• 제목/요약/키워드: Diagnosis of Raynaud's Syndrome

검색결과 5건 처리시간 0.029초

레이노병의 변증과 처방에 관한 문헌적 고찰 - 중국 논문 중심으로 - (Literature Review on Syndrome Differentiation and Herbal Medicine of Raynaud disease - Focusing on Traditional Chinese Medicine's Journals -)

  • 정종진
    • 동의생리병리학회지
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    • 제28권3호
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    • pp.263-270
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    • 2014
  • The objective of this study was to investigate the diagnosis and treatment of Raynaud disease such as syndrome differentiation and herbal medicine by reviewing Chinese traditional medicine's journals. The journal search was carried out using China National Knowledge Infrastructure(CNKI) and PubMed from January 2008 to August 2013. Searching key words were the various combination of "Raynaud disease", "traditional chinese medicine", "syndrome differentiation", "herbal medicine". The final selection of 38 studies were selected and summarized by researchers. The syndrome differentiation was classified as yang deficiency and cold syncope, qi stagnation and blood stasis. The most frequently prescribed herbal medication was Dangguisinitang.

레이노 환자의 한랭 부하 후 손가락 끝 온도 측정을 통한 진단 보조지표의 가능성 연구 (A Study for possibility of Diagnostic Indicators by measuring the Fingertip Temperature after Cooling Load in Raynaud's Patients)

  • 장호석;허영철
    • 한국방사선학회논문지
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    • 제13권2호
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    • pp.283-290
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    • 2019
  • 본 연구의 목적은 레이노 현상 의심 환자의 정량적 판독 보조 지표의 가능성을 확인하고자 하는 것이다. 레이노 현상 의심 환자 99명에서 가능성 낮음 48명, 중간 16명, 높음 35명을 대상으로 하였다. 검사는 $15.2{\pm}0.8^{\circ}C$ 얼음물에 10분 간 양 손을 한랭 부하 후 $^{99m}Tc$ 370 MBq(10 mCi)를 정맥 주사하였다. 이 후 5분, 10분, 20분 양측 열 손가락의 온도 변화를 측정하였고, 핵의학 판독의의 판독 결과와 온도 변화를 비교하였다. 판독 결과 레이노 현상의 가능성이 낮은 군은 손가락 온도가 $32.6{\pm}4.9^{\circ}C$로 높게 측정되었고, 가능성이 높은 군은 $22.7{\pm}6.0^{\circ}C$로 낮게 측정되었다(p<0.05). 결론적으로 레이노 현상 의심 증상에 따라 손가락 온도의 차이가 났음을 확인하였고 이를 통해 손가락 온도의 측정이 레이노 진단의 정량적 보조 지표로서의 가능성이 있음을 확인하였다.

냉부하검사상 레이노드증후군으로 의심되는 환자에 대한 칠제향부환 투여 2례 (Two Cases of Suspected Raynaud's Syndrome Diagnosed by Cold Stress Test Treated with Chiljehyangbuhwan)

  • 배은주;유경환;박성욱;윤성우;고창남;이형철
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.559-568
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    • 2004
  • Diagnosis of Raynaud's phenomenon is primarily based on clinical symptoms. Cold stress test(CST) done by DITI(Digital Infrared Thermographic Image) can be helpful for objective diagnosis. The cold stress test was performed three times by DITI; the first after 15 minutes of rest, the second right after one minute of soaking in $20^{\circ}C$ water, the third ten minutes after immersion. For a clear diagnosis, the temperature of the finger tips must be low, or the thermal difference between the metacarpophalangeal joints and the fingertips must be large. Also the evaluation of treatment depends on decrease of thermal gradient between the metacarpophalangeal joints and the finger tips after CST. In oriental medicine Raynaud's phenomenon can be categorized by coldness of the limbs or numbness. Numbness was diagnosed as depression of Ki and Chiljehyangbuhwan(Qizhixiangfuwan) was prescribed. Positive results were observed, not only in follow up CST, but also Visual Analogue Scale after treatment.

