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Clinical and molecular investigation for new forms of Ehlers-Danlos syndrome

Research Project

Project/Area Number 25460405
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Human genetics
Research InstitutionShinshu University

Principal Investigator

KOSHO Tomoki  信州大学, 学術研究院医学系(医学部附属病院), 准教授 (90276311)

Co-Investigator(Kenkyū-buntansha) FUKUSHIMA Yoshimitsu  信州大学, 学術研究院医学系, 教授 (70273084)
HATAMOCHI Atsushi  獨協医科大学, 医学部, 教授 (90172923)
MATSUMOTO Naomichi  横浜市立大学, 医学研究科, 教授 (80325638)
MIYAYE Noriko  横浜市立大学, 医学部, 准教授 (40523494)
WAKUI Keiko  信州大学, 学術研究院医学系, 講師 (50324249)
Co-Investigator(Renkei-kenkyūsha) MORISAKI Hiroko  国立循環器病研究センター研究所, 室長 (40311451)
WATANABE Atsushi  日本医科大学, 医学部, 准教授 (10307952)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywordsエーラスダンロス症候群 / 新規病型 / 結合組織疾患 / 次世代シーケンス / 候補遺伝子解析 / 全エクソーム解析 / 国際情報交換
Outline of Final Research Achievements

Ehlers-Danlos syndrome (EDS) is a heterogeneous group of heritable connective tissue disorders, the hallmarks of which are skin hyperextensibility, joint hypermobility, and tissue fragility involving the skin, ligaments, joints, blood vessels, and internal organs. It was classified into six major types, and additional forms of EDS have also been identified in association with molecular and biochemical abnormalities. However, we sometimes experience patients who cannot be categorized into any previous forms of EDS. In this study, we aimed to identify new forms of EDS through detailed and comprehensive clinical assessment and next-generation sequencing-based genetic screening. As a result, we have successfully identified several new forms of EDS, including a severe subtype of classical type EDS presenting with marked skin hyperextensibility and fragility as well as severe progressing kyphoscoliosis from infancy, which is caused by COL5A2 mutations.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (54 results)

All 2016 2015 2014 2013 Other

All Int'l Joint Research (6 results) Journal Article (18 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 14 results,  Open Access: 2 results,  Acknowledgement Compliant: 3 results) Presentation (26 results) (of which Int'l Joint Research: 3 results,  Invited: 14 results) Book (4 results)

  • [Int'l Joint Research] Ghent University Hospital(Belgium)

    • Related Report
      2015 Annual Research Report
  • [Int'l Joint Research] Leiden University Medical Center/VU University Medical Center/Radboud University(Netherlands)

    • Related Report
      2015 Annual Research Report
  • [Int'l Joint Research] The Hospital for Sick Children(Canada)

    • Related Report
      2015 Annual Research Report
  • [Int'l Joint Research] The University of Oklahoma/Miami Children's Hospital(米国)

    • Related Report
      2015 Annual Research Report
  • [Int'l Joint Research] Innsbruck Medical University(Austria)

    • Related Report
      2015 Annual Research Report
  • [Int'l Joint Research]

    • Related Report
      2015 Annual Research Report
  • [Journal Article] A 45-year-old woman with Ehlers-Danlos syndrome caused by dermatan 4-O-sulfotransferase-1 deficiency: implications of dermatan sulfate depletion on early aging.2016

    • Author(s)
      Kono M, Hasegawa-Murakami Y, Sugiura K, Ono M, Toriyama K, Miyake N, Hatamochi A, Kamei Y, Kosho T, Akiyama M.
    • Journal Title

      Acta Derm Venereol.

      Volume: - Pages: 1-2

    • DOI

      10.2340/00015555-2390

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Dermatan 4-O-sulfotransferase 1-deficient Ehlers-Danlos syndrome complicated by a large subcutaneous hematoma on the back.2016

    • Author(s)
      Mochida K, Amano M, Miyake N, Matsumoto N, Hatamochi A, Kosho T.
    • Journal Title

      J Dermatol.

      Volume: Epub ahead of print Issue: 7 Pages: 1-2

    • DOI

      10.1111/1346-8138.13273

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] CHST14/D4ST1 deficiency: New form of Ehlers-Danlos syndrome.2016

    • Author(s)
      Kosho T.
    • Journal Title

      Pediatr Int.

