0].source.is_oa | True |
| locations[0].source.issn_l | 1345-2843 |
| locations[0].source.is_core | False |
| locations[0].source.is_in_doaj | False |
| locations[0].source.display_name | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| locations[0].source.host_organization | https://openalex.org/P4320800548 |
| locations[0].source.host_organization_name | Japan Surgical Association |
| locations[0].source.host_organization_lineage | https://openalex.org/P4320800548 |
| locations[0].source.host_organization_lineage_names | Japan Surgical Association |
| locations[0].license | |
| locations[0].pdf_url | https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdf |
| locations[0].version | publishedVersion |
| locations[0].raw_type | journal-article |
| locations[0].license_id | |
| locations[0].is_accepted | True |
| locations[0].is_published | True |
| locations[0].raw_source_name | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| locations[0].landing_page_url | https://doi.org/10.3919/jjsa.78.2469 |
| indexed_in | crossref |
| authorships[0].author.id | https://openalex.org/A5066474893 |
| authorships[0].author.orcid | https://orcid.org/0000-0001-8547-1140 |
| authorships[0].author.display_name | Shingo Kawano |
| authorships[0].countries | JP |
| authorships[0].affiliations[0].institution_ids | https://openalex.org/I34077901 |
| authorships[0].affiliations[0].raw_affiliation_string | Department of Coloproctological Surgery, Juntendo University |
| authorships[0].institutions[0].id | https://openalex.org/I34077901 |
| authorships[0].institutions[0].ror | https://ror.org/01692sz90 |
| authorships[0].institutions[0].type | education |
| authorships[0].institutions[0].lineage | https://openalex.org/I34077901 |
| authorships[0].institutions[0].country_code | JP |
| authorships[0].institutions[0].display_name | Juntendo University |
| authorships[0].author_position | first |
| authorships[0].raw_author_name | Shingo KAWANO |
| authorships[0].is_corresponding | False |
| authorships[0].raw_affiliation_strings | Department of Coloproctological Surgery, Juntendo University |
| authorships[1].author.id | https://openalex.org/A5048022065 |
| authorships[1].author.orcid | https://orcid.org/0000-0002-9721-304X |
| authorships[1].author.display_name | Masahiro Tamura |
| authorships[1].countries | JP |
| authorships[1].affiliations[0].institution_ids | https://openalex.org/I34077901 |
| authorships[1].affiliations[0].raw_affiliation_string | Department of Coloproctological Surgery, Juntendo University |
| authorships[1].institutions[0].id | https://openalex.org/I34077901 |
| authorships[1].institutions[0].ror | https://ror.org/01692sz90 |
| authorships[1].institutions[0].type | education |
| authorships[1].institutions[0].lineage | https://openalex.org/I34077901 |
| authorships[1].institutions[0].country_code | JP |
| authorships[1].institutions[0].display_name | Juntendo University |
| authorships[1].author_position | middle |
| authorships[1].raw_author_name | Masahiro TAMURA |
| authorships[1].is_corresponding | False |
| authorships[1].raw_affiliation_strings | Department of Coloproctological Surgery, Juntendo University |
| authorships[2].author.id | https://openalex.org/A5047153131 |
| authorships[2].author.orcid | |
| authorships[2].author.display_name | Shun Ishiyama |
| authorships[2].countries | JP |
| authorships[2].affiliations[0].institution_ids | https://openalex.org/I34077901 |
| authorships[2].affiliations[0].raw_affiliation_string | Department of Coloproctological Surgery, Juntendo University |
| authorships[2].institutions[0].id | https://openalex.org/I34077901 |
| authorships[2].institutions[0].ror | https://ror.org/01692sz90 |
| authorships[2].institutions[0].type | education |
| authorships[2].institutions[0].lineage | https://openalex.org/I34077901 |
| authorships[2].institutions[0].country_code | JP |
| authorships[2].institutions[0].display_name | Juntendo University |
