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The Journal of The Korean Rheumatism Association最新文献

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Dermatomyositis with Diffuse Large B Cell Lymphoma 皮肌炎伴弥漫性大B细胞淋巴瘤
The Journal of The Korean Rheumatism Association Pub Date : 2009-12-01 DOI: 10.4078/JKRA.2009.16.4.323
Eun Jung Jang, Hyoun-Ah Kim, J. Sung, Jin-Woo Lee, E. Hwang, Hugh C. Kim, J. Han, C. Suh
{"title":"Dermatomyositis with Diffuse Large B Cell Lymphoma","authors":"Eun Jung Jang, Hyoun-Ah Kim, J. Sung, Jin-Woo Lee, E. Hwang, Hugh C. Kim, J. Han, C. Suh","doi":"10.4078/JKRA.2009.16.4.323","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.4.323","url":null,"abstract":"Dermatomyositis (DM) is a rare and idiopathic inflammatory myopathy with characteristic cutaneous manifestations. There is a well-recognized association between DM and cancers. In Korea, several DM cases have been reported to be associated with stomach cancer, breast cancer, acute lymphoblastic leukemia, lung cancer, and tonsil cancer. However, an association between DM and lymphoma in Korea has not been reported up to now. We report a case of DM who developed diffuse large B-cell lymphoma 1 year and 8 months later.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133116042","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
Bronchiolitis Obliterans with Organizing Pneumonia (BOOP) in a Patient with Rheumatoid Arthritis 类风湿关节炎患者闭塞性细支气管炎伴组织性肺炎(BOOP) 1例
The Journal of The Korean Rheumatism Association Pub Date : 2009-12-01 DOI: 10.4078/JKRA.2009.16.4.312
H. Yoon, Moon-Hee Youn, J. Chin, H. Lee, S. Kwok, J. Ju, Kyung-Su Park, Sung-Hwan Park, Ho‐Youn Kim
{"title":"Bronchiolitis Obliterans with Organizing Pneumonia (BOOP) in a Patient with Rheumatoid Arthritis","authors":"H. Yoon, Moon-Hee Youn, J. Chin, H. Lee, S. Kwok, J. Ju, Kyung-Su Park, Sung-Hwan Park, Ho‐Youn Kim","doi":"10.4078/JKRA.2009.16.4.312","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.4.312","url":null,"abstract":"Interstitial lung disease (ILD) is one of the common extra-articular manifestations of rheumatoid arthritis (RA). Bronchiolitis obliterans with organizing pneumonia (BOOP) is one type of ILD, and this is characterized by the proliferation of granulation tissue in the bronchioles, alveolar ducts and some alveoli and interstitial infiltration by chronic inflammatory cells. It develops as a manifestation of RA or as a side effect of anti-rheumatic drugs in patients with RA. We experienced a 41-year-old female patient with RA who developed BOOP during the treatment with methotrexate and bucillamine. She presented with cough and sputum for several months and pleuritic chest pain for one week. The chest radiograph showed bilateral multifocal consolidations. She received thoracoscopic biopsy and her pulmonary infiltrations resolved after the treatment with corticosteroid.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128695672","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 Dermatomyositis Showing Vesicular Lesion Associated with Ovarian Cancer 皮肌炎伴卵巢癌的水疱性病变1例
The Journal of The Korean Rheumatism Association Pub Date : 2009-12-01 DOI: 10.4078/JKRA.2009.16.4.291
Y. Ha, S. Jung, Kwanghoon Lee, J. Choi, Kwang Kil Lee, Soo Kon Lee, Yong-Beom Park
{"title":"A Case of Dermatomyositis Showing Vesicular Lesion Associated with Ovarian Cancer","authors":"Y. Ha, S. Jung, Kwanghoon Lee, J. Choi, Kwang Kil Lee, Soo Kon Lee, Yong-Beom Park","doi":"10.4078/JKRA.2009.16.4.291","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.4.291","url":null,"abstract":"Dermatomyositis is a rare inflammatory myopathy with characteristic skin manifestations and accompanied by muscular weakness. Vesicle formation in dermatomyositis is rare. We report a case of dermatomyositis associated with ovarian cancer in a 62-year-old woman who had vesicles and bullae on her arms. She had erythema and edema on the face, chest, abdomen, and shoulder for 2 months. Diagnosis of dermatomyositis was established by clinical manifestations, muscle enzyme elevation, and a characteristic electromyogram. She was successfully treated with cyclosporin and high doses of steroids.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132343357","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: 2
Use of TNF Inhibitor in Particular Clinical Settings TNF抑制剂在特殊临床环境中的应用
The Journal of The Korean Rheumatism Association Pub Date : 2009-12-01 DOI: 10.4078/JKRA.2009.16.4.264
Sang-Heon Lee
{"title":"Use of TNF Inhibitor in Particular Clinical Settings","authors":"Sang-Heon Lee","doi":"10.4078/JKRA.2009.16.4.264","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.4.264","url":null,"abstract":"Tumor necrosis factor (TNF) inhibitors have been established as therapeutic agents for treating refractory systemic rheumatic diseases including rheumatoid arthritis and ankylosing spondylitis. While TNF inhibitors can effectively decrease the inflammation, they also decrease resistance to infection and affect immune surveillance mechanisms. Clinicians are sometimes faced with special situations such as chronic hepatitis B infection, pregnancy, complicated medical problems and older populations when prescribing TNF inhibitors. These conditions are affected by TNF inhibitors, which may induce poor clinical outcomes as well as side effects. To date, there are limited clinical data and recommendation guidelines on patients receiving TNF inhibitors in these special situations. We reviewed the effect of TNF inhibitors on each condition with review of the literatures concerning the clinical trials of TNF inhibitors in various rheumatic conditions. TNF inhibitors should be introduced carefully in special situations affecting the outcome of underlying illness, depending on the risk/benefit profiles in each case.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116977129","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: 2
