1
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Chida R, Ishida Y, Iio K, Saisho J, Yamanaka G. Role of Multi-Angle Chest Radiograph in Diagnosing Esophageal Aluminum Coin. Clin Pediatr (Phila) 2024; 63:889-892. [PMID: 37776240 DOI: 10.1177/00099228231202612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/02/2023]
Affiliation(s)
- Rie Chida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
| | - Yu Ishida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Junya Saisho
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
| | - Gaku Yamanaka
- Department of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo, Japan
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2
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Iio K, Hanna H, Salter R, Maconochie IK. Should we replace nail plates after repairing nail bed injuries in children? Arch Dis Child 2024:archdischild-2024-327166. [PMID: 38789115 DOI: 10.1136/archdischild-2024-327166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Accepted: 05/06/2024] [Indexed: 05/26/2024]
Affiliation(s)
- Kazuki Iio
- Applied Paediatrics MSc course, Imperial College London, London, UK
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Heather Hanna
- Section of Paediatric Infectious Disease, Imperial College London, London, UK
| | - Rebecca Salter
- Paediatric Emergency Department, Imperial College London, London, UK
| | - Ian K Maconochie
- Paediatric Emergency Department, Imperial College London, London, UK
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3
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Yatabe R, Iio K, Akamine K. Inverse Gottron Papules and Auricular Red-violaceous Macules: Anti-MDA5-antibody-positive Juvenile Dermatomyositis. J Pediatr 2024:114102. [PMID: 38762065 DOI: 10.1016/j.jpeds.2024.114102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 05/11/2024] [Accepted: 05/12/2024] [Indexed: 05/20/2024]
Affiliation(s)
- Reiko Yatabe
- Department of Nephrology and Rheumatology, Tokyo Metropolitan Children's Medical Center.
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center
| | - Keiji Akamine
- Department of Nephrology and Rheumatology, Tokyo Metropolitan Children's Medical Center
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4
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Iio K, Mikami N, Harada R, Hamada R, Hagiwara Y, Hataya H, Sandhu A, Goldman RD. Treatment Delay of Febrile Urinary Tract Infections Among Infants With Respiratory Symptoms. Pediatr Infect Dis J 2024; 43:e121-e124. [PMID: 38134370 DOI: 10.1097/inf.0000000000004226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2023]
Abstract
OBJECTIVE To evaluate whether antibiotic treatment of febrile urinary tract infection (UTI) is delayed in febrile infants with respiratory symptoms compared with those without. STUDY DESIGN Data of infants 2-24 months of age diagnosed with UTI from March 1, 2012 to May 31, 2023 were collected from our hospital's medical charts and triage records. Patients with known congenital anomalies of the kidney and urinary tract or a history of febrile UTI were excluded. Patients were classified as having respiratory symptoms if they had any of the following symptoms or clinical signs: cough, rhinorrhea, pharyngeal hyperemia and otitis media. Time to first antibiotic treatment from fever onset was compared between patients with and without respiratory symptoms. A Cox regression model was constructed to adjust for potential confounders. RESULTS A total of 214 patients were eligible for analysis. The median age of the eligible patients was 5.0 months (interquartile range: 3.0-8.8) and 118 (55%) were male. There were 104 and 110 patients in the respiratory symptom and no respiratory symptom groups, respectively. The time to first antibiotic treatment was significantly longer in the group with respiratory symptoms (51 hours vs. 21 hours). Respiratory symptoms were significantly associated with a longer time to first treatment after adjustment for age and sex in the Cox regression model (hazard ratio = 0.63, 95% confidence interval: 0.47-0.84). CONCLUSIONS Treatment of febrile UTI infants with respiratory symptoms tends to be delayed. Pediatricians should not exclude febrile UTI even in the presence of respiratory symptoms.
