{"id":9987,"date":"2026-11-10T12:04:12","date_gmt":"2026-11-10T03:04:12","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=9987"},"modified":"2026-11-10T12:21:33","modified_gmt":"2026-11-10T03:21:33","slug":"pexivas-trial-anca-vasculitis-plasma-exchange-glucocorticoids","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/pexivas-trial-anca-vasculitis-plasma-exchange-glucocorticoids\/","title":{"rendered":"PEXIVAS\u8a66\u9a13\uff5cANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u8840\u6f3f\u4ea4\u63db\u306f\u5fc5\u8981\u304b\uff1f\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u3068\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u89e3\u8aac"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\uff08ANCA-associated vasculitis\uff1aAAV\uff09\u306f\u3001\u81ea\u5df1\u514d\u75ab\u53cd\u5fdc\u306b\u3088\u3063\u3066\u4e3b\u306b\u5c0f\u8840\u7ba1\u306b\u708e\u75c7\u304c\u751f\u3058\u308b\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u814e\u81d3\u3084\u80ba\u304c\u969c\u5bb3\u3055\u308c\u308b\u3068\u3001\u6025\u901f\u306a\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3001\u80ba\u80de\u51fa\u8840\u3001\u547c\u5438\u4e0d\u5168\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u751f\u547d\u306b\u95a2\u308f\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f93\u6765\u3001\u3053\u306e\u3088\u3046\u306a\u91cd\u75c7\u4f8b\u3067\u306f\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u3084\u514d\u75ab\u6291\u5236\u85ac\u306b\u52a0\u3048\u3066\u3001\u8840\u6db2\u4e2d\u306e\u75c5\u56e0\u7269\u8cea\u3092\u9664\u53bb\u3059\u308b\u300c\u8840\u6f3f\u4ea4\u63db\u7642\u6cd5\u300d\u304c\u4f7f\u7528\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u9577\u5e74\u306b\u308f\u305f\u308a2\u3064\u306e\u91cd\u8981\u306a\u7591\u554f\u304c\u6b8b\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6f3f\u4ea4\u63db\u3092\u8ffd\u52a0\u3059\u308b\u3068\u3001\u6b7b\u4ea1\u3084\u672b\u671f\u814e\u4e0d\u5168\u3092\u672c\u5f53\u306b\u6e1b\u3089\u305b\u308b\u306e\u304b\u3002<\/li>\n\n\n\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u3092\u65e9\u671f\u304b\u3089\u6e1b\u91cf\u3057\u3066\u3082\u3001\u75c5\u6c17\u306e\u5236\u5fa1\u3092\u7dad\u6301\u3067\u304d\u308b\u306e\u304b\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e2\u3064\u306e\u554f\u3044\u3092\u540c\u6642\u306b\u691c\u8a3c\u3057\u305f\u306e\u304c\u30012020\u5e74\u306b New England Journal of Medicine\uff08NEJM\uff09 \u306b\u767a\u8868\u3055\u308c\u305fPEXIVAS\u8a66\u9a13\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">704\u4f8b\u306e\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3053\u306e\u7814\u7a76\u306f\u3001\u305d\u306e\u5f8c\u306e\u56fd\u969b\u7684\u306a\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a18\u4e8b\u3067\u306f\u3001PEXIVAS\u8a66\u9a13\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3068\u7d50\u679c\u3092\u6574\u7406\u3057\u30012026\u5e74\u6642\u70b9\u306e\u6cbb\u7642\u6226\u7565\u306b\u3069\u306e\u3088\u3046\u306b\u6d3b\u7528\u3055\u308c\u3066\u3044\u308b\u306e\u304b\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c1\u7ae0\uff0eANCA\u95a2\u9023\u8840\u7ba1\u708e\u3067\u306f\u3001\u306a\u305c\u814e\u969c\u5bb3\u3068\u80ba\u80de\u51fa\u8840\u304c\u554f\u984c\u306b\u306a\u308b\u306e\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u306f\u3001\u4e3b\u306b\u4ee5\u4e0b\u306e\u75be\u60a3\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9855\u5fae\u93e1\u7684\u591a\u767a\u8840\u7ba1\u708e\uff08MPA\uff09<\/li>\n\n\n\n<li>\u591a\u767a\u8840\u7ba1\u708e\u6027\u8089\u82bd\u816b\u75c7\uff08GPA\uff09<\/li>\n\n\n\n<li>\u597d\u9178\u7403\u6027\u591a\u767a\u8840\u7ba1\u708e\u6027\u8089\u82bd\u816b\u75c7\uff08EGPA\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u3067\u306f\u3001\u4e3b\u306b\u91cd\u75c7\u306eMPA\u304a\u3088\u3073GPA\u304c\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">ANCA\u306b\u3088\u308b\u8840\u7ba1\u708e\u306e\u767a\u751f\u6a5f\u5e8f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">MPO-ANCA\u3084PR3-ANCA\u306a\u3069\u306e\u81ea\u5df1\u6297\u4f53\u306f\u3001\u708e\u75c7\u74b0\u5883\u4e0b\u3067\u597d\u4e2d\u7403\u3092\u6d3b\u6027\u5316\u3055\u305b\u3001\u8840\u7ba1\u5185\u76ae\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u6bdb\u7d30\u8840\u7ba1\u304c\u8c4a\u5bcc\u306a\u814e\u7cf8\u7403\u4f53\u3084\u80ba\u80de\u3067\u306f\u3001\u8840\u7ba1\u708e\u306b\u3088\u308b\u969c\u5bb3\u304c\u91cd\u7be4\u5316\u3059\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u814e\u81d3\u3067\u306f\u3001\u58ca\u6b7b\u6027\u534a\u6708\u4f53\u5f62\u6210\u6027\u7cf8\u7403\u4f53\u814e\u708e\u3092\u751f\u3058\u3001\u77ed\u671f\u9593\u3067\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u80ba\u3067\u306f\u3001\u80ba\u80de\u6bdb\u7d30\u8840\u7ba1\u708e\u306b\u3088\u3063\u3066\u80ba\u80de\u5185\u306b\u51fa\u8840\u3057\u3001\u4f4e\u9178\u7d20\u8840\u75c7\u3084\u547c\u5438\u4e0d\u5168\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-43-450x600.png\" alt=\"ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u3088\u308b\u814e\u7cf8\u7403\u4f53\u306e\u58ca\u6b7b\u30fb\u534a\u6708\u4f53\u5f62\u6210\u3068\u80ba\u80de\u6bdb\u7d30\u8840\u7ba1\u708e\u30fb\u80ba\u80de\u51fa\u8840\u3092\u793a\u3059\u75c5\u7406\u5b66\u7684\u6a21\u5f0f\u56f3\" class=\"wp-image-9999\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-43-450x600.png 450w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-43-225x300.png 225w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-43-768x1024.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-43.png 800w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1aANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u3088\u308b\u814e\u81d3\u30fb\u80ba\u306e\u5fae\u5c0f\u8840\u7ba1\u969c\u5bb3<\/strong>\u3002MPO-ANCA\u3084PR3-ANCA\u306b\u95a2\u9023\u3059\u308b\u597d\u4e2d\u7403\u6d3b\u6027\u5316\u3068\u8840\u7ba1\u708e\u306b\u3088\u308a\u3001\u814e\u81d3\u3067\u306f\u58ca\u6b7b\u6027\u534a\u6708\u4f53\u5f62\u6210\u6027\u7cf8\u7403\u4f53\u814e\u708e\u3001\u80ba\u3067\u306f\u80ba\u80de\u6bdb\u7d30\u8840\u7ba1\u708e\u306b\u4f34\u3046\u80ba\u80de\u51fa\u8840\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308b\u3002ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306e\u4ee3\u8868\u7684\u306a\u81d3\u5668\u50b7\u5bb3\u3092\u793a\u3059\u75c5\u7406\u5b66\u7684\u6a21\u5f0f\u56f3\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8840\u6f3f\u4ea4\u63db\u304c\u671f\u5f85\u3055\u308c\u3066\u304d\u305f\u7406\u7531<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u7642\u6cd5\uff08plasma