[1] Yokohama City Univ, Sch Med, Dept Internal Med 2, Kanazawa Ku, Yokohama, Kanagawa 236, Japan
[2] Yokohama City Univ, Sch Med, Dept Dermatol, Yokohama, Kanagawa 236, Japan
[3] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med, Boston, MA 02115 USA