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Affiliation(s)
- Kazuki Iio
- From the Division of Pediatric Emergency Medicine
| | | | | | | | | | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | | | - Ran D Goldman
- Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Emergency Medicine, Department of Pediatrics, University of British Columbia, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada
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5
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Nakanishi R, Iio K, Nakamura T, Yoshitomi A, Enokizono M, Hataya H. Drainage of Retropharyngeal Abscess Through the External Auditory Canal. Pediatr Infect Dis J 2024:00006454-990000000-00784. [PMID: 38451914 DOI: 10.1097/inf.0000000000004313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Affiliation(s)
- Ryo Nakanishi
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center
| | - Kazuki Iio
- Department of Pediatric Emergency and Critical Care Medicine Tokyo Metropolitan Children's Medical Center
| | - Toshiki Nakamura
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center
| | - Ai Yoshitomi
- Department of Otolaryngology Tokyo Metropolitan Children's Medical Center
| | - Mikako Enokizono
- Department of Radiology Tokyo Metropolitan Children's Medical Center
| | - Hiroshi Hataya
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo, Japan
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6
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Iio K, Goldman RD. Faut-il dépister une infection des voies urinaires si un enfant a des symptômes respiratoires? Can Fam Physician 2024; 70:e44-e46. [PMID: 38499373 DOI: 10.46747/cfp.7003e44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/20/2024]
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7
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Iio K, Goldman RD. Should you test for urinary tract infection in children with respiratory symptoms? Can Fam Physician 2024; 70:169-170. [PMID: 38499366 DOI: 10.46747/cfp.7003169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/20/2024]
Abstract
QUESTION An 8-month-old boy presented to our clinic with a 3-day history of fever. He has had a cough and rhinorrhea since the onset of the fever, and his 4-year-old sibling has recently had cough and cold symptoms. I have heard that the presence of respiratory symptoms means that urinary tract infection (UTI) is less likely. In infants with fever and respiratory symptoms, who should have a sample collected for urinalysis for UTI? ANSWER The approach to diagnosing febrile infants who have respiratory symptoms varies by age. Urinalysis should be done for all febrile infants younger than 2 months of age, regardless of whether they have respiratory symptoms. Clinicians should assess risk factors for UTI in every infant between 2 and 24 months of age and should not exclude the diagnosis of UTI based on respiratory symptoms alone. Use of a predictive tool to estimate the pretest probability of UTI would aid decision making about patients in this population.
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8
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Hiraishi D, Iio K, Hataya H. Chest pain in straight back syndrome. Pediatr Int 2024; 66:e15730. [PMID: 38299769 DOI: 10.1111/ped.15730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 11/13/2023] [Accepted: 11/24/2023] [Indexed: 02/02/2024]
Affiliation(s)
- Dai Hiraishi
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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9
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Chuman T, Iio K, Yanai S, Hagiwara Y, Maeda J. A Pitfall in Measuring Heart Rates With Pulse Oximetry. Ann Emerg Med 2023; 82:472-474. [PMID: 37739748 DOI: 10.1016/j.annemergmed.2023.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 05/24/2023] [Indexed: 09/24/2023]
Affiliation(s)
- Takuya Chuman
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Shun Yanai
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Yusuke Hagiwara
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Jun Maeda
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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10
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Iio K, Hanna H, Beykou M, Gale C, Herberg JA. Role of procalcitonin in predicting complications of Kawasaki disease. Arch Dis Child 2023; 108:862-864. [PMID: 37524408 DOI: 10.1136/archdischild-2023-325787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 07/18/2023] [Indexed: 08/02/2023]
Affiliation(s)
- Kazuki Iio
- Applied Paediatrics MSc course, Imperial College London, London, UK
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan
| | - Heather Hanna
- Section of Paediatric Infectious Disease, Imperial College London, London, UK
| | - Melina Beykou
- Circuits and Systems Group, Centre of Bio-Inspired Technology, Department of Electrical and Electronic Engineering, Imperial College London, London, UK
- Dynamical Cell Systems Group, Division of Cancer Biology, Institute of Cancer Research, London, UK
- Cancer Research UK Convergence Science Centre, London, UK
| | - Chris Gale
- Neonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK
| | - Jethro Adam Herberg
- Section of Paediatric Infectious Disease, Imperial College London, London, UK
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11