exchange\uff1aPLEX\uff09\u306f\u3001\u60a3\u8005\u306e\u8840\u6f3f\u3092\u9664\u53bb\u3057\u3066\u88dc\u5145\u6db2\u306b\u7f6e\u304d\u63db\u3048\u308b\u6cbb\u7642\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u4e2d\u306eANCA\u3001\u88dc\u4f53\u95a2\u9023\u56e0\u5b50\u3001\u708e\u75c7\u6027\u30e1\u30c7\u30a3\u30a8\u30fc\u30bf\u30fc\u306a\u3069\u3092\u9664\u53bb\u3059\u308b\u3053\u3068\u3067\u3001\u8840\u7ba1\u708e\u306e\u6d3b\u52d5\u6027\u3092\u901f\u3084\u304b\u306b\u4f4e\u4e0b\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u8003\u3048\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u8840\u4e2d\u306e\u6297\u4f53\u3092\u6e1b\u3089\u3059\u3053\u3068\u3068\u3001\u9577\u671f\u7684\u306a\u814e\u4e88\u5f8c\u30fb\u751f\u547d\u4e88\u5f8c\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u306f\u540c\u3058\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u9055\u3044\u3092\u81e8\u5e8a\u7684\u306b\u691c\u8a3c\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GPA\u3067\u306f\u814e\u969c\u5bb3\u3084\u80ba\u75c5\u5909\u306b\u52a0\u3048\u3001\u773c\u7aa9\u30fb\u8033\u9f3b\u54bd\u5589\u9818\u57df\u306a\u3069\u306b\u3082\u75c5\u5909\u304c\u751f\u3058\u307e\u3059\u3002\u5b9f\u969b\u306e\u81e8\u5e8a\u50cf\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2522\/\" target=\"_blank\" rel=\"noopener\">\u773c\u75c7\u72b6\u304c\u5f37\u304f\u51fa\u305f\u591a\u767a\u8840\u7ba1\u708e\u6027\u8089\u82bd\u816b\u75c7\uff08GPA\uff09\u306e\u4e00\u4f8b<\/a>\u3067\u3082\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c2\u7ae0\uff0ePEXIVAS\u8a66\u9a13\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u306f\u300116\u304b\u56fd95\u65bd\u8a2d\u3067\u5b9f\u65bd\u3055\u308c\u305f\u56fd\u969b\u5171\u540c\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">704\u4f8b\u306e\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u60a3\u8005\u304c\u767b\u9332\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5bfe\u8c61\u60a3\u8005<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u306a\u7d44\u307f\u5165\u308c\u6761\u4ef6\u306f\u3001\u4ee5\u4e0b\u306e\u3044\u305a\u308c\u304b\u3092\u6e80\u305f\u3059\u6d3b\u52d5\u6027ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>eGFR 50 mL\/min\/1.73m\u00b2\u672a\u6e80\u306e\u814e\u6a5f\u80fd\u969c\u5bb3<\/li>\n\n\n\n<li>\u3073\u307e\u3093\u6027\u80ba\u80de\u51fa\u8840<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u65b0\u898f\u767a\u75c7\u4f8b\u3068\u518d\u71c3\u4f8b\u306e\u4e21\u65b9\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u00d72\u8981\u56e0\u30c7\u30b6\u30a4\u30f3<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u306e\u5927\u304d\u306a\u7279\u5fb4\u306f\u30012\u3064\u306e\u6cbb\u7642\u4ecb\u5165\u3092\u540c\u6642\u306b\u6bd4\u8f03\u3057\u305f\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6bd4\u8f03\u2460\uff1a\u8840\u6f3f\u4ea4\u63db<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6f3f\u4ea4\u63db\u5b9f\u65bd\u7fa4\uff1a352\u4f8b<\/li>\n\n\n\n<li>\u8840\u6f3f\u4ea4\u63db\u975e\u5b9f\u65bd\u7fa4\uff1a352\u4f8b<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u7fa4\u3067\u306f\u3001\u7121\u4f5c\u70ba\u5316\u5f8c14\u65e5\u9593\u306b\u8a087\u56de\u306e\u8840\u6f3f\u4ea4\u63db\u304c\u5b9f\u65bd\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6bd4\u8f03\u2461\uff1a\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e\u91cf<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4\uff1a353\u4f8b<\/li>\n\n\n\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u6a19\u6e96\u91cf\u7fa4\uff1a351\u4f8b<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e21\u7fa4\u3068\u3082\u3001\u57fa\u672c\u7684\u306a\u5bdb\u89e3\u5c0e\u5165\u6cbb\u7642\u3068\u3057\u3066\u30b7\u30af\u30ed\u30db\u30b9\u30d5\u30a1\u30df\u30c9\u307e\u305f\u306f\u30ea\u30c4\u30ad\u30b7\u30de\u30d6\u3092\u4f7f\u7528\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4\u3067\u306f\u3001\u6700\u521d\u306e6\u304b\u6708\u9593\u306e\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u7d2f\u7a4d\u6295\u4e0e\u91cf\u304c\u3001\u6a19\u6e96\u91cf\u7fa4\u306e\u304a\u3088\u305d\u534a\u5206\u306b\u306a\u308b\u3088\u3046\u306b\u8a2d\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u3001\u6b21\u306e\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5168\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168\uff08ESKD\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672b\u671f\u814e\u4e0d\u5168\u306f\u300112\u9031\u9593\u4ee5\u4e0a\u6301\u7d9a\u3059\u308b\u814e\u4ee3\u66ff\u7642\u6cd5\u3001\u307e\u305f\u306f\u814e\u79fb\u690d\u306b\u3088\u3063\u3066\u5b9a\u7fa9\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u306e\u6bd4\u8f03\u306f\u512a\u8d8a\u6027\u8a66\u9a13\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e\u91cf\u306e\u6bd4\u8f03\u306f\u975e\u52a3\u6027\u8a66\u9a13\u3068\u3057\u3066\u8a2d\u8a08\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-44-450x600.png\" alt=\"PEXIVAS\u8a66\u9a13\u306e2\u00d72\u8981\u56e0\u30c7\u30b6\u30a4\u30f3\u3002704\u4f8b\u3092\u8840\u6f3f\u4ea4\u63db\u306e\u6709\u7121\u3068\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u30fb\u6a19\u6e96\u91cf\u306b\u7121\u4f5c\u70ba\u5316\u3057\u305f\u7814\u7a76\u69cb\u6210\" class=\"wp-image-10000\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-44-450x600.png 450w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-44-225x300.png 225w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-44-768x1024.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-44.png 800w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1aPEXIVAS\u8a66\u9a13\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3<\/strong>\u300216\u304b\u56fd95\u65bd\u8a2d\u3067\u767b\u9332\u3055\u308c\u305f\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u60a3\u8005704\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u6709\u7121\u3068\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e\u91cf\u3092\u305d\u308c\u305e\u308c\u7121\u4f5c\u70ba\u5316\u3057\u305f2\u00d72\u8981\u56e0\u30c7\u30b6\u30a4\u30f3\u306e\u8a66\u9a13\u3002\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u5168\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168\u306e\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u3042\u3063\u305f\u3002Walsh\u3089\u306eNEJM 2020\u539f\u8457\u306b\u57fa\u3065\u304f\u72ec\u81ea\u4f5c\u56f3\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c3\u7ae0\uff0e\u4e3b\u8981\u7d50\u679c\u2460\uff1a\u8840\u6f3f\u4ea4\u63db\u306f\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168\u3092\u6709\u610f\u306b\u6e1b\u3089\u3055\u306a\u304b\u3063\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\uff1a\u5168\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u3042\u308a<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>28.4%<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">100 \/ 352\u4f8b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u306a\u3057<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>31.0%<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">109 \/ 352\u4f8b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30cf\u30b6\u30fc\u30c9\u6bd4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>0.86<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">95% CI\uff1a0.65\u20131.13<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">P = 0.27<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\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\">\u8840\u6f3f\u4ea4\u63db\u7fa4\u3067\u306f\u30a4\u30d9\u30f3\u30c8\u767a\u751f\u5272\u5408\u304c\u6570\u5024\u4e0a\u4f4e\u304b\u3063\u305f\u3082\u306e\u306e\u3001\u305d\u306e\u5dee\u306f\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f0.86\u3067\u3057\u305f\u304c\u300195\uff05\u4fe1\u983c\u533a\u9593\u304c1\u3092\u307e\u305f\u3044\u3067\u304a\u308a\u3001\u8840\u6f3f\u4ea4\u63db\u306b\u3088\u308b\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168\u306e\u6291\u5236\u52b9\u679c\u306f\u78ba\u7acb\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3067\u3082\u3001\u8840\u6f3f\u4ea4\u63db\u304c\u660e\u78ba\u306b\u6709\u52b9\u3068\u306a\u308b\u60a3\u8005\u7fa4\u306f\u78ba\u8a8d\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u3053\u306e\u7d50\u679c\u3092\u3069\u3046\u89e3\u91c8\u3059\u308b\u304b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u8981\u306a\u306e\u306f\u3001PEXIVAS\u8a66\u9a13\u304c\u300c\u8840\u6f3f\u4ea4\u63db\u306f\u3059\u3079\u3066\u306eANCA\u95a2\u9023\u8840\u7ba1\u708e\u60a3\u8005\u3067\u7121\u52b9\u300d\u3068\u8a3c\u660e\u3057\u305f\u308f\u3051\u3067\u306f\u306a\u3044\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b63\u78ba\u306b\u306f\u3001\u7814\u7a76\u5bfe\u8c61\u3068\u306a\u3063\u305f\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u60a3\u8005\u5168\u4f53\u306b\u5bfe\u3057\u3066\u3001\u8840\u6f3f\u4ea4\u63db\u3092\u4e00\u5f8b\u306b\u8ffd\u52a0\u3059\u308b\u3053\u3068\u3067\u9577\u671f\u7684\u306a\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168\u3092\u6e1b\u3089\u3059\u3068\u3044\u3046\u512a\u8d8a\u6027\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u7d50\u679c\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6975\u3081\u3066\u814e\u969c\u5bb3\u304c\u91cd\u3044\u60a3\u8005\u3084\u91cd\u5ea6\u306e\u80ba\u80de\u51fa\u8840\u60a3\u8005\u306b\u5bfe\u3059\u308b\u5229\u76ca\u306b\u3064\u3044\u3066\u306f\u3001\u306a\u304a\u4e0d\u78ba\u5b9f\u6027\u304c\u6b8b\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c4\u7ae0\uff0e\u4e3b\u8981\u7d50\u679c\u2461\uff1a\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u306f\u975e\u52a3\u6027\u3092\u6e80\u305f\u3057\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u306e\u3082\u3046\u4e00\u3064\u306e\u91cd\u8981\u306a\u7d50\u679c\u304c\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u306b\u95a2\u3059\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u9075\u5b88\u96c6\u56e3\u306b\u304a\u3051\u308b\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306e\u767a\u751f\u5272\u5408\u306f\u6b21\u306e\u3068\u304a\u308a\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>27.9%<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">92 \/ 330\u4f8b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6a19\u6e96\u91cf\u7fa4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>25.5%<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">83 \/ 325\u4f8b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e8b\u524d\u8a2d\u5b9a\u3057\u305f\u975e\u52a3\u6027\u57fa\u6e96\u3092\u9054\u6210<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7d76\u5bfe\u30ea\u30b9\u30af\u5dee\uff1a2.3\u30dd\u30a4\u30f3\u30c8\uff0890% CI\uff1a\u22123.4\uff5e8.0\uff09\u3002\u975e\u52a3\u6027\u30de\u30fc\u30b8\u30f3\u306f11\u30dd\u30a4\u30f3\u30c8\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3064\u307e\u308a\u3001PEXIVAS\u3067\u691c\u8a3c\u3055\u308c\u305f\u6e1b\u91cf\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u306f\u3001\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306b\u95a2\u3057\u3066\u6a19\u6e96\u6295\u4e0e\u6cd5\u306b\u52a3\u3089\u306a\u3044\u3068\u5224\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u975e\u52a3\u6027\u306f\u3042\u3089\u304b\u3058\u3081\u8a2d\u5b9a\u3055\u308c\u305f\u8a31\u5bb9\u5dee\u306e\u7bc4\u56f2\u5185\u3067\u8a55\u4fa1\u3055\u308c\u305f\u3082\u306e\u3067\u3042\u308a\u3001\u4e21\u6cbb\u7642\u306e\u52b9\u679c\u304c\u5b8c\u5168\u306b\u540c\u4e00\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3059\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u304c\u6e1b\u5c11<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6cbb\u7642\u958b\u59cb\u5f8c1\u5e74\u9593\u306e\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u306b\u3064\u3044\u3066\u306f\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4\u3067\u6709\u610f\u306b\u5c11\u306a\u3044\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4\uff1a96\/353\u4f8b\uff0827.2\uff05\uff09<\/li>\n\n\n\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u6a19\u6e96\u91cf\u7fa4\uff1a116\/351\u4f8b\uff0833.0\uff05\uff09<\/li>\n\n\n\n<li>\u767a\u751f\u7387\u6bd4\uff1a0.69<\/li>\n\n\n\n<li>95\uff05\u4fe1\u983c\u533a\u9593\uff1a0.52\u20130.93<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u306f\u3001\u611f\u67d3\u75c7\u306e\u767a\u751f\u7387\u304c\u76f8\u5bfe\u7684\u306b\u7d0431\uff05\u4f4e\u304b\u3063\u305f\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001\u3053\u306e\u767a\u751f\u7387\u6bd4\u306f\u611f\u67d3\u30a4\u30d9\u30f3\u30c8\u6570\u3092\u8003\u616e\u3057\u305f\u89e3\u6790\u306e\u7d50\u679c\u3067\u3042\u308a\u3001\u611f\u67d3\u75c7\u3092\u7d4c\u9a13\u3057\u305f\u60a3\u8005\u5272\u5408\u306e\u5358\u7d14\u306a\u6bd4\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u81e8\u5e8a\u7684\u610f\u7fa9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3067\u306f\u3001\u75be\u60a3\u6d3b\u52d5\u6027\u305d\u306e\u3082\u306e\u306b\u52a0\u3048\u3001\u514d\u75ab\u6291\u5236\u7642\u6cd5\u306b\u3088\u308b\u611f\u67d3\u75c7\u3082\u91cd\u8981\u306a\u4e88\u5f8c\u898f\u5b9a\u56e0\u5b50\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u306f\u3001\u91cd\u75c7\u4f8b\u3067\u3082\u9069\u5207\u306a\u5bdb\u89e3\u5c0e\u5165\u7642\u6cd5\u3092\u4f75\u7528\u3057\u305f\u3046\u3048\u3067\u30b9\u30c6\u30ed\u30a4\u30c9\u66dd\u9732\u91cf\u3092\u6e1b\u3089\u3059\u3053\u3068\u306b\u3088\u308a\u3001\u6cbb\u7642\u52b9\u679c\u3092\u7dad\u6301\u3057\u306a\u304c\u3089\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u3092\u6e1b\u3089\u305b\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u306f\u3001\u73fe\u5728\u306eANCA\u95a2\u9023\u8840\u7ba1\u708e\u6cbb\u7642\u306b\u304a\u3051\u308b\u30b9\u30c6\u30ed\u30a4\u30c9\u6700\u5c0f\u5316\u6226\u7565\u3092\u652f\u6301\u3059\u308b\u91cd\u8981\u306a\u6839\u62e0\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"548\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-45-548x600.png\" alt=\"PEXIVAS\u8a66\u9a13\u306e\u4e3b\u8981\u7d50\u679c\u3002\u8840\u6f3f\u4ea4\u63db\u306e\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168\u3078\u306e\u52b9\u679c\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u306e\u975e\u52a3\u6027\u3068\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u6e1b\u5c11\u3092\u6bd4\u8f03\" class=\"wp-image-10001\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-45-548x600.png 548w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-45-274x300.png 274w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-45-768x840.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-45.png 800w\" sizes=\"auto, (max-width: 548px) 100vw, 548px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1aPEXIVAS\u8a66\u9a13\u306e\u4e3b\u8981\u7d50\u679c<\/strong>\u3002\u8840\u6f3f\u4ea4\u63db\u7fa4\u3068\u975e\u5b9f\u65bd\u7fa4\u306b\u304a\u3051\u308b\u5168\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168\u306f28.4\uff05\u5bfe31.0\uff05\u3067\u3042\u308a\u3001\u6709\u610f\u5dee\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u3002\u4e00\u65b9\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4\u306f\u6a19\u6e96\u91cf\u7fa4\u306b\u5bfe\u3057\u3066\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306e\u975e\u52a3\u6027\u3092\u6e80\u305f\u3057\u30011\u5e74\u9593\u306e\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u3082\u5c11\u306a\u304b\u3063\u305f\u3002Walsh\u3089\u306eNEJM 2020\u539f\u8457\u306e\u6570\u5024\u306b\u57fa\u3065\u304f\u72ec\u81ea\u4f5c\u56f3\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c5\u7ae0\uff0e\u80ba\u80de\u51fa\u8840\u60a3\u8005\u306b\u3082\u8840\u6f3f\u4ea4\u63db\u306f\u5fc5\u8981\u306a\u3044\u306e\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u80ba\u80de\u51fa\u8840\u306fANCA\u95a2\u9023\u8840\u7ba1\u708e\u306e\u751f\u547d\u3092\u8105\u304b\u3059\u5408\u4f75\u75c7\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u306b\u306f\u3001\u3073\u307e\u3093\u6027\u80ba\u80de\u51fa\u8840\uff08diffuse alveolar hemorrhage\uff1aDAH\uff09\u3092\u8a8d\u3081\u308b\u60a3\u8005\u304c191\u4f8b\u542b\u307e\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2024\u5e74\u306b\u306f\u3001\u3053\u306e\u80ba\u80de\u51fa\u8840\u60a3\u8005\u306b\u6ce8\u76ee\u3057\u305f\u8ffd\u52a0\u89e3\u6790\u304c American Journal of Respiratory and Critical Care Medicine \u306b\u767a\u8868\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u80ba\u80de\u51fa\u8840\u60a3\u8005\u306e\u5185\u8a33<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u80de\u51fa\u8840\u3042\u308a\uff1a191\u4f8b<\/li>\n\n\n\n<li>\u91cd\u75c7\u80ba\u80de\u51fa\u8840\uff1a61\u4f8b<\/li>\n\n\n\n<li>\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u3092\u5fc5\u8981\u3068\u3057\u305f\u60a3\u8005\uff1a29\u4f8b<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u75c7\u80ba\u80de\u51fa\u8840\u306f\u3001\u5ba4\u5185\u6c17\u3067SpO\u2082 85\uff05\u4ee5\u4e0b\u3001\u307e\u305f\u306f\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u3092\u5fc5\u8981\u3068\u3059\u308b\u72b6\u614b\u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8840\u6f3f\u4ea4\u63db\u306b\u3088\u308b1\u5e74\u6b7b\u4ea1\u7387<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u80ba\u80de\u51fa\u8840\u3092\u8a8d\u3081\u305f\u60a3\u8005\u306b\u304a\u3051\u308b1\u5e74\u6b7b\u4ea1\u7387\u306f\u6b21\u306e\u3068\u304a\u308a\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6f3f\u4ea4\u63db\u7fa4\uff1a8\/95\u4f8b\uff088.4\uff05\uff09<\/li>\n\n\n\n<li>\u8840\u6f3f\u4ea4\u63db\u975e\u5b9f\u65bd\u7fa4\uff1a15\/96\u4f8b\uff0815.6\uff05\uff09<\/li>\n\n\n\n<li>\u30cf\u30b6\u30fc\u30c9\u6bd4\uff1a0.52<\/li>\n\n\n\n<li>95\uff05\u4fe1\u983c\u533a\u9593\uff1a0.21\u20131.24<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u6570\u5024\u4e0a\u306f\u8840\u6f3f\u4ea4\u63db\u7fa4\u3067\u6b7b\u4ea1\u7387\u304c\u4f4e\u304f\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u4fe1\u983c\u533a\u9593\u306f\u5e83\u304f\u3001\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u5dee\u306f\u78ba\u8a8d\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u80ba\u80de\u51fa\u8840\u306e\u6709\u7121\u3084\u91cd\u75c7\u5ea6\u306b\u3088\u3063\u3066\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u6cbb\u7642\u52b9\u679c\u304c\u7570\u306a\u308b\u3068\u3044\u3046\u6709\u610f\u306a\u4ea4\u4e92\u4f5c\u7528\u3082\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u91cd\u75c7\u80ba\u80de\u51fa\u8840\u3067\u306f\u5224\u65ad\u304c\u96e3\u3057\u3044<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u89e3\u6790\u306b\u306f\u91cd\u8981\u306a\u9650\u754c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u3092\u5fc5\u8981\u3068\u3057\u305f\u60a3\u8005\u306f29\u4f8b\u306b\u3068\u3069\u307e\u308a\u3001\u6700\u3082\u91cd\u75c7\u5ea6\u306e\u9ad8\u3044\u96c6\u56e3\u306b\u304a\u3051\u308b\u6cbb\u7642\u52b9\u679c\u3092\u5341\u5206\u306a\u7cbe\u5ea6\u3067\u63a8\u5b9a\u3059\u308b\u3053\u3068\u306f\u56f0\u96e3\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u80ba\u80de\u51fa\u8840\u306e\u5b58\u5728\u306e\u307f\u3092\u7406\u7531\u3068\u3057\u305f\u8840\u6f3f\u4ea4\u63db\u306e\u30eb\u30fc\u30c1\u30f3\u4f7f\u7528\u306f\u652f\u6301\u3055\u308c\u307e\u305b\u3093\u304c\u3001\u91cd\u75c7\u4f4e\u9178\u7d20\u8840\u75c7\u3092\u4f34\u3046\u75c7\u4f8b\u3067\u306e\u5229\u76ca\u304c\u5b8c\u5168\u306b\u5426\u5b9a\u3055\u308c\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u751f\u547d\u3092\u8105\u304b\u3059\u80ba\u80de\u51fa\u8840\u3067\u306f\u3001\u514d\u75ab\u6291\u5236\u7642\u6cd5\u3001\u547c\u5438\u5faa\u74b0\u7ba1\u7406\u3001\u611f\u67d3\u75c7\u8a55\u4fa1\u3068\u4e26\u884c\u3057\u3066\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u5fc5\u8981\u6027\u3092\u500b\u5225\u306b\u5224\u65ad\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c6\u7ae0\uff0e2025\u5e74\u306e\u8ffd\u52a0\u89e3\u6790\uff1a\u8840\u6f3f\u4ea4\u63db\u306f\u65e9\u671f\u814e\u6a5f\u80fd\u56de\u5fa9\u3092\u4fc3\u9032\u3059\u308b\u53ef\u80fd\u6027<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u306e\u7d50\u679c\u3092\u3055\u3089\u306b\u6df1\u304f\u7406\u89e3\u3059\u308b\u3046\u3048\u3067\u30012025\u5e74\u306b\u5831\u544a\u3055\u308c\u305f\u814e\u6a5f\u80fd\u306e\u4e8b\u5f8c\u89e3\u6790\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7814\u7a76\u3067\u306f\u3001ANCA\u95a2\u9023\u7cf8\u7403\u4f53\u814e\u708e\u3092\u6709\u3059\u308b691\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3001\u6cbb\u7642\u958b\u59cb\u5f8c12\u304b\u6708\u307e\u3067\u306eeGFR\u306e\u63a8\u79fb\u3092\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u814e\u6a5f\u80fd\u56de\u5fa9\u306e\u8a55\u4fa1<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u814e\u6a5f\u80fd\u56de\u5fa9\u306f\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u3089\u306eeGFR 15 mL\/min\/1.73m\u00b2\u4ee5\u4e0a\u306e\u6539\u5584\u3068\u5b9a\u7fa9\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u7fa4\u3067\u306f\u3001\u6cbb\u7642\u958b\u59cb\u5f8c2\u9031\u30014\u9031\u30018\u9031\u306b\u304a\u3051\u308beGFR\u6539\u5584\u304c\u3001\u975e\u5b9f\u65bd\u7fa4\u3088\u308a\u5927\u304d\u3044\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b4\u9031\u6642\u70b9\u3067\u306e\u814e\u6a5f\u80fd\u56de\u5fa9\u306b\u3064\u3044\u3066\u306f\u3001\u4ee5\u4e0b\u306e\u7d50\u679c\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u76f8\u5bfe\u30ea\u30b9\u30af\uff1a1.41<\/li>\n\n\n\n<li>95\uff05\u4fe1\u983c\u533a\u9593\uff1a1.09\u20131.82<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u306a\u305c\u539f\u8457\u306e\u7d50\u8ad6\u3068\u7570\u306a\u308b\u306e\u304b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3053\u3067\u91cd\u8981\u306a\u306e\u306f\u3001\u8a55\u4fa1\u3057\u3066\u3044\u308b\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u89b3\u5bdf\u671f\u9593\u306e\u9055\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u539f\u8457\u3067\u306f\u3001\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168\u3068\u3044\u3046\u9577\u671f\u7684\u306a\u81e8\u5e8a\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u691c\u8a3c\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u3053\u306e\u8ffd\u52a0\u89e3\u6790\u3067\u306f\u3001\u6cbb\u7642\u65e9\u671f\u306eeGFR\u6539\u5584\u3084\u814e\u6a5f\u80fd\u56de\u5fa9\u306b\u6ce8\u76ee\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u304c\u6025\u6027\u671f\u306e\u814e\u6a5f\u80fd\u56de\u5fa9\u3092\u4fc3\u9032\u3059\u308b\u53ef\u80fd\u6027\u3068\u3001\u305d\u308c\u304c\u9577\u671f\u7684\u306a\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168\u306e\u6e1b\u5c11\u306b\u3064\u306a\u304c\u308b\u304b\u3069\u3046\u304b\u306f\u3001\u5206\u3051\u3066\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u3053\u306e\u7814\u7a76\u306f\u4e8b\u5f8c\u89e3\u6790\u3067\u3042\u308a\u3001\u65e9\u671f\u814e\u6a5f\u80fd\u6539\u5584\u3092\u72ec\u7acb\u3057\u305f\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3068\u3057\u3066\u4e8b\u524d\u306b\u691c\u8a3c\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u6cbb\u7642\u65e9\u671f\u306e\u814e\u6a5f\u80fd\u6539\u5584\u3092\u793a\u3059\u7d50\u679c\u3092\u3082\u3063\u3066\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u9577\u671f\u4e88\u5f8c\u6539\u5584\u52b9\u679c\u304c\u78ba\u7acb\u3057\u305f\u3068\u89e3\u91c8\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c7\u7ae0\uff0e\u73fe\u5728\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u8840\u6f3f\u4ea4\u63db\u3092\u3069\u306e\u3088\u3046\u306b\u4f4d\u7f6e\u3065\u3051\u3066\u3044\u308b\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u5f8c\u3001\u8840\u6f3f\u4ea4\u63db\u306f\u300c\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u5e83\u304f\u5b9f\u65bd\u3059\u308b\u6cbb\u7642\u300d\u304b\u3089\u3001\u300c\u7279\u5b9a\u306e\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u3067\u5229\u76ca\u3068\u4e0d\u5229\u76ca\u3092\u6bd4\u8f03\u3057\u3066\u691c\u8a0e\u3059\u308b\u6cbb\u7642\u300d\u3078\u3068\u4f4d\u7f6e\u3065\u3051\u304c\u5909\u5316\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">KDIGO 2024<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">KDIGO 2024 ANCA\u95a2\u9023\u8840\u7ba1\u708e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u8840\u6f3f\u4ea4\u63db\u306e\u691c\u8a0e\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u304c3.4 mg\/dL\u3092\u8d85\u3048\u308b\u60a3\u8005<\/li>\n\n\n\n<li>\u900f\u6790\u3092\u5fc5\u8981\u3068\u3059\u308b\u60a3\u8005<\/li>\n\n\n\n<li>\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u304c\u6025\u901f\u306b\u4e0a\u6607\u3057\u3066\u3044\u308b\u60a3\u8005<\/li>\n\n\n\n<li>\u4f4e\u9178\u7d20\u8840\u75c7\u3092\u4f34\u3046\u3073\u307e\u3093\u6027\u80ba\u80de\u51fa\u8840\u60a3\u8005<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3068\u6297GBM\u6297\u4f53\u95a2\u9023\u75be\u60a3\u306e\u30aa\u30fc\u30d0\u30fc\u30e9\u30c3\u30d7\u75c7\u5019\u7fa4\u3067\u306f\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u8ffd\u52a0\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3053\u3067\u306e\u63a8\u5968\u306f\u3001\u3059\u3079\u3066\u306e\u60a3\u8005\u306b\u8840\u6f3f\u4ea4\u63db\u3092\u5fc5\u305a\u5b9f\u65bd\u3059\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u814e\u6a5f\u80fd\u969c\u5bb3\u306e\u91cd\u75c7\u5ea6\u3001\u814e\u969c\u5bb3\u306e\u53ef\u9006\u6027\u3001\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u3001\u5faa\u74b0\u52d5\u614b\u306a\u3069\u3092\u8e0f\u307e\u3048\u305f\u5224\u65ad\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">EULAR 2022 update<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">EULAR\u3067\u306f\u3001\u6d3b\u52d5\u6027\u7cf8\u7403\u4f53\u814e\u708e\u306b\u3088\u3063\u3066\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u304c300 \u03bcmol\/L\uff08\u7d043.4 mg\/dL\uff09\u3092\u8d85\u3048\u308bGPA\u30fbMPA\u60a3\u8005\u306b\u5bfe\u3057\u3001\u8840\u6f3f\u4ea4\u63db\u3092\u8003\u616e\u3057\u3066\u3088\u3044\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u80ba\u80de\u51fa\u8840\u306b\u5bfe\u3059\u308b\u8840\u6f3f\u4ea4\u63db\u306e\u30eb\u30fc\u30c1\u30f3\u4f7f\u7528\u306f\u63a8\u5968\u3057\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u91cd\u75c7\u814e\u969c\u5bb3\u3067\u306f\u3001\u672b\u671f\u814e\u4e0d\u5168\u306e\u30ea\u30b9\u30af\u3068\u3001\u8840\u6f3f\u4ea4\u63db\u306b\u3088\u308b\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u306a\u3069\u306e\u4e0d\u5229\u76ca\u3092\u6bd4\u8f03\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">BSR 2025<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u82f1\u56fd\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\uff08BSR\uff09\u306e2025\u5e74\u63a8\u5968\u3067\u3082\u3001\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u304c300 \u03bcmol\/L\u3092\u8d85\u3048\u308b\u91cd\u75c7\u814e\u969c\u5bb3\u60a3\u8005\u306b\u3064\u3044\u3066\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u8ffd\u52a0\u3092\u691c\u8a0e\u3059\u308b\u7acb\u5834\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u80ba\u80de\u51fa\u8840\u60a3\u8005\u306b\u5bfe\u3059\u308b\u8840\u6f3f\u4ea4\u63db\u306e\u5229\u76ca\u306b\u3064\u3044\u3066\u306f\u3001\u5f15\u304d\u7d9a\u304d\u614e\u91cd\u306a\u8a55\u4fa1\u304c\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8840\u6f3f\u4ea4\u63db\u306e\u5229\u76ca\u3068\u611f\u67d3\u75c7\u30ea\u30b9\u30af<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">2022\u5e74\u306eBMJ\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u30fb\u30e1\u30bf\u89e3\u6790\u3067\u306f\u3001\u8840\u6f3f\u4ea4\u63db\u306f12\u304b\u6708\u6642\u70b9\u306e\u672b\u671f\u814e\u4e0d\u5168\u3092\u6e1b\u3089\u3059\u4e00\u65b9\u3001\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u3092\u5897\u3084\u3059\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u306fPEXIVAS\u5358\u72ec\u306e\u4e3b\u8981\u89e3\u6790\u3068\u77db\u76fe\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u306f\u9577\u671f\u306e\u6b7b\u4ea1\u30fb\u672b\u671f\u814e\u4e0d\u5168\u306e\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u8a55\u4fa1\u3057\u305f\u306e\u306b\u5bfe\u3057\u3001\u30e1\u30bf\u89e3\u6790\u3067\u306f\u8907\u6570\u8a66\u9a13\u3092\u7d71\u5408\u3057\u3001\u77ed\u671f\u306e\u814e\u30a2\u30a6\u30c8\u30ab\u30e0\u306a\u3069\u3092\u500b\u5225\u306b\u691c\u8a0e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u8981\u306a\u306e\u306f\u3001\u77ed\u671f\u7684\u306a\u900f\u6790\u56de\u907f\u306e\u53ef\u80fd\u6027\u3001\u9577\u671f\u7684\u306a\u751f\u547d\u30fb\u814e\u4e88\u5f8c\u3001\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u3092\u3001\u305d\u308c\u305e\u308c\u7570\u306a\u308b\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u306e\u9069\u5fdc\u3092\u8003\u3048\u308b\u3046\u3048\u3067\u306f\u3001ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3068\u6297GBM\u6297\u4f53\u95a2\u9023\u75be\u60a3\u3092\u533a\u5225\u3059\u308b\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002\u6297GBM\u6297\u4f53\u95a2\u9023\u75be\u60a3\u306e\u75c5\u614b\u3068\u6cbb\u7642\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2532\/\" target=\"_blank\" rel=\"noopener\">\u6297\u7cf8\u7403\u4f53\u57fa\u5e95\u819c\uff08GBM\uff09\u814e\u708e\u306e\u75c7\u4f8b<\/a>\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c8\u7ae0\uff0e\u5b9f\u81e8\u5e8a\u3067\u306fPEXIVAS\u8a66\u9a13\u3092\u3069\u3046\u6d3b\u7528\u3059\u308b\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u304b\u3089\u5f97\u3089\u308c\u305f\u77e5\u898b\u306f\u3001\u5b9f\u969b\u306e\u8a3a\u7642\u3067\u306f\u6b21\u306e\u3088\u3046\u306b\u6574\u7406\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460 \u814e\u6a5f\u80fd\u969c\u5bb3\u304c\u6bd4\u8f03\u7684\u8efd\u5ea6\u306e\u5834\u5408<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u3088\u308b\u814e\u969c\u5bb3\u304c\u3042\u3063\u3066\u3082\u3001\u8840\u6f3f\u4ea4\u63db\u3092\u4e00\u5f8b\u306b\u8ffd\u52a0\u3059\u308b\u6839\u62e0\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305a\u306f\u75be\u60a3\u6d3b\u52d5\u6027\u3001\u814e\u969c\u5bb3\u306e\u9032\u884c\u901f\u5ea6\u3001\u814e\u751f\u691c\u6240\u898b\u3092\u8a55\u4fa1\u3057\u3001\u9069\u5207\u306a\u5bdb\u89e3\u5c0e\u5165\u7642\u6cd5\u3092\u958b\u59cb\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461 \u6025\u901f\u9032\u884c\u6027\u7cf8\u7403\u4f53\u814e\u708e\u3092\u4f34\u3046\u5834\u5408<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u304c\u6025\u901f\u306b\u4e0a\u6607\u3057\u3001\u900f\u6790\u5c0e\u5165\u306e\u5371\u967a\u6027\u304c\u9ad8\u3044\u60a3\u8005\u3067\u306f\u3001\u8840\u6f3f\u4ea4\u63db\u3092\u8ffd\u52a0\u3059\u308b\u5229\u76ca\u304c\u671f\u5f85\u3067\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u814e\u751f\u691c\u3067\u9ad8\u5ea6\u306e\u6162\u6027\u75c5\u5909\u3092\u8a8d\u3081\u308b\u306a\u3069\u3001\u814e\u6a5f\u80fd\u56de\u5fa9\u306e\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u5834\u5408\u306b\u306f\u3001\u671f\u5f85\u3067\u304d\u308b\u5229\u76ca\u3082\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u306e\u5224\u65ad\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u3060\u3051\u3067\u6c7a\u3081\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u814e\u6a5f\u80fd\u306e\u63a8\u79fb\u3001\u814e\u7d44\u7e54\u6240\u898b\u3001\u6cbb\u7642\u53ef\u80fd\u6027\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 \u80ba\u80de\u51fa\u8840\u3092\u8a8d\u3081\u308b\u5834\u5408<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u80ba\u80de\u51fa\u8840\u304c\u5b58\u5728\u3059\u308b\u3060\u3051\u3067\u3001\u8840\u6f3f\u4ea4\u63db\u3092\u5fc5\u9808\u3068\u3059\u308b\u6839\u62e0\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u91cd\u75c7\u4f4e\u9178\u7d20\u8840\u75c7\u3084\u547c\u5438\u4e0d\u5168\u3092\u4f34\u3046\u60a3\u8005\u3067\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u4e0d\u78ba\u5b9f\u6027\u3092\u7406\u89e3\u3057\u305f\u3046\u3048\u3067\u3001\u8840\u7ba1\u708e\u8a3a\u7642\u306b\u7cbe\u901a\u3057\u305f\u5c02\u9580\u65bd\u8a2d\u3067\u500b\u5225\u306b\u691c\u8a0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463 \u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u3092\u7a4d\u6975\u7684\u306b\u691c\u8a0e\u3059\u308b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u304c\u793a\u3057\u305f\u91cd\u8981\u306a\u6559\u8a13\u306f\u3001\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3067\u3082\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u9577\u671f\u5927\u91cf\u6295\u4e0e\u304c\u5e38\u306b\u5fc5\u8981\u3068\u306f\u9650\u3089\u306a\u3044\u3068\u3044\u3046\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u9ad8\u9f62\u8005\u3001\u7cd6\u5c3f\u75c5\u60a3\u8005\u3001\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u3001\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u60a3\u8005\u3067\u306f\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u95a2\u9023\u6709\u5bb3\u4e8b\u8c61\u3092\u6e1b\u3089\u3059\u610f\u7fa9\u304c\u5927\u304d\u3044\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001PEXIVAS\u306e\u6e1b\u91cf\u7642\u6cd5\u306f\u9069\u5207\u306a\u5bdb\u89e3\u5c0e\u5165\u6cbb\u7642\u3068\u306e\u4f75\u7528\u4e0b\u3067\u691c\u8a3c\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u307f\u3092\u6025\u901f\u306b\u6e1b\u91cf\u3057\u3066\u3082\u540c\u3058\u7d50\u679c\u304c\u5f97\u3089\u308c\u308b\u3068\u89e3\u91c8\u3057\u3066\u306f\u3044\u3051\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2464 \u518d\u71c3\u30ea\u30b9\u30af\u3068\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u306e\u4e21\u65b9\u3092\u9577\u671f\u7ba1\u7406\u3059\u308b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3067\u306f\u3001\u5bdb\u89e3\u5c0e\u5165\u5f8c\u3082\u518d\u71c3\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u306e\u518d\u71c3\u89e3\u6790\u3067\u306f\u3001\u5bdb\u89e3\u306b\u5230\u9054\u3057\u305f649\u4f8b\u306e\u3046\u3061147\u4f8b\uff0822.7\uff05\uff09\u304c\u518d\u71c3\u3092\u7d4c\u9a13\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6f3f\u4ea4\u63db\u306e\u5b9f\u65bd\u3084\u521d\u671f\u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u6cd5\u306b\u3088\u3063\u3066\u3001\u518d\u71c3\u30ea\u30b9\u30af\u306b\u660e\u78ba\u306a\u5dee\u306f\u78ba\u8a8d\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u521d\u671f\u6cbb\u7642\u5f8c\u3082\u5c3f\u6240\u898b\u3001\u814e\u6a5f\u80fd\u3001\u547c\u5438\u5668\u75c7\u72b6\u3001\u611f\u67d3\u75c7\u3001\u6cbb\u7642\u85ac\u306e\u6709\u5bb3\u4e8b\u8c61\u3092\u7d99\u7d9a\u7684\u306b\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u3067\u306f\u3001\u75be\u60a3\u6d3b\u52d5\u6027\u3060\u3051\u3067\u306a\u304f\u3001\u611f\u67d3\u75c7\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u3092\u542b\u3080\u9577\u671f\u4e88\u5f8c\u306e\u7ba1\u7406\u304c\u91cd\u8981\u3067\u3059\u3002<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/rare-autoimmune-rheumatic-diseases-mortality-england-2026\/\" target=\"_blank\" rel=\"noopener\">\u82f1\u56fd\u5168\u56fd\u7814\u7a76\u306b\u3088\u308b\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u3068\u6b7b\u56e0<\/a>\u3067\u3082\u3001\u3053\u306e\u554f\u984c\u3092\u8a73\u3057\u304f\u53d6\u308a\u4e0a\u3052\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-47-450x600.png\" alt=\"PEXIVAS\u8a66\u9a13\u5f8c\u306eANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u304a\u3051\u308b\u8840\u6f3f\u4ea4\u63db\u306e\u9069\u5fdc\u3092\u3001\u91cd\u75c7\u814e\u969c\u5bb3\u3001\u80ba\u80de\u51fa\u8840\u3001\u6297GBM\u6297\u4f53\u306e\u6709\u7121\u304b\u3089\u8a55\u4fa1\u3059\u308b\u8a3a\u7642\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\" class=\"wp-image-10006\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-47-450x600.png 450w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-47-225x300.png 225w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-47-768x1024.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-47.png 800w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1aPEXIVAS\u8a66\u9a13\u5f8c\u306eANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u304a\u3051\u308b\u8840\u6f3f\u4ea4\u63db\u306e\u691c\u8a0e<\/strong>\u3002KDIGO 2024\u304a\u3088\u3073EULAR 2022 update\u306b\u57fa\u3065\u304d\u3001\u91cd\u75c7\u814e\u969c\u5bb3\u3001\u6025\u901f\u306a\u814e\u6a5f\u80fd\u60aa\u5316\u3001\u4f4e\u9178\u7d20\u8840\u75c7\u3092\u4f34\u3046\u80ba\u80de\u51fa\u8840\u3001\u6297GBM\u6297\u4f53\u95a2\u9023\u75be\u60a3\u3068\u306e\u91cd\u8907\u306a\u3069\u3092\u8a55\u4fa1\u3059\u308b\u3002\u8840\u6f3f\u4ea4\u63db\u306f\u5168\u4f8b\u306b\u5b9f\u65bd\u3059\u308b\u6cbb\u7642\u3067\u306f\u306a\u304f\u3001\u671f\u5f85\u3055\u308c\u308b\u5229\u76ca\u3068\u611f\u67d3\u75c7\u30fb\u624b\u6280\u95a2\u9023\u30ea\u30b9\u30af\u3092\u8003\u616e\u3057\u3066\u500b\u5225\u306b\u5224\u65ad\u3059\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c9\u7ae0\uff0ePEXIVAS\u8a66\u9a13\u306e\u9650\u754c<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u306f\u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306b\u304a\u3051\u308b\u6700\u5927\u898f\u6a21\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u4e00\u3064\u3067\u3059\u304c\u3001\u89e3\u91c8\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b2c\u4e00\u306b\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u6bd4\u8f03\u306f\u975e\u76f2\u691c\u3067\u3057\u305f\u3002\u305f\u3060\u3057\u3001\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3067\u3042\u308b\u6b7b\u4ea1\u3084\u672b\u671f\u814e\u4e0d\u5168\u306f\u3001\u6bd4\u8f03\u7684\u5ba2\u89b3\u7684\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b2c\u4e8c\u306b\u3001\u91cd\u75c7\u80ba\u80de\u51fa\u8840\u3084\u6700\u91cd\u75c7\u814e\u969c\u5bb3\u306a\u3069\u3001\u7279\u5b9a\u306e\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u3067\u5341\u5206\u306a\u691c\u51fa\u529b\u304c\u3042\u3063\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b2c\u4e09\u306b\u3001\u8840\u6f3f\u4ea4\u63db\u306e\u9577\u671f\u4e88\u5f8c\u306b\u5bfe\u3059\u308b\u52b9\u679c\u3068\u3001\u6cbb\u7642\u65e9\u671f\u306e\u814e\u6a5f\u80fd\u6539\u5584\u52b9\u679c\u306f\u5fc5\u305a\u3057\u3082\u4e00\u81f4\u3057\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b2c\u56db\u306b\u3001\u6cbb\u7642\u6280\u8853\u3084\u85ac\u5264\u9078\u629e\u306f\u73fe\u5728\u3082\u9032\u6b69\u3057\u3066\u3044\u307e\u3059\u3002PEXIVAS\u306e\u7d50\u679c\u3092\u500b\u3005\u306e\u60a3\u8005\u306b\u9069\u7528\u3059\u308b\u969b\u306b\u306f\u3001\u73fe\u884c\u306e\u5bdb\u89e3\u5c0e\u5165\u30fb\u7dad\u6301\u7642\u6cd5\u3068\u306e\u95a2\u4fc2\u3082\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c10\u7ae0\uff0e\u307e\u3068\u3081\uff1aPEXIVAS\u304c\u5909\u3048\u305fANCA\u95a2\u9023\u8840\u7ba1\u708e\u306e\u6cbb\u7642<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u304b\u3089\u5f97\u3089\u308c\u308b\u91cd\u8981\u306a\u7d50\u8ad6\u306f\u3001\u6b21\u306e4\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1. \u91cd\u75c7ANCA\u95a2\u9023\u8840\u7ba1\u708e\u60a3\u8005\u5168\u4f53\u306b\u8840\u6f3f\u4ea4\u63db\u3092\u8ffd\u52a0\u3057\u3066\u3082\u3001\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168\u3092\u6709\u610f\u306b\u6e1b\u3089\u3059\u52b9\u679c\u306f\u793a\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. \u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7642\u6cd5\u306f\u3001\u6b7b\u4ea1\u307e\u305f\u306f\u672b\u671f\u814e\u4e0d\u5168\u306b\u95a2\u3057\u3066\u6a19\u6e96\u91cf\u7642\u6cd5\u306b\u5bfe\u3059\u308b\u975e\u52a3\u6027\u3092\u6e80\u305f\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3. \u30b9\u30c6\u30ed\u30a4\u30c9\u6e1b\u91cf\u7fa4\u3067\u306f\u3001\u6cbb\u7642\u958b\u59cb\u5f8c1\u5e74\u9593\u306e\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u304c\u5c11\u306a\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">4. \u91cd\u75c7\u814e\u969c\u5bb3\u3084\u4f4e\u9178\u7d20\u8840\u75c7\u3092\u4f34\u3046\u80ba\u80de\u51fa\u8840\u3067\u306f\u3001\u73fe\u5728\u3082\u8840\u6f3f\u4ea4\u63db\u3092\u500b\u5225\u306b\u691c\u8a0e\u3059\u308b\u4f59\u5730\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PEXIVAS\u8a66\u9a13\u306e\u6700\u5927\u306e\u610f\u7fa9\u306f\u3001\u5f93\u6765\u304b\u3089\u884c\u308f\u308c\u3066\u304d\u305f\u6cbb\u7642\u3092\u518d\u8a55\u4fa1\u3057\u3001\u75c5\u6c17\u3092\u5341\u5206\u306b\u5236\u5fa1\u3057\u306a\u304c\u3089\u6cbb\u7642\u95a2\u9023\u306e\u5bb3\u3092\u6e1b\u3089\u3059\u65b9\u5411\u3078\u8a3a\u7642\u3092\u9032\u3081\u305f\u3053\u3068\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306e\u6cbb\u7642\u3067\u306f\u3001\u8840\u7ba1\u708e\u305d\u306e\u3082\u306e\u306b\u3088\u308b\u81d3\u5668\u969c\u5bb3\u306b\u52a0\u3048\u3001\u611f\u67d3\u75c7\u3001\u514d\u75ab\u6291\u5236\u85ac\u306e\u6709\u5bb3\u4e8b\u8c61\u3001\u814e\u6a5f\u80fd\u306e\u9577\u671f\u7684\u306a\u63a8\u79fb\u3092\u542b\u3081\u305f\u7dcf\u5408\u7684\u306a\u7ba1\u7406\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5f53\u9662\u3067\u306eANCA\u95a2\u9023\u8840\u7ba1\u708e\u306e\u8a3a\u7642\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u304c\u3001ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3092\u542b\u3080\u81a0\u539f\u75c5\u30fb\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u306e\u7d99\u7d9a\u8a3a\u7642\u3092\u4e3b\u306b\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u5c3f\u3001\u86cb\u767d\u5c3f\u3001\u814e\u6a5f\u80fd\u7570\u5e38\u3001\u539f\u56e0\u4e0d\u660e\u306e\u767a\u71b1\u3001\u9577\u5f15\u304f\u54b3\u3084\u606f\u5207\u308c\u306a\u3069\u3092\u8a8d\u3081\u305f\u5834\u5408\u306b\u306f\u3001\u8840\u7ba1\u708e\u3092\u542b\u3080\u5168\u8eab\u6027\u75be\u60a3\u306e\u53ef\u80fd\u6027\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a3a\u65ad\u3084\u75c5\u72b6\u306b\u5fdc\u3058\u3066\u3001\u8840\u6db2\u691c\u67fb\u3001\u5c3f\u691c\u67fb\u3001\u753b\u50cf\u691c\u67fb\u306a\u3069\u3092\u7d44\u307f\u5408\u308f\u305b\u3001\u5fc5\u8981\u6642\u306b\u306f\u814e\u751f\u691c\u3084\u5c02\u9580\u7684\u306a\u6cbb\u7642\u304c\u53ef\u80fd\u306a\u533b\u7642\u6a5f\u95a2\u3068\u9023\u643a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6025\u901f\u306a\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3084\u80ba\u80de\u51fa\u8840\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306b\u306f\u3001\u5165\u9662\u30fb\u96c6\u4e2d\u6cbb\u7642\u3092\u542b\u3081\u305f\u8fc5\u901f\u306a\u5c02\u9580\u8a3a\u7642\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u3001\u60a3\u8005\u3055\u3093\u306e\u75c7\u72b6\u3068\u5168\u8eab\u72b6\u614b\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u3001\u9069\u5207\u306a\u8a3a\u65ad\u3068\u7d99\u7d9a\u7684\u306a\u6cbb\u7642\u306b\u3064\u306a\u3052\u308b\u3053\u3068\u3092\u5927\u5207\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u95a2\u9023\u8a18\u4e8b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1\uff0e<\/strong><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2522\/\" target=\"_blank\" rel=\"noopener\"><strong>\u773c\u75c7\u72b6\u304c\u5f37\u304f\u51fa\u305f\u591a\u767a\u8840\u7ba1\u708e\u6027\u8089\u82bd\u816b\u75c7\uff08GPA\uff09\u306e\u4e00\u4f8b<\/strong><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u591a\u767a\u8840\u7ba1\u708e\u6027\u8089\u82bd\u816b\u75c7\uff08GPA\uff09\u306f\u3001\u814e\u81d3\u3084\u80ba\u3060\u3051\u3067\u306a\u304f\u3001\u773c\u3084\u8033\u9f3b\u54bd\u5589\u9818\u57df\u306a\u3069\u306b\u3082\u75c5\u5909\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u773c\u75c7\u72b6\u3092\u5951\u6a5f\u306b\u8a3a\u65ad\u3055\u308c\u305fGPA\u306e\u75c7\u4f8b\u3092\u901a\u3057\u3066\u3001ANCA\u95a2\u9023\u8840\u7ba1\u708e\u306e\u591a\u5f69\u306a\u81e8\u5e8a\u50cf\u3068\u65e9\u671f\u8a3a\u65ad\u306e\u91cd\u8981\u6027\u3092\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2\uff0e<\/strong><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2532\/\" target=\"_blank\" rel=\"noopener\"><strong>\u6297\u7cf8\u7403\u4f53\u57fa\u5e95\u819c\uff08GBM\uff09\u814e\u708e\uff1a\u8840\u6f3f\u4ea4\u63db\u3068\u514d\u75ab\u6291\u5236\u7642\u6cd5\u3092\u884c\u3063\u305f\u75c7\u4f8b<\/strong><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6297GBM\u6297\u4f53\u95a2\u9023\u75be\u60a3\u306f\u3001\u6025\u901f\u9032\u884c\u6027\u7cf8\u7403\u4f53\u814e\u708e\u3084\u80ba\u80de\u51fa\u8840\u3092\u5f15\u304d\u8d77\u3053\u3059\u91cd\u7be4\u306a\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3067\u3059\u3002ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3068\u306f\u8840\u6f3f\u4ea4\u63db\u306e\u4f4d\u7f6e\u3065\u3051\u304c\u7570\u306a\u308a\u3001\u4e21\u75be\u60a3\u306e\u9451\u5225\u3084\u91cd\u8907\u4f8b\u306e\u8a55\u4fa1\u304c\u91cd\u8981\u3067\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u8840\u6f3f\u4ea4\u63db\u3068\u514d\u75ab\u6291\u5236\u7642\u6cd5\u3092\u5b9f\u65bd\u3057\u305f\u75c7\u4f8b\u3092\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3\uff0e<\/strong><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/rare-autoimmune-rheumatic-diseases-mortality-england-2026\/\" target=\"_blank\" rel=\"noopener\"><strong>\u81a0\u539f\u75c5\u30fb\u8840\u7ba1\u708e\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u306f\u4e00\u822c\u4eba\u53e3\u306e2\u500d\u8d85\uff5c\u82f1\u56fd\u5168\u56fd\u7814\u7a762026<\/strong><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ANCA\u95a2\u9023\u8840\u7ba1\u708e\u3092\u542b\u3080\u5168\u8eab\u6027\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3067\u306f\u3001\u75be\u60a3\u6d3b\u52d5\u6027\u306e\u5236\u5fa1\u3060\u3051\u3067\u306a\u304f\u3001\u611f\u67d3\u75c7\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u306a\u3069\u306e\u5408\u4f75\u75c7\u7ba1\u7406\u3082\u9577\u671f\u4e88\u5f8c\u3092\u5de6\u53f3\u3057\u307e\u3059\u3002\u82f1\u56fd\u306e\u5168\u56fd\u898f\u6a21\u306e\u7814\u7a76\u3092\u3082\u3068\u306b\u3001\u5e0c\u5c11\u81ea\u5df1\u514d\u75ab\u6027\u30ea\u30a6\u30de\u30c1\u75be\u60a3\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u4e3b\u306a\u6b7b\u56e0\u3092\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Walsh M, et al. Plasma Exchange and Glucocorticoids in Severe ANCA-Associated Vasculitis. N Engl J Med. 2020;382:622\u2013631.<br><a href=\"https:\/\/doi.org\/10.1056\/NEJMoa1803537\">https:\/\/doi.org\/10.1056\/NEJMoa1803537<\/a><\/li>\n\n\n\n<li>Alveolar Hemorrhage in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: Results of an International Randomized Controlled Trial (PEXIVAS). Am J Respir Crit Care Med. 2024;209:1141\u20131151.<br><a href=\"https:\/\/doi.org\/10.1164\/rccm.202308-1426OC\">https:\/\/doi.org\/10.1164\/rccm.202308-1426OC<\/a><\/li>\n\n\n\n<li>The effects of plasma exchange in patients with ANCA-associated vasculitis: an updated systematic review and meta-analysis. BMJ. 2022;376.<br><a href=\"https:\/\/doi.org\/10.1136\/bmj-2021-064604\">https:\/\/doi.org\/10.1136\/bmj-2021-064604<\/a><\/li>\n\n\n\n<li>KDIGO 2024 Clinical Practice Guideline for the Management of Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis. Kidney Int. 2024;105(Suppl 3S)\u2013S116.<br><a href=\"https:\/\/kdigo.org\/guidelines\/antineutrophilic-cytoplasmic-antibody-anca-associated-vasculitis-aav\/\">https:\/\/kdigo.org\/guidelines\/antineutrophilic-cytoplasmic-antibody-anca-associated-vasculitis-aav\/<\/a><\/li>\n\n\n\n<li>Hellmich B, et al. EULAR recommendations for the management of ANCA-associated vasculitis: 2022 update. Ann Rheum Dis. 2024;83:30\u201347.<br><a href=\"https:\/\/ard.bmj.com\/content\/83\/1\/30\">https:\/\/ard.bmj.com\/content\/83\/1\/30<\/a><\/li>\n\n\n\n<li>The effects of plasma exchange and glucocorticoids on early kidney function among patients with ANCA-associated vasculitis in the PEXIVAS trial. 2025.<br><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39708998\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/39708998\/<\/a><\/li>\n<\/ol>\n<\/blockquote>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:23%\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-600x600.png\" alt=\"\" class=\"wp-image-8240\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-600x600.png 600w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-150x150.png 150w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-300x300.png 300w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-768x768.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012.png 800w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:77%\">\n<p class=\"wp-block-paragraph\">\u3010\u672c\u8a18\u4e8b\u306e\u57f7\u7b46\u30fb\u533b\u5b66\u76e3\u4fee\u3011<br>\u25a0 \u798f\u7530 \u5321\u5fd7\uff08\u3075\u304f\u305f \u307e\u3055\u3057\uff09<br>\u6210\u7530\u8d64\u5341\u5b57\u75c5\u9662 \u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5185\u79d1\u90e8\u9577 \/ \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u533b\u5e2b<br>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a \u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u8a8d\u5b9a \u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b<br>\ud83d\udc49 <a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/doctor.html\" target=\"_blank\" rel=\"noopener\">\u798f\u7530\u5321\u5fd7\u533b\u5e2b\u306e\u8a73\u3057\u3044\u7d4c\u6b74\u30fb\u5c02\u9580\u8cc7\u683c\u306f\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3010\u30af\u30ea\u30cb\u30c3\u30af\u5171\u540c\u76e3\u4fee\u4f53\u5236\u3011<br>\u25a0 \u6625\u539f \u512a\u5b50\uff08\u306f\u308b\u306f\u3089 \u3086\u3046\u3053\uff09\uff08\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u6d88\u5316\u5668\u75c5\u5c02\u9580\u533b\uff09<br>\u25a0 \u798f\u7530 \u6dbc\u5b50\uff08\u3075\u304f\u305f \u308a\u3087\u3046\u3053\uff09\uff08\u65e5\u672c\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\u5c02\u9580\u533b\uff09<\/p>\n\n\n\n<p 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