      Volume: 58(2) Issue: 2 Pages: 88-99

    • DOI

      10.1111/ped.12878

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Aggressive change of a carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV.2015

    • Author(s)
      Kojima A, Saga I, Tomio R, Kosho T, Hatamochi A.
    • Journal Title

      Interv Neuroradiol.

      Volume: 21(3) Issue: 3 Pages: 341-345

    • DOI

      10.1177/1591019915582380

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reversible cerebral vasoconstriction syndrome and posterior reversible encephalopathy syndrome in a boy with Loeys-Dietz syndrome.2015

    • Author(s)
      Akazawa Y, Inaba Y, Hachiya A, Motoki N, Matsuzaki S, Minatoya K, Morisaki T, Morisaki H, Kosaki K, Kosho T, Koike K.
    • Journal Title

      Am J Med Genet A.

      Volume: 167A(10) Issue: 10 Pages: 2435-2439

    • DOI

      10.1002/ajmg.a.37202

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Ehlers-Danlos Syndrome Type IV with Bilateral Pneumothorax.2015

    • Author(s)
      Nakagawa H, Wada H, Hajiro T, Nagao T, Ogawa E, Hatamochi A, Tanaka T, Nakano Y.
    • Journal Title

      Intern Med.

      Volume: 54(24) Pages: 3181-3184

    • NAID

      130005114257

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Renal complications in 6p duplication syndrome: microarray-based investigation of the candidate gene(s) for the development of congenital anomalies of the kidney and urinary tract (CAKUT) and focal segmental glomerular sclerosis (FSGS).2015

    • Author(s)
      Yoshimura-Furuhata M, Nishimura-Tadaki A, Amano Y, Ehara T, Hamasaki Y, Muramatsu M, Shishido S, Aikawa A, Hamada R, Ishikura K, Hataya H, Hidaka Y, Noda S, Koike K, Wakui K, Fukushima Y, Matsumoto N, Awazu M, Miyake N, Kosho T.
    • Journal Title

      Am J Med Genet A

      Volume: 167 Issue: 3 Pages: 592-601

    • DOI

      10.1002/ajmg.a.36942

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Coffin-Siris syndrome and related disorders involving components of the BAF (mSWI/SNF) complex: historical review and recent advances using next generation sequencing.2014

    • Author(s)
      Kosho T, Miyake N, Carey JC.
    • Journal Title

      Am J Med Genet C Semin Med Genet.

      Volume: 166C Issue: 3 Pages: 241-51

    • DOI

      10.1002/ajmg.c.31415

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Genotype-phenotype correlation of Coffin-Siris syndrome caused by mutations in SMARCB1, SMARCA4, SMARCE1, and ARID1A.2014

    • Author(s)
      Kosho T, Okamoto N; Coffin-Siris Syndrome International Collaborators.
    • Journal Title

      Am J Med Genet C Semin Med Genet

      Volume: 166C Issue: 3 Pages: 262-275

    • DOI

      10.1002/ajmg.c.31407

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Identification of a novel missense mutation of MAF in a Japanese family with congenital cataract by whole exome sequencing: a clinical report and review of literature.2014

    • Author(s)
      Narumi Y, Nishina S, Tokimitsu M, Aoki Y, Kosaki R, Wakui K, Azuma N, Murata T, Takada F, Fukushima Y, Kosho T.
    • Journal Title

      American Journal of Medical Genetics Part A

      Volume: 9999 Issue: 5 Pages: 1-5

    • DOI

      10.1002/ajmg.a.36433

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Surgical intervention for esophageal atresia in patients with trisomy 18.2014

    • Author(s)
      Nishi E, Takamizawa S, Iio K, Yamada Y, Yoshizawa K, Hatata T, Hiroma T, Mizuno S, Kawame H, Fukushima Y, Nakamura T, Kosho T.
    • Journal Title

      Am J Med Genet A

      Volume: 164A Issue: 2 Pages: 324-330

    • DOI

      10.1002/ajmg.a.36294

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ehlers-danlos syndrome associated with glycosaminoglycan abnormalities2014

    • Author(s)
      Miyake N, Kosho T, Matsumoto N
    • Journal Title

      Adv Exp Med Biol

      Volume: 802 Pages: 145-159

    • DOI

      10.1007/978-94-007-7893-1_10

    • ISBN
      9789400778924, 9789400778931
    • Related Report
      2014 Research-status Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 信州大学医学部附属病院遺伝子診療部の取り組み~小児科出身の臨床遺伝科医として思うこと2014

