• 제목/요약/키워드: polymyositis

검색결과 28건 처리시간 0.027초

다발성 근염 환자에서 발생한 스테로이드 근병증 1예 (Development of Steroid Myopathy during Polymyositis Treatment)

  • 이지훈;현신영;김충기;이수환;최아라;김성우;박성혜;이찬희
    • Journal of Yeungnam Medical Science
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    • 제28권2호
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    • pp.173-179
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    • 2011
  • Polymyositis is diffuse, inflammatory myopathy with proximal-muscle weakness due to lymphocyte infiltration to the muscle layer. The exact cause of the muscle weakness is unclear but may be related with an immunologic mechanism. Using high-dose steroid is the treatment of choice for polymyositis. It is difficult to distinguish steroid-resistant polymyositis from steroid myopathy, however, in the course of high-dose steroid therapy. These authors encountered a steroid myopathy patient during polymyositis treatment with high-dose steroid. A 57-year-old woman was diagnosed with polymyositis and was treated with high-dose steroid. Her condition was initially improved, but in the course of the treatment, her symptom was aggravated without increasing the muscle enzymes. Her muscle weakness was improved by reducing the steroid dosage.

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오행화침법(五行和鍼法)을 적용한 다발성 근염 치료 1례 (A Case Report on Polymyositis Treatment with Ohaeng-Hwa Acupuncture in Korean Medicine)

  • 이병권;감철우;박동일;한현영;이수정;권경만;이영준
    • Korean Journal of Acupuncture
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    • 제27권4호
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    • pp.119-127
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    • 2010
  • Objectives : Polymyositis is non-hereditary, autoimmune rheumatic disease, and one of the idiopathic inflammatory myopathy. It is characterized by progressive symmetrical proximal muscle weakness. Major clinical signs and symptoms of polymyositis are chronic non-suppurative inflammatation of skeletal muscle, elevation of muscle enzyme, and electromyographical changes. By use of Korean medicine treatments, muscle weakness and normalize muscle enzyme can be improved in case of polymyositis. Methods : A Patient, 32 years old, whom diagnosed with polymyositis on muscle biopsy and electromyographical changes, had medical treatments with Corticosteroids and Immunosuppressants, but no improvement was noted. She was treated with Korean Medicine, especially Ohaeng-Hwa Acupuncture(五行和 鍼法) and Ssanghwa-Tang(雙和湯) for three months period. Results : With Korean Medicine treatment of polymyositis for three months, most of her clinical signs and symptoms have been improved significantly, especially her muscle weakness and muscle enzyme level. Conclusion : This case has been reported to show that Korean medicine treatments have positive effects on polymyositis.

Polymyositis Associated with Pancreatic Ductal Adenocarcinoma

  • Yoon Suk Lee
    • Journal of Digestive Cancer Research
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    • 제10권2호
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    • pp.112-116
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    • 2022
  • Idiopathic inflammatory myopathy (IIM) is known for its association with malignant diseases. Moreover, various solid organ malignancies, such as ovarian, breast, lung, esophageal, stomach, and colorectal cancers, have been reported to occur with IIM. Furthermore, its relationship with hematologic malignancies, including non-Hodgkin lymphoma, myeloma, and leukemia, has been reported. However, to date, IIM related to pancreatic cancer has scarcely been reported, particularly in patients with polymyositis (PM). Therefore, here we report a case of PM developed immediately after the diagnosis of pancreatic ductal adenocarcinoma.

다발성근염의 선행증상으로 나타난 폐쇄성 세기관지염 기질화 폐렴 (Bronchiolitis Obliterans Organizing Pneumonia as the First Manifestation of Polymyositis)

  • 이종훈;손춘희;정원태;이기남;이용훈;최필조;정진숙;이창훈
    • Tuberculosis and Respiratory Diseases
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    • 제46권1호
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    • pp.89-95
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    • 1999
  • 저자들은 40세 남자환자에서 고열과 호흡곤란, 기침을 주소로 내원하여 개흉 폐생검상 폐쇄성 세기관지염 기질화 폐렴 진단 후 스테로이드 치료로 호전을 보이다가 임상증상의 재발과 함께 다발성근염을 보인 후 재차 스테로이드 치료에 반응을 보인 1예를 경험하였기에 이를 보고하는 바이다.

