Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Pulmonary Cavitary Lesions Associated with High Fever

고열을 동반한 폐의 공동성 병변

  • Lee, So-Hyeon (Department of Internal Medicine, Ewha Womans University, College of Medicine) ;
  • Pyun, Eun-Kyung (Department of Internal Medicine, Ewha Womans University, College of Medicine) ;
  • Lee, Hye-Jin (Department of Internal Medicine, Ewha Womans University, College of Medicine) ;
  • Lee, Jin-Hwa (Department of Internal Medicine, Ewha Womans University, College of Medicine) ;
  • Cho, Young-Joo (Department of Internal Medicine, Ewha Womans University, College of Medicine) ;
  • Han, Woon-Sup (Department of Anatomic Pathology, Ewha Womans University, College of Medicine) ;
  • Kim, Hyae-Young (Department of Diagnostic Radiology, Ewha Womans University, College of Medicine) ;
  • Park, Sung-Sook (Department of Internal Medicine, Ewha Womans University, College of Medicine) ;
  • Chang, Jung-Hyun (Department of Internal Medicine, Ewha Womans University, College of Medicine)
  • 이소현 (이화여자대학교 의과대학 내과학교실) ;
  • 변은경 (이화여자대학교 의과대학 내과학교실) ;
  • 이혜진 (이화여자대학교 의과대학 내과학교실) ;
  • 이진화 (이화여자대학교 의과대학 내과학교실) ;
  • 조영주 (이화여자대학교 의과대학 내과학교실) ;
  • 한운섭 (이화여자대학교 의과대학 해부병리학교실) ;
  • 김혜영 (이화여자대학교 의과대학 진단방사선과학교실) ;
  • 박성숙 (이화여자대학교 의과대학 내과학교실) ;
  • 장중현 (이화여자대학교 의과대학 내과학교실)
  • Published : 2000.11.30
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Abstract

A 35-year-old male presented high fever and cough. The pateint showed three, discrete, "punched-out", shallow ulcers appearing as pyodermic gangrenosum on the trunk and the back, and a painless subcutaneous nodule on the medial side of the left thigh. The chest X-ray showed multiple cavities on the both lungs. The diagnosis of Wegener's granulomatosis was established by pathology of the skin and the lung, radiologic findings of the chest and positive result of c-ANCA test.

저자들은 고열을 동반한 피부 궤양과 폐의 다발성 공동을 보인 환자를 항결핵제로 치료하였으나 반응하지 않아 피부와 폐의 조직 검사를 시행한 결과 괴사성 육아종성 확인하고 c-ANCA 검사 Wegener 육아종증으로 확진하여 cyclophosphamide와 methylpredni-solone으로 치료하여 임상적 호전을 보인 예를 보고하는 바이다.

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