    • Author(s)
      古庄知己
    • Journal Title

      日本遺伝カウンセリング学会誌

      Volume: 35 Pages: 15-26

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 遺伝子医療の現状 包括的遺伝子医療の実態 信州大学医学部附属病院遺伝子診療部の取組み2014

    • Author(s)
      古庄知己
    • Journal Title

      医学のあゆみ増刊号「遺伝子医療の現状とゲノム医療の近未来」

      Volume: 250 Pages: 343-348

    • Related Report
      2014 Research-status Report
  • [Journal Article] 安心して出産し、子育てできる地域社会をめざして~新型出生前診断時代の一考察~2014

    • Author(s)
      古庄知己
    • Journal Title

      松本市医師会報

      Volume: 559 Pages: 4-11

    • Related Report
      2014 Research-status Report
  • [Journal Article] Microarray and FISH-based genotype-phenotype analysis of 22 Japanese patients with Wolf-Hirschhorn syndrome.2013

    • Author(s)
      Shimizu K, Wakui K, Kosho T, Okamoto N, Mizuno S, Itomi K, Hattori S, Nishio K, Samura O, Kobayashi Y, Kako Y, Arai T, Oh-Ishi T, Kawame H, Narumi Y, Ohashi H, Fukushima Y
    • Journal Title

      American Journal of Medical Genetics, Part A

      Volume: 164A Issue: 3 Pages: 597-609

    • DOI

      10.1002/ajmg.a.36308

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] デルマタン4-O-硫酸基転移酵素-1欠損に基づく新型エーラスダンロス症候群の発見と疾患概念の確立2013

    • Author(s)
      古庄知己
    • Journal Title

      日本遺伝カウンセリング学会誌

      Volume: 34 Pages: 21-29

    • NAID

      130004551825

    • Related Report
      2013 Research-status Report
  • [Journal Article] グリコサミノグリカンの異常と新型Ehlers-Danlos症候群(古庄型)2013

    • Author(s)
      古庄知己
    • Journal Title

      病理と臨床

      Volume: 31 Pages: 852-860

    • Related Report
      2013 Research-status Report
  • [Presentation] 臨床遺伝って面白い! 一人一人を大切にする学問の世界へようこそ2016

    • Author(s)
      古庄知己
    • Organizer
      第36回北陸臨床遺伝研究会
    • Place of Presentation
      金沢医科大学(石川県川北郡)
    • Year and Date
      2016-02-21
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Dermatan 4-O-sulfotransferase 1-Deficiency: a new form of Ehlers-Danlos Syndrome characterized by various malformations and progressive multisystem fragility-related manifestations2015

    • Author(s)
      Kosho T
    • Organizer
      BMB2015(第38回日本分子生物学会年会・第88回日本生化学会大会合同大会)
    • Place of Presentation
      神戸国際会議場(兵庫県神戸市)
    • Year and Date
      2015-12-01
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] デルマタン4-O-硫酸基転移酵素1(D4ST1)欠損に基づくエーラスダンロス症候群(DDEDS)の国際共同臨床調査2015

    • Author(s)
      古庄知己、森崎裕子、川目裕、園田徹、石川健、小林朋子、青木洋子、大浦敏博、河野通浩、持田耕介、森崎隆幸、三宅紀子
    • Organizer
      日本人類遺伝学会第60回大会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2015-10-14
    • Related Report
      2015 Annual Research Report
  • [Presentation] Natural history of dermatan 4-O-sulfotransferase 1 (D4ST1)-deficient Ehlers-Danlos Syndrome (DDEDS): from an international collaborative clinical study by the International Consortium for EDS.2015

    • Author(s)
      Kosho T, Syx D, Van Damme T, Morisaki H, Kawame H, Sonoda T, Hilhorst-Hofstee Y, Maugeri A, Voermans N, Mendoza-Londono R, Wierenga K, Jayakar P, Ishikawa K, Kobayashi T, Aoki Y, Watanabe S, Ohura T, Kono M, Mochida K, Morisaki T, Miyake N, Malfait F.
    • Organizer
      American Society of Human Genetics 65nd Annual Meeting, Baltimore
    • Place of Presentation
      Baltimore Convention Center(米国)
    • Year and Date
      2015-10-06
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 次世代シーケンスの臨床応用~遺伝性結合組織疾患のパネル解析を中心に~2015