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골수이식 이후의 다발근육염: 만성 이식편대숙주병의 드문 증상인가? 자가면역작용인가? (Polymyositis After Bone Marrow Transplantation: As an Uncommon Manifestation of Chronic Graft-Versus-Host Disease? or Autoimmune Process?)

  • 최원철;정용한;양영일;배종석
    • Annals of Clinical Neurophysiology
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    • 제13권1호
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    • pp.58-60
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    • 2011
  • Chronic graft-versus-host disease (GVHD) is a well-known complication of allogeneic bone marrow transplantation (BMT) and has heterogeneous manifestations, with multi-organ involvement. Recently, polymyositis (PM) was reported to be a rare manifestation of chronic GVHD. Here, we report a 30-year-old woman who was diagnosed with PM after allogeneic BMT.

호흡기 증상을 동반한 다발성 근염 환자의 증례연구 (The case study about Polymyositis patient with respiratory symptoms)

  • 이기수;홍권의
    • 대한약침학회지
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    • 제13권2호
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    • pp.131-138
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    • 2010
  • Objective : This is a clinical report about the 77-years-old man patient with polymyositis treated by oriental medicine. Methods : The patient was treated by acupuncture and herb medication. The improvement of the patient was judged by MRC scale and CPK, LDH. Results & Conclusions : 1. Patient's symptoms(paraplegia) rapidly improved. 2. The level of CPK, LDH and Potassium are recovered to the normal range. 3. Associated with respiratory symptoms are getting better.

피부근염-다발성근염 환자에서 방사성 동위원소를 이용한 식도 스캔의 정량적 분석 (Quantitative Analysis of Esophageal Transit of Radionuclide in Patients with Dermatomyositis-Polymyositis)

  • 이명혜;정준기;이명철;고창순
    • 대한핵의학회지
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    • 제23권2호
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    • pp.183-188
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    • 1989
  • Esophageal transit of radionuclide was quantitatively analyzed in 29 patients with dermatomyositis-polymyositis. Fourteen patients (48.3%) showed retention of tracer in oropharynx. The mean value of percent retention of oropharynx was $15.5{\pm}16.6%$. Esophageal dysfunction was found in 19 patients (65.5%). Among them 4 showed mild, 12 showed moderate and 3 showed severe esophageal dysfunction. Dysphagia was found in 11 patients (37.9%), which was closely related to percent retention of oropharynx.Quantitative analysis of esophageal transit of radionuclide seemed to be a useful technique for evaluation of dysphagia in patients with dermatomyositis-polymyositis.

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젊은 성숙 알라스칸 말라뮤트에서 특발성 다발성근염 증례 (Idiopathic Polymyositis in a Young Mature Alaskan malamute)

  • 이재일;홍성혁;손화영;김명철
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.244-246
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    • 2007
  • 20 개월령의 알라스칸 말라뮤트 견에서 특발성 다발성근염의 임상증상과 병리학적 소견을 서술하였다. 임상 증상은 급성 허약을 동반한 진행성 운동불내성, 근 위축, 후지의 동시적 걸음걸이, 계란 위를 발끝으로 걷듯 짧고 경직된 걸음 등을 보였다. 신체검사와 임상검사에서는 신경계나 골격계 그리고 다른 질병과 관련된 이차적인 근 질환의 증거가 없었다. 그래서 가장 근 위축이 심한 부위에서 병리조직 검사를 위한 근 생검을 실시하였다. 골격근의 병리검사 결과 근 섬유의 괴사와 함께 단핵세포의 침윤이 관찰되어, 특발성 다발성근염으로 진단하였다. 초기치료는 통증경감과 보조치료를 시작하여 프레드니손 2 mg/kg를 경구로 매일 투여하는 면역억제 요법을 시행하였다. 3주 후 환자는 혈액, 혈청학적 검사에서 정상으로 회복될 뿐만 아니라 걸음걸이, 식욕, 운동의 향상을 나타냈다.