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기욘씨관 압박 증후군에서의 척골 동맥의 폐색 (Ulnar Artery Obstruction in Guyon Canal Compression Syndrome)

  • 안희창;김종도;이장현;최승석
    • Archives of Plastic Surgery
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    • 제37권6호
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    • pp.783-787
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    • 2010
  • Purpose: There are many articles describing about Guyon canal compression syndrome. Until recently, most of these articles have been presented about the symptoms of ulnar nerve compression, but there have been no reports about ulnar artery compression. In this article, besides the nerve compression symptoms in the Guyon's canal, we represented the symptoms and treatments based on the ulnar artery obstruction. Methods: Guyon canal is composed of the hamate and pisiform, and the ligaments which connect them. The course of the ulnar nerve and artery, which passes through this narrow canal, is affected by the anatomical structure of the base of the canal. Out of 14 patients (21 cases) were retrospectively reviewed in this study from 2006 to 2009. Of 14 patients, there were 5 men and 9 women with ages between 21 to 61 years old. The symptoms had volar sensory loss of ulnar sided digits, with muscular atrophy of hypothenar muscles. Prior to surgery, most of these patients had vascular disorders which was diagnosed definitively by angiography and electromyogram. Results: The release of Guyon canal and interposition graft of the obstructed arteries was carried out to 11 patients (15 cases) who had artery (vascular) occlusive disorder, and. 12 cases had sympathectomy and interposition graft after resection of obstructed ulnar artery. Six cases had release of carpal tunnel performed simultaneously. There were no major complications after surgery. The circulation of the ulnar artery was improved along with the patients' symptoms. Conclusion: The pre-existing articles about Guyon canal compression syndrome were mainly focused on ulnar nerve compression. This study, which was carried out by our department, showed that most of these patients had ulnar artery obstruction or stenosis simultaneously with ulnar nerve compression. The vascular disorder was corrected by interposition graft after the resection of the site of ulnar artery occlusion. And to conclude, When we resolve the ulnar nerve compression, the proper diagnosis & treatment of impaired ulnar artery circulation should be carried out concomitantly.

다발근육염과 피부근육염에서 관찰된 중첩증후군 (Overlap Syndromes in Polymyositis and Dermatomyositis)

  • 박경석;김남희;홍윤호;성정준;남현우;박성호;이광우
    • Annals of Clinical Neurophysiology
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    • 제9권1호
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    • pp.11-15
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    • 2007
  • Background: The term "overlap syndromes" designates a group of diseases in which polymyositis (PM) or dermatomyositis (DM) is associated with some other disorders of connective tissues. The aim of this study was to delineate the clinical features, laboratory findings, and outcome of treatment of "overlap syndromes" Methods: We analyzed the medical records of 16 patients (PM in 10, DM in 6) with well documented "overlap syndromes" between 1997 and 2004. The diagnosis was made when the criteria for two different disorders were fulfilled. Results: All patients were female. Age of onset ranged from 14 to 52 years (mean 29.8 years) with peak incidence in the third and fourth decades. Systemic lupus erythematosus (SLE) was associated in 10, systemic sclerosis in 7, and rheumatoid arthritis in 3 patients. Four of the patients had two different connective tissue diseases simultaneously. The characteristic clinical features were muscle weakness, arthralgia, Raynaud's phenomenon, and myalgia. In laboratory tests, creatine kinase (CK), lactic dehydrogenase (LDH), and transaminases were usually abnormal. Positive antinuclear antibody (ANA), rheumatoid factor (RF), and cryoglobulin were found in 100%, 69%, and 67% of the patients, respectively. Needle electromyography (EMG) showed abnormal findings compatible with myopathy in 15 patients. The pathology of muscle biopsy from 14 patients revealed findings compatible with inflammatory myopathy. Glucocorticoids were administered to 15 patients. The muscle strength improved in all the treated patients, which was well correlated with repeat CK level and EMG findings. Conclusions: The presence of autoantibodies such as ANA, RF, and cryoglobulin in patients with PM or DM highly suggests the possibility of an overlap syndromes. These syndromes reveal a strong female predominance. The myositis associated with them usually shows a good response to glucocorticoids treatment.

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