| authorships[2].author_position | middle |
| authorships[2].raw_author_name | Shun ISHIYAMA |
| authorships[2].is_corresponding | False |
| authorships[2].raw_affiliation_strings | Department of Coloproctological Surgery, Juntendo University |
| authorships[3].author.id | https://openalex.org/A5086019133 |
| authorships[3].author.orcid | https://orcid.org/0000-0002-6421-5356 |
| authorships[3].author.display_name | Makoto Takahashi |
| authorships[3].countries | JP |
| authorships[3].affiliations[0].institution_ids | https://openalex.org/I34077901 |
| authorships[3].affiliations[0].raw_affiliation_string | Department of Coloproctological Surgery, Juntendo University |
| authorships[3].institutions[0].id | https://openalex.org/I34077901 |
| authorships[3].institutions[0].ror | https://ror.org/01692sz90 |
| authorships[3].institutions[0].type | education |
| authorships[3].institutions[0].lineage | https://openalex.org/I34077901 |
| authorships[3].institutions[0].country_code | JP |
| authorships[3].institutions[0].display_name | Juntendo University |
| authorships[3].author_position | middle |
| authorships[3].raw_author_name | Makoto TAKAHASHI |
| authorships[3].is_corresponding | False |
| authorships[3].raw_affiliation_strings | Department of Coloproctological Surgery, Juntendo University |
| authorships[4].author.id | https://openalex.org/A5060421098 |
| authorships[4].author.orcid | https://orcid.org/0000-0003-4628-4320 |
| authorships[4].author.display_name | Michitoshi Goto |
| authorships[4].countries | JP |
| authorships[4].affiliations[0].institution_ids | https://openalex.org/I34077901 |
| authorships[4].affiliations[0].raw_affiliation_string | Department of Coloproctological Surgery, Juntendo University |
| authorships[4].institutions[0].id | https://openalex.org/I34077901 |
| authorships[4].institutions[0].ror | https://ror.org/01692sz90 |
| authorships[4].institutions[0].type | education |
| authorships[4].institutions[0].lineage | https://openalex.org/I34077901 |
| authorships[4].institutions[0].country_code | JP |
| authorships[4].institutions[0].display_name | Juntendo University |
| authorships[4].author_position | middle |
| authorships[4].raw_author_name | Michitoshi GOTO |
| authorships[4].is_corresponding | False |
| authorships[4].raw_affiliation_strings | Department of Coloproctological Surgery, Juntendo University |
| authorships[5].author.id | https://openalex.org/A5036259077 |
| authorships[5].author.orcid | https://orcid.org/0000-0002-7087-1667 |
| authorships[5].author.display_name | Kazuhiro Sakamoto |
| authorships[5].countries | JP |
| authorships[5].affiliations[0].institution_ids | https://openalex.org/I34077901 |
| authorships[5].affiliations[0].raw_affiliation_string | Department of Coloproctological Surgery, Juntendo University |
| authorships[5].institutions[0].id | https://openalex.org/I34077901 |
| authorships[5].institutions[0].ror | https://ror.org/01692sz90 |
| authorships[5].institutions[0].type | education |
| authorships[5].institutions[0].lineage | https://openalex.org/I34077901 |
| authorships[5].institutions[0].country_code | JP |
| authorships[5].institutions[0].display_name | Juntendo University |
| authorships[5].author_position | last |
| authorships[5].raw_author_name | Kazuhiro SAKAMOTO |
| authorships[5].is_corresponding | False |
| authorships[5].raw_affiliation_strings | Department of Coloproctological Surgery, Juntendo University |
| has_content.pdf | True |
| has_content.grobid_xml | True |
| is_paratext | False |
| open_access.is_oa | True |
| open_access.oa_url | https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdf |
| open_access.oa_status | diamond |
| open_access.any_repository_has_fulltext | False |
| created_date | 2025-10-10T00:00:00 |
| display_name | A Case of Ileal Perforation Caused by Methotrexate-associated Lymphoproliferative Disorder |
| has_fulltext | False |
| is_retracted | False |
| updated_date | 2025-11-06T03:46:38.306776 |
