• 제목/요약/키워드: Sjogren's syndrome

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Sjogren's 증후군 1례 (A Case of Sjogren's Syndrome)

  • 여은주;구희준;양동선;조성희;양승정;박경미
    • 대한한방부인과학회지
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    • 제23권2호
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    • pp.145-153
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    • 2010
  • Purpose: Sjogren's syndrome is a type of autoimmune disease and characterized by the keratoconjunctivitis sicca, xerostomia, dryness of mouth & eyes and rheumatoid arthritis or another connective tissue disease. In the Traditional Korean Medicine, there is few report to diagnose and treat Sjogren's syndrome. Methods: The subject was a typical Sjogren's syndrome in 48-year old women whose complaints were dryness of mouth and eyes, severe general myalgia. The author treated her with acupuncture and herbal medicine therapy, then evaluated with MMQ score, XQS grade and VAS score on a regular basis. Results: After treatment, clinical symptoms were improved, MMQ score and XQS grade were decreased. Conclusion: The Traditional Korean Medical Therapy combined acupuncture with herbal medicine relieves the symptom of Sjogren's syndrome.

저혈소판증을 동반한 급성 대뇌경색을 보인 원발성 쇼그렌 증후군 1례 (Acute cerebral infarction associated with thrombocytopenia in primary Sjogren's syndrome : A Case Report)

  • 최판규;강현구
    • 한국산학기술학회논문지
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    • 제18권7호
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    • pp.565-568
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    • 2017
  • 쇼그렌 증후군은 입안 건조와 호중성백혈구 감소증을 주로 보이는 자가면역질환이다. 일반적으로 쇼그렌 증후군은 중추신경계를 잘 침범하지 않는 것으로 알려져 있다. 하지만 드물게, 쇼그렌 증후군에서 미세혈관병성 변성이 생기고, 이로 인해 소혈관에 영향을 미치기도 한다. 34세의 여자 환자가 왼쪽 위사분맹 및 왼쪽 팔다리의 저린 증상이 있어 내원하였다. 뇌자기공명영상에서 오른쪽 후대뇌동맥 영역의 급성 뇌경색 소견이 확인되었다. 혈액학적 검사는 항핵항체 (FANA2+) 및 항DNA항체 (anti-SS-A (RO)) 양성이었다. 그리고 침샘 섬광조영술에서 타액 분비양이 현저히 저하되었다. 따라서 환자는 쇼그렌 증후군으로 진단할 수 있었다. 본 환자의 경우처럼 쇼그렌 증후군에서 대혈관을 침범하는 것은 매우 드문 일이다. 또한 쇼그렌 증후군 환자가 저혈소판증을 보였을 경우, 항혈소판 제재를 쓰는 것이 어려울 수 있다. 이 연구는 대혈관 침범 및 저혈소판증을 보인 쇼그렌 증후군 환자에서 항혈소판 제재 및 하이드록시클로로퀸을 통한 성공적인 치료와, 이와 관련된 임상 양상 및 병태생리를 보고한 사례연구이다.

Sjogren증후군 환자의 진단과 치료 : 증례보고 (Diagnosis and Treatment of Sjogren자s Syndrome : A Case Report)

  • 어규식;홍정표
    • Journal of Oral Medicine and Pain
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    • 제23권3호
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    • pp.235-239
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    • 1998
  • In Sjogren syndrome, abruptly decreased salivation and delayed lag time reveal that many acini cells are destructed and Lymphocytes infiltration is supposed as the main cause that makes dysfunction of salivation. In this case report, the biopsy of minor salivary glands is very useful diagnostic method of Sjogren's syndrome with sialometry,sialography, salivary gland scan.

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가미온청음으로 호전된 쇼그렌 증후군 환자 치험 1례 (A Case Reports of a Patient with Sjogren's Syndrome Treated with Gami-onchung-eum)

  • 정영은;박정아;김종대
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.763-768
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    • 2017
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine, especially Gami-onchung-eum, for treatment of a patient with Sjogren's syndrome. Methods: The patient, diagnosed with Sjogren's syndrome, was suffering from systemic symptoms accompanied by dry mouth, dry eye, and fatigue. We treated her with Korean medicine involving a herbal decoction, acupuncture, moxibustion, and cupping. We used the European League Against Rheumatism $Sj{\ddot{o}}gren^{\prime}s$ Syndrome Patient Reported Index for assessment. Results: Based on the European League Against Rheumatism $Sj{\ddot{o}}gren^{\prime}s$ Syndrome Patient Reported Index, after 28 days of treatment, dry mouth decreased to a score of 5, dry eye decreased to 2, and fatigue decreased to 3. Conclusions: Korean medicine, including Gami-onchung-eum, may be an effective treatment for Sjogren's syndrome.

쇼그렌 증후군 환자에서의 단백뇨 치험 1례 (A Case Report of Proteinuria with Sjogren's Syndrome)

  • 정종진;김수연;선승호;김병우
    • 대한약침학회지
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    • 제11권4호
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    • pp.95-99
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    • 2008
  • Objective Sjogren's Syndrome is a chronic inflamatory disorder characterized by lymphocytic infiltration of lacrimal and salivary gland. It may be associated with renal disease such as tubulonephritis or glomerulonephritis. Proteinuria is a kidney disorder resulting in an abnormally high amount of protein in the urine. When the glomeruli are damaged, proteins of various sizes pass through them and are excreted in the urine. This report is a case of proteinuria with Sjogren's Syndrome. Methods The patient was diagnosed as kidney yang deficiency syndrome and treated with Woogyu-eum, Sa-am acupuncture therapy and bee venom acupuncture therapy. Visual Analog Scale was used to estimate the clinical symptoms. Results Clinical symptoms and proteinuria were improved without steroid therapy. Conclusion Therefore, we concluded that oriental medical therapy may be useful to treat proteinuria with Sjogren's Syndrome.