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Yatabe R, Iio K, Shibata M, Shimotakahara A, Hataya H. Fourteen-year-old febrile girl with axillary and chest wall swelling. J Paediatr Child Health 2023; 59:1098. [PMID: 36000527 DOI: 10.1111/jpc.16182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 06/27/2022] [Accepted: 08/11/2022] [Indexed: 11/26/2022]
Affiliation(s)
- Reiko Yatabe
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Meiwa Shibata
- Division of Infectious Diseases, Department of Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | | | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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12
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Watanabe Y, Iio K, Ishida Y, Yamanaka G. Contact dermatitis caused by the eye shield used in phototherapy. BMJ Case Rep 2023; 16:e255193. [PMID: 37068844 PMCID: PMC10111908 DOI: 10.1136/bcr-2023-255193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2023] Open
Affiliation(s)
- Yusuke Watanabe
- Pediatrics and Adolescent Medicine, Tokyo Medical University, Shinjuku, Tokyo, Japan
- Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan
| | - Yu Ishida
- Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Gaku Yamanaka
- Pediatrics and Adolescent Medicine, Tokyo Medical University, Shinjuku, Tokyo, Japan
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13
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Iio K, Morikawa Y, Miyata K, Kaneko T, Misawa M, Yamagishi H, Miura M. Identifying Kawasaki Disease With a Low Coronary Artery Aneurysm Risk. Pediatr Infect Dis J 2023:00006454-990000000-00398. [PMID: 37053581 DOI: 10.1097/inf.0000000000003912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/15/2023]
Abstract
INTRODUCTION Kawasaki disease (KD) patients with a high risk of coronary artery aneurysm (CAA) development are well characterized and targeted for intensified primary intravenous immunoglobulin (IVIG) treatment. However, the characteristics of KD patients with a low CAA risk are less well-known. METHODS The present study was a secondary analysis of Prospective Observational study on STRAtified treatment with Immunoglobulin plus Steroid Efficacy for Kawasaki disease (Post RAISE), a multicenter, prospective cohort study of KD patients in Japan. The target of the analysis was patients with a Kobayashi score <5 who were predicted to respond to IVIG. The incidence of CAA during the acute phase, the primary outcome, was assessed based on all echocardiographic evaluations performed between week 1 (days 5-9) and month 1 (days 20-50) after the start of primary treatment. Multivariable logistic regression was used to identify the independent risk factors of CAA during the acute phase, based on which a decision tree was created to identify a subpopulation of patients with KD with a low CAA risk. RESULTS Multivariate analysis found that a baseline maximum Z score >2.5, age <12 months at fever onset, nonresponsiveness to IVIG, low neutrophils, high platelets and high C-reactive protein were independent predictors of CAA during the acute phase. The decision tree created by using these risk factors identified 679 KD patients who had a low incidence of CAA during the acute phase (4.1%) and no medium or large CAA. CONCLUSIONS The present study identified a KD subpopulation with a low CAA risk comprising around a quarter of the entire Post RAISE cohort.
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Affiliation(s)
- Kazuki Iio
- From the Department of General Pediatrics
| | | | - Koichi Miyata
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo
| | | | - Masahiro Misawa
- Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Tokyo
| | | | - Masaru Miura
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo
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14
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Chida R, Iio K, Ishida Y, Yamanaka G. Neonatal frequent premature ventricular contraction. BMJ Case Rep 2023; 16:e254837. [PMID: 36854486 PMCID: PMC9980312 DOI: 10.1136/bcr-2023-254837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023] Open
Affiliation(s)
- Rie Chida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Kazuki Iio
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan
| | - Yu Ishida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Gaku Yamanaka
- Department of Pediatrics and Adolescent Medicine, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan
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15
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Fukumizu K, Iio K, Abe K, Hagiwara Y. Tracheobronchial rupture in children due to chest compression. Am J Emerg Med 2023; 64:205.e1-205.e3. [PMID: 36376132 DOI: 10.1016/j.ajem.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 11/01/2022] [Indexed: 11/09/2022] Open
Abstract
A tracheobronchial rupture can be lethal. Its etiology in children varies and includes blunt trauma and iatrogenic injury. Most of the latter are associated with tracheal intubation, with other, iatrogenic causes scarcely being reported. We herein reported the first case of tracheobronchial rupture caused by chest compression during cardiopulmonary resuscitation. The present case highlights the importance of close follow-up after cardiopulmonary resuscitation, even if the patients are not intubated.
