The Journal of The Korean Rheumatism Association最新文献

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Anti TNF Therapy and Serious Infection in Rheumatologic Field 抗肿瘤坏死因子治疗与风湿病领域严重感染
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-31 DOI: 10.4078/JKRA.2010.17.4.337
Tae-Hwan Kim
{"title":"Anti TNF Therapy and Serious Infection in Rheumatologic Field","authors":"Tae-Hwan Kim","doi":"10.4078/JKRA.2010.17.4.337","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.337","url":null,"abstract":"","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122999094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between TBX21 Gene Polymorphisms and Korean Patients with Behçet's Disease TBX21基因多态性与韩国behaperet病患者的关系
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.360
J. Hwang, Ju-Kyoung Song, I. Yoo, S. Song, Jinhyun Kim, Y. Lee, Y. Bae, H. Choi, H. Baek, S. Kang
{"title":"Associations between TBX21 Gene Polymorphisms and Korean Patients with Behçet's Disease","authors":"J. Hwang, Ju-Kyoung Song, I. Yoo, S. Song, Jinhyun Kim, Y. Lee, Y. Bae, H. Choi, H. Baek, S. Kang","doi":"10.4078/JKRA.2010.17.4.360","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.360","url":null,"abstract":"","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129030994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Differential Diagnosis for the Cause of Carpal Tunnel Syndrome Using Musculoskeletal Ultrasound 腕管综合征病因的肌肉骨骼超声鉴别诊断
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.454
Hae-Rim Kim, Jeeyoung Oh, Sang-Heon Lee
{"title":"Differential Diagnosis for the Cause of Carpal Tunnel Syndrome Using Musculoskeletal Ultrasound","authors":"Hae-Rim Kim, Jeeyoung Oh, Sang-Heon Lee","doi":"10.4078/JKRA.2010.17.4.454","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.454","url":null,"abstract":"환 자: 78세 여자 주 소: 1년간의 왼손 저림 현병력: 1년 전부터 시작된 왼쪽 1∼3번째 손가락 저림으로 타병원에서 경구약제 투여 받았으나 밤에 잠을 못 잘 정도로 통증과 저림이 더 심해져 내원하 였다. 과거력: 특이소견 없었다. 이학적 소견: 좌측 손의 티넬 징후 및 팔렌씨 징 후가 양성이었고, 엄지두덩의 근위축이 관찰되었다. 손목 관절의 종창, 압통이나 관절운동 제한 등은 관 찰되지 않았다. 검사실 소견: 혈액 검사상 이상소견 없었으며, 신 경전도 검사상 손목 부분의 좌측 정중신경의 종말잠 시(terminal latency)가 지연되어 있었다. 방사선 소견: 초음파(7∼15 MHz transducer, EnVisor, Phillips Medical Systems, Bothell, WA, USA)상 손목 굴 내부에 12×6 mm 크기의 고에코성 타원형 종괴 가 관찰되었고, 이 종괴에 의해 정중신경이 압박되 었다(그림 1). 자기공명영상 결과 손목굴 내 12×12× 6 mm 크기의 타원형 석회성 병변이 조영 증강된 정 중신경을 압박하고 있었고, 손목굴 내부의 굽힘 힘 줄의 조영 증강 및 손목굴 입구의 정중 신경에는 종 창이 관찰되었다(그림 2). 진 단: 석회성 건염에 동반된 석회화 침착 종괴 에 의한 손목굴증후군으로 진단하였다. 치료 및 경과: 환자가 고령임을 이유로 수술적 제 거를 거부하여 대증적인 약물 투여 중이다.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114739061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Effect of Early Immunoglobulin Treatment on the Course of Kawasaki Disease 早期免疫球蛋白治疗对川崎病病程的影响
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.386
Chae Ik Ra, Ki Hwan Kim, Jong Gyun Ahn, D. S. Kim
{"title":"The Effect of Early Immunoglobulin Treatment on the Course of Kawasaki Disease","authors":"Chae Ik Ra, Ki Hwan Kim, Jong Gyun Ahn, D. S. Kim","doi":"10.4078/JKRA.2010.17.4.386","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.386","url":null,"abstract":"Objective: Controversies exist as to whether early treatment for Kawasaki disease might increase the need for additional intravenous immunoglobulin (IVIG) treatment and whether it could reduce cardiac complications. We conducted this study to add useful clues, which could be helpful when setting up a treatment plan. Methods: 359 patients who were newly diagnosed with Kawasaki disease at Severance Hospital were divided into two groups; patients who received IVIG treatment within 3 days (group A) and those who received IVIG treatment after 3 days (groups B and C). We compared the laboratory data, fever duration, frequency of additional IVIG treatment, and echocardiography follow-up results. Results: IVIG was administered 1.11±0.34 (mean±SD), 1.15±0.39, and 1.17±0.42 times in groups A, B, and C, respectively; p=0.29 (A vs. B), p=0.21 (A vs. C). The incidence of cardiac complications checked within the first 2 weeks from disease onset was 3.6%, 5.2%, and 5.1% in groups A, B, and C, respectively; p=0.52 (A vs. B), p=0.55 (A vs. C), and the values checked at 2 months were 3.6%, 5.6%, and 5.7% in groups A, B, and C, respectively; p=0.43 (A vs. B), p=0.43 (A vs. C). Conclusion: Early IVIG treatment in patients with Kawasaki disease decreased fever duration and may prevent cardiac complications by limiting inflammation.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"05 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127434243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Non Secretory Type Multiple Myeloma Associated with Systemic Lupus Erythematosus 非分泌型多发性骨髓瘤合并系统性红斑狼疮1例
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.431
