Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Wegener's granulomatosis with obstruction of both anterior tibial and peroneal arteries

양측 전경골 동맥과 비골 동맥 폐쇄를 동반한 베게너 육아종증 1예

  • Lee, Sang Hak (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yang, Dong Gyoo (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Cho, Hyun Myung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Song, Kun Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Jae Min (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yoo, Jung Sun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Sung Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Won Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Shin, Dong Hwan (Department of Pathology, Yonsei University College of Medicine)
  • 이상학 (연세대학교 의과대학 내과학교실) ;
  • 양동규 (연세대학교 의과대학 내과학교실) ;
  • 조현명 (연세대학교 의과대학 내과학교실) ;
  • 송건훈 (연세대학교 의과대학 내과학교실) ;
  • 박재민 (연세대학교 의과대학 내과학교실) ;
  • 유정선 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 김성규 (연세대학교 의과대학 내과학교실) ;
  • 이원영 (연세대학교 의과대학 내과학교실) ;
  • 신동환 (연세대학교 의과대학 병리학교실)
  • Published : 1996.10.30
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Abstract

Wegener's granulomatosis is characterized by necrotizing granulomatous vasculitis affecting upper and lower respiratory tracts and kidneys. Vascular lesions commonly involve capillaries and small vessels but, less commonly larger vessels. We report a 46-year-old male patient of Wegener's granulomatosis associated with paranasal sinusitis, pulmonary consolidations, glomerulonephritis, skin lesions with obstruction of both anterior tibial and peroneal arteries. Several necrotic lesions of the toes had progressed to gangrene and both transmetatarsal amputations were done. The patient continued to receive cyclophosphamide and prednisolone.

저자 등은 두통과 비루를 주소로 내원한 46세 남자에서 비강, 폐, 신장을 침범하고, 양측 전경골 동맥과 비골 동맥 폐쇄를 동반한 베게너 육아종증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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