• 제목/요약/키워드: myositis

검색결과 68건 처리시간 0.022초

긴장성 근육통 증후군으로 인한 만성 경항통 환자에 대한 이완 요법 적용 1례(例) (The Report on Relaxation Therapy Application for Chronic Neck Pain with Tension Myositis Syndrome Trend)

  • 김규태;권승로;송주현;김수용;이제균
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.277-285
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    • 2005
  • 2005년 5월 자생한방병원 한방신경정신과에 입원한 환자에 대하여 긴장성 근육통 증후군의 관점에서의 접근을 통해 이완 요법치료를 실시하여 환자 동통 치료에 대하여 양호한 결과를 보였고 환자의 통증 회복 의지에 대한 심리 상태에도 변화가 있었다. 그 결과 다음과 같은 소견을 보였다. 1. 기질적인 원인이 있는 만성 경항부 통증 환자에서 환자의 심리적 상태를 고려한 이완요법을 병행하여 통증 지각 감소와 심리적 자신감 회복에 양호한 결과를 보였다. 2. 긴장성 근육통 증후군에서의 환자의 내재되어 있는 심리상태가 통증을 일으킨다고 보는 관점은 한의학적 관점에서는 기(氣)의 순환 장애에서 오는 기통증(氣痛症), 기울증(氣鬱症)으로 볼 수 있으며, 이완 요법은 환자 치료에 정서, 심리적인 측면을 고려한 점에서 이정변기요법(移精變氣療法)등과 같은 한방정신요법과 유사성을 찾아 볼 수 있다. 3. 이완 요법은 통증 치료에 있어서 심리적 이완, 안정을 도모하고, 통증에 대한 과도한 관심을 억제하여 통증 지각 완화에 도움이 된다.

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카르복시테라피 후 발생한 급성 신우신염 및 근육염 : 증례 보고 (Acute pyelonephritis and myositis after carboxytherapy : A case report)

  • 선경훈;허준호;황용
    • 한국산학기술학회논문지
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    • 제19권8호
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    • pp.417-421
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    • 2018
  • 카르복시테라피(Carboxytherapy)는 메조테라피(mesotherapy)와 방법, 치료 조건 및 결과 면에서 매우 유사하다. 그러나 중요한 차이점은 카르복시테라피는 이산화탄소 가스를 피부 바로 아래의 피하층으로 주입하는 반면 메조테라피는 비타민, 미네랄, 그리고 약물의 혼합물을 주입한다는 것이다. 메조테라피의 합병증으로 혈종, 파누스육아종, 봉와직염, 농양 등 이전에 많은 사례들이 보고되었으나, 카르복시테라피는 피하 및 얕은층에 이산화탄소를 주입하고, 이산화탄소는 주입 1주일 안에 흡수되기 때문에 부작용이 거의 보고 되지 않았다. 3일전과 2주전에 한의원에서 카르복시테라피를 받은 29세 여자 환자가 고열, 근육통, 심한 요통 및 엉덩이 부위부터 아래쪽 흉벽까지 피하 기종을 주소로 응급실에 내원하였다. 진단 및 치료를 위해 컴퓨터 단층 촬영을 시행하였으며, 즉시 영상의학과에 판단을 의뢰하였다. 바늘에 의한 손상으로 인한 급성 복막염을 배제할 수 없어 즉각적인 광범위항생제를 투여하였으며, 판독 결과 근육염과 바늘 손상으로 인한 신우신염이 확진되었다. 신우 신염의 경우 적절한 치료가 이루어지지 않으면 패혈증까지 진행할 수 있어 치명적인 결과를 초래 할 수 있다. 따라서 만일 바늘에 찔리거나 침을 맞은 후에 환자가 늑골척추부위나 허리에 통증이 있는 경우 응급의학과 의사는 진단 및 치료를 위해 신속한 초기 평가가 필요하다.

Gemcitabine 투여 후 발생한 방사선 회귀 피부, 근육염 (Gemcitabine-Induced Radiation Recall Dermato-Myositis)

  • 노희선;임희환;김정훈;조장현;허정권;조성인;유지영;김철현;이재철
    • Tuberculosis and Respiratory Diseases
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    • 제61권2호
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    • pp.167-170
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    • 2006
  • 대퇴골 전이를 동반한 비소세포폐암 환자에서 전이 부위에 대한 방사선 치료 후 시행한 항암화학요법 도중, gemcitabine으로 인한 방사선 회귀 피부, 근육염이 발생하였다. 대퇴부의 부종, 발적과 통증 등은 스테로이드 사용 후 모두 사라졌으며, gemcitabine 투여를 중지한 이후 현재까지 재발이 없었다.

Sarcocystosis in a 30 month old Hanwoo(Bos taurus oreanae)

  • Ku, Kyung-Nyer;Kim, Kyung-Sook;Yang, Il;Lee, Ho-Seung;Woo, Jong-Tae
    • 한국동물위생학회지
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    • 제31권4호
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    • pp.465-469
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    • 2008
  • Unusual yellowish-green intramuscular granulomatous lesions were found in a carcass of Hanwoo(slaughtered, 30 month old). Those were 1-3 mm in diameter, oval shaped, and paralleled with muscle fibers. Histologically, severe inflammation, eosinophilic granulomas and necrosis were observed in the muscle tissue. We also observed sarcocysts in the muscle cells. In a polymerase chain reaction, we identified 900bp length, sarcocystis specific fragment. It would be diagnosed as sarcocystosis in Hanwoo.

