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근골격계 감염과 유사한 질환들: 임상 화보

Lesions that Mimic Musculoskeletal Infection: A Pictorial Essay

  • 강혜진 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 최희영 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 박지선 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 박소영 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 진욱 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 류경남 (경희대학교 의과대학 경희대학교병원 영상의학과)
  • Kang, Hye Jin (Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University) ;
  • Choi, Hee Young (Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University) ;
  • Park, Ji Seon (Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University) ;
  • Park, So Young (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Jin, Wook (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Ryu, Kyung Nam (Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University)
  • 투고 : 2017.08.14
  • 심사 : 2017.11.11
  • 발행 : 2018.03.01

초록

골수염, 감염성 관절염 및 척추염과 같은 근골격계 감염은 발생 원인 및 임상 감염 단계에 따라 다양한 영상의학적 소견을 보인다. 그러나 근골격계 감염과 유사한 영상 소견을 보이지만 감염의 증거가 없는 다른 질환들도 존재하며, 이들은 단순 퇴행성 병변에서부터 골 종양에 이르기까지 다양하다. 따라서 근골격계 감염성 질환에서 전형적으로 나타나는 영상의학적 특징들을 접하였을 때 근골격계 감염과 유사한 비감염성 근골격계 질환의 가능성도 함께 고려하는 것이 중요하다.

Musculoskeletal (MSK) infections, such as osteomyelitis, infectious arthritis and spondylitis have variable radiographic findings depending on their underlying cause and clinical infection stage. Other disease entities, ranging from simple degenerative lesions to tumorous bone conditions, in which there is no evidence of infectious origin, can share similar radiographic findings. It is important to be aware, when interpreting radiographic features that are typically associated with MSK infections, that a non-infectious MSK disease may be mimicking the radiographic findings of infectious diseases.

키워드

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