〜著書・論文〜


1.    Furuta J, Umebayashi Y, Miyamoto K, Kikuchi K, Otsuka F, Sugiura T, Ushijima T: Promoter methylation profiling of 30 genes in human malignant melanoma. Cancer Sci 95: 962-968, 2004

2.    Ihn H: Pathogenesis of scleroderma: The role of autocrine TGF-β signaling. Connective Tissue 36: 209-216, 2004.

3.    Sato-Takeda M, Ihn H, Ohashi J, Tsuchiya N, Satake M, Arita H, Tamaki K, Hanaoka K, Tokunaga K, Yabe T: The human histocompatibility leukocyte antigen (HLA) haplotype is associated with the onset of postherpetic neuralgia after herpes zoster. Pain 110: 329-336, 2004.

4.    Furukawa H, Nakamura K, Zheng X, Tojo M, Oyama N, Akiba H, Nishibu A, Kaneko F, Tsunemi Y, Saeki H, Tamaki K: Enhanced TARC production by dust-mite allergens and its modulation by immunosuppressive drugs in PBMCs from patients with atopic dermatitis. J Dermatol Sci 35: 35-42, 2004.

5.    Chen H-C, Kadono T, Mimura Y, Saeki H, Tamaki K: High-frequency ultrasound as a useful device in the preliminary differentiation of lichen sclerosus et atrophicus from morphea. J Dermatol 31: 556-559, 2004.

6.    Mizutani K, Tamada Y, Matsumoto Y, Hara K, Tsuzuki T, Saeki H, Tamaki K: Imatinib Masylate inhibits the growth of matastatic lung lesions in a patient with dermatofibrosarcoma protuberans. Br J Dermatol 151: 235-237, 2004.

7.    Watanabe T, Murakami T, Okochi H, Kikuchi K, Furue M: Int J Dermatol 43: 472-473, 2004.

8.    Ohtsuka R, Sudo N, Sekiyama M, Watanabe C, Inaoka T, Kadono T: Gender difference in daily time and space use among Bangladeshi villagers under arsenic hazard: application of the compact spot-check method. J Biosoc Sci 36:317-332,2004.

9.    Fujimoto M, Hamaguchi Y, Yazawa N, Komura K, Takehara K, Sato S: Autoantibodies to a collagen-specific molecular chaperone, heat-shock protein 47, in systemic sclerosis. Clin Exp Immunol 138: 534-539, 2004.

10.    Poe JC, Fujimoto Y, Hasegawa M, Hass KM, Sanford I, Bock CB, Fujimoto M, Tedder TF: CD22 regulates B lymphocyte function in vivo through both ligand-dependent and -independent mechanisms.  Nature Immunol 5: 1078-1087, 2004

11.    Shirasawa S, Sugiyama S, Baba I, Inokuchi J, Sekine S, Ogino K, Kawamura Y, Dohi T, Fujimoto M, Sasazuki T: Loss of epiregulin results in dermatitis through dysregulation of immune-related responses. Proc Natl Acad Sci USA 101: 13921-13926, 2004

12.    Sato S, Fujimoto M, Hasegawa M, Takehara K: Altered blood B lymphocyte homeostasis in systemic sclerosis: expanded naive B cells and diminished but activated memory B cells. Arthritis Rheum 50: 1918-1927, 2004

13.    Tsuchiya N, Kuroki K, Fujimoto M, Murakami Y, Tedder TF, Tokunaga K, Takehara K, Sato S: Association of Functional CD19 Polymorphism with Susceptibility to Systemic Sclerosis (Scleroderma) Arthritis Rheum 50: 4002-4007, 2004

14.    Kawase, Y, Yanagi Y, Takato T, Fujimoto M, Okochi H: Characterization of multipotent adult stem cells from the skin: Transforming growth factor-β (TGF-β) facilitates cell growth. Exp Cell Res 295: 194-203, 2004

15.    Poe JC, Haas KM, Uchida J, Lee Y, Fujimoto M, Tedder TF: Severely impaired B lymphocyte proliferation, survival, and induction of the c-Myc:Cullin 1 ubiquitin ligase pathway resulting from CD22 deficiency on the C57BL/6 genetic background. J Immunol 172: 2100-2110, 2004

16.    Komura K, Sato S, Hasegawa M, Fujimoto M, Takehara K: Elevated circulating CD40L concentrations in patients with systemic sclerosis. J Rheumatol 31: 514-519, 2004

17.    Sato S, Fujimoto M, Hasegawa M, Komura K, Yanaba K, Hayakawa I, Matsushita T, Takehara K: Serum soluble CTLA-4 levels are increased in diffuse cutaneous systemic sclerosis.  Rheumatology (Oxford) 43:1261-1266, 2004

18.    Sato S, Kodera M, Hasegawa M, Fujimoto M, Takehara K: Antinucleosome antibody is a major autoantibody in localized scleroderma.  Br J Dermatol 151:1182-1188, 2004

19.    Sugaya M, Lore K, Koup RA, Douek DC, Blauvelt A: HIV-infected Langerhans cells preferentially transmit virus to proliferating autologous CD4+ memory T cells located within Langerhans cell-T cell clusters. J Immunol 172: 2219-2224, 2004.