Y. Jeong, H. S. Kim, Eun Jeong Kim, Yunsuek Kim, Chiyoung Park, B. Shin, G. Park
{"title":"A Case of Non Secretory Type Multiple Myeloma Associated with Systemic Lupus Erythematosus","authors":"Y. Jeong, H. S. Kim, Eun Jeong Kim, Yunsuek Kim, Chiyoung Park, B. Shin, G. Park","doi":"10.4078/JKRA.2010.17.4.431","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.431","url":null,"abstract":"The development of malignant tumors is a more frequent finding in lupus patients than the general population. However, the incidence of multiple myeloma associated with systemic lupus erythematosus (SLE) is a rare manifestation. SLE is an autoimmune disease characterized by B cell hyperactivity, formation of autoantibodies, and multi-clonal hypergammaglobulinemia. Serum immunoglobulin increases, with a specific increase in IgG, which is due to an increase in autoantibody formation related to extrinsic and intrinsic antigens. We report on a patient with SLE combined with IgG, lambda type nonsecretory multiple myeloma, which was diagnosed with refractory anemia and hypergammaglobulinemia.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116574263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Determining Clinical Risk Factors for Radiographical Severity in Patients with Ankylosing Spondylitis in Daegu and Kyungpook Territories 确定大邱和庆北地区强直性脊柱炎患者放射学严重程度的临床危险因素
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.376
H. Jung, Hwajeong Lee, J. Choe, Sung-Hoon Park, Seong-Kyu Kim, Sang-Hyon Kim, Ju-youn kim, S. Han, Seong-Ho Kim
{"title":"Determining Clinical Risk Factors for Radiographical Severity in Patients with Ankylosing Spondylitis in Daegu and Kyungpook Territories","authors":"H. Jung, Hwajeong Lee, J. Choe, Sung-Hoon Park, Seong-Kyu Kim, Sang-Hyon Kim, Ju-youn kim, S. Han, Seong-Ho Kim","doi":"10.4078/JKRA.2010.17.4.376","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.376","url":null,"abstract":"Objective: This study was designed to identify prognostic determinants of radiographical severity in patients with ankylosing spondylitis (AS) living in Daegu and Kyungpook territories. Methods: One hundred-nineteen patients with AS were consecutively enrolled from four regional general hospitals. Clinical data including smoking habits, alcohol intake, disease duration, HLA-B27 positivity, involvement of peripheral joints, occupational activity, and regular exercise were investigated. Radiographical severity was assessed by the Modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS). Statistical analyses were performed using the independent Student's t-test, Pearson's correlation coefficient analysis, and multivariate re- gression analysis. Results: Radiographical severity, as evaluated with the mSASSS, was associated with age of disease onset (p=0.011) and disease duration (p<0.001). Additionally, mSASSS was signifi-","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130178052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Ankylosing Spondylitis in a Patient with Human Immunodeficiency Virus 人类免疫缺陷病毒患者强直性脊柱炎1例
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.426
J. Im, M. Park, Tae Wook Kim, Min Jeong Jeong, Jae Shik Jeong, C. Lee
{"title":"A Case of Ankylosing Spondylitis in a Patient with Human Immunodeficiency Virus","authors":"J. Im, M. Park, Tae Wook Kim, Min Jeong Jeong, Jae Shik Jeong, C. Lee","doi":"10.4078/JKRA.2010.17.4.426","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.426","url":null,"abstract":"Human immunodeficiency virus infection is associated with a variety of rheumatic manifestations. The pathogenic mechanisms are not well defined, but evidences suggests multiple mechanisms, including direct or indirect human immunodeficiency virus involvement with a genetic, immunological, and environmental basis. Rheumatic manifestations can occur during the course of human immunodeficiency virus infection, and their presence is associated with an overall poor prognosis for the underlying human immunodeficiency virus infection. We report a case of a 37-year-old male who had ankylosing spondylitis with a human immunodeficiency virus infection.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116477284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Wegener's Granulomatosis with Periaortitis and Pachymeningitis 韦格纳肉芽肿病合并主动脉周炎和厚性脑膜炎1例
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.406
S. Chang, Hyewon Kim, C. Yun, E. Kang, E. Lee, Y. Lee, Eun‐Bong Lee, Y. Song
