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class=\"wp-block-paragraph\">\u4e16\u754c\u6700\u9ad8\u5cf0\u306e\u533b\u5b66\u8a8c\u300eThe New England Journal of Medicine\uff08NEJM\uff09\u300f\u306e2026\u5e744\u6708\u53f7\u306b\u63b2\u8f09\u3055\u308c\u305f\u75c7\u4f8b\u5831\u544a\u306f\u300176\u6b73\u306e\u6771\u30a2\u30b8\u30a2\u7cfb\u5973\u6027\u306e\u81e8\u5e8a\u7d4c\u904e\u3092\u901a\u3058\u3066\u3001C\u578b\u809d\u708e\u306e\u5b8c\u6cbb\u5f8c\u306b\u6f5c\u3080\u300c\u514d\u75ab\u7cfb\u306e\u81ea\u5f8b\u7684\u66b4\u8d70\u300d\u306e\u30df\u30af\u30ed\u306a\u4f53\u306e\u4ed5\u7d44\u307f\u3068\u3001\u4e00\u523b\u306e\u7336\u4e88\u3082\u8a31\u3055\u308c\u306a\u3044\u6025\u901f\u9032\u884c\u6027\u7cf8\u7403\u4f53\u814e\u708e\u306b\u5bfe\u3059\u308b\u9ad8\u5ea6\u306a\u81e8\u5e8a\u63a8\u8ad6\u306e\u30d7\u30ed\u30bb\u30b9\u3092\u6559\u3048\u3066\u304f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. 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15\u5e74\u524d\u306b\u30a6\u30a4\u30eb\u30b9\u81ea\u4f53\u306f\u6d88\u3048\u53bb\u3063\u305f\u3082\u306e\u306e\u3001\u4e00\u5ea6\u30b9\u30a4\u30c3\u30c1\u304c\u5165\u3063\u3066\u3057\u307e\u3063\u305fB\u7d30\u80de\u306e\u30af\u30ed\u30fc\u30f3\u306f\u3001\u30a6\u30a4\u30eb\u30b9\u304b\u3089\u5b8c\u5168\u306b\u72ec\u7acb\uff08\u81ea\u5f8b\u5316\uff09\u3057\u3066\u4f53\u5185\u3067\u5bc6\u304b\u306b\u5b58\u7d9a\u30fb\u5897\u6b96\u3057\u7d9a\u3051\u3066\u3044\u305f\u306e\u3067\u3059\u3002 \u3053\u308c\u304c\u9577\u3044\u5e74\u6708\u3092\u304b\u3051\u3066\u300c\u539f\u767a\u6027\u30de\u30af\u30ed\u30b0\u30ed\u30d6\u30ea\u30f3\u8840\u75c7\uff08Waldenstr\u00f6m&#8217;s macroglobulinemia \/ \u30ea\u30f3\u30d1oplasmacytic lymphoma\uff09\u300d\u3068\u3044\u3046\u9aa8\u9ac4\u3067\u306e\u8840\u6db2\u816b\u760d\u6027\u306e\u5897\u6b96\u3078\u3068\u9032\u5316\u3057\u3001\u5927\u91cf\u306eIgM kappa\u3092\u653e\u51fa\u3059\u308b\u3053\u3068\u3067\u3001\u4eca\u56de\u306e\u5287\u75c7\u578b\u8840\u7ba1\u708e\u3068\u6025\u6fc0\u306a\u814e\u4e0d\u5168\u3092\u8a98\u767a\u3057\u305f\u3068\u3044\u3046\u6a5f\u5e8f\u304c\u8a3c\u660e\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. \u814e\u751f\u691c\u306b\u3088\u308b\u78ba\u5b9a\u8a3a\u65ad\u3068\u3001\u8840\u6db2\u6d44\u5316\u30fb\u304c\u3093\u5316\u5b66\u7642\u6cd5\u306e\u7dcf\u529b\u6226<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u75c5\u614b\u306e\u672c\u614b\u3092\u7a81\u304d\u6b62\u3081\u308b\u305f\u3081\u3001\u814e\u81d3\u306e\u7d44\u7e54\u3092\u4e00\u90e8\u63a1\u53d6\u3059\u308b\u300c\u814e\u751f\u691c\u300d\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u9855\u5fae\u93e1\u691c\u67fb\uff08\u5149\u9855\u30fb\u96fb\u9855\u30fb\u514d\u75ab\u67d3\u8272\uff09\u3067\u306f\u3001\u7cf8\u7403\u4f53\u306b\u8457\u660e\u306a\u7d30\u80de\u306e\u5897\u6b96\uff08\u819c\u6027\u5897\u6b96\u6027\u7cf8\u7403\u4f53\u814e\u708e\uff1aMPGN\uff09\u3068\u3001\u6bdb\u7d30\u8840\u7ba1\u306e\u8154\u3092\u6587\u5b57\u901a\u308a\u3075\u3055\u3050\u300c\u4eee\u6027\u8840\u6813\uff08pseudothrombi\uff09\u300d\u304c\u78ba\u8a8d\u3055\u308c\u3001\u3055\u3089\u306b\u96fb\u5b50\u9855\u5fae\u93e1\u3067\u306f\u30af\u30ea\u30aa\u30b0\u30ed\u30d6\u30ea\u30f3\u306b\u7279\u5fb4\u7684\u306a\u300c\u5fae\u5c0f\u7ba1\u72b6\u306e\u7d50\u6676\u69cb\u9020\u300d\u304c\u63cf\u51fa\u3055\u308c\u307e\u3057\u305f\u3002\u9aa8\u9ac4\u751f\u691c\u3067\u3082\u3001IgM