The Korean Journal of Medicine

  • 제79권1호
  • /
  • Pages.87-91
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  • 2010
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

건강한 18세 여자에서 유방 농양으로 오인된 유방 결핵 1예

Breast tuberculosis mimicking breast abscess in a healthy woman

  • 김선영 (가톨릭대학교 의과대학 내과학교실) ;
  • 신주영 (가톨릭대학교 의과대학 내과학교실) ;
  • 염주옥 (가톨릭대학교 의과대학 내과학교실) ;
  • 조홍성 (조선대학교 의과대학 내과학교실) ;
  • 김현숙 (조선대학교 의과대학 내과학교실)
  • Kim, Sun-Young (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Shin, Ju-Young (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Yeom, Ju-Ok (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Chough, Hong-Sung (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Kim, Hyun-Sook (Department of Internal Medicine, Chosun University College of Medicine)
  • 투고 : 2009.03.04
  • 심사 : 2009.07.06
  • 발행 : 2010.07.01
⟨ 이전 논문 다음 논문 ⟩

초록

최근 인간 면역 결핍 바이러스 감염에 의한 면역 저하자가 늘면서 폐외 결핵의 유병률이 높아지는 것으로 알려져 있으나 유방 결핵은 발생 빈도가 낮고, 면역기능에 이상이 없는 건강한 사람에게서의 발생은 더욱 드물다. 저자들은 인간 면역 결핍 바이러스 감염과 같은 면역 저하없이 양측 하지에 오른쪽 유방에서 누공이 있는 농양과 지속적인 결절 홍반을 보인 18세 환자를 유방 결핵으로 진단하고 성공적으로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Breast tuberculosis is a rare form of tuberculosis (TB). In healthy individuals in developed countries, the incidence is <0.1% of breast lesions examined histologically. The significance of breast TB is due to its rare occurrence and mistaken identity with breast cancer or pyogenic breast abscess. We report the case of an 18-year-old healthy woman diagnosed with breast TB that mimicked breast abscess. She was admitted for multiple erythema nodosum (EN) of the lower extremities of 6 weeks duration. She also noticed a painful oral ulcer and a palpable nodule with fistula on the right breast for 8 weeks. Our patient had the characteristic radiological and histopathological features of breast TB. Breast abscess and EN improved after antitubercular medication, including isoniazid, rifampin, ethambutol and pyrazinamide.

키워드

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