Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Forestier's Disease with Dyspnea

호흡 곤란을 동반한 Forestier병 1례

  • Park, Yong-Hyun (Department of Internal Medicine, Pusan National University, College of Medi챠ne) ;
  • Park, Yoong-In (Department of Internal Medicine, Pusan National University, College of Medi챠ne) ;
  • Jeon, Doo-Soo (Department of Internal Medicine, Pusan National University, College of Medicine) ;
  • Hong, Jin-Hee (Department of Internal Medicine, Pusan National University, College of Medicine) ;
  • Ryu, Ki-Chan (Department of Internal Medicine, Pusan National University, College of Medicine) ;
  • Lee, Min-Ki (Department of Internal Medicine, Pusan National University, College of Medicine) ;
  • Park, Soon-Kew (Department of Internal Medicine, Pusan National University, College of Medicine)
  • 박용현 (부산대학교 의과대학 내과학교실) ;
  • 박융인 (부산대학교 의과대학 내과학교실) ;
  • 전두수 (부산대학교 의과대학 내과학교실) ;
  • 홍진희 (부산대학교 의과대학 내과학교실) ;
  • 류기찬 (부산대학교 의과대학 내과학교실) ;
  • 이민기 (부산대학교 의과대학 내과학교실) ;
  • 박순규 (부산대학교 의과대학 내과학교실)
  • Published : 1998.10.30
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Abstract

Forestier's disease, also known as diffuse idiopathic skeletal hyperostosis(DISH), is a peculiar type of senile ankylosing hyperostosis of the spine characterized by flowing ossification of the anterior and right lateral aspect of the vertebral column, particularly in the thoracic region. Although these patients are typically asymptomatic, there is documentation of a number of extraspinal manifestations including dysphagia, respiratory distress, dysphonia and cervial myelopathy. We report a case of Forestier's disease presenting with dyspnea in a 57-year old man, who have chronic cervical pain and bronchiectasis. Forestier's disease was diagnosed by cervical spine X-ray, neck CT. The patient was treated with oral steroid and then improved.

만성적인 경부 동통을 호소하던 57세 남자가 호흡곤란을 호소하여 경추부 단순 촬영 및 경부 전산화 단층 촬영을 시행한 결과 경추 전방부의 과골화를 포함한 Forestier병의 소견을 보였으며, 기관지 내시경상 경추부 과골화로 인한 기도 협착 및 성문 하부의 부종이 관찰되어 스테로이드로 치료하여 호전되었기에 문헌 고찰과 함께 보고하는 바이다.

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