M Hayashi1, A Igarashi2, K Okamura1, T Suzuki1. 1. Department of Dermatology, Yamagata University Faculty of Medicine, Iida-Nishi 2-2-2, Yamagata, 990-9585, Japan. 2. Department of Cardiology, Pulmonology and Nephrology, Yamagata University Faculty of Medicine, Iida-Nishi 2-2-2, Yamagata, 990-9585, Japan.