    • Author(s)
      古庄知己
    • Organizer
      第39回日本遺伝カウンセリング学会学術集会
    • Place of Presentation
      三井ガーデンホテル千葉(千葉県千葉市)
    • Year and Date
      2015-06-26
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] International Collaborative Study on D4ST1-deficient EDS.2015

    • Author(s)
      Kosho T
    • Organizer
      2nd Meeting of the International Ehlers-Danslos Syndrome Consortium
    • Place of Presentation
      Glasgow Convention Center(スコットランド)
    • Year and Date
      2015-06-06
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 信州家族性腫瘍ネットワーク(仮)構築の提案2015

    • Author(s)
      古庄知己
    • Organizer
      第20回信州遺伝子診療研究会
    • Place of Presentation
      信州大学医学部
    • Year and Date
      2015-01-30
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 障がいを持つ子どもたちが安心して暮らせる社会をめざして!2014

    • Author(s)
      古庄知己
    • Organizer
      NPO法人未来の風「療育センターらいふ・みらい」設立10周年記念式典
    • Place of Presentation
      ホテル翔峰(長野県松本市)
    • Year and Date
      2014-11-29
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 次世代シーケンサion PGMを用いた遺伝性結合組織疾患パネル解析2014

    • Author(s)
      古庄知己
    • Organizer
      日本人類遺伝学会第59回大会
    • Place of Presentation
      タワーホール船堀,東京
    • Year and Date
      2014-11-19 – 2014-11-22
    • Related Report
      2014 Research-status Report
  • [Presentation] 長野県における新型出生前診断への対応2014

    • Author(s)
      古庄知己
    • Organizer
      新生児看護セミナー
    • Place of Presentation
      長野県立こども病院
    • Year and Date
      2014-11-15
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Inta-nasal DDAVP administration for the prevention of massive subcutaneous hematoma in dermatan 4-O-sulfotransferase 1 (D4ST1)-deficient Ehlers-Danlos Syndrome (DDEDS).2014

    • Author(s)
      Kosho T
    • Organizer
      American Society of Human Genetics 64nd Annual Meeting
    • Place of Presentation
      San Diego Convention Center, USA
    • Year and Date
      2014-10-18 – 2014-10-22
    • Related Report
      2014 Research-status Report
  • [Presentation] 先天代謝異常症と遺伝カウンセリング2014

    • Author(s)
      古庄知己
    • Organizer
      第10回長野県稀少難病治療研究会
    • Place of Presentation
      信州大学医学部附属病院
    • Year and Date
      2014-10-10
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 長野県における新型出生前診断への対応2014

    • Author(s)
      古庄知己
    • Organizer
      飯田市立病院勉強会
    • Place of Presentation
      飯田市立病院(長野県)
    • Year and Date
      2014-09-17
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 血管奇形を伴う奇形症候群の遺伝学的背景2014

    • Author(s)
      古庄知己
    • Organizer
      第11回血管腫・血管奇形研究会
    • Place of Presentation
      信州大学医学部附属病院
    • Year and Date
      2014-07-20
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 難病対策のあり方を考える~医師の立場から~遺伝カウンセリングを中心に2014

    • Author(s)
      古庄知己
    • Organizer
      神経疾患ケアシンポジウム
    • Place of Presentation
      信州大学医学部附属病院
    • Year and Date
      2014-07-12
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 遺伝子診療に関する基本~難聴遺伝子診療外来での経験から~2014

    • Author(s)
      古庄知己
    • Organizer
      第6回難聴遺伝子の研究会
    • Place of Presentation
      慶應義塾大学病院
    • Year and Date
      2014-07-05
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 次世代シーケンサion PGMを用いた遺伝性結合組織疾患の候補遺伝子解析.2014

    • Author(s)
      古庄知己
    • Organizer
      第37回日本遺伝カウンセリング学会学術集会
    • Place of Presentation
      近畿大学ノーベンバーホール,大阪
    • Year and Date
      2014-06-27 – 2014-06-29
    • Related Report
      2014 Research-status Report
  • [Presentation] EDS研究の現状2014

    • Author(s)
      古庄知己
    • Organizer
      2014年度JEFA総会
    • Place of Presentation
      鎌倉芸術館
    • Year and Date
      2014-06-14
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Phenotypic Features of Knockout Mice for dermatan 4-O-sulfotransferase 1 (D4ST1)-deficient Ehlers-Danlos Syndrome (DDEDS).2014