Acute Respiratory Distress Syndrome as the Initial Clinical Manifestation of an Antisynthetase Syndrome

  • Kim, Seo-Hyun;Park, I-Nae
    • Tuberculosis and Respiratory Diseases
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    • 제79권3호
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    • pp.188-192
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    • 2016
  • Antisynthetase syndrome has been recognized as an important cause of autoimmune inflammatory myopathy in a subset of patients with polymyositis and dermatomyositis. It is associated with serum antibody to aminoacyl-transfer RNA synthetases and is characterized by a constellation of manifestations, including fever, myositis, interstitial lung disease, mechanic's hand-like cutaneous involvement, Raynaud phenomenon, and polyarthritis. Lung disease is the presenting feature in 50% of the cases. We report a case of a 60-year-old female with acute respiratory distress syndrome (ARDS), which later proved to be an unexpected and initial manifestation of anti-Jo-1 antibody-positive antisynthetase syndrome. The present case showed resolution of ARDS after treatment with high-dose corticosteroids. Given that steroids are not greatly beneficial in the treatment of ARDS, it is likely that the improvement of the respiratory symptoms in this patient also resulted from the prompt suppression of the inflammatory systemic response by corticosteroids.

Eosinophilic Myositis in a Slaughtered Korean Cow

  • Do, Sun-Hee;Kim, Suk-Hwan;Jeong, Won-Il;Jeong, Da-Hee;Lee, Gi-Ppeum;Yang, Hai-Jle;Yuan, Dong-Wei;Sohn, Myung-Hee;Lee, Chang-Woo;Kim, Tae-Hwan;Jeong, Kyu-Shik
    • 한국수의병리학회:학술대회논문집
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    • 한국수의병리학회 2004년도 추계 학술대회 초록집
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    • pp.27-27
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    • 2004
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족부 연부조직에 발생한 골연골종 - 1예 보고 - (Soft Tissue Osteochondroma in the Foot - A case report -)

  • 유선오;심창구;김철호;조명일;문진응
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.82-85
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    • 2001
  • We experienced a case of soft tissue osteochondroma in the foot. The 43-years-old male was complained palpable mass and mild pain at the heel for 3 years. The plain radiograpy revealed a bony mass without connection of neighbor bone in the heel. The osteochondroma in the soft tissue is rare benign tumor. The mass was removed en bloc. The gross and histologic findings were consistent with osteochondroma. The differential diagnosis includes myositis ossificans, tumoral calcinosis, synovial chondromatosis, soft tissue osteochondroma, and true osteochondroma which arises from bone. The symptom was improved. After postoperative 1 year, recurrence was not.

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Late side effects of radiation treatment for head and neck cancer

  • Brook, Itzhak
    • Radiation Oncology Journal
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    • 제38권2호
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    • pp.84-92
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    • 2020
  • Patients undergoing radiation therapy for head and neck cancer (HNC) experience significant early and long-term side effects. The likelihood and severity of complications depends on a number of factors, including the total dose of radiation delivered, over what time it was delivered and what parts of the head and neck received radiation. Late side effects include: permanent loss of saliva; osteoradionecrosis; radiation recall myositis, pharyngoesophageal stenosis; dental caries; oral cavity necrosis; fibrosis; impaired wound healing; skin changes and skin cancer; lymphedema; hypothyroidism, hyperparathyroidism, lightheadedness, dizziness and headaches; secondary cancer; and eye, ear, neurological and neck structures damage. Patients who undergo radiotherapy for nasopharyngeal carcinoma tend to suffer from chronic sinusitis. These side effects present difficult challenges to the patients and their caregivers and require life-long strategies to alleviate their deleterious effect on basic life functions and on the quality of life. This review presents these side effects and their management.

Heterotopic Ossification in the Abdominal Wall after Exploratory Laparotomy

  • Kim, Hohyun
    • Journal of Trauma and Injury
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    • 제31권3호
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    • pp.177-180
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    • 2018
  • Heterotopic bone formation in abdominal incisions is a recognized but uncommon sequela of abdominal surgery. On the other hand, the formation of ectopic bone is a well-recognized complication following arthroplasty of the hip. Heterotopic ossification of midline abdominal incision scars is a subtype of myositis ossificans traumatica. Ectopic bone formation of midline abdominal incisions may cause regional pain or discomfort in the patient after surgery. If symptomatic, treatment is complete excision with primary closure. Radiologically, it is important to distinguish this benign entity from postoperative complications. We report a 69-year-old male who underwent exploratory laparotomy for traumatic small bowel perforation. A segment of abnormal hard tissue was found in the abdominal wall. Heterotopic ossification may occur at various sites and is a recognized but infrequent sequela of exploratory laparotomy. This case highlights clinical and etiological features of this finding.

A Rare Case of Limited Muscle Involvement in Polyarteritis Nodosa

  • Song, Sung Oh;Lee, Ro Woon;Lim, Mie Jin;Kwon, Seong Ryul;Park, Won
    • Investigative Magnetic Resonance Imaging
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    • 제25권1호
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    • pp.53-58
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    • 2021
  • Polyarteritis nodosa (PAN) is a systemic vasculitis involving small- and medium-sized arteries, which presents with necrotizing inflammation. PAN occurs as a systemic disease or as a limited form confined to a single organ. Few cases have been reported with single organ involvement, and even fewer have been reported with skeletal muscle involvement. Herein, we report the ultrasonography and magnetic resonance imaging findings in a rare case of PAN with limited muscle involvement in a 66-year-old man.