[1] Kumamoto Univ, Sch Med, Dept Internal Med 1, Kumamoto 8600811, Japan
[2] Kumamoto Univ, Sch Med, Dept Dermatol, Kumamoto 8600811, Japan
[3] Kumamoto Univ, Sch Med, Dept Pathol, Kumamoto 8600811, Japan
[4] Kagawa Med Sch, Dept Immunol & Immunopathol, Kagawa, Japan