MALT 림프종을 수반한 쉐그렌 증후군 (Sjogren′s Syndrome Combined with MALT Lymphoma)

  • 한원정;차상윤;김은경
    • Imaging Science in Dentistry
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    • 제30권2호
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    • pp.144-148
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    • 2000
  • Sjogren's syndrome is a chronic inflammatory disease that predominantly affects salivary, lacrimal and other exocrine glands. We report a case of Sjogren's syndrome combined with MALT (mucose associated lymphoid tissue) lymphoma which occured in the parotid gland. A 57-year-old female with the complaint of painful swelling and lymph node enlargement was referred to our department. Sialograms of both parotid glands showed globular collections of contrast material uniformly distributed throughout the parotid gland. Salivary scintigraphy showed decreased uptake of the parotid gland. CT scan showed larger, slightly more dense parotid gland than normal and honeycomb glandular appearance. Also, It showed discrete, slightly more enhanced round mass in the left parotid gland. Histopathological finding showed replacement of salivary gland parenchyma with dense small lymphocytic infiltration having the feature of epimyoepithelial islands. Kappa light chain restriction of interglandular plasma cell could be seen.

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쉐그렌증후군의 임상 증례 (A Case Report of Sjogren Syndrome)

  • JK Choi;SC Yoon;HK Park
    • Journal of Oral Medicine and Pain
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    • 제20권1호
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    • pp.29-37
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    • 1995
  • We diagnosed a patient with chronic dry mouth for 3 years as definite Sjogren's syndrome by the criteria for diagnosis of Sjogren's syndorne proposed by the 1st international seminar on Sjogren's syndrome. The clinical immunologic , hematologic, scintigraphic, and histologic examinations were performed. The patient showed severe xeorstomia, keratoconjunctiva sicca, severe infiltration of lymphocytes in minor salivary glands, and evidences of autoantibodies. The patient's history and clinical findings excluded preexisting lymphoma, graft-versus-host disease, acquired immunodeficiency disease, and sarcoidosis.

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

  • 오현석;한인식;이득수;김병우;정종진;선승호;박선주;정해창
    • 동의생리병리학회지
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    • 제27권5호
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    • pp.578-586
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    • 2013
  • The objective of this study was to investigate the diagnosis and treatment of Sjogren's syndrome(SS) 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 2007 to July 2012. Searching key words were the various combination of "Sjogren's syndrome", "Traditional Chinese Medicine", "herbal medicine", and "syndrome differentiation". The final selection of 57 studies were extracted and summarized by two researchers independently. The syndrome differentiation was classified as yin deficiency with fluid depletion, yin deficiency with dryness heat, dryness toxin with yin damage, internal obstruction of static blood, dual deficiency of qi and yang, dampness-heat obstructing, wind with external contraction, liver qi depression, blood deficiency and wind-dryness, dual deficiency of yin and yang, and internal obstruction of phlegm-blood stasis. Liriope platyphylla(麥門冬), Rehmania glutinosa(生地黃), and Scrophularia buergeriana(玄蔘) were primarily prescribed to tonify yin, engender fluid and moisten dryness.

Renal involvement in pediatric rheumatologic diseases

  • Kim, Seong Heon
    • Childhood Kidney Diseases
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    • 제26권1호
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    • pp.18-24
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    • 2022
  • Pediatric rheumatologic diseases are rare systemic diseases that can involve various organs, including the kidneys. Each rheumatologic disease can exhibit characteristic renal involvement, which requires proper treatment and diagnosis. In this review, we discuss renal involvement in classic rheumatologic diseases, including juvenile idiopathic arthritis, Sjogren's syndrome, systemic sclerosis, and juvenile dermatomyositis. Reviews addressing lupus nephritis and antineutrophil cytoplasmic antibody-associated renal disease are complex and tend to cover a wide array of topics, and thus were excluded from this review.

일차성 Sjogren씨 증후군에서 발생한 림프구성 간질성 폐렴 1예: 증례보고와 국내문헌고찰 (Lymphoid Interstitial Pneumonia Associated with Primary Sjogren's Syndrome - A Case Report)

  • 모상일;이혁규;조아라;정혜경;이호성;최재성;서기현;나성수;김용훈;나주옥
    • Tuberculosis and Respiratory Diseases
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    • 제69권5호
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    • pp.375-380
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    • 2010
  • Lymphoid interstitial pneumonia (LIP) is a rare benign lymphoproliferative interstitial lung disease. LIP has been associated with autoimmune disorders, HIV, viral infections, and so on. Once underlying systemic diseases have been excluded, a diagnosis of idiopathic LIP can be made. Although 6 cases of pathologically confirmed LIP have occurred in Korea, thus far none has been associated with primary Sjogren's syndrome. A 44-year-old man was admitted to hospital due to a dry cough and dypsnea on exertion that had been ongoing for 2 months. A chest radiography showed multiple and variable-sized cystic lesions, on both lungs and both interstitial infiltration and consolidation in both lower lung fields. Tests for autoantibody showed positive results of anti-nuclear antibody and anti-Ro/La antibody. The patient underwent a video assisted thoracoscopic surgery biopsy and pathologically confirmed LIP. We report the first known case of LIP-associated with primary Sjogren's syndrome in Korea.