The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Acute Eosinophilic Monoarthritis in a Patient with Toxocariasis

개회충증 환자에서 발생한 급성 호산구성 단관절염 1예

  • Hur, Jaehyung (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Ha, You Jung (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Chung, Sang Wan (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kang, Eun Ha (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Song, Yeong Wook (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Lee, Yun Jong (Department of Internal Medicine, Seoul National University Bundang Hospital)
  • 허재형 (분당서울대학교병원 내과) ;
  • 하유정 (분당서울대학교병원 내과) ;
  • 정상완 (분당서울대학교병원 내과) ;
  • 강은하 (분당서울대학교병원 내과) ;
  • 송영욱 (서울대학교 의과대학 내과학교실) ;
  • 이윤종 (분당서울대학교병원 내과)
  • Received : 2016.12.15
  • Accepted : 2017.10.19
  • Published : 2018.08.01
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Abstract

Eosinophilic synovial effusion is rarely observed in patients with inflammatory nature of synovial fluid, and the differential diagnosis includes parasitic arthritis. Toxocariasis is the one of the most common forms of helminthiasis worldwide and has been reported as a common cause of peripheral blood eosinophilia in Korea. However, joint involvement has been rarely reported in adults with toxocariasis in the English-language literature. Here, we report the first Korean case of a female presenting with acute monoarthritis with an increased number of eosinophils in the peripheral blood and synovial fluid, who was finally diagnosed with toxocariasis.

저자들은 혈액 및 활막액 호산구증가증이 동반된 급성 무릎 단관절염 환자에서 개회충증 감염을 진단하고 글루코코 르티코이드 관절강내 주사와 함께 알벤다졸 투약을 통하여 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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