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Affiliation(s)
- Kiri Fukumizu
- Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kiyotomo Abe
- Department of Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Yusuke Hagiwara
- Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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16
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Iio K, Kinoshita M, Iwata K. The role of point-of-care ultrasonography in esophageal foreign body removal. Pediatr Int 2023; 65:e15514. [PMID: 36814180 DOI: 10.1111/ped.15514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 01/19/2023] [Accepted: 02/21/2023] [Indexed: 02/24/2023]
Affiliation(s)
- Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Masakazu Kinoshita
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kentaro Iwata
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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17
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Iio K, Ihara T. The faint first heart sound in Kawasaki disease-associated myocarditis. Pediatr Int 2023; 65:e15708. [PMID: 38088518 DOI: 10.1111/ped.15708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 09/15/2023] [Accepted: 10/16/2023] [Indexed: 12/18/2023]
Affiliation(s)
- Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Takateru Ihara
- Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan
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18
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Fukumizu K, Iio K, Hagiwara Y. Bicycle spoke injury. Pediatr Int 2023; 65:e15598. [PMID: 37589370 DOI: 10.1111/ped.15598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 06/02/2023] [Accepted: 06/08/2023] [Indexed: 08/18/2023]
Affiliation(s)
- Kiri Fukumizu
- Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Yusuke Hagiwara
- Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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19
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Abstract
A 15-year-old adolescent girl taking an oral contraceptive had 3 days of pain in a 1-cm area of the lower left abdominal quadrant. She had no nausea/vomiting, diarrhea, hematochezia, bloating, or anorexia; no precipitating factors for the pain; and no history of pregnancy, abdominal surgery, or abdominal trauma. Results from laboratory tests, endoscopy, and abdominal computed tomography were normal. What is the diagnosis and what would you do next?
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Affiliation(s)
- Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Yu Ishida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
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20
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Iio K, Hagiwara Y. Colocolic intussusception secondary to pneumatosis cystoides intestinalis: the role of abdominal radiography in the diagnosis. BMJ Case Rep 2022; 15:e252991. [PMID: 36521874 PMCID: PMC9756183 DOI: 10.1136/bcr-2022-252991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Affiliation(s)
- Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan
| | - Yusuke Hagiwara
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan
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21
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Iio K. Tense bulla on the palm. J Paediatr Child Health 2022. [PMID: 36468491 DOI: 10.1111/jpc.15141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 08/04/2020] [Accepted: 08/06/2020] [Indexed: 12/07/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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22
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Iio K, Ishida Y. Blue Sclera in an Infant with Severe Iron Deficiency Anemia. J Pediatr 2022; 247:169-170. [PMID: 35598645 DOI: 10.1016/j.jpeds.2022.05.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 05/11/2022] [Accepted: 05/17/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Kazuki Iio
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center; Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Yu Ishida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
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23
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Affiliation(s)
- Kazuki Iio
- Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Ai Yoshitomi
- Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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24
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Okada Y, Iio K. Boy with abdominal distension. J Paediatr Child Health 2022; 58:1113. [PMID: 34227712 DOI: 10.1111/jpc.15632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Revised: 06/16/2021] [Accepted: 06/19/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Yuki Okada
- Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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25
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Iio K, Ishida Y, Miura M. Kawasaki Disease (KD) With Linear Facial Erythema Coinciding With Blaschko’s Lines. Cureus 2022; 14:e25568. [PMID: 35784969 PMCID: PMC9249052 DOI: 10.7759/cureus.25568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2022] [Indexed: 12/01/2022] Open
Abstract
Kawasaki disease (KD) is a self-limited, systemic vasculitis developing in early childhood. Skin findings of KD are polymorphous, varying from diffuse maculopapular eruptions to psoriasiform lesions. We described herein an 18-month-old male patient with KD who presented with linear, facial erythema coinciding with Blaschko’s lines. Parental consent for this case report was obtained in written and verbal form.
