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		<h1 class="catchCopy">ありそうでなかった小児のステロイド療法の実践書！</h1>
		

		<h1 class="title">小児科ステロイドの使い方・止め方・続け方<span class="version"></span></h1>
		<h2 class="subTitle">効果は最大，副作用は最小をめざす診療のすべて</h2>

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					編集：稲毛康司（前日本大学医学部小児科学系小児科学分野准教授）
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				<ul class="property"><li class="disc">B5判・224頁・2色刷</li><li class="disc">ISBN&nbsp;978-4-8306-3040-8</li><li class="disc">2019年1月17日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">小児診療におけるステロイド薬の使い方について，common disease（気管支喘息やアトピー性皮膚炎など）から専門領域（腎疾患，膠原病や眼科疾患など）まで解説．初期投与の処方例，減量のしかたや投与終了のタイミング，注意すべき副作用とその対応，効きが悪いときの「次の一手」など，実際の臨床で知りたい，知っておくと役立つポイントを，エビデンスを交えながら，病態・疾患ごとに解説した．小児科医をはじめ，小児を診る機会のあるすべての臨床医に役立つ一冊．</section><section class="indexes">I　総　論<br>　A　ステロイドの作用機構と薬理作用，副作用<br>　B　ステロイド療法の実際<br>　　１．投与方法<br>　　２．ステロイド薬の使い分け<br>　C　ステロイド薬の副作用<br>　　１．全身投与ステロイド薬（経口薬，注射薬）<br>　　　ａ．概説<br>　　　ｂ．成長障害<br>　　　ｃ．グルココルチコイド誘発性骨粗鬆症<br>　　　ｄ．ステロイド緑内障・白内障<br>　　　ｅ．ステロイド糖尿病<br>　　　ｆ．高血圧・可逆性後頭葉白質脳症など<br>　　２．吸入ステロイド薬（鼻，気管支）<br>　　３．皮膚外用ステロイド薬<br>　D　ステロイド薬に対する過敏反応（ステロイドアレルギー）<br>　E　その他<br>　　１．患者・家族への説明─日常生活上の注意点<br>　　２．ステロイドと予防接種<br>II　各　論<br>　A　病態に応じたステロイド療法<br>　　１．敗血症性ショック<br>　　２．緩和ケア─がん疼痛<br>　　３．移行期医療─ステロイド薬と妊娠<br>　　４．周術期管理，ステロイドカバー<br>　　５．ステロイド離脱症候群<br>　B　疾患別のステロイド療法<br>　　１．リウマチ膠原病<br>　　　ａ．若年性特発性関節炎（JIA）<br>　　　ｂ．全身性エリテマトーデス（SLE）<br>　　　ｃ．若年性皮膚筋炎・多発性筋炎，免疫介在性壊死性ミオパチー<br>　　　ｄ．IgA血管炎（Henoch-Schönlein紫斑病）<br>　　２．自己炎症性疾患<br>　　　ａ．PFAPA症候群<br>　　　ｂ．ステロイド療法が主に行われる自己炎症性疾患<br>　　　　　TRAPS，PAPA症候群，Blau症候群/若年発症サルコイドーシス，<br>　　　　　中條-西村症候群，高IgD症候群，クリオピリン関連周期熱症候群<br>　　３．免疫疾患<br>　　　a．IgG4関連疾患<br>　　　　コラム　原発性免疫不全症とステロイド療法<br>　　４．感染症<br>　　　ａ．細菌性髄膜炎<br>　　　ｂ．マイコプラズマ肺炎<br>　　　ｃ．ウイルス性肺炎<br>　　　ｄ．伝染性単核球症<br>　　　ｅ．敗血症<br>　　５．川崎病<br>　　６．菊池病<br>　　７．神経疾患<br>　　　ａ．急性脳症<br>　　　ｂ．重症筋無力症<br>　　　ｃ．免疫性中枢性神経疾患<br>　　　　　多発性硬化症，視神経脊髄炎，急性散在性脳脊髄炎<br>　　　ｄ．免疫性末梢性神経疾患<br>　　　　　Guillain-Barré症候群，Fisher症候群<br>　　　ｅ．自己免疫性脳炎・脳症<br>　　　　　NMDAR脳炎，橋本脳症<br>　　８．筋疾患<br>　　　ａ．デュシェンヌ型筋ジストロフィー<br>　　９．循環器疾患<br>　　　ａ．心筋炎<br>　　10．内分泌疾患<br>　　　ａ．リンパ球性漏斗神経下垂体炎<br>　　　ｂ．亜急性甲状腺炎<br>　　11．消化器疾患<br>　　　ａ．炎症性腸疾患<br>　　　　　潰瘍性大腸炎，Crohn病<br>　　　ｂ．好酸球性消化管疾患<br>　　　　　好酸球性食道炎，好酸球性胃腸炎<br>　　12．肝疾患<br>　　　ａ．自己免疫性肝炎<br>　　13．血液疾患<br>　　　ａ．免疫性血小板減少症<br>　　　ｂ．血栓性血小板減少性紫斑病<br>　　　ｃ．血球貪食症候群<br>　　　ｄ．Kasabach-Merritt現象<br>　　　ｅ．好酸球増加症<br>　　　　コラム　TAFRO症候群<br>　　14．腎疾患<br>　　　ａ．ネフローゼ症候群<br>　　　ｂ．紫斑病性腎炎<br>　　15．呼吸器疾患<br>　　　ａ．クループ症候群<br>　　　ｂ．特発性間質性肺炎<br>　　　ｃ．過敏性肺炎<br>　　16．アレルギー疾患<br>　　　ａ．アレルギー性鼻炎<br>　　　ｂ．気管支喘息<br>　　　　1）長期管理<br>　　　　2）急性増悪（発作）<br>　　17．眼科疾患<br>　　　ａ．アレルギー性結膜炎<br>　　　ｂ．ぶどう膜炎<br>　　18．耳鼻咽喉科疾患<br>　　　ａ．突発性難聴，ANCA関連血管炎性中耳炎<br>　　　ｂ．顔面神経麻痺<br>　　19．皮膚科疾患<br>　　　ａ．アトピー性皮膚炎<br>　　　ｂ．Stevens-Johnson症候群・中毒性表皮壊死症<br>　　　ｃ．薬剤性過敏症症候群と急性汎発性発疹性膿疱症<br>索　引</section></article>
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