{"title":"A Case of Wegener's Granulomatosis with Periaortitis and Pachymeningitis","authors":"S. Chang, Hyewon Kim, C. Yun, E. Kang, E. Lee, Y. Lee, Eun‐Bong Lee, Y. Song","doi":"10.4078/JKRA.2010.17.4.406","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.406","url":null,"abstract":"Wegener’s grandulomatosis (WG) is a systemic small-vessel vasculitis characterized by necrotizing granulomatous lesions and anti-neutrophil cytoplasmic antibodies (ANCA). WG frequently affects the upper and lower respiratory tracts and kidney but involvement of the pachymeninges or large vessels has rarely been reported. We report the first case of WG with periaortitis and pachymeningitis in Korea. A 57-year-old female complained of a stabbing headache, paresthesia below the thoracic 4th nerve level, and lower extremity weakness. During her course, she developed otitis media with sensorineural hearing loss, nodular scleritis, and microhematuria. A neuroimaging study showed an intradural mass in the area from the cervical 7th spine to the thoracic 5th spine, left cerebral convexity, and the left petrous area. A chest computed tomography scan revealed an enhanced and thickened aortic arch. A dural biopsy showed necrotizing granulomatous inflammation, and anti-MPO ANCA was positive. Under a diagnosis of WG, she received high-dose glucocorticoid and oral cyclophosphamide with improvement.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126665429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systemic Sclerosis Coincidence with Sarcoidosis: A Case Report and Review of the Literature 系统性硬化症合并结节病1例报告及文献复习
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.400
Dong Chan Kim, D. Rim, Youngtong Kim, J. Ko, Chan Kum Park, Sung Soo Park, J. Jun
{"title":"Systemic Sclerosis Coincidence with Sarcoidosis: A Case Report and Review of the Literature","authors":"Dong Chan Kim, D. Rim, Youngtong Kim, J. Ko, Chan Kum Park, Sung Soo Park, J. Jun","doi":"10.4078/JKRA.2010.17.4.400","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.400","url":null,"abstract":"A 62-year-old Korean woman was admitted to our department to evaluate a chronic cough and sputum, which had begun several weeks ago. The patient had been diagnosed with systemic sclerosis in 2004. Autoantibody screening tests were negative for the anticentromere and antitopoisomerase antibodies. She received therapy with combined cyclophosphamide, a calcium channel blocker, D-penicillamine, and low dose steroid. In 2006, a pulmonary function test (PFT) showed a restrictive pattern, and a computed tomography (CT) scan of the lungs revealed interstitial lung disease, but no symptoms were present, so we maintained her on the medication. In October 2008, a chest x-ray and CT scan of the lungs demonstrated aggravation with bilateral basal interstitial infiltrates and hilar lymphadenopathy. Cyclophosphamide pulse therapy was conducted six times during 6 months, but there was no change on her chest CT and PFT, and she had no symptoms, so we decided to follow up. On admission, no significant interval change in the reticular opacity of both lower lungs was observed, but several lymph nodes were enlarged on a chest and neck CT. The skin showed multiple large polygonal-shaped scaled lesions on her upper and lower extremities. Biopsies were taken from the skin of the lower extremities and the left cervical lymph node. Typical non-caseating granulomas corresponding to sarcoidosis were found along with systemic sclerosis findings.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116859197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Case of Bullous Pemphigoid Arising after Infliximab Therapy in a Patient with Rheumatoid Arthritis 类风湿性关节炎患者英夫利昔单抗治疗后出现大疱性类天疱疮1例
The Journal of The Korean Rheumatism Association Pub Date : 2010-12-01 DOI: 10.4078/JKRA.2010.17.4.422
Seongsoo Park, J. Lee
{"title":"A Case of Bullous Pemphigoid Arising after Infliximab Therapy in a Patient with Rheumatoid Arthritis","authors":"Seongsoo Park, J. Lee","doi":"10.4078/JKRA.2010.17.4.422","DOIUrl":"https://doi.org/10.4078/JKRA.2010.17.4.422","url":null,"abstract":"Bullous pemphigoid is an autoimmune, subepidermal blistering disease commonly seen in the elderly. It is known as autoimmune bullous dermatoses with an estimated prevalence of 1 in 40,000 and shows no gender or racial predilection. It has an autoimmune nature with immunoglobulin (Ig) G and/or C3 complement targeting hemidesmosomal antigens located in the epidermal basement membrane zone. Drug-induced pemphigoid, although rare, can occur in patients taking penicillamine, furosemide, captopril, penicillin, or sulfasalazine, but infliximabinduced pemphigoid has not been reported. We experienced a case of infliximab-induced pemphigoid in 54-year-old woman with a 17-year history of rheumatoid arthritis.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131268150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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