[1] Hirosaki Univ, Sch Med, Dept Geriatr Med, Hirosaki, Aomori 0368562, Japan
[2] Gunma Univ, Sch Med, Dept Dermatol, Maebashi, Gumma 371, Japan
[3] Chiba Univ, Sch Med, Dept Otolaryngol, Chiba 280, Japan
[4] Mitsubishi Kagaku Bio Clin Labs Inc, Res & Dev, Tokyo, Japan
[5] Kyoto Univ, Grad Sch Med, Dept Dermatol, Kyoto, Japan