Researchers Database

ishii akira

    ComprehensiveMedicine1 Assistant Professor
Contact: aquraomiya.jichi.ac.jp
Last Updated :2021/10/17

Researcher Information

J-Global ID

Research Areas

  • Life sciences / Internal medicine - General

Academic & Professional Experience

  • 2016/04 - Today  自治医科大学附属さいたま医療センター総合医学1学内講師
  • 2019/07  自治医科大学附属さいたま医療センター総合診療科学内講師
  • 2018/07 - 2019/06  深谷赤十字病院総合診療内科副部長
  • 2012/04 - 2018/06  自治医科大学附属さいたま医療センター6B病棟病棟医長
  • 2012/04 - 2016/03  Jichi Medical University総合医学1助教
  • 2014/04 - 2014/04  日本プライマリ・ケア連合学会認定指導医
  • 2013/11 - 2013/11  日本プライマリ・ケア連合学会認定医
  • 2012/11 - 2012/11  緩和ケアの基本教育のための都道府県指導者研修修了
  • 2008/05 - 2012/03  Jichi Medical University総合医学1臨床助教
  • 2011/02 - 2011/02  埼玉県緩和ケア研修会修了
  • 2010/12 - 2010/12  日本内科学会認定総合内科専門医
  • 2007/11 - 2008/04  大宮医師会市民病院 派遣
  • 2006/04 - 2007/10  Jichi Medical University総合医学1臨床助教
  • 2007/03 - 2007/03  日本内科学会認定内科医
  • 2004/04 - 2006/03  Jichi Medical University
  • 1997/04 - 2004/03  Fukui Medical University
  • 1997/03 - 1997/03  巣鴨学園・巣鴨高等学校卒業

Association Memberships

  • 日本緩和医療学会   JAPAN PRIMARY CARE ASSOCIATION   THE JAPANESE SOCIETY OF INTERNAL MEDICINE   

Published Papers

  • Nozomu Yoshino, Ai Kawamura, Akira Ishii, Katsuyuki Yoshida, Tamami Watanabe, Takeshi Yamashita, Takahiko Fukuchi, Fumihiko Toyoda, Akihiko Kakehashi, Hitoshi Sugawara
    Internal Medicine 57 (11) 1661 - 1665 1349-7235 2018 [Refereed][Not invited]
     
    We herein report a case of a 31-year-old Japanese man who simultaneously had a positive influenza A virus antigen test result and Vogt-Koyanagi-Harada disease (VKHD), demonstrated by both diffuse multiple early hyperfluorescent points on fluorescein fundus photography and serous retinal detachments on optical coherence tomography. He had meningitis. It was difficult to determine whether the main cause of meningitis was influenza A or VKHD. After initial treatment with peramivir for influenza A and then methylprednisolone pulse with subsequent corticosteroid therapy for VKHD, his symptoms improved gradually. These findings suggest that influenza A virus infection contributes to the onset or exacerbation of VKHD.
  • Akira Ishii, Hitoshi Sugawara, Mitsuhiro Nokubi, Tomohiro Nakamura, Tomohisa Okochi, Yousuke Taniguchi, Michiko Matsuzawa, Tamami Watanabe, Masafumi Kakei, Wilfred Y. Fujimoto, Shin-ichi Momomura
    INTERNAL MEDICINE 55 (7) 755 - 764 0918-2918 2016 [Refereed][Not invited]
     
    An autopsy of a 70-year-old man with multiple bone metastases from a malignancy of unknown origin (MUO) and renovascular hypertension revealed an aortic intimal sarcoma (AIS) in the right renal artery accompanied by atherosclerotic changes. AIS appeared as aggregated mutton fat-like translucent particles arising from the intima of the branching portion of the right renal artery and was composed of undifferentiated, fine spindle cells with thicket-like proliferation. AIS was confirmed by immunohistopathology, showing the loss of the lumen lined by CD31-positive endothelium and the expression of CD31, keratin, and vimentin in the viable part of the tumor. In patients with MUO presenting with both bone metastases and an acute or sub-acute onset of renovascular hypertension, AIS in the renal artery may be responsible.
  • Reina Suzuki, Hitoshi Kuroda, Hiroshi Matsubayashi, Akira Ishii, Fumihiko Toyoda, Alan Kawarai Lefor, Hitoshi Sugawara
    INTERNAL MEDICINE 54 (20) 2693 - 2698 0918-2918 2015 [Refereed][Not invited]
     