20.    Hunger RE, Sieling PA, Ochoa MT, Sugaya M, Burdick AE, Rea TH, Brennan PJ, Belisle JT, Blauvelt A, Porcelli SA, Modlin RL: Langerhans cells utilize CD1a and langerin to efficiently present nonpeptide antigens to T cells. J Clin Invest 113: 701-718, 2004

21.    Kawamura T, Bruse SE, Abraha A, Sugaya M, Hartley O, Offord RE, Arts EJ, Zimmerman PA, Blauvelt A: PSC-RANTES blocks R5 human immunodeficiency virus infection of Langerhans cells isolated from individuals with a variety of CCR5 diplotypes. J Virol 78: 7602-7609, 2004

22.    Tada Y, Asahina A, Fujita H, Mitsui H, Torii H, Watanabe T, Tamaki K: Differential effects of LPS and TGF-beta on the production of IL-6 and IL-12 by Langerhans cells, splenic dendritic cells, and macrophages. Cytokine 25: 155-161, 2004

23.    Riedl E, Tada Y, Udey MC: Identification and characterization of an alternatively spliced isoform of mouse Langerin/CD207. J Invest Dermatol 123:78-86, 2004.

24.    Yano S, Komine M, Fujimoto M, Okochi H, Tamaki K: Mechanical stretching in vitro regulates signal transduction pathways and cellular proliferation in human epidermal keratinocytes. J Invest Dermatol 122: 783-790, 2004.

25.    Mitsui H, Watanabe T, Jinnin M, Kadono T, Idezuki T, Tamaki K: Mucinous carcinoma of the skin could have either an eccrine or an apocrine origin. Br J Dermatol 151: 1285-1286, 2004.

26.    Mitsui H, Watanabe T, Saeki H, Mori K, Fujita H, Tada Y, Asahina A, Nakamura K, Tamaki K: Differential expression and function of Toll-like receptors in Langerhans cells: comparison with splenic dendritic cells. J Invest Dermatol 122: 95-102, 2004.

27.    Michibata H, Chiba H, Wakimoto K, Seishima M, Kawasaki S, Okubo K, Mitsui H, Torii H, Imai Y: Identification and characterization of a novel component of the cornified envelope, cornifelin. Biochem Biophys Res Commun 318: 803-813, 2004.

28.    Chiba H, Michibata H, Wakimoto K, Seishima M, Kawasaki S, Okubo K, Mitsui H, Torii H, Imai Y: Cloning of a gene for a novel epithelium-specific cytosolic phospholipase A2, cPLA2delta, induced in psoriatic skin. J Biol Chem 279: 12890-12897, 2004.
 
29.    Asano Y, Ihn H, Yamane K, Jinnin M, Mimura Y, Tamaki K: Phosphatidylinositol 3-kinase is involved in α2(I) collagen gene expression in normal and scleroderma fibroblasts. J Immunol 172: 7123-7135, 2004.

30.    Asano Y, Ihn H, Yamane K, Kubo M, Tamaki K: Increased expression levels of integrin avb5 on scleroderma fibroblasts. Am J Pathol 164: 1275-1292, 2004.

31.    Asano Y, Ihn H, Yamane K, Kubo M, Tamaki K: Impaired Smad7-Smurf-mediated negative regulation of TGF-β signaling in scleroderma fibroblasts. J Clin Invest 113: 253-264, 2004.

32.    Asano Y, Ihn H, Shikada J, Kadono T, Kikuchi K, Tamaki K: Br J Dermatol 150:1213-1214, 2004.

33.    Asano N, Fujimoto M, Yazawa N, Shirasawa S, Hasegawa M, Okochi H, Tamaki K, Tedder TF, Sato S: B lymphocyte signaling established by the CD19/CD22 loop regulates autoimmunity in the tight-skin mouse. Am J Pathol 165: 641-650, 2004.