kappa\u3092\u7523\u751f\u3059\u308b\u816b\u760d\u6027\u306eB\u7d30\u80de\u96c6\u56e3\uff08\u6210\u719fB\u7d30\u80de\u30ea\u30f3\u30d1\u816b\uff09\u304c\u78ba\u8a8d\u3055\u308c\u3001\u78ba\u5b9a\u8a3a\u65ad\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6cbb\u7642\u306f\u3001\u66b4\u8d70\u3059\u308b\u514d\u75ab\u3092\u76f4\u3061\u306b\u5f37\u529b\u306b\u93ae\u3081\u308b\u305f\u3081\u306e\u300c\u9ad8\u7528\u91cf\u30b9\u30c6\u30ed\u30a4\u30c9\u30d1\u30eb\u30b9\u7642\u6cd5\u300d\u306b\u52a0\u3048\u3001\u8840\u6db2\u4e2d\u3092\u5de1\u3063\u3066\u8840\u7ba1\u3092\u8a70\u307e\u3089\u305b\u3066\u3044\u308b\u30af\u30ea\u30aa\u30b0\u30ed\u30d6\u30ea\u30f3\u3092\u7269\u7406\u7684\u306b\u308d\u904e\u3057\u3066\u9664\u53bb\u3059\u308b\u300c\u6cbb\u7642\u7684\u8840\u6f3f\u4ea4\u63db\uff08PE\uff1aPlasma Exchange\uff09\u300d\u304c\u7dca\u6025\u3067\u958b\u59cb\u3055\u308c\u307e\u3057\u305f\u3002 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class=\"wp-block-paragraph\"><strong>\u25a1\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u306e\u30e1\u30c3\u30bb\u30fc\u30b8<\/strong><\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u307e\u305f\u3001\u611f\u67d3\u75c7\u3092\u4e88\u9632\u30fb\u7ba1\u7406\u3059\u308b\u4e0a\u3067\u3001\u304a\u53e3\u306e\u4e2d\u306e\u885b\u751f\u7ba1\u7406\uff08\u6b6f\u79d1\u7ba1\u7406\uff09\u306f\u3001\u898b\u904e\u3054\u3055\u308c\u304c\u3061\u3067\u3059\u304c\u6975\u3081\u3066\u91cd\u8981\u306a\u300c\u9632\u885b\u30e9\u30a4\u30f3\u300d\u3067\u3059\u3002\u304a\u53e3\u306e\u4e2d\u306b\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\uff08\u6162\u6027\u708e\u75c7\uff09\u304c\u5b58\u5728\u3057\u3066\u3044\u308b\u3068\u3001\u98df\u4e8b\u306e\u969b\u306e\u5480\u56bc\uff08\u565b\u3080\u3053\u3068\uff09\u3084\u6bce\u65e5\u306e\u30cf\u30df\u30ac\u30ad\u3068\u3044\u3063\u305f\u4e9b\u7d30\u306a\u523a\u6fc0\u306b\u3088\u3063\u3066\u3001\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306e\u8840\u7ba1\u304b\u3089\u5927\u91cf\u306e\u53e3\u8154\u5185\u7d30\u83cc\u304c\u5bb9\u6613\u306b\u8840\u6db2\u4e2d\u306b\u4fb5\u5165\u3057\u307e\u3059\uff08\u4e00\u904e\u6027\u83cc\u8840\u75c7\uff09\u3002\u5065\u5eb7\u306a\u72b6\u614b\u3067\u3042\u308c\u3070\u514d\u75ab\u306b\u3088\u3063\u3066\u6392\u9664\u3055\u308c\u307e\u3059\u304c\u3001\u4eca\u56de\u306e\u75c7\u4f8b\u306e\u3088\u3046\u306b\u8840\u6db2\u30fb\u81ea\u5df1\u514d\u75ab\u306e\u96e3\u75c5\u3092\u62b1\u3048\u308b\u65b9\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u6301\u75c5\u3092\u304a\u6301\u3061\u306e\u65b9\u3084\u9ad8\u9f62\u306e\u60a3\u8005\u69d8\u306a\u3069\u306e\u69cb\u9020\u7684\u306a\u5f31\u70b9\uff08\u57fa\u8cea\uff09\u304c\u3042\u308b\u72b6\u614b\u3067\u306f\u3001\u8840\u6db2\u306b\u4e57\u3063\u3066\u6d41\u308c\u3066\u304d\u305f\u304a\u53e3\u306e\u7d30\u83cc\u304c\u809d\u81d3\u3084\u5fc3\u81d3\u306e\u5f01\u3001\u4eba\u5de5\u95a2\u7bc0\u306a\u3069\u306b\u5b9a\u7740\u3057\u3001\u91cd\u75c7\u306e\u5316\u81bf\u6027\u611f\u67d3\u75c7\uff08\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc\u306b\u3088\u308b\u6557\u8840\u75c7\u306a\u3069\u306e\u81f4\u547d\u7684\u306a\u4e8c\u6b21\u611f\u67d3\uff09\u3092\u5f15\u304d\u8d77\u3053\u3059\u76f4\u63a5\u306e\u5f15\u304d\u91d1\uff08\u539f\u56e0\u7d4c\u8def\uff09\u3068\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u533b\u79d1\u3068\u6b6f\u79d1\u304c\u540c\u3058\u96fb\u5b50\u30ab\u30eb\u30c6\u306e\u3082\u3068\u3067\u7dca\u5bc6\u306b\u9023\u643a\u3059\u308b\u300c\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u6cbb\u7642\u300d\u306e\u5f37\u307f\u3092\u6d3b\u304b\u3057\u3001\u5185\u79d1\u3067\u306e\u5168\u8eab\u7ba1\u7406\u3068\u9023\u52d5\u3057\u306a\u304c\u3089\u3001\u30d7\u30ed\u306b\u3088\u308b\u5fb9\u5e95\u7684\u306a\u304a\u53e3\u306e\u6e05\u6383\uff08PMTC\u306b\u3088\u308b\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u9664\u53bb\uff09\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002\u4f53\u5168\u4f53\u306e\u5165\u308a\u53e3\u3067\u3042\u308b\u304a\u53e3\u306e\u7d30\u83cc\u3092\u304d\u308c\u3044\u306b\u30ea\u30bb\u30c3\u30c8\u3059\u308b\u3053\u3068\u3067\u3001\u5185\u79d1\u6cbb\u7642\u306e\u5b89\u5168\u6027\u3092\u98db\u8e8d\u7684\u306b\u9ad8\u3081\u3001\u751f\u6daf\u306b\u308f\u305f\u308b\u304a\u4f53\u306e\u5065\u5eb7\u3092\u30c8\u30fc\u30bf\u30eb\u3067\u652f\u3048\u629c\u304d\u307e\u3059\u3002\u67cf\u30fb\u6211\u5b6b\u5b50\u30a8\u30ea\u30a2\u3067\u539f\u56e0\u4e0d\u660e\u306e\u3060\u308b\u3055\u3084\u98df\u6b32\u4f4e\u4e0b\u3001\u304a\u53e3\u306e\u4e7e\u304d\u3084\u30c8\u30e9\u30d6\u30eb\u306b\u304a\u60a9\u307f\u306e\u65b9\u306f\u3001\u304a\u6c17\u8efd\u306b\u5f53\u9662\u307e\u3067\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u25a0\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u533b\u79d1\u3011\uff08\u30a2\u30ec\u30eb\u30ae\u30fc\u81a0\u539f\u75c5\u30ea\u30a6\u30de\u30c1\u5185\u79d1\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u30fb\u3060\u308b\u3055\u3084\u5168\u8eab\u5026\u6020\u611f\u306e\u76f8\u8ac7\u3001\u809d\u81d3\u30fb\u814e\u81d3\u306e\u5065\u5eb7\u4e0d\u5b89\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong> \u203b\u5f53\u9662\u306e\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002 <a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\">https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u6b6f\u79d1\u3011\uff08\u6839\u7ba1\u6cbb\u7642\u30fb\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u30fb\u30d7\u30ed\u306b\u3088\u308b\u53e3\u8154\u30b1\u30a2\u30fb\u611f\u67d3\u4e88\u9632\u6b6f\u79d1\u30fb\u4e00\u822c\u6b6f\u79d1\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong> \u203b\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002 <a href=\"http:\/\/www.gomidental-kashiwa.com\/reservation\/\">http:\/\/www.gomidental-kashiwa.com\/reservation\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>\u304a\u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b\uff08\u304a\u85ac\u306e\u76f8\u8ac7\u30fb\u5065\u5eb7\u8a3a\u65ad\u30fb\u30ef\u30af\u30c1\u30f3\u306a\u3069\uff09<\/strong> \u3010\u533b\u79d1\u3011\uff1a04-7196-7531 \u3010\u6b6f\u79d1\u3011\uff1a04-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfe5 <strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u30a2\u30af\u30bb\u30b9<\/strong> \u3012277-0902 \u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1\uff08\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u3001\u99d0\u8eca\u5834\u5b8c\u5099\uff09 \u30d0\u30b9\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u5343\u4ee3\u7530\u5e38\u78d0\u7dda \u67cf\u99c5\u6771\u53e3 \u6771\u6b66\u30d0\u30b91\u756a\u4e57\u5834\uff08\u300c\u6cbc\u5357\u8eca\u5eab\u300d\u300c\u5c0f\u91ce\u585a\u53f0\u300d\u300c\u624b\u8cc0\u306e\u4e18\u516c\u5712\u300d\u300c\u5e03\u702c\u300d\u884c\u304d\uff09\u3088\u308a\u30d0\u30b915\u5206 \u300c\u5927\u4e95\u300d\u4e0b\u8eca \u5f92\u6b691\u5206 \u8eca\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u67cf\u99c5\u3088\u308a\u7d0415\u5206<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-380.png\" alt=\"\" class=\"wp-image-8105\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-380.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-380-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-380-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-381.png\" alt=\"\" class=\"wp-image-8106\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-381.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-381-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-381-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-382.png\" alt=\"\" class=\"wp-image-8107\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-382.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-382-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-382-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-383.png\" alt=\"\" class=\"wp-image-8108\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-383.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-383-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-383-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-384.png\" alt=\"\" class=\"wp-image-8109\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-384.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-384-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-384-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-385.png\" alt=\"\" class=\"wp-image-8110\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-385.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-385-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-385-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-386.png\" alt=\"\" class=\"wp-image-8111\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-386.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-386-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-386-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-395.png\" alt=\"\" class=\"wp-image-8121\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-395.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-395-400x224.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-395-767x429.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-389.png\" alt=\"\" class=\"wp-image-8114\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-389.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-389-400x224.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-389-767x429.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-388.png\" alt=\"\" class=\"wp-image-8113\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-388.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-388-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-388-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-390.png\" alt=\"\" class=\"wp-image-8115\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-390.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-390-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-390-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-391.png\" alt=\"\" class=\"wp-image-8116\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-391.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-391-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-391-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-392.png\" alt=\"\" class=\"wp-image-8117\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-392.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-392-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-392-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-393.png\" alt=\"\" class=\"wp-image-8118\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-393.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-393-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-393-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-394.png\" alt=\"\" class=\"wp-image-8119\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-394.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-394-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-394-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Tushar Kamath, Frank B. Cortazar, Meghan E. Sise, et al. &#8220;Case 13-2026: A 76-Year-Old Woman with Fatigue, Rash, and Kidney Failure.&#8221; <em>The New England Journal of Medicine<\/em>. 2026; 394(17): 1737-1748.<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. \u9577\u5e74\u306e\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u306e\u65e2\u5f80\u3084\u3001\u81ea\u899a\u75c7\u72b6\u306e\u306a\u3044\u814e\u81d3\u30fb\u809d\u6a5f\u80fd\u306e\u5fae\u7d30\u306aSOS\u3092\u8840\u6db2\u304b\u3089\u65e9\u671f\u306b\u767a\u898b\u3057\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306eNEJM\u306e\u75c7\u4f8b\u3067\u3082\u3001\u9577\u5e74\u306e\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u65e2\u5f80\u3084\u52a0\u9f62\u306b\u4f34\u3046\u6025\u6fc0\u306a\u814e\u81d3\u306e\u60aa\u5316\u3001\u5c3f\u86cb\u767d\u306e\u7570\u5e38\uff08\u814e\u708e\uff09\u304c\u3001\u8840\u6db2\u30fb\u5c3f\u691c\u67fb\u304b\u3089\u8a73\u7d30\u306b\u66b4\u304b\u308c\u307e\u3057\u305f\u3002\u81ea\u899a\u75c7\u72b6\u304c\u5168\u304f\u73fe\u308c\u306a\u3044\u521d\u671f\u306e\u8840\u6db2\u30fb\u5c3f\u306e\u4e71\u308c\u3084\u3001\u809d\u6a5f\u80fd\u30fb\u814e\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3092\u65e9\u671f\u306b\u30ad\u30e3\u30c3\u30c1\u3057\u3066\u9069\u5207\u306a\u5c02\u9580\u6cbb\u7642\u306b\u7e4b\u3052\u308b\u305f\u3081\u306b\u306f\u3001\u5e74\u306b1\u56de\u306e\u5b9a\u671f\u5065\u5eb7\u8a3a\u65ad\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u67cf\u5e02\u306e\u7279\u5b9a\u5065\u5eb7\u8a3a\u67fb\uff08\u7279\u5b9a\u5065\u8a3a\uff09\u3092\u6700\u5927\u9650\u306b\u6d3b\u7528\u3057\u3001\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u306e\u3082\u3068\u3067\u304a\u4f53\u5168\u4f53\u306e\u5065\u5eb7\u30d0\u30e9\u30f3\u30b9\u3092\u5ba2\u89b3\u7684\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3059\u308b\u65b9\u6cd5\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u5185\u79d1\u306f\u571f\u66dc\u65e5\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"bac9ub7x5F\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/\">\u30102026\u5e74\u5ea6\u7248\u3011\u67cf\u5e02\u7279\u5b9a\u5065\u8a3a\uff08\u5065\u5eb7\u8a3a\u65ad\uff09\u306f\u3044\u3064\u304b\u3089\uff1f\u5bfe\u8c61\u8005\u30fb\u8cbb\u7528\u30fb\u6301\u3061\u7269\u3092\u67cf\u5e02\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u30102026\u5e74\u5ea6\u7248\u3011\u67cf\u5e02\u7279\u5b9a\u5065\u8a3a\uff08\u5065\u5eb7\u8a3a\u65ad\uff09\u306f\u3044\u3064\u304b\u3089\uff1f\u5bfe\u8c61\u8005\u30fb\u8cbb\u7528\u30fb\u6301\u3061\u7269\u3092\u67cf\u5e02\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/embed\/#?secret=yJNmX0zOhV#?secret=bac9ub7x5F\" data-secret=\"bac9ub7x5F\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u6cbb\u7642\u306e\u904e\u7a0b\u3067\u751f\u3058\u308b\u300c\u6613\u611f\u67d3\u72b6\u614b\u300d\u3084\u3001\u304a\u53e3\u304b\u3089\u5168\u8eab\u306e\u8840\u6db2\u3078\u306e\u7d30\u83cc\u4fb5\u5165\uff08\u83cc\u8840\u75c7\uff09\u3092\u9632\u3050\u30d0\u30ea\u30a2\u3092\u5f37\u5316\u3057\u305f\u3044\u65b9\u3078\uff08\u533b\u79d1\u6b6f\u79d1\u9023\u643a\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u75c7\u4f8b\u306e\u60a3\u8005\u69d8\u304c\u6cbb\u7642\u306e\u9014\u4e2d\u3067\u91cd\u7be4\u306a\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc\u306b\u3088\u308b\u6557\u8840\u75c7\uff08\u83cc\u8840\u75c7\uff09\u3092\u5408\u4f75\u3055\u308c\u305f\u3088\u3046\u306b\u3001\u4f53\u5168\u4f53\u306e\u514d\u75ab\uff08\u9632\u5fa1\u529b\uff09\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u5c40\u9762\u3067\u306f\u3001\u304a\u53e3\u306e\u4e2d\u306b\u6f5c\u3080\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\u306a\u3069\u306e\u6162\u6027\u708e\u75c7\u304c\u300c\u5168\u8eab\u3078\u306e\u7d30\u83cc\u306e\u4f9b\u7d66\u6e90\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u6bce\u65e5\u306e\u30cf\u30df\u30ac\u30ad\u3067\u306f\u7d76\u5bfe\u306b\u843d\u3068\u3057\u304d\u308c\u306a\u3044\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306e\u7d30\u83cc\u306e\u584a\uff08\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff09\u3092\u30d7\u30ed\u306e\u5c02\u9580\u5668\u5177\u3067\u6839\u3053\u305d\u304e\u9664\u53bb\u3057\u3001\u8840\u6db2\u3092\u5de1\u308b\u81f4\u547d\u7684\u306a\u4e8c\u6b21\u611f\u67d3\u3092\u672a\u7136\u306b\u9632\u3050\u5f53\u9662\u72ec\u81ea\u306e\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u30d7\u30ed\u30b0\u30e9\u30e0PMTC\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c14\u6642\u307e\u3067\u8a3a\u7642\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"1WVJ7sqpbc\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/\">\u3010\u67cf\u6211\u5b6b\u5b50\u5e02\u30fb\u6b6f\u79d1\u3011\u3046\u304c\u3044\u85ac\u3067\u306f\u843d\u3061\u306a\u3044\u300c\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u300d\u306e\u6050\u6016\uff1aPMTC\uff08\u30d7\u30ed\u306e\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09\u3067\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u3092\u5fb9\u5e95\u4e88\u9632\uff5e\u6839\u7ba1\u6cbb\u7642\u5c02\u9580\u533b\u304c\u89e3\u8aac\uff5e<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u3010\u67cf\u6211\u5b6b\u5b50\u5e02\u30fb\u6b6f\u79d1\u3011\u3046\u304c\u3044\u85ac\u3067\u306f\u843d\u3061\u306a\u3044\u300c\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u300d\u306e\u6050\u6016\uff1aPMTC\uff08\u30d7\u30ed\u306e\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09\u3067\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u3092\u5fb9\u5e95\u4e88\u9632\uff5e\u6839\u7ba1\u6cbb\u7642\u5c02\u9580\u533b\u304c\u89e3\u8aac\uff5e\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/embed\/#?secret=9mj4aSYcPK#?secret=1WVJ7sqpbc\" data-secret=\"1WVJ7sqpbc\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. 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