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26
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Chida R, Iio K, Ishida Y. Erythema on both the dorsal and plantar foot surfaces. Paediatr Child Health 2022; 27:193-194. [DOI: 10.1093/pch/pxac025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 02/10/2022] [Indexed: 11/12/2022] Open
Affiliation(s)
- Rie Chida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center , Tokyo , Japan
| | - Kazuki Iio
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center , Tokyo , Japan
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children Medical Center , Tokyo , Japan
| | - Yu Ishida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center , Tokyo , Japan
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Ichinose M, Iio K, Sakakibara H. Erythematous Mass on the Posterior Cervical Triangle. Am Fam Physician 2022; 105:423-424. [PMID: 35426645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Mami Ichinose
- Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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28
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Otani A, Iio K, Hataya H. Onycholysis associated with Kawasaki disease: A comment on "Characteristic nail lesions in Kawasaki disease: Case series and literature review". J Dermatol 2022; 49:e291-e292. [PMID: 35307858 DOI: 10.1111/1346-8138.16358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 02/28/2022] [Accepted: 03/02/2022] [Indexed: 11/26/2022]
Affiliation(s)
- Anna Otani
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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29
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Iio K, Sadahira C. Autofluorescent Red Blood Cells in Protoporphyria. Indian J Pediatr 2022; 89:205. [PMID: 34767186 DOI: 10.1007/s12098-021-03994-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 10/12/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu-shi, Tokyo, 183-8561, Japan.
| | - Chieko Sadahira
- Department of Dermatology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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30
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Aoyagi R, Iio K, Hataya H. Chronic Dysphagia, Wheezing, and Poor Weight Gain in a 2-Year-Old Male Patient. Gastroenterology 2022; 162:51-53. [PMID: 34555380 DOI: 10.1053/j.gastro.2021.09.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 09/13/2021] [Indexed: 12/02/2022]
Affiliation(s)
- Rui Aoyagi
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
| | - Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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31
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Iio K, Morikawa Y, Miyata K, Kaneko T, Misawa M, Yamagishi H, Miura M. Risk Factors of Coronary Artery Aneurysms in Kawasaki Disease with a Low Risk of Intravenous Immunoglobulin Resistance: An Analysis of Post RAISE. J Pediatr 2022; 240:158-163.e4. [PMID: 34461064 DOI: 10.1016/j.jpeds.2021.08.065] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 07/13/2021] [Accepted: 08/23/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To detect risk factors of coronary artery aneurysm (CAA) development in patients with Kawasaki disease determined to have a low risk for resistance to primary intravenous immunoglobulin (IVIG) treatment based on the Kobayashi score. STUDY DESIGN This study included 1757 predicted IVIG responders from Prospective Observational study on STRAtified treatment with Immunoglobulin plus Steroid Efficacy for Kawasaki disease (Post RAISE), a large-scale, multicenter, prospective cohort study of Kawasaki disease in Japan. Predicted IVIG responders were defined as patients with Kawasaki disease with a Kobayashi score of <5, a predictive scoring system for IVIG resistance created in Japan. The primary outcome was CAA development at 1 month after disease onset. CAA was defined as a Z score of ≥2.5. Multivariable logistic regression was used to identify the independent risk factors of CAA. The variables for inclusion were identified based on univariate analysis results and previously reported risk factors of CAA. RESULTS Among 1632 patients who had complete coronary outcome data, CAA developed in 90 patients (5.5%) at 1 month after disease onset. Multivariable analysis found that a baseline maximum Z score of >2.5, age of <12 months at fever onset, and nonresponsiveness to IVIG were significant, independent risk factors of CAA development at 1 month after disease onset. Among the risk factors, a baseline maximum Z score of >2.5 was most strongly associated with CAA development (OR, 7.1; 95% CI, 4.1-12.2; P ≤ .001). CONCLUSIONS Predicted IVIG responders with CAA risk factors identified in this study may be candidates for future clinical trials of intensified primary IVIG treatment with prednisolone, cyclosporine or infliximab.