34.    Fujita H, Asahina A, Gao P, Fujiwara H, Tamaki K: Expression and regulation of RANTES/CCL5, MIP-1a/CCL3, and MIP-1b/CCL4 in mouse Langerhans cells. J Invest Dermatol 122: 1331-1333, 2004

35.    Fujita H, Asahina A, Mitsui H, Tamaki K: Langerhans cells exhibit low responsiveness to double-stranded RNA. Biochem Biophys Res Com 319: 832-839, 2004

36.    Tsunemi Y, Ihn H, Saeki H, Tamaki K: The lesional skin of linear IgA bullous dermatosis expresses growth-regulated peptide (GRO)-alpha. J Dermatol 31: 546-551, 2004.

37.    Tsunemi Y, Komine M, Sekiya T, Saeki H, Nakamura K, Hirai K, Kakinuma T, Kagami S, Fujita H, Asano N, Tanida Y, Wakugawa M, Torii H, Tamaki K: The -431C>T polymorphism of thymus and activation-regulated chemokine increases the promoter activity but is not associated with susceptibility to atopic dermatitis in Japanese patients. Exp Dermatol 13: 715-719, 2004.

38.    Tsunemi Y, Tada Y, Saeki H, Ihn H, Tamaki K: Clin Exp Dermatol 29: 483-485, 2004.

39.    Tsunemi Y, Sekiya T, Saeki H, Hirai K, Ohta K, Nakamura K, Kakinuma T, Fujita H, Kagami S, Asano N, Tanida Y, Wakugawa M, Torii H, Tamaki K: Lack of association of CCR4 single nucleotide polymorphism with atopic dermatitis in Japanese patients. Acta Derm Venereol 84: 187-190, 2004.

40.    Furukawa H, Nakamura K, Zheng X, Tojo M, Oyama N, Akiba H, Nishibu A, Kaneko F, Tsunemi Y, Saeki H, Tamaki K: Enhanced TARC production by dust-mite allergens and its modulation by immunosuppressive drugs in PBMCs from patients with atopic dermatitis. J Dermatol Sci 35: 35-42, 2004.

41.    Tsunemi Y, Ihn H, Saeki H, Tamaki K: J Dermatol 31: 142-5, 2004.

42.    Tsunemi Y, Saeki H, Ihn H, Tamaki K: Dermatology 208: 229-30, 2004.

43.    Tsunemi Y, Tada Y, Saeki H, Ihn H, Tamaki K: Clin Exp Dermatol 29: 483-485, 2004.

44.    Jinnin M, Ihn H, Asano Y, Yamane K, Trojanowska M, Tamaki K: Tenascin-C upregulation by transforming growth factor-b in human dermal fibroblasts involves Smad3, Sp1 and Ets-1. Oncogene 23: 1656-1667, 2004.

45.    Jinnin M, Ihn H, Yazawa N, Asano Y, Yamane K, Tamaki K: Serum levels of manganese superoxidase dismutase in patients withl localized scleroderma. Exp Dermatol 13: 357-360, 2004.

46.    Jinnin M, Ihn H, Asano Y, Yamane K, Yazawa N, Tamaki K: Serum matrix metaloproteinase-3 in systemic sclerosis. Arch Dermatol Res 296: 25-29, 2004.

47.    Jinnin M, Ihn H, Yamane K, Asano Y, Yazawa N, Tamaki K: Serum levels of tissue inhibitor of metalloproteinase-1 and 2 in patients with eosinophilic faciitis. Br J Dermatol 151: 407-412, 2004.

48.    Jinnin M, Ihn H, Yamane K, Tamaki K: Interleukin-13 stimulates the transcription of the human a2(I) collagen gene in human dermal fibroblasts. J Biol Chem 279: 41783-41791, 2004.

49.    Mimura Y, Ihn H, Jinnin M, Asano Y, Yamane K, Yazawa N, Tamaki K: Rheumatoid factor isotypes and anti-agalactosyl IgG antibodies in systemic sclerosis. Br J Dermatol 151:803-808, 2004.
 
50.    Mimura Y, Ihn H, Jinnin M, Asano Y, Yamane K, Tamaki K: Epidermal growth factor induces fibronectin expression in human dermal fibroblasts via protein kinase C delta signaling pathway. J Invest Dermatol 122:1390-1398, 2004.