    • Author(s)
      Kosho T
    • Organizer
      The European Human Genetics Conference 48th
    • Place of Presentation
      Milan Convention Center, Italy
    • Year and Date
      2014-05-31 – 2014-06-03
    • Related Report
      2014 Research-status Report
  • [Presentation] D4ST1-deficient Ehlers-Danlos症候群におけるiPS細胞とノックアウトマウスの確立.2014

    • Author(s)
      古庄知己
    • Organizer
      第117回日本小児科学会学術集会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2014-04-11 – 2014-04-13
    • Related Report
      2014 Research-status Report
  • [Presentation] DDEDSの疾患モデルとしてのD4st1欠損マウスの表現型解析.2014

    • Author(s)
      古庄知己
    • Organizer
      第37回日本小児遺伝学会
    • Place of Presentation
      名古屋市立大学
    • Year and Date
      2014-04-10
    • Related Report
      2014 Research-status Report
  • [Presentation] デルマタン4-O-硫酸基転移酵素(D4ST1)欠損によるEhlers-Danlos症候群(DDEDS)の疾患モデルの構築と検証2013

    • Author(s)
      古庄知己、岳鳳鳴、坂翔太、積田奈々、笠原優子、岡田尚巳、水本秀二、小林身哉、中山淳、三宅紀子、野村義宏、江良択実、籏持淳、石川真澄、涌井敬子、福嶋義光、松本直通、菅原一幸、佐々木克典、武田伸一
    • Organizer
      日本人類遺伝学会第58回大会
    • Place of Presentation
      江陽グランドホテル(宮城県仙台市)
    • Related Report
      2013 Research-status Report
  • [Presentation] Establishment and Validation of iPS Cells and Knockout Mice for dermatan 4-O-sulfotransferase 1 (D4ST1)-deficient Ehlers-Danlos Syndrome (DDEDS)2013

    • Author(s)
      Kosho T, Yue F, Saka S, Tsumita N, Kasahara Y, Okada T, Mizumoto S, Kobayashi M, Nakayama J, Miyake N, Nomura Y, Era T, Hatamochi A, Fukushima Y, Matsumoto N, Sugahara K, Sasaki K, Takeda S
    • Organizer
      American Society of Human Genetics 63nd Annual Meeting
    • Place of Presentation
      Boston Convention Center, Boston, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] D4ST1欠損に基づくEhlers-Danlos症候群の遺伝子解析状況

    • Author(s)
      古庄知己、三宅紀子、福嶋義光、松本直通
    • Organizer
      第36回日本小児遺伝学会
    • Place of Presentation
      エソール広島(広島県広島市)
    • Related Report
      2013 Research-status Report
  • [Presentation] デルマタン4-O-硫酸基転移酵素-1欠損に基づく新型エーラスダンロス症候群の発見

    • Author(s)
      古庄知己、三宅紀子、福嶋義光
    • Organizer
      第116回日本小児科学会学術集会
    • Place of Presentation
      広島国際会議場など(広島県広島市)
    • Related Report
      2013 Research-status Report
  • [Presentation] デルマタン4-O-硫酸基転移酵素-1欠損に基づく新型エーラスダンロス症候群(DDEDS)の発見

    • Author(s)
      古庄知己
    • Organizer
      第11回東北小児成長フォーラム
    • Place of Presentation
      ホテルメトロポリタン仙台(宮城県仙台市)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Book] 18トリソミー~子どもへのよりよい医療と家族支援をめざして~2014

    • Author(s)
      櫻井浩子,橋本洋子,古庄知己
    • Total Pages
      218
    • Publisher
      メディカ出版
    • Related Report
      2014 Research-status Report
  • [Book] Handbook of glycosyltransferases and related genes2014

    • Author(s)
      Kosho T, Mizumoto S, Sugahara K
    • Total Pages
      1707
    • Publisher
      Springer
    • Related Report
      2013 Research-status Report
  • [Book] Current Genetics in Dermatology2013

    • Author(s)
      kosho T
    • Total Pages
      158
    • Publisher
      InTech
    • Related Report
      2013 Research-status Report
  • [Book] 最新医学別冊 新しい診断と治療のABC(42) 大動脈瘤・大動脈解離2013

    • Author(s)
      古庄知己
    • Total Pages
      274
    • Publisher
      最新医学社
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2022-01-27  

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