    A 51-year-old Japanese woman developed candidemia as an outpatient secondary to a Candida albicans upper urinary tract infection complicated by previously undiagnosed type 2 diabetes mellitus with poor glycemic control and ureterolithiasis. The patient did not have any risk factors typically associated with candidemia, such as an indwelling vascular catheter, parenteral nutrition or broad-spectrum antibiotic use. During the clinical course, her condition was complicated by unilateral candida endophthalmitis, which progressed despite the administration of systemic antifungal agents and ultimately required vitreous surgery. The etiology of candidemia in this patient and the reason she developed progressive ocular symptoms after starting antifungal treatment are reviewed.
  • 一過性の上方水平半盲と中枢性色覚異常および街並失認を来した両側後頭葉と右小脳虫部の脳塞栓症の1例
    平松 綾子, 眞山 英徳, 坪井 基浩, 小林 瑠美子, 津久井 卓伯, 石井 彰, 渡辺 珠美, 菅原 斉, 崎山 快夫, 大塚 美恵子
    日本内科学会関東地方会 日本内科学会-関東地方会 590回 43 - 43 2012/09 [Refereed][Not invited]
  • Tamami Watanabe, Hitoshi Sugawara, Hiroyuki Tamura, Akira Ishii, Hiroshi Matsubayashi, Masafumi Kakei, Shin-ichi Momomura
    INTERNAL MEDICINE 51 (18) 2639 - 2643 0918-2918 2012 [Refereed][Not invited]
     
    Acute pharyngitis is commonly encountered, but a definite etiological diagnosis is difficult. Although coinfection with Group A Streptococci (GAS) and Epstein-Barr virus (EBV) is uncommon, general physicians should consider the possibility of EBV co-infection in patients with GAS pharyngitis who fail to show prompt remission of symptoms following appropriate antibiotic treatment. In this article, we present a rare case of a 16-year-old girl who had co-infection with GAS and EBV. She developed acute glomerulonephritis and left ventricular dysfunction in an overlapping manner. We were able to follow her until she healed, and herein describe the pathogenesis of her systemic and pulmonary edema.
  • Hiroki Yabe, Akira Ishii, Naoko Niikawa, Hiroshi Matsubayashi, Masafumi Kakei, Masanobu Kawakami, Hitoshi Sugawara
    INTERNAL MEDICINE 51 (11) 1429 - 1432 0918-2918 2012 [Refereed][Not invited]
     
    Spontaneous spinal epidural hematoma (SSEH) is an uncommon but clinically important disease, and delayed diagnosis of this condition can have severe consequences. General physicians should consider the possibility of SSEH when they encounter a patient with a sudden onset of unexplained cervical or back pain or subsequent radicular symptoms during anticoagulant therapy. Immediate magnetic resonance imaging is essential for early diagnosis. In this article, we present a rare case of an 80-year-old man who developed cervical SSEH during warfarin therapy.
  • 糖尿病発症を契機に急性リチウム中毒に至った双極性障害の一例
    石井 彰
    自治医科大学紀要 33 141 - 146 2010 [Refereed][Not invited]
  • 臓器別専門外来でのReview of systems聴取の重要性が示唆されたAmelanotic melanomaの1剖検例
    石井 彰
    自治医科大学紀要 34 [Refereed][Not invited]

Books etc

  • 災害補償 がんになっても働きたい
    石井 彰 (Joint workミニ診療室)
    地方公務員災害補償基金 2017/01
  • 解熱鎮痛薬の使い分け
    石井 彰 (Joint workp1085-1090,)
    羊土社 2016/07
  • 診断と治療7月号
    石井 彰 ((p845, pp970-973)10日間の経過で下腿浮腫と体重増加が進行した32歳男性)
    2015/07
  • 臨床検査ガイド2015~2016
    石井 彰 (Joint work血漿HCO3濃度 多項目アレルゲン特異的IgE)
    文光堂 2015
  • レジデントノート 生化学データの考え方③ 重要疾患の入り口
    石井 彰 (Joint work生化学データの考え方③ 重要疾患の入り口)
    羊土社 2014/07
  • 災害補償 刺されていないのにひどい虫刺され
    石井 彰 (Joint work刺されていないのにひどい虫刺されp71-72)
    地方公務員災害補償基金 2014/07
  • 総合診療力を磨く
    石井 彰 (Joint work発熱(症候編) p164)
    2014/04
  • 災害補償 検診結果の先が見えない
    石井 彰 (Joint work検診結果の先が見えない 検診を受けて異常値があっても受診しない その理由とは?)
    地方公務員災害補償基金 2012/04
  • 総合医の歩み 第2巻 遥かなる高みを目指して
    石井 彰 (Joint work遥かなる高みを目指して p41)
    自治医科大学附属さいたま医療センター 2012
  • ベッドサイドでの一言!
    石井 彰 (Joint work「こんな時間にそんな話されたって不安で眠れなくなるだけじゃないか!」患者さんとのコミュニケーションをはかるp160-p161)
    日本医事新報編 2007