51.    Sasaki K. Sugaya M. Fujita H. Takeuchi K. Torii H. Asahina A. Tamaki K.  Br J Dermatol 150:1202-7, 2004.






〜外来〜


(i)患者数


新来 延数 一日平均
1月 229 3639 191.5
2月 208 3578 188.3
3月 266 4107 178.6
4月 280 3849 183.3
5月 248 3565 198.1
6月 323 4120 187.3
7月 321 3983 189.7
8月 309 3895 177.0
9月 251 3883 194.2
10月 250 3711 185.6
11月 224 3652 182.6
12月 194 3671 293.2
合計 3103 45653 187.1



(ii) 初診病名

湿疹・皮膚炎 936 色素異常症 150
蕁麻疹 134 肉芽腫症 20
中毒疹 37 スピロヘーター・原虫・動物 33
膠原病 43 紅斑症 29
水疱症 7 毛髪疾患 63
血管炎 10 物理的・化学的障害 42
細菌感染症 135 皮膚潰瘍・壊疽 23
真菌感染症 225 紫斑 44
ウイルス感染症 218 良性腫瘍 501
炎症性角化症 123 悪性腫瘍 57
膿疱症 56 母斑・母斑症 225
角化症 51 その他 227
毛嚢脂腺系 100  
合計 3489
(他科入院中の皮膚科初診患者を含む)






〜入院〜

(i) 患者数


新入院 延数 一日平均
1月 60 1138 36.7
2月 39 1160 40.0
3月 60 1064 34.3
4月 44 1330 44.3
5月 35 1154 37.2
6月 40 1212 40.4
7月 50 1257 40.5
8月 40 1156 37.3
9月 46 1027 34.2
10月 57 1264 40.8
11月 47 1307 43.6
12月 47 1331 42.9
合計 565 14400 39.3


(ii) 病名

症例 男性 女性 合計
湿疹・皮膚炎 27 10 37 (内15例がアトピー性皮膚炎)
良性腫瘍 31 26 57
悪性腫瘍 59 51 110
感染症 51 44 95 (内45例が帯状疱疹)
母斑・母斑症 14 13 27 (内12例が色素性母斑)
紅斑症 6 9 15
物理的・化学的障害 11 4 15
角化症・炎症性角化症 27 9 36 (内30例が乾癬)
膠原病 13 84 97 (内68例が汎発性強皮症)
血管炎・血行障害 7 14 21
中毒疹 7 13 20
紫斑 3 3 6
白斑 6 4 10
水疱症 7 6 13
肉芽腫症 1 2 3
その他 2 13 15
合計 272 305 577




〜手術症例〜

(i-a) 手術件数 (中央手術室)


件数 一週平均
1月 11 2.8
2月 11 2.8
3月 12 3.0
4月 6 1.5
5月 5 1.3
6月 8 2.0
7月 16 3.2
8月 13 3.3
9月 9 2.3
10月 13 3.3
11月 12 3.0
12月 10 3.3
合計 123(レーザー照射23例を含 む) 2.6


(i-b) 手術症例 (中央手術室)

皮膚悪性腫瘍 40
ページェット病 8
悪性黒色腫 7
基底細胞癌 18
有棘細胞癌(ボーエン病、日光角化症を含む) 22
その他 5
皮膚良性腫瘍 34
レーザー照射 23
静脈瘤 2
その他 4
合計
(レーザー照射23例を含む)
123


 (ii-a) 手術件数 (外来手術室)


件数 一週平均
1月 88 19.8
2月 74 18.5
3月 99 22.3
4月 78 18.2
5月 78 17.6
6月 86 20.1
7月 79 17.8
8月 88 19.8
9月 78 18.2
10月 95 21.5
11月 77 18.0
12月 68 15.4
合計 988 18.9


(ii-b) 手術症例 (外来手術室)

生検 448
皮膚良性腫瘍 473
粉瘤 159
色素性母斑 103
皮膚線維腫 26
その他 186
皮膚悪性腫瘍 26
日光角化症 6
基底細胞癌 17
ボーエン病 4
有棘細胞癌 0
その他 1
陥入爪 21
その他 17
合計 988






〜レーザー〜

(i) レーザー照射件数


DYE ALEX CO2 合計
1月 50 35 4 89
2月 36 33 1 70
3月 52 30 2 84
4月 44 34 2 80
5月 34 24 4 62
6月 35 31 2 68
7月 41 24 3 68
8月 24 23 1 48
9月 32 23 1 56
10月 24 33 3 60
11月 32 27 5 64
12月 28 28 3 59
合計 432 345 31 808



(iI) レーザー照射症例

DYEレーザー
単純性血管腫 217
苺状血管腫 130
毛細血管拡張・酒さ 24
その他 61
合計 432
ALEXレーザー
太田母斑 124
扁平母斑・ベッカー母斑 45
青色母斑・異所性蒙古斑 26
外傷性刺青 1
老人性色素斑 67
色素性母斑 39
刺青 11
その他 11
合計 345
CO2レーザー
日光角化症 7
汗管腫 4
尋常性疣贅 4
色素性母斑 3
黄色腫 3
神経線維腫 3
その他 7
合計 31