Nephrology

梅田 良祐

ウメダ リョウスケ  (umeda ryosuke)

基本情報

所属
藤田医科大学 医学部・腎臓内科学 講師

J-GLOBAL ID
201601000408773877
researchmap会員ID
7000017908

学歴

 1

論文

 17
  • 伊藤 辰将, 辰川 英樹, 梅田 良祐, 横江 優貴, 高橋 和男, 湯澤 由紀夫, 人見 清隆, 坪井 直毅
    日本腎臓学会誌 63(4) 519-519 2021年6月  
  • Ryosuke Umeda, Soshiro Ogata, Shigeo Hara, Kazuo Takahashi, Daijo Inaguma, Midori Hasegawa, Hidetaka Yasuoka, Yukio Yuzawa, Hiroki Hayashi, Naotake Tsuboi
    Arthritis research & therapy 22(1) 260-260 2020年11月4日  
    BACKGROUND: Although the 2018 revised International Society of Nephrology/Renal Pathology Society (ISN/RPS) classification was proposed recently, until now, no reports have been made comparing the association of renal prognosis between the 2018 revised ISN/RPS classification and the 2003 ISN/RPS classification. The present study aimed to assess the usefulness, especially of activity and chronicity assessment, of the 2018 revised ISN/RPS classification for lupus nephritis (LN) in terms of renal prognosis compared to the classification in 2003. METHODS: We retrospectively collected medical records of 170 LN patients from the database of renal biopsy at Fujita Health University from January 2003 to April 2019. Each renal biopsy specimen was reevaluated according to both the 2003 ISN/RPS classification and the 2018 revised ISN/RPS classification. Renal endpoint was defined as a 30% decline of estimated glomerular filtration rate (eGFR). RESULTS: A total of 129 patients were class III/IV±V (class III, 44 patients; class IV, 35 patients; class III/IV+V, 50 patients). The mean age was 42 years, 88% were female, and the median observation period was 50.5 months. Renal prognosis was significantly different among the classes and significantly poor in the patients with higher modified National Institute of Health (mNIH) chronicity index (C index, ≥ 4) by a log-rank test (p = 0.05 and p = 0.02, respectively). By Cox proportional hazard models, only the C index was significantly associated with renal outcome (hazard ratio 1.32, 95% CI 1.11-1.56, p ≤ 0.01), while the classes, the 2003 activity and chronicity subdivision, and the mNIH activity index had no significant association with renal outcome. Each component of the C index was significantly associated with renal outcome in different models. CONCLUSION: This study demonstrates that the 2018 revised ISN/RPS classification was more useful in terms of association with renal prognosis compared to the 2003 ISN/RPS classification.
  • 上村 裕子, 辻 剛, 梅田 良祐, 牟田 愛, 阿部 京介, 泉 真祐子, 河野 泰秀, 千藤 荘, 熊谷 俊一
    日本リウマチ学会総会・学術集会プログラム・抄録集 60回 514-514 2016年3月  
  • Hiroko Tsunemine, Ryosuke Umeda, Yasuhiro Nohda, Emiko Sakane, Hiroshi Akasaka, Kiminari Itoh, Mayuko Izumi, Goh Tsuji, Taiichi Kodaka, Tomoo Itoh, Takayuki Takahashi
    INTERNAL MEDICINE 55(3) 289-293 2016年  査読有り
    Giant cell arteritis (GCA), a type of systemic arteritis, is rare in Japan. We herein report a case of acute myeloid leukemia (AML) complicated by GCA that manifested during chemotherapy for AML. A 77-year-old woman with severe back pain was diagnosed with AML. She achieved complete remission with the resolution of her back pain following induction chemotherapy. However, she developed a headache and fever after consolidation chemotherapy. A diagnosis of GCA was made based on a biopsy of the temporal artery and arterial imaging. GCA should therefore be included in the differential diagnosis in AML patients complicated with a headache and fever of unknown origin.
  • 上村 裕子, 林 秀敏, 高橋 敏夫, 齋藤 敏晴, 梅田 良祐, 牟田 愛, 千藤 荘, 辻 剛, 熊谷 俊一
    臨床病理 63(補冊) 096-096 2015年10月  

MISC

 17

講演・口頭発表等

 31