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Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Yoshihiko Morikawa
- Clinical Research Support Center, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Koichi Miyata
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Tetsuji Kaneko
- Clinical Research Support Center, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Masahiro Misawa
- Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan
| | - Hiroyuki Yamagishi
- Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan
| | - Masaru Miura
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
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32
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Iio K, Hagiwara Y, Saito O, Ishida Y, Horikoshi Y. Seizure in children with severe acute respiratory syndrome coronavirus 2 Omicron variant infection. Pediatr Int 2022; 64:e15255. [PMID: 35972066 PMCID: PMC9537988 DOI: 10.1111/ped.15255] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 05/18/2022] [Accepted: 05/24/2022] [Indexed: 01/05/2023]
Affiliation(s)
- Kazuki Iio
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.,Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
| | - Yusuke Hagiwara
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Osamu Saito
- Department of Critical Care, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Yu Ishida
- Department of Pediatrics, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
| | - Yuho Horikoshi
- Division of Infectious Diseases, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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33
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Fujita S, Matsushima T, Iio K, Shimotakahara A, Hataya H. Subacute cardiac tamponade after the Nuss procedure for pectus excavatum. Pediatr Int 2022; 64:e14698. [PMID: 34549477 DOI: 10.1111/ped.14698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 01/18/2021] [Accepted: 03/09/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Saki Fujita
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Takahiro Matsushima
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | | | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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Abstract
We examined 17 infants under age 1 year with inguinal bacterial lymphadenitis; 8 had a prior episode of omphalitis or an umbilical procedure, and one-third were afebrile and initially received the misdiagnosis of incarcerated hernia. Our findings suggested a possible association between inguinal bacterial lymphadenitis in infants and umbilical problems.
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Affiliation(s)
| | - Kazuki Iio
- From the Department of General Pediatrics and
| | - Kazuhiro Uda
- Department of Infectious Diseases, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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35
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Iio K, Sakakibara H. Pneumatosis Intestinalis in a Febrile 11-Month-Old Boy. Gastroenterology 2021; 161:e6-e7. [PMID: 33812896 DOI: 10.1053/j.gastro.2021.03.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 03/05/2021] [Indexed: 12/02/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
| | - Hiroshi Sakakibara
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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36
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Otani A, Iio K, Uda K, Matsushima T, Sakakibara H, Hataya H. Kawasaki Disease Initially Presenting as Cervical Lymphadenopathy. J Clin Rheumatol 2021; 27:e88-e89. [PMID: 31880603 DOI: 10.1097/rhu.0000000000001263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Anna Otani
- From the Department of General Pediatrics
| | - Kazuki Iio
- From the Department of General Pediatrics
| | - Kazuhiro Uda
- Division of Infectious Diseases, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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37
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Iio K, Uda K, Hataya H, Yasui F, Honda T, Sanada T, Yamaji K, Kohara M, Itokawa M, Miura M. Kawasaki disease or Kawasaki-like disease: Influence of SARS-CoV-2 infections in Japan. Acta Paediatr 2021; 110:600-601. [PMID: 32799392 PMCID: PMC7461166 DOI: 10.1111/apa.15535] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics Tokyo Metropolitan Children’s Medical Center Fuchu Japan
| | - Kazuhiro Uda
- Department of Infectious Diseases Tokyo Metropolitan Children’s Medical Center Fuchu Japan
| | - Hiroshi Hataya
- Department of General Pediatrics Tokyo Metropolitan Children’s Medical Center Fuchu Japan
| | - Fumihiko Yasui
- Department of Microbiology and Cell Biology Tokyo Metropolitan Institute of Medical Science Setagaya Japan
| | - Tomoko Honda
- Department of Microbiology and Cell Biology Tokyo Metropolitan Institute of Medical Science Setagaya Japan
| | - Takahiro Sanada
- Department of Microbiology and Cell Biology Tokyo Metropolitan Institute of Medical Science Setagaya Japan
| | - Kenzaburo Yamaji
- Department of Microbiology and Cell Biology Tokyo Metropolitan Institute of Medical Science Setagaya Japan
| | - Michinori Kohara
- Department of Microbiology and Cell Biology Tokyo Metropolitan Institute of Medical Science Setagaya Japan
| | - Masanari Itokawa
- Center for Medical Research Cooperation Tokyo Metropolitan Institute of Medical Science Setagaya Japan
| | - Masaru Miura
- Department of Cardiology Tokyo Metropolitan Children’s Medical Center Fuchu Japan
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38
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Iio K. Tense bulla on the palm. J Paediatr Child Health 2021; 57:301. [PMID: 33600641 DOI: 10.1111/jpc.1_15141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 08/04/2020] [Accepted: 08/06/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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39
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Iio K, Otani A, Kishibe S, Sakakibara H. Auricular Protrusion: Not Only Mastoiditis. Indian J Pediatr 2020; 87:770-771. [PMID: 32086757 DOI: 10.1007/s12098-020-03241-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Accepted: 02/05/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
| | - Anna Otani
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Shun Kishibe
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Hiroshi Sakakibara
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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40
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Otani A, Iio K, Ihara T. Tracheal Tugging. J Pediatr 2020; 218:255. [PMID: 31812293 DOI: 10.1016/j.jpeds.2019.10.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Accepted: 10/29/2019] [Indexed: 10/25/2022]
Affiliation(s)
| | | | - Takateru Ihara
- Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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41
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Iio K, Fukushima N, Akamine K, Uda K, Hataya H, Miura M. Acute Rheumatic Fever and Kawasaki Disease Occurring in a Single Patient. Front Pediatr 2020; 8:562. [PMID: 33014943 PMCID: PMC7494961 DOI: 10.3389/fped.2020.00562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 08/03/2020] [Indexed: 11/13/2022] Open
Abstract
Kawasaki disease and acute rheumatic fever are two major causes of acquired heart disease in the pediatric population. Although both conditions are well-known entities, the association between them has never been described. We report herein a case of 6-year-old male patient who first presented with Kawasaki shock syndrome, followed by acute rheumatic fever 1 year later. In contrast to the prompt intervention given for atypical Kawasaki disease, in the present case the diagnosis was significantly delayed during the otherwise typical presentation of acute rheumatic fever. Our case highlights the difficulty experienced by many pediatricians in developed nations in diagnosing acute rheumatic fever due to its comparative rarity. To prevent diagnostic errors, all pediatricians should be alert to the possibility of acute rheumatic fever even if they are practicing in areas where it is not endemic.
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Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Naoya Fukushima
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Keiji Akamine
- Department of Nephrology and Rheumatology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Kazuhiro Uda
- Department of Infectious Diseases, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Masaru Miura
- Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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42
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Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Akiko Kinumaki
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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43
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Iio K, Ariyama Y, Tomita H, Sakakibara H, Hataya H. Secondary haemophagocytic lymphohistiocytosis associated with metronidazole. Postgrad Med J 2019; 95:390. [PMID: 31123179 DOI: 10.1136/postgradmedj-2019-136512] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 04/28/2019] [Accepted: 05/04/2019] [Indexed: 11/03/2022]
Affiliation(s)
- Kazuki Iio
- General Pediatrics, Tokyo Metropolitan Children's Medical Center, Fuchu-shi, Japan
| | - Yuta Ariyama
- General Pediatrics, Tokyo Metropolitan Children's Medical Center, Fuchu-shi, Japan
| | - Hirofumi Tomita
- Surgery, Tokyo Metropolitan Children's Medical Center, Fuchu-shi, Japan
| | - Hiroshi Sakakibara
- General Pediatrics, Tokyo Metropolitan Children's Medical Center, Fuchu-shi, Japan
| | - Hiroshi Hataya
- General Pediatrics, Tokyo Metropolitan Children's Medical Center, Fuchu-shi, Japan
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44
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Iio K, Ogawa Y, Ihara T, Horikoshi Y, Hataya H. Nuchal Rigidity in Infantile Bacterial Meningitis. J Pediatr 2019; 207:255. [PMID: 30384970 DOI: 10.1016/j.jpeds.2018.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 10/03/2018] [Accepted: 10/05/2018] [Indexed: 11/18/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo, Japan
| | - Yuichi Ogawa
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo, Japan
| | - Takateru Ihara
- Division of Pediatric Emergency Medicine Tokyo Metropolitan Children's Medical Center Tokyo, Japan
| | - Yuho Horikoshi
- Division of Infectious Diseases Tokyo Metropolitan Children's Medical Center Tokyo, Japan
| | - Hiroshi Hataya
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo, Japan
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45
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Iio K, Soneda K, Shimotakahara A, Hataya H, Kono T. Effective method of evaluating infantile chylothorax. Pediatr Int 2019; 61:203-205. [PMID: 30767369 DOI: 10.1111/ped.13762] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 07/19/2018] [Accepted: 12/04/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Kazuki Iio
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Keiko Soneda
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | | | - Hiroshi Hataya
- Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Tatsuo Kono
- Department of Radiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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46
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Iio K, Nomura O, Kinumaki A, Aoki Y, Satoh H, Sakakibara H, Hataya H. Testicular Torsion in an Infant with Undescended Testis. J Pediatr 2018; 197:312-312.e1. [PMID: 29429568 DOI: 10.1016/j.jpeds.2018.01.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 01/08/2018] [Indexed: 11/19/2022]
Affiliation(s)
| | | | | | | | | | - Hiroshi Sakakibara
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo, Japan
| | - Hiroshi Hataya
- Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo, Japan
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47
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Yanazume Y, Dozono H, Iio K, Kojima N. M294 MOHS PASTE FOR MASSIVE GENITAL BLEEDING FROM UTERINE CERVIX OR VAGINAL STUMP IN GYNECOLOGICAL CANCER. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61485-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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48
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Odate T, Kawai M, Iio K, Funayama S, Futamata H, Takeda S. Anatomy of the levator claviculae, with an overview and a literature survey. Anat Sci Int 2012; 87:203-11. [PMID: 22923186 PMCID: PMC3505512 DOI: 10.1007/s12565-012-0148-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2012] [Accepted: 08/01/2012] [Indexed: 11/04/2022]
Abstract
We report here an anatomical study of the levator claviculae discovered during an anatomical dissection course for medical students. The muscle was identified on the left side, and followed a typical topography to previous detections, originating from the transverse process of the fourth cervical vertebra and attaching to the upper facet of the middle part of the clavicle. Innervation to this muscle came from both the third and fourth rami of the cervical spinal nerves. Blood supply to the muscle could not be identified clearly. In this report, we undertook a comprehensive literature survey of this muscle dating back ca. 170 years, and attempted to ascertain the phylogenic and ontogenetic explanations for the development of this muscle.
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Affiliation(s)
- Toru Odate
- Department of Anatomy and Cell Biology, University of Yamanashi Interdisciplinary Graduate School of Medicine and Engineering, Chuo, Yamanashi, Japan
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Furumatsu Y, Nagasawa Y, Yamamoto R, Iio K, Iwatani H, Matsui I, Takabatake Y, Kawada N, Shoji T, Imai E, Isaka Y, Rakugi H. Specialist care and improved long-term survival of dialysis patients. Nephrol Dial Transplant 2010; 25:1930-5. [DOI: 10.1093/ndt/gfp738] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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