医学部 眼科学

島田 佳明

shimada yoshiaki

基本情報

所属
藤田医科大学 医学部 医学科 眼科 教授
学位
博士(医学)

J-GLOBAL ID
200901026739497806
researchmap会員ID
1000306296

論文

 91
  • Daisuke Nakata, Hiroshi Okada, Yoshiaki Shimada, Atsuhiro Tanikawa, Masayuki Horiguchi, Yasuki Ito
    Case reports in ophthalmology 13(2) 584-588 2022年  
    We report a case of Fabry disease diagnosed after recurrent cerebral infarction in a patient with central retinal artery occlusion (CRAO). A 23-year-old man presented with vision loss in his right eye (20/2000), showing CRAO. There was no identified cause for the loss of vision; however, corneal verticillata was detected in both eyes on the recurrence of the cerebral infarction. The α-galactosidase activity in leukocytes was significantly reduced to <0.3 nmol/mg of protein/hour, leading to a definitive diagnosis of Fabry disease. Enzyme replacement therapy was commenced concomitant to rehabilitation. It is necessary to identify Fabry disease as a cause of CRAO in young individuals, and the detection of cornea verticillata, used frequently as an ocular finding, is helpful.
  • Daisuke Nakata, Sayaka Kakehi, Hiroshi Okada, Atsuhiro Tanikawa, Yoshiaki Shimada, Masayuki Horiguchi, Yasuki Ito
    Case reports in ophthalmological medicine 2022 2841683-2841683 2022年  
    PURPOSE: We report a case of neuroretinitis associated with cat scratch disease (CSD) in young children. METHOD: Case report. RESULTS: A 16-month-old boy was admitted for a detailed examination and treatment of a fever of unknown origin. Blood tests revealed no significant findings other than a white blood cell count of 16,100/mm3 and C-reactive protein level of 9.89 mg/dL. Computed tomography revealed no relevant findings to determine the causative disease. Antibiotic therapy with cefotaxime was initiated; however, the fever did not resolve. The patient was referred to our department for further examination to detect the cause of the fever. Fundoscopy revealed neuroretinitis in the right eye. His mother reported a history of breeding cats. Cat scratch disease (CSD) was suspected based on the clinical course and fundus findings. Cefotaxime was discontinued, and azithromycin, rifampicin, and prednisolone were administered, following which the fever disappeared and fundus findings improved. Immunoglobulin G (IgG) and IgM antibodies against Bartonella henselae was positive, leading to a definitive diagnosis of CSD. CONCLUSION: Infants cannot complain of decreased visual acuity; therefore, these findings may be overlooked unless a fundus examination is performed. As in this case, the early detection of neuroretinitis by an ophthalmologist may help in the diagnosis of CSD. It is extremely difficult to capture a photograph of the fundus of an infant, and recording with a smartphone is relatively simple and useful for monitoring continuous changes. Summary. We describe a case of neuroretinitis associated with cat scratch disease (CSD) that was diagnosed on the basis of fundus findings. The findings suggest the importance of an aggressive ophthalmologic examination when CSD is suspected in young children who are unable to describe their symptoms.
  • 中田 大介, 岡田 浩, 島田 佳明, 谷川 篤宏, 堀口 正之
    臨床眼科 75(8) 1105-1110 2021年8月15日  
  • Atsuhiro Tanikawa, Keita Suzuki, Ryoko Nomura, Hidenori Tanaka, Tadashi Mizuguchi, Yoshiaki Shimada, Masayuki Horiguchi
    Documenta Ophthalmologica 142(2) 177-183 2021年4月  
  • Yoshiaki Shimada, Masayuki Horiguchi, Atsuhiro Tanikawa
    Documenta Ophthalmologica 142(1) 127-132 2021年2月  

MISC

 42

書籍等出版物

 20

講演・口頭発表等

 311

共同研究・競争的資金等の研究課題

 5

作成した教科書、教材、参考書

 1
  • 件名
    Toxoplasmosis - Recent Advances
    概要
    Chapter 9: Pseudo toxoplasmosis. In Djakovic' OD, ed. InTech,2012, p173-186.