1. Department of Rheumatology, National Hospital Organization Nagasaki Medical Center , Omura, Nagasaki, Japan
2. Clinical Research Center, National Hospital Organization Nagasaki Medical Center , Omura, Nagasaki, Japan
3. Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center , Omura, Nagasaki, Japan
4. Department of Endocrinology and Metabolism, National Hospital Organization Nagasaki Medical Center , Omura, Nagasaki, Japan
5. Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences , Nagasaki, Japan