흉막 유출액을 동반한 베체트병 l예

A Case of Behcet's Disease with Pleural Effusion

  • 한요셉 (경희대학교 의과대학 내과학교실) ;
  • 유지홍 (경희대학교 의과대학 내과학교실) ;
  • 노정현 (경희대학교 의과대학 내과학교실) ;
  • 남기덕 (경희대학교 의과대학 내과학교실) ;
  • 양형인 (경희대학교 의과대학 내과학교실) ;
  • 강홍모 (경희대학교 의과대학 내과학교실) ;
  • 이무형 (경희대학교 의과대학 피부과학교실)
  • Han, Yo-Seb (Department of Internal Medicine, School of Medicine, Kyung-Hee University) ;
  • Yoo, Jee-Hong (Department of Internal Medicine, School of Medicine, Kyung-Hee University) ;
  • Noh, Jung-Hyun (Department of Internal Medicine, School of Medicine, Kyung-Hee University) ;
  • Nam, Ki-Deuk (Department of Internal Medicine, School of Medicine, Kyung-Hee University) ;
  • Yang, Hyung-In (Department of Internal Medicine, School of Medicine, Kyung-Hee University) ;
  • Kang, Hong-Mo (Department of Internal Medicine, School of Medicine, Kyung-Hee University) ;
  • Lee, Mu-Hyoung (Department of Dermatology, School of Medicine, Kyung-Hee University)
  • 발행 : 1999.12.30

초록

저자들은 31세 남자환자에서 고열, 흉막성 흉통 및 흉막 유출액의 임상증상을 보이며 검사상 다발성 혈관염 소견을 보였으며, 결핵성 흉막염 및 불명열로 오인되었던 베체트병을 부신피질 호르몬제 및 colchicine, 비스테로이드성 항염증약물을 이용하여 치료한 1예를 경험하였기에 이에 보고하는 바이다.

Behcet's disease is a complex multisystem disease that features recurrent aphthous stomatitis, recurrent genital ulcerations, and eye lesions(uveitis or chorioretinitis). Among the systemic manifestations, pulmonary involvement is known to be rare and only a few cases have been documented. The most important features of pulmonary lesions in Behcet's disease are recurrent hemoptysis, which is often massive, and fatal pleuritic chest pain and recurrent high fever and fleeting nature of the pulmonary infiltrates. We report a case of Behcet's disease manifestated as high fever and pleural effusions which was complicated by pulmonary infarction as a result of pulmonary arteritis.

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