The Prevalence and Clinical Features of Musculoskeletal Diseases in Incheon: Results from Chronic Disease Management Surveys 仁川地区肌肉骨骼疾病的患病率和临床特征:来自慢性疾病管理调查的结果
The Journal of The Korean Rheumatism Association Pub Date : 2009-12-01 DOI: 10.4078/JKRA.2009.16.4.281
H. Choi, W. Han, J. Im, H. Baek
{"title":"The Prevalence and Clinical Features of Musculoskeletal Diseases in Incheon: Results from Chronic Disease Management Surveys","authors":"H. Choi, W. Han, J. Im, H. Baek","doi":"10.4078/JKRA.2009.16.4.281","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.4.281","url":null,"abstract":"Objective: To estimate the prevalence of musculoskeletal diseases in Incheon. Methods: This study was based on data from chronic disease management surveys of Incheon. The surveys were conducted from 12 Sept 2005 to 7 Oct 2005 on 5,144 households using proportional stratified sampling methods. Three questionnaires were performed on all study subjects. All analyses were done using SPSS version 11.5. Results: Out of 16,623 subjects, the mean age was 34.5±20.2 (years, ±SD). The crude prevalence rate of musculoskeletal diseases were as follows: osteoarthritis 3.2%, rheumatoid arthritis 1.1%, spondyloarthropathy 0.3%, gouty arthritis 0.1%, Behcet’s disease 0.04%, herniated disc 1.1%, and osteoporosis 0.8%. Age-standardized prevalence of rheumatoid arthritis was 1.6%, and osteoarthritis 5.2%. The prevalence of rheumatoid arthritis and osteoarthritis tended to be higher among older age groups, low socioeconomic/education state, and homemakers. The age-standardized prevalence of arthritis was higher in rural than in urban area. There were more concurrent chronic diseases such as hypertension or diabetes mellitus in the arthritis group than in the whole population. Questionnaires were performed on subjects with musculoskeletal disease. It revealed chronic arthralgia at 3%, spine arthralgia 2.5%, and chronic myalgia 2.8%.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129478389","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: 10
A Case of Paget's Disease of Bone on Skull 颅骨佩吉特病1例
The Journal of The Korean Rheumatism Association Pub Date : 2009-12-01 DOI: 10.4078/JKRA.2009.16.4.344
Soo-jin Chung, Yong-Jin Kwon, Min-Chan Park
{"title":"A Case of Paget's Disease of Bone on Skull","authors":"Soo-jin Chung, Yong-Jin Kwon, Min-Chan Park","doi":"10.4078/JKRA.2009.16.4.344","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.4.344","url":null,"abstract":"환 자: 46세 여자 주 소: Alkaline phosphatase (ALP) 상승 현병력: 1년간 지속된 하부요통을 주소로 개인병 원에 내원하여 시행한 검사상 ALP 상승 소견 보여 추가적인 검사를 위해 내원하였다. 과거력: 특이 과거력이나 가족력은 없었다. 이학적 소견: 특이 소견은 관찰되지 않았다. 검사실 소견: 혈액검사상 혈청 ALP가 255 IU/L (정상범위: 39∼111 IU/L)로 상승되어 있었고, AST 19 IU/L, ALT 17 IU/L, 칼슘 9.3 mg/dL, 인 3.4 mg/ dL로 정상범위였으며, 혈색소, 백혈구수, 혈구침강속 도를 비롯한 다른 검사는 정상이었다. 방사선 소견: 전신뼈스캔검사(whole body bone scan) 에서 두개골에 방사성동위원소 흡수가 광범위하게 증가된 소견이 관찰되었고(그림 1), 두개골 방사선사 진에서 두개둥근천장(cranial vault)이 불규칙적으로 두꺼워져 있었다(그림 2). 진 단: 두개골에 발생한 Paget’s disease of bone으 로 진단하였다. 치료 및 경과: Bisphosphonate를 투여하며 외래에 서 경과관찰 중이다.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133914319","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
Simultaneous Occurrence of Cytomegalovirus Pneumonitis and Retinitis in a Patient with Dermatomyositis 皮肌炎患者同时发生巨细胞病毒肺炎和视网膜炎
The Journal of The Korean Rheumatism Association Pub Date : 2009-09-01 DOI: 10.4078/JKRA.2009.16.3.223
Jangwon Yoon, H. Yoon, S. Kwok, Hyek-Jae Koh, Ho‐Youn Kim, Sung-Hwan Park
{"title":"Simultaneous Occurrence of Cytomegalovirus Pneumonitis and Retinitis in a Patient with Dermatomyositis","authors":"Jangwon Yoon, H. Yoon, S. Kwok, Hyek-Jae Koh, Ho‐Youn Kim, Sung-Hwan Park","doi":"10.4078/JKRA.2009.16.3.223","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.3.223","url":null,"abstract":"Cytomegalovirus (CMV) infection commonly affects patients who are in an immunocompromised state, such as acquired immune deficiency syndrome (AIDS) and during organ transplantation. Although cytomegalovirus infection does not occur frequently, it is a major cause of morbidity and mortality in patients suffering with connective tissue diseases, including dermatomyositis. Cytomegalovirus pneumonitis and retinitis has been rarely reported in patients with dermatomyositis. We report here on an usual case involving the simultaneous occurrence of cytomegalovirus pneumonitis and retinitis in a 39-year-old female with dermatomyositis, and this woman had been treated with steroids and immunosuppressive agents for the previous 