Conference Activities & Talks

  • 不明熱診療の実際  [Not invited]
    石井 彰
    第35回蓮田地区病診連携懇話会特別講演  2018/11
  • 結核感染症が原因での球後視神経炎の治療について  [Not invited]
    石井 彰
    日本プライマリ・ケア連合学会総会  2018/06
  • プライマリ・ケアに関わるクリニカルパールを作ろう  [Not invited]
    石井 彰
    日本プライマリ・ケア学会関東甲信越ブロック地方会 ワークショップ  2017/11
  • 教育病院におけるシニアレジデントの教育法  [Not invited]
    石井 彰
    プライマリ・ケア連合学会総会  2017/05
  • How to evaluate a pain of cancer patient  [Not invited]
    Ishii Akira
    aqura  2016/07
  • to start opioid treatment  [Not invited]
    Ishii Akira
    aqura  2016/07
  • About pneumoniae  [Not invited]
    Ishii Akira
    pneumoniae  2015/07
  • General Med and esophagial symptom  [Not invited]
    Ishii Akira
    aqura  2015/03
  • Pain control of cancer  [Not invited]
    Ishii Akira
    aqura  2015/02
  • 第1回 がん性疼痛のアセスメント  [Not invited]
    石井 彰
    緩和ケアチーム主催院内講義  2014/07
  • 抗凝固および抗血小板療法中に生じた十二指腸血腫  [Not invited]
    石井 彰
    第604回日本内科学会関東地方会 東京  2014/03
  • 緩和ケアについて省察した血管内肉腫の1剖検例  [Not invited]
    石井 彰
    第2回日本プライマリ・ケア連合学会学術大会,札幌  2011/07
  • 末梢性T細胞性リンパ腫による血球貪食性リンパ組織球症(HLH)の1剖検例  [Not invited]
    石井 彰
    第568回日本内科学会関東地方会,東京  2009/12
  • Amelanostic melanomaの1剖検例  [Not invited]
    石井 彰
    第562回日本内科学会関東地方会,東京,  2009/05
  • 低栄養と口腔内潰瘍を呈した高齢女性の1例  [Not invited]
    石井 彰
    第7回在宅栄養研究会,さいたま,  2008/10
  • 上腹部痛と腹水増加を伴ったネフローゼ症候群の1例  [Not invited]
    石井 彰
    第553回日本内科学会関東地方会,東京  2008/05
  • 救急外来を受診した低血糖発作の検討  [Not invited]
    石井 彰
    第35回日本救急医学会総会・学術集会,大阪  2007/10
  • PTCD後の肝動脈瘤により膵頭十二指腸切除術後胆道出血を認めた1例  [Not invited]
    石井 彰
    関東若手外科集団会  2006/06

MISC

  • Eri Watanabe, Hitoshi Sugawara, Takeshi Yamashita, Akira Ishii, Aya Oda, Chihiro Terai  Case Reports in Medicine  2016-  2016  [Not refereed][Not invited]
     
    We report the case of a 71-year-old Japanese woman with adult-onset Still's disease (AOSD) in whom macrophage activation syndrome (MAS) developed despite therapy with oral high-dose prednisolone and intravenous methylprednisolone pulse therapy twice. She was successfully treated with tocilizumab (TCZ). Soon afterward, her fever ceased and high levels of both ferritin and C-reactive protein levels decreased. Her course was complicated by disseminated intravascular coagulation, cytomegalovirus infection, and Pneumocystis jirovecii pneumonia. After these were resolved, AOSD-associated MAS was well controlled. She was discharged on hospital day 87. Although biologics such as TCZ are becoming established for the treatment of AOSD, there is no recommended therapy for AOSD-associated MAS. Several biologics have been tried for this complication, but their efficacy and safety remain controversial. We reviewed reported cases of AOSD-associated MAS successfully treated with various biologics. TCZ initiation after adequate nonselective immunosuppressive therapy, such as methylprednisolone pulse therapy or a prednisolone-based combination of immunosuppressants, can be an effective treatment for AOSD-associated MAS. On the other hand, biologics given after insufficient immunosuppressive therapy may cause MAS. A strategy combining adequate immunosuppression and a biologic could be safe if special attention is given to adverse events such as opportunistic infections or biologic-associated MAS.
  • Hitoshi Kuroda, Hitoshi Sugawara, Akira Ishii, Shunsuke Funazaki  INTERNAL MEDICINE  55-  (18)  2743  -2744  2016  [Not refereed][Not invited]
  • Michiko Matsuzawa, Akira Ishii, Toshio Demitsu, Hitoshi Sugawara  INTERNAL MEDICINE  53-  (6)  643  -644  2014  [Not refereed][Not invited]
  • 松沢迪子, 松永渉, 山下武志, 松林洋志, 渡辺珠美, 黒田仁, 石井彰, 菅原斉, 崎山快夫, 大塚美恵子  日本内科学会関東支部関東地方会  594th-  49  2013  [Not refereed][Not invited]
  • 木村真智子, 矢部寛樹, 坂根英夫, 石井彰, 渡辺珠美, 岩本健一, 崎山快夫, 大塚美恵子, 菅原斉  日本内科学会関東支部関東地方会  587th-  42  2012  [Not refereed][Not invited]
  • 松林洋志, 岩井悠希, 石井彰, 新藤雄二, 柏浦正広, 渡辺珠美, 三輪千尋, 菅原斉, 松浦克彦, 川上正舒  日本内科学会関東支部関東地方会  567th-  27  -27  2009/11  [Not refereed][Not invited]

Awards & Honors

  • 2011/09 自治医科大学附属さいたま医療センター センター長賞受賞
     
    受賞者: 石井 彰

Others

  • 2015/07 -2015/07 埼玉県立大学臨地実習講師
    IPWにおける多職種連携のグループワーク指導および評価
  • 2009/06 -2009/06 臨床研修指導医講習会修了
    臨床研修指導医講習会修了


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