| primary_topic.id | https://openalex.org/T10185 |
| primary_topic.field.id | https://openalex.org/fields/27 |
| primary_topic.field.display_name | Medicine |
| primary_topic.score | 0.9973999857902527 |
| primary_topic.domain.id | https://openalex.org/domains/4 |
| primary_topic.domain.display_name | Health Sciences |
| primary_topic.subfield.id | https://openalex.org/subfields/2734 |
| primary_topic.subfield.display_name | Pathology and Forensic Medicine |
| primary_topic.display_name | Lymphoma Diagnosis and Treatment |
| related_works | https://openalex.org/W3134154999, https://openalex.org/W2893980622, https://openalex.org/W2312667544, https://openalex.org/W2953746399, https://openalex.org/W2339535449, https://openalex.org/W3030751707, https://openalex.org/W2122961952, https://openalex.org/W4254459495, https://openalex.org/W2014666768, https://openalex.org/W2747457204 |
| cited_by_count | 2 |
| counts_by_year[0].year | 2020 |
| counts_by_year[0].cited_by_count | 1 |
| counts_by_year[1].year | 2018 |
| counts_by_year[1].cited_by_count | 1 |
| locations_count | 1 |
| best_oa_location.id | doi:10.3919/jjsa.78.2469 |
| best_oa_location.is_oa | True |
| best_oa_location.source.id | https://openalex.org/S43051214 |
| best_oa_location.source.issn | 1345-2843, 1882-5133 |
| best_oa_location.source.type | journal |
| best_oa_location.source.is_oa | True |
| best_oa_location.source.issn_l | 1345-2843 |
| best_oa_location.source.is_core | False |
| best_oa_location.source.is_in_doaj | False |
| best_oa_location.source.display_name | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| best_oa_location.source.host_organization | https://openalex.org/P4320800548 |
| best_oa_location.source.host_organization_name | Japan Surgical Association |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4320800548 |
| best_oa_location.source.host_organization_lineage_names | Japan Surgical Association |
| best_oa_location.license | |
| best_oa_location.pdf_url | https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| best_oa_location.landing_page_url | https://doi.org/10.3919/jjsa.78.2469 |
| primary_location.id | doi:10.3919/jjsa.78.2469 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S43051214 |
| primary_location.source.issn | 1345-2843, 1882-5133 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | True |
| primary_location.source.issn_l | 1345-2843 |
| primary_location.source.is_core | False |
| primary_location.source.is_in_doaj | False |
| primary_location.source.display_name | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| primary_location.source.host_organization | https://openalex.org/P4320800548 |
| primary_location.source.host_organization_name | Japan Surgical Association |
| primary_location.source.host_organization_lineage | https://openalex.org/P4320800548 |
| primary_location.source.host_organization_lineage_names | Japan Surgical Association |
| primary_location.license | |
| primary_location.pdf_url | https://www.jstage.jst.go.jp/article/jjsa/78/11/78_2469/_pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| primary_location.landing_page_url | https://doi.org/10.3919/jjsa.78.2469 |
| publication_date | 2017-01-01 |
| publication_year | 2017 |
| referenced_works | https://openalex.org/W2168729355, https://openalex.org/W2051333656, https://openalex.org/W1977445011, https://openalex.org/W2022987177 |
| referenced_works_count | 4 |
| abstract_inverted_index.メトトレキサート（methotrexate:MTX）は，その免疫抑制作用によりリンパ増殖性疾患の発症リスクを増加させる因子として知られている．今回，MTX治療中のリンパ増殖性疾患により，回腸穿孔を発症した症例を経験した．症例は77歳，女性．関節リウマチに対して5年前からMTXを内服していた．急激な腹痛を認め来院した．腹部全体に圧痛および反跳痛を認めた．腹部CTで腹腔内遊離ガス像と腹水を認め，消化管穿孔による汎発性腹膜炎の診断で緊急手術を施行した．腹腔内には混濁した腹水と回腸に穿孔を認め，穿孔部を含めた回腸を部分切除し，人工肛門を造設した．病理組織学的検査でMTX関連びまん性大細胞型B細胞性リンパ腫を認め，それによる穿孔と診断した．術後はMTXを中止し，リンパ増殖性疾患は改善した．MTX関連リンパ増殖性疾患による消化管穿孔はまれで，本疾患について若干の文献的考察を加えて報告する． | 0 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.63552151 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |