{"id":9480,"date":"2026-10-26T23:24:03","date_gmt":"2026-10-26T14:24:03","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=9480"},"modified":"2026-10-26T23:28:38","modified_gmt":"2026-10-26T14:28:38","slug":"systemic-sclerosis-myositis-cardiac-involvement","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/systemic-sclerosis-myositis-cardiac-involvement\/","title":{"rendered":"\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u3068\u7b4b\u708e\u306e\u5408\u4f75\uff5c\u5fc3\u75c5\u5909\u306e\u30ea\u30b9\u30af\u3068\u751f\u547d\u4e88\u5f8c\u3092\u6700\u65b0\u7814\u7a76\u304b\u3089\u89e3\u8aac"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u5168\u8eab\u6027\u5f37\u76ae\u75c7\uff08Systemic 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class=\"wp-block-paragraph\">2026\u5e7410\u670816\u65e5\u3001\u533b\u5b66\u8a8c\u300eRheumatology\u300f\u306b\u3001\u5168\u8eab\u6027\u5f37\u76ae\u75c7880\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u3066\u7b4b\u708e\u5408\u4f75\u3068\u5fc3\u75c5\u5909\u3001\u751f\u547d\u4e88\u5f8c\u3068\u306e\u95a2\u9023\u3092\u691c\u8a0e\u3057\u305f\u7814\u7a76\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7814\u7a76\u3067\u306f\u3001\u7b4b\u708e\u3092\u5408\u4f75\u3057\u305f\u60a3\u8005\u3055\u3093\u3067\u306f\u5fc3\u75c5\u5909\u3068\u306e\u5f37\u3044\u95a2\u9023\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002\u4e00\u65b9\u3001\u7b4b\u708e\u306e\u5408\u4f75\u305d\u306e\u3082\u306e\u306b\u3088\u308b\u660e\u78ba\u306a\u6b7b\u4ea1\u7387\u306e\u4e0a\u6607\u306f\u78ba\u8a8d\u3055\u308c\u305a\u3001\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u306e\u306f\u5fc3\u75c5\u5909\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-heading\">2\uff0e\u4eca\u56de\u306e\u7814\u7a76\u306f\u4f55\u3092\u660e\u3089\u304b\u306b\u3057\u3088\u3046\u3068\u3057\u305f\u306e\u304b\uff1f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u306e\u4e2d\u5fc3\u7684\u306a\u554f\u3044\u306f\u3001\u6b21\u306e2\u3064\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u306b\u7b4b\u708e\u304c\u5408\u4f75\u3059\u308b\u3068\u3001\u5fc3\u75c5\u5909\u304c\u5897\u52a0\u3059\u308b\u306e\u304b\u3002<\/li>\n\n\n\n<li>\u7b4b\u708e\u306e\u5408\u4f75\u306f\u3001\u5fc3\u75c5\u5909\u3068\u306f\u72ec\u7acb\u3057\u3066\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u306e\u304b\u3002<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f93\u6765\u304b\u3089\u3001\u5f37\u76ae\u75c7\u306b\u7b4b\u708e\u304c\u91cd\u306a\u308b\u60a3\u8005\u3055\u3093\u3067\u306f\u91cd\u75c7\u306e\u81d3\u5668\u969c\u5bb3\u304c\u554f\u984c\u306b\u306a\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u7b4b\u708e\u305d\u306e\u3082\u306e\u304c\u4e88\u5f8c\u306b\u5f71\u97ff\u3059\u308b\u306e\u304b\u3001\u305d\u308c\u3068\u3082\u5fc3\u75c5\u5909\u306a\u3069\u306e\u81d3\u5668\u969c\u5bb3\u3092\u4ecb\u3057\u3066\u4e88\u5f8c\u304c\u60aa\u5316\u3059\u308b\u306e\u304b\u306b\u3064\u3044\u3066\u306f\u3001\u5341\u5206\u306b\u6574\u7406\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u306f\u3001\u3053\u306e\u554f\u984c\u3092\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u3092\u7528\u3044\u305f\u89b3\u5bdf\u7814\u7a76\u3067\u691c\u8a0e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3\uff0e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\uff1a\u5f37\u76ae\u75c7880\u4f8b\u304b\u3089\u7b4b\u708e\u5408\u4f7592\u4f8b\u3092\u62bd\u51fa<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u5bfe\u8c61\u60a3\u8005<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u306f\u3001\u30a4\u30f3\u30c9\u306e\u5358\u4e00\u65bd\u8a2d\u3067\u5b9f\u65bd\u3055\u308c\u305f\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2013\u5e74ACR\/EULAR\u5206\u985e\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u60a3\u8005880\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3046\u3061\u3001\u7b4b\u708e\u3092\u5408\u4f75\u3057\u305f\u60a3\u8005\u3055\u3093\u306f92\u4f8b\u3067\u3001\u5168\u4f53\u306e10.4%\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7814\u7a76\u306b\u304a\u3051\u308b\u7b4b\u708e\u306e\u5b9a\u7fa9\u306f\u3001\u4e3b\u3068\u3057\u3066\u4ee5\u4e0b\u306e\u6761\u4ef6\u306b\u57fa\u3065\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8fd1\u4f4d\u7b4b\u529b\u4f4e\u4e0b\u304c\u3042\u308b<\/li>\n\n\n\n<li>\u7b4b\u9175\u7d20\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b<\/li>\n\n\n\n<li>\u4ed6\u306e\u539f\u56e0\u3067\u306f\u5341\u5206\u306b\u8aac\u660e\u3067\u304d\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u5b9a\u7fa9\u306f\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u708e\u306e\u8a3a\u65ad\u306b\u7b4bMRI\u3084\u7b4b\u751f\u691c\u306a\u3069\u304c\u5168\u4f8b\u3067\u5fc5\u9808\u3068\u3055\u308c\u305f\u308f\u3051\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u73fe\u4ee3\u306e\u708e\u75c7\u6027\u7b4b\u75be\u60a3\u5206\u985e\u306b\u304a\u3051\u308b\u7279\u5b9a\u306e\u75c5\u578b\u3068\u5b8c\u5168\u306b\u4e00\u81f4\u3059\u308b\u96c6\u56e3\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u672c\u7814\u7a76\u3067\u3044\u3046\u300c\u7b4b\u708e\u300d\u306f\u3001\u81e8\u5e8a\u7684\u306a\u7b4b\u529b\u4f4e\u4e0b\u3068\u7b4b\u9175\u7d20\u4e0a\u6607\u306b\u57fa\u3065\u304f\u6bd4\u8f03\u7684\u5e83\u3044\u30aa\u30fc\u30d0\u30fc\u30e9\u30c3\u30d7\u75c5\u614b\u3068\u3057\u3066\u7406\u89e3\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u3068\u306f\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u708e\u5408\u4f75\u7fa4\u3068\u975e\u5408\u4f75\u7fa4\u3067\u306f\u3001\u60a3\u8005\u80cc\u666f\u3084\u5f37\u76ae\u75c7\u306e\u91cd\u75c7\u5ea6\u306a\u3069\u304c\u7570\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u3053\u3067\u7814\u7a76\u8005\u3089\u306f\u3001\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\uff08Propensity Score Matching\uff1aPSM\uff09\u3092\u7528\u3044\u3066\u3001\u6bd4\u8f03\u3059\u308b\u60a3\u8005\u7fa4\u306e\u80cc\u666f\u3092\u3067\u304d\u308b\u9650\u308a\u305d\u308d\u3048\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6700\u7d42\u7684\u306b\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7b4b\u708e\u5408\u4f75\u7fa4\uff1a92\u4f8b<\/li>\n\n\n\n<li>\u7b4b\u708e\u975e\u5408\u4f75\u7fa4\uff1a92\u4f8b<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5408\u8a08184\u4f8b\u3092\u89e3\u6790\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u306f\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\u3068\u306f\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6e2c\u5b9a\u3055\u308c\u305f\u80cc\u666f\u56e0\u5b50\u306e\u4e0d\u5747\u8861\u3092\u6e1b\u3089\u3059\u3053\u3068\u306f\u3067\u304d\u307e\u3059\u304c\u3001\u6e2c\u5b9a\u3055\u308c\u3066\u3044\u306a\u3044\u4ea4\u7d61\u56e0\u5b50\u3084\u8a3a\u65ad\u30fb\u691c\u67fb\u5b9f\u65bd\u306b\u95a2\u3059\u308b\u30d0\u30a4\u30a2\u30b9\u3092\u5b8c\u5168\u306b\u53d6\u308a\u9664\u304f\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5fc3\u75c5\u5909\u306e\u5b9a\u7fa9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u75c5\u5909\u306f\u3001Scleroderma Clinical Trials Consortium\uff08SCTC\uff09\u306e\u57fa\u6e96\u306b\u57fa\u3065\u3044\u3066\u8a55\u4fa1\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5bfe\u8c61\u3068\u306a\u308b\u4e3b\u306a\u6240\u898b\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5fc3\u56a2\u6db2\u8caf\u7559<\/li>\n\n\n\n<li>\u5fc3\u5ba4\u6a5f\u80fd\u969c\u5bb3<\/li>\n\n\n\n<li>\u4e0d\u6574\u8108<\/li>\n\n\n\n<li>\u5fc3\u81d3\u306e\u523a\u6fc0\u4f1d\u5c0e\u969c\u5bb3<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3053\u3067\u91cd\u8981\u306a\u306e\u306f\u3001\u4eca\u56de\u306e\u5fc3\u75c5\u5909\u304c\u300c\u5fc3\u7b4b\u708e\u300d\u306b\u9650\u5b9a\u3055\u308c\u306a\u3044\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u3053\u308c\u3089\u306e\u6240\u898b\u306f\u5fc5\u305a\u3057\u3082\u3059\u3079\u3066\u304c\u5f37\u76ae\u75c7\u306b\u3088\u308b\u4e00\u6b21\u6027\u5fc3\u7b4b\u969c\u5bb3\u3092\u610f\u5473\u3059\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u865a\u8840\u6027\u5fc3\u75be\u60a3\u3001\u80ba\u9ad8\u8840\u5727\u75c7\u3001\u305d\u306e\u4ed6\u306e\u5fc3\u75be\u60a3\u3068\u306e\u9451\u5225\u3082\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"532\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-160-edited-532x600.png\" alt=\"\u5f37\u76ae\u75c7\u60a3\u8005880\u4f8b\u304b\u3089\u7b4b\u708e\u5408\u4f7592\u4f8b\u3092\u540c\u5b9a\u3057\u3001\u975e\u7b4b\u708e92\u4f8b\u3068\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u3057\u305f\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3002\" class=\"wp-image-9491\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-160-edited-532x600.png 532w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-160-edited-266x300.png 266w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-160-edited.png 800w\" sizes=\"auto, (max-width: 532px) 100vw, 532px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\uff1a\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u306b\u3088\u308b\u7814\u7a76\u96c6\u56e3\u306e\u69cb\u6210<\/strong>\u3000\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u60a3\u8005880\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5358\u65bd\u8a2d\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306e\u89e3\u6790\u5bfe\u8c61\u3002\u7b4b\u708e\u5408\u4f7592\u4f8b\uff0810.4%\uff09\u3092\u540c\u5b9a\u3057\u3001\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u306b\u3088\u3063\u3066\u975e\u7b4b\u708e\u7fa492\u4f8b\u3068\u6bd4\u8f03\u3057\u305f\u3002\u6700\u7d42\u89e3\u6790\u96c6\u56e3\u306f184\u4f8b\u3067\u3042\u308b\u3002\u7b4b\u708e\u306f\u8fd1\u4f4d\u7b4b\u529b\u4f4e\u4e0b\u3068\u7b4b\u9175\u7d20\u4e0a\u6607\u3092\u4e2d\u5fc3\u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u305f\u3002\u30de\u30c3\u30c1\u30f3\u30b0\u306f\u6e2c\u5b9a\u3055\u308c\u305f\u60a3\u8005\u80cc\u666f\u306e\u4e0d\u5747\u8861\u3092\u8efd\u6e1b\u3059\u308b\u304c\u3001\u672a\u6e2c\u5b9a\u4ea4\u7d61\u3092\u5b8c\u5168\u306b\u306f\u9664\u53bb\u3057\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4\uff0e\u4e3b\u8981\u7d50\u679c\u2460\uff1a\u7b4b\u708e\u306e\u5408\u4f75\u306f\u5fc3\u75c5\u5909\u3068\u5f37\u304f\u95a2\u9023\u3057\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u3067\u6700\u3082\u6ce8\u76ee\u3059\u3079\u304d\u7d50\u679c\u306f\u3001\u7b4b\u708e\u5408\u4f75\u3068\u5fc3\u75c5\u5909\u3068\u306e\u95a2\u9023\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u901a\u5e38\u306e\u591a\u5909\u91cf\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u89e3\u6790\u3067\u306f\u3001\u7b4b\u708e\u306e\u5408\u4f75\u306f\u5fc3\u75c5\u5909\u3068\u5f37\u304f\u95a2\u9023\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8abf\u6574\u30aa\u30c3\u30ba\u6bd4\uff08aOR\uff09\uff1a19.99<\/li>\n\n\n\n<li>95%\u4fe1\u983c\u533a\u9593\uff1a2.19\u2013182.26<\/li>\n\n\n\n<li>P\uff1d0.008<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u5c11\u6570\u30a4\u30d9\u30f3\u30c8\u306b\u4f34\u3046\u63a8\u5b9a\u306e\u4e0d\u5b89\u5b9a\u6027\u3092\u7de9\u548c\u3059\u308bFirth\u88dc\u6b63\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u89e3\u6790\u3067\u3082\u3001\u95a2\u9023\u306f\u7dad\u6301\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>OR\uff1a12.84<\/li>\n\n\n\n<li>95%\u4fe1\u983c\u533a\u9593\uff1a2.31\u201398.47<\/li>\n\n\n\n<li>P\uff1d0.006<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3044\u305a\u308c\u306e\u89e3\u6790\u3067\u3082\u3001\u7b4b\u708e\u5408\u4f75\u3068\u5fc3\u75c5\u5909\u3068\u306e\u9593\u306b\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u95a2\u9023\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30aa\u30c3\u30ba\u6bd4\u7d0420\u500d\u306f\u3001\u767a\u75c7\u30ea\u30b9\u30af\u304c20\u500d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u306a\u3044<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u3092\u89e3\u91c8\u3059\u308b\u969b\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30aa\u30c3\u30ba\u6bd4\u306f\u30ea\u30b9\u30af\u6bd4\u3068\u306f\u7570\u306a\u308b\u305f\u3081\u3001\u300c\u7b4b\u708e\u304c\u3042\u308b\u3068\u5fc3\u75c5\u5909\u306e\u767a\u75c7\u7387\u304c20\u500d\u306b\u306a\u308b\u300d\u3068\u8aac\u660e\u3059\u308b\u3053\u3068\u306f\u6b63\u78ba\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u300195%\u4fe1\u983c\u533a\u9593\u306f\u975e\u5e38\u306b\u5e83\u304f\u3001\u63a8\u5b9a\u5024\u306b\u306f\u5927\u304d\u306a\u4e0d\u78ba\u5b9f\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Firth\u88dc\u6b63\u5f8c\u3082\u540c\u69d8\u306e\u65b9\u5411\u6027\u304c\u793a\u3055\u308c\u305f\u3053\u3068\u306f\u7d50\u679c\u306e\u9811\u5065\u6027\u3092\u4e00\u5b9a\u7a0b\u5ea6\u88dc\u5f37\u3057\u307e\u3059\u304c\u3001\u52b9\u679c\u91cf\u306e\u6b63\u78ba\u306a\u5927\u304d\u3055\u307e\u3067\u78ba\u5b9a\u3057\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u4eca\u56de\u306e\u7d50\u679c\u304b\u3089\u6700\u3082\u78ba\u5b9f\u306b\u8a00\u3048\u308b\u3053\u3068\u306f\u3001\u5f37\u76ae\u75c7\u306b\u7b4b\u708e\u3092\u5408\u4f75\u3059\u308b\u60a3\u8005\u7fa4\u3067\u306f\u3001\u5fc3\u75c5\u5909\u304c\u91cd\u8981\u306a\u5408\u4f75\u75c7\u3068\u3057\u3066\u8a8d\u3081\u3089\u308c\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u76ae\u819a\u786c\u5316\u306e\u7a0b\u5ea6\u3082\u5fc3\u75c5\u5909\u3068\u95a2\u9023<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u708e\u4ee5\u5916\u3067\u306f\u3001modified Rodnan Skin Score\uff08mRSS\uff09\u3082\u5fc3\u75c5\u5909\u3068\u95a2\u9023\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mRSS\u306f\u76ae\u819a\u786c\u5316\u306e\u7a0b\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u6307\u6a19\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7814\u7a76\u3067\u306f\u3001mRSS\u304c10\u70b9\u9ad8\u3044\u3053\u3068\u306b\u5bfe\u3057\u3066\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5fc3\u75c5\u5909\u306e\u8abf\u6574OR\uff1a2.34<\/li>\n\n\n\n<li>P\uff1d0.006<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u95a2\u9023\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u306f\u3001\u76ae\u819a\u786c\u5316\u306e\u91cd\u75c7\u5ea6\u304c\u5fc3\u75c5\u5909\u306e\u30ea\u30b9\u30af\u8a55\u4fa1\u306b\u304a\u3044\u3066\u53c2\u8003\u306b\u306a\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001mRSS\u3060\u3051\u3067\u5fc3\u75c5\u5909\u306e\u6709\u7121\u3092\u4e88\u6e2c\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"601\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-161-edited-601x600.png\" alt=\"\u7b4b\u708e\u5408\u4f75\u3068\u5fc3\u75c5\u5909\u306e\u95a2\u9023\u3092\u793a\u3059\u30aa\u30c3\u30ba\u6bd4\u3002\u901a\u5e38\u89e3\u679019.99\u3001Firth\u88dc\u6b6312.84\u3001mRSS10\u70b9\u5897\u52a0\u3042\u305f\u308a2.34\u3002\" class=\"wp-image-9494\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-161-edited-601x600.png 601w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-161-edited-300x300.png 300w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-161-edited.png 800w\" sizes=\"auto, (max-width: 601px) 100vw, 601px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\uff1a\u7b4b\u708e\u5408\u4f75\u3068\u5fc3\u75c5\u5909\u306e\u95a2\u9023<\/strong>\u3000\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u306b\u304a\u3051\u308b\u5fc3\u75c5\u5909\u3068\u95a2\u9023\u3059\u308b\u56e0\u5b50\u306e\u89e3\u6790\u7d50\u679c\u3002\u7b4b\u708e\u5408\u4f75\u306e\u901a\u5e38\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u89e3\u6790\u3067\u306f\u8abf\u6574OR 19.99\uff0895%CI 2.19\u2013182.26\uff09\u3001Firth\u88dc\u6b63\u89e3\u6790\u3067\u306fOR 12.84\uff0895%CI 2.31\u201398.47\uff09\u3067\u3042\u3063\u305f\u3002mRSS\u306e10\u70b9\u5897\u52a0\u3082\u5fc3\u75c5\u5909\u3068\u95a2\u9023\u3057\u305f\uff08\u8abf\u6574OR 2.34\u3001P\uff1d0.006\uff09\u3002OR\u306f\u30aa\u30c3\u30ba\u6bd4\u3001CI\u306f\u4fe1\u983c\u533a\u9593\u3001mRSS\u306fmodified Rodnan Skin Score\u3092\u8868\u3059\u3002\u4fe1\u983c\u533a\u9593\u304c\u5e83\u3044\u3053\u3068\u304b\u3089\u3001\u52b9\u679c\u91cf\u306e\u63a8\u5b9a\u306b\u306f\u4e0d\u78ba\u5b9f\u6027\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5\uff0e\u4e3b\u8981\u7d50\u679c\u2461\uff1a\u7b4b\u708e\u5408\u4f75\u306b\u3088\u308b\u660e\u78ba\u306a\u6b7b\u4ea1\u7387\u4e0a\u6607\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u708e\u7fa4\u3068\u975e\u7b4b\u708e\u7fa4\u306e\u6b7b\u4ea1\u7387\u306f\u3001\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u7fa4<\/th><th>\u6b7b\u4ea1\u7387<\/th><\/tr><tr><td>\u7b4b\u708e\u5408\u4f75\u7fa4<\/td><td>13.0%<\/td><\/tr><tr><td>\u7b4b\u708e\u975e\u5408\u4f75\u7fa4<\/td><td>9.8%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u7fa4\u9593\u6bd4\u8f03\u306eP\u5024\u306f0.620\u3067\u3042\u308a\u3001\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u89b3\u5bdf\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f21\u304b\u6708\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u3060\u3051\u3092\u898b\u308b\u3068\u3001\u7b4b\u708e\u5408\u4f75\u306b\u3088\u308b\u660e\u78ba\u306a\u6b7b\u4ea1\u30ea\u30b9\u30af\u306e\u5897\u52a0\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001<strong>\u6709\u610f\u5dee\u304c\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u3053\u3068\u306f\u3001\u4e21\u7fa4\u306e\u751f\u547d\u4e88\u5f8c\u304c\u540c\u3058\u3067\u3042\u308b\u3068\u8a3c\u660e\u3055\u308c\u305f\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u89e3\u6790\u5bfe\u8c61\u306f184\u4f8b\u3068\u6bd4\u8f03\u7684\u5c0f\u898f\u6a21\u3067\u3042\u308a\u3001\u6b7b\u4ea1\u30a4\u30d9\u30f3\u30c8\u6570\u3082\u9650\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u5f37\u76ae\u75c7\u306b\u4f34\u3046\u81d3\u5668\u969c\u5bb3\u306f\u9577\u671f\u9593\u306b\u308f\u305f\u3063\u3066\u9032\u884c\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u305f\u3081\u3001\u4e2d\u592e\u502421\u304b\u6708\u306e\u89b3\u5bdf\u3067\u306f\u9577\u671f\u4e88\u5f8c\u3092\u5341\u5206\u306b\u8a55\u4fa1\u3067\u304d\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u7b4b\u708e\u81ea\u4f53\u304c\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u5897\u52a0\u3055\u305b\u306a\u3044\u3068\u7d50\u8ad6\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6\uff0e\u4e3b\u8981\u7d50\u679c\u2462\uff1a\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u5f37\u304f\u95a2\u9023\u3057\u305f\u306e\u306f\u5fc3\u75c5\u5909\u3060\u3063\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u5fc3\u75c5\u5909\u3068\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u306e\u95a2\u9023\u306b\u3064\u3044\u3066\u3082\u89e3\u6790\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cox\u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u306b\u3088\u308b\u89e3\u6790\u3067\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5fc3\u75c5\u5909\u306e\u8abf\u6574\u30cf\u30b6\u30fc\u30c9\u6bd4\uff08aHR\uff09\uff1a8.09<\/li>\n\n\n\n<li>95%\u4fe1\u983c\u533a\u9593\uff1a1.36\u201348.26<\/li>\n\n\n\n<li>P\uff1d0.022<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u5f37\u76ae\u75c7\u3067\u306f\u3001\u4e00\u6b21\u6027\u5fc3\u75c5\u5909\u3060\u3051\u3067\u306a\u304f\u80ba\u9ad8\u8840\u5727\u75c7\u306e\u8a55\u4fa1\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463 \u9ad8\u611f\u5ea6\u30c8\u30ed\u30dd\u30cb\u30f3\u30fbBNP\u7cfb<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u9ad8\u611f\u5ea6\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3\u306f\u3001\u5fc3\u7b4b\u969c\u5bb3\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u8840\u6db2\u691c\u67fb\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001BNP\u3084NT-proBNP\u306f\u5fc3\u81d3\u3078\u306e\u8ca0\u8377\u3092\u53cd\u6620\u3059\u308b\u6307\u6a19\u3068\u3057\u3066\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u3044\u305a\u308c\u3082\u5358\u72ec\u3067\u5f37\u76ae\u75c7\u6027\u5fc3\u7b4b\u969c\u5bb3\u3092\u8a3a\u65ad\u3067\u304d\u308b\u691c\u67fb\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u7b4b\u708e\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u9aa8\u683c\u7b4b\u75be\u60a3\u306b\u4f34\u3046\u30c8\u30ed\u30dd\u30cb\u30f3T\u306e\u4e0a\u6607\u304c\u554f\u984c\u306b\u306a\u308b\u5834\u5408\u304c\u3042\u308b\u305f\u3081\u3001<strong>\u5fc3\u7b4b\u969c\u5bb3\u306e\u8a55\u4fa1\u3067\u306f\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3I\u3092\u512a\u5148\u7684\u306b\u691c\u8a0e\u3059\u308b\u3053\u3068\u304c\u6709\u7528<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BNP\u30fbNT-proBNP\u3082\u814e\u6a5f\u80fd\u969c\u5bb3\u3084\u80ba\u9ad8\u8840\u5727\u75c7\u306a\u3069\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u305f\u3081\u3001\u691c\u67fb\u7d50\u679c\u306f\u81e8\u5e8a\u6240\u898b\u3068\u5408\u308f\u305b\u3066\u5224\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2464 \u5fc3\u81d3MRI\uff08CMR\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u96fb\u56f3\u3001\u8840\u6db2\u691c\u67fb\u3001\u5fc3\u30a8\u30b3\u30fc\u306a\u3069\u3067\u7570\u5e38\u304c\u8a8d\u3081\u3089\u308c\u305f\u5834\u5408\u3084\u3001\u81e8\u5e8a\u7684\u306b\u5fc3\u7b4b\u969c\u5bb3\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306b\u306f\u3001\u5fc3\u81d3MRI\u304c\u91cd\u8981\u306a\u691c\u67fb\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u81d3MRI\u3067\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5fc3\u5ba4\u6a5f\u80fd<\/li>\n\n\n\n<li>\u5fc3\u7b4b\u6d6e\u816b<\/li>\n\n\n\n<li>\u5fc3\u7b4b\u7dda\u7dad\u5316\u3092\u793a\u5506\u3059\u308b\u6240\u898b<\/li>\n\n\n\n<li>\u5fc3\u7b4b\u7d44\u7e54\u6027\u72b6\u306e\u7570\u5e38<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3092\u8a55\u4fa1\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u82f1\u56fd\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u306e2024\u5e74\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u672b\u68a2\u7b4b\u708e\u3092\u6709\u3059\u308b\u60a3\u8005\u3055\u3093\u3082\u3001\u5fc3\u81d3MRI\u306a\u3069\u306e\u7cbe\u5bc6\u8a55\u4fa1\u3092\u691c\u8a0e\u3057\u5f97\u308b\u9ad8\u30ea\u30b9\u30af\u7fa4\u306b\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u5fc3\u81d3MRI\u306e\u9069\u5fdc\u306f\u3001\u60a3\u8005\u3055\u3093\u306e\u75c7\u72b6\u3001\u65e2\u5b58\u691c\u67fb\u3001\u30ea\u30b9\u30af\u3001\u691c\u67fb\u53ef\u80fd\u6027\u306a\u3069\u3092\u8e0f\u307e\u3048\u3066\u500b\u5225\u306b\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7121\u75c7\u72b6\u3067\u3082\u5b9a\u671f\u8a55\u4fa1\u304c\u91cd\u8981<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">World Scleroderma Foundation\uff0fHeart Failure Association\u306e\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u3067\u306f\u3001\u7121\u75c7\u5019\u6027\u306e\u5f37\u76ae\u75c7\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u3082\u3001\u81e8\u5e8a\u8a55\u4fa1\u3001\u5fc3\u96fb\u56f3\u3001\u5fc3\u30a8\u30b3\u30fc\u3001\u5fc3\u81d3\u30d0\u30a4\u30aa\u30de\u30fc\u30ab\u30fc\u3092\u542b\u3080\u5b9a\u671f\u7684\u306a\u5fc3\u81d3\u8a55\u4fa1\u304c\u63d0\u6848\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u306f\u3001\u65e2\u5b58\u306e\u5f37\u76ae\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3084\u5fc3\u75c5\u5909\u8a55\u4fa1\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u306e\u65b9\u5411\u6027\u3092\u88dc\u5f37\u3059\u308b\u7814\u7a76\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u308b\u306e\u304c\u9069\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">12\uff0e\u307e\u3068\u3081\uff1a\u7b4b\u708e\u306e\u6709\u7121\u3060\u3051\u3067\u306a\u304f\u3001\u5fc3\u75c5\u5909\u3092\u898b\u9003\u3055\u306a\u3044\u3053\u3068\u304c\u91cd\u8981<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u5168\u8eab\u6027\u5f37\u76ae\u75c7880\u4f8b\u306e\u3046\u306192\u4f8b\uff0810.4%\uff09\u306b\u7b4b\u708e\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u50be\u5411\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u5f8c\u306e\u89e3\u6790\u3067\u306f\u3001\u7b4b\u708e\u5408\u4f75\u3068\u5fc3\u75c5\u5909\u306b\u5f37\u3044\u95a2\u9023\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u7b4b\u708e\u5408\u4f75\u7fa4\u3068\u975e\u5408\u4f75\u7fa4\u306e\u9593\u3067\u306f\u3001\u89b3\u5bdf\u671f\u9593\u4e2d\u306e\u6b7b\u4ea1\u7387\u306b\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u5f37\u304f\u95a2\u9023\u3057\u3066\u3044\u305f\u306e\u306f\u5fc3\u75c5\u5909\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u4eca\u56de\u306e\u7814\u7a76\u306f\u5358\u65bd\u8a2d\u306e\u5f8c\u308d\u5411\u304d\u89b3\u5bdf\u7814\u7a76\u3067\u3042\u308a\u3001\u7b4b\u708e\u304c\u5fc3\u75c5\u5909\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u3084\u3001\u7b4b\u708e\u3088\u308a\u3082\u5fc3\u75c5\u5909\u304c\u5e38\u306b\u4e88\u5f8c\u3092\u6c7a\u5b9a\u3059\u308b\u3068\u3044\u3063\u305f\u56e0\u679c\u95a2\u4fc2\u307e\u3067\u8a3c\u660e\u3057\u305f\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81e8\u5e8a\u7684\u306b\u91cd\u8981\u306a\u306e\u306f\u3001\u5f37\u76ae\u75c7\u60a3\u8005\u3055\u3093\u306b\u7b4b\u708e\u304c\u7591\u308f\u308c\u305f\u969b\u306b\u3001\u7b4b\u529b\u3084\u7b4b\u9175\u7d20\u3060\u3051\u3067\u306a\u304f\u3001\u5fc3\u81d3\u306e\u72b6\u614b\u306b\u3082\u6ce8\u610f\u3092\u5411\u3051\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u306e\u8a3a\u7642\u3067\u306f\u3001\u76ae\u819a\u3001\u7b4b\u8089\u3001\u80ba\u3001\u5fc3\u81d3\u3092\u305d\u308c\u305e\u308c\u72ec\u7acb\u3057\u305f\u554f\u984c\u3068\u3057\u3066\u6349\u3048\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u5168\u8eab\u6027\u75be\u60a3\u306e\u4e00\u90e8\u3068\u3057\u3066\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">13\uff0e\u5f37\u76ae\u75c7\u30fb\u7b4b\u708e\u306e\u75c7\u72b6\u304c\u6c17\u306b\u306a\u308b\u65b9\u3078<\/h2>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u5fc5\u8981\u306a\u521d\u671f\u8a55\u4fa1\u3092\u884c\u3044\u3001\u5fc3\u81d3MRI\u306a\u3069\u306e\u5c02\u9580\u7684\u691c\u67fb\u3084\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u5834\u5408\u306b\u306f\u3001\u5faa\u74b0\u5668\u5185\u79d1\u3092\u542b\u3080\u5c02\u9580\u533b\u7642\u6a5f\u95a2\u3068\u9023\u643a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\" target=\"_blank\" rel=\"noopener\">\u5185\u79d1\u30fb\u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5916\u6765 WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u80f8\u75db\u3001\u5931\u795e\u3001\u6025\u6fc0\u306a\u547c\u5438\u56f0\u96e3\u306a\u3069\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u901a\u5e38\u306e\u5916\u6765\u4e88\u7d04\u3092\u5f85\u305f\u305a\u3001\u901f\u3084\u304b\u306b\u6551\u6025\u533b\u7642\u6a5f\u95a2\u3092\u53d7\u8a3a\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">14. \u3042\u308f\u305b\u3066\u8aad\u307f\u305f\u3044\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460 \u5168\u8eab\u6027\u5f37\u76ae\u75c7\u3068\u4ee3\u8868\u7684\u81ea\u5df1\u6297\u4f53\u3068\u75c5\u578b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5168\u8eab\u6027\u5f37\u76ae\u75c7\u3067\u306f\u3001\u6297\u30c8\u30dd\u30a4\u30bd\u30e1\u30e9\u30fc\u30bcI\u6297\u4f53\u3001\u6297\u30bb\u30f3\u30c8\u30ed\u30e1\u30a2\u6297\u4f53\u3001\u6297RNA\u30dd\u30ea\u30e1\u30e9\u30fc\u30bcIII\u6297\u4f53\u306a\u3069\u306e\u81ea\u5df1\u6297\u4f53\u304c\u3001\u81e8\u5e8a\u75c5\u578b\u3084\u81d3\u5668\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u8a55\u4fa1\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u5f37\u76ae\u75c7\u3068\u7b4b\u708e\u304c\u5408\u4f75\u3059\u308b\u75c5\u614b\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u7b4b\u529b\u4f4e\u4e0b\u3084CK\u4e0a\u6607\u3060\u3051\u3067\u306a\u304f\u3001\u81ea\u5df1\u6297\u4f53\u3084\u7b4b\u75c5\u7406\u3001\u80ba\u30fb\u5fc3\u81d3\u306a\u3069\u306e\u7b4b\u5916\u75c5\u5909\u3092\u542b\u3081\u305f\u8a55\u4fa1\u304c\u91cd\u8981\u3067\u3059\u3002\u4eca\u56de\u306e\u7814\u7a76\u3067\u7528\u3044\u3089\u308c\u305f\u7b4b\u708e\u306e\u5b9a\u7fa9\u3068\u3001\u73fe\u4ee3\u306e\u708e\u75c7\u6027\u7b4b\u75be\u60a3\u5206\u985e\u3068\u306e\u9055\u3044\u3092\u7406\u89e3\u3059\u308b\u969b\u306b\u3082\u53c2\u8003\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-7645\/\">\u708e\u75c7\u6027\u7b4b\u75be\u60a3\u306e\u7a2e\u985e\u30fb\u75c7\u72b6\u30fb\u8a3a\u65ad\u3092\u89e3\u8aac<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 \u7b4b\u708e\u306b\u5bfe\u3059\u308bIVIg\u65e9\u671f\u4f75\u7528\u7642\u6cd5\uff1aTIME IS MUSCLE\u8a66\u9a13<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u708e\u30aa\u30fc\u30d0\u30fc\u30e9\u30c3\u30d7\u306e\u8a3a\u7642\u3067\u306f\u3001\u5fc3\u75c5\u5909\u306e\u8a55\u4fa1\u306b\u52a0\u3048\u3066\u3001\u9aa8\u683c\u7b4b\u306e\u708e\u75c7\u3092\u9069\u5207\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3061\u3089\u306e\u8a18\u4e8b\u3067\u306f\u3001\u65b0\u898f\u8a3a\u65ad\u306e\u708e\u75c7\u6027\u7b4b\u75be\u60a3\u306b\u5bfe\u3059\u308b\u514d\u75ab\u30b0\u30ed\u30d6\u30ea\u30f3\u9759\u6ce8\u7642\u6cd5\uff08IVIg\uff09\u306e\u65e9\u671f\u4f75\u7528\u306b\u3064\u3044\u3066\u3001\u81e8\u5e8a\u8a66\u9a13\u306e\u7d50\u679c\u3092\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u5f37\u76ae\u75c7\u5408\u4f75\u7b4b\u708e\u306b\u306f\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306b\u4f34\u3046\u814e\u30af\u30ea\u30fc\u30bc\u306a\u3069\u56fa\u6709\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u3001\u4ed6\u306e\u7b4b\u708e\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u3068\u3057\u305f\u81e8\u5e8a\u8a66\u9a13\u306e\u7d50\u679c\u3092\u305d\u306e\u307e\u307e\u9069\u7528\u3067\u304d\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-9109\/\">\u7b4b\u708e\u3078\u306eIVIg\u65e9\u671f\u4f75\u7528\uff5cTIME IS MUSCLE\u8a66\u9a13\u3092\u89e3\u8aac<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0\u4e00\u6b21\u6587\u732e\u30fb\u51fa\u5178<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">\u2460 \u4eca\u56de\u306e\u539f\u8457\u8ad6\u6587<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rahulan LM, et al. Outcomes of systemic sclerosis with overlapping myositis: a propensity score-matched cohort study. Rheumatology. Published online October 16, 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOI\uff1a<a href=\"https:\/\/doi.org\/10.1093\/rheumatology\/keag578\">10.1093\/rheumatology\/keag578<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2461 2024\u5e74\u82f1\u56fd\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a \u5168\u8eab\u6027\u5f37\u76ae\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The 2024 British Society for Rheumatology guideline for management of systemic sclerosis. Rheumatology. 2024;63:2956\u20132975.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11534099\/?utm_source=chatgpt.com\">\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5168\u6587<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u75c5\u5909\u306e\u57fa\u672c\u8a55\u4fa1\u3001\u5fc3\u81d3MRI\u306e\u9069\u5fdc\u3001\u7b4b\u708e\u5408\u4f75\u4f8b\u306e\u6cbb\u7642\u4e0a\u306e\u6ce8\u610f\u3092\u88dc\u8db3\u3059\u308b\u8cc7\u6599\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2462 \u5168\u8eab\u6027\u5f37\u76ae\u75c7\u306e\u4e00\u6b21\u6027\u5fc3\u75c5\u5909\u306b\u95a2\u3059\u308b\u5c02\u9580\u5bb6\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consensus on the assessment of systemic sclerosis-associated primary heart involvement: World Scleroderma Foundation\/Heart Failure Association guidance on screening, diagnosis, and follow-up assessment. 2023.<\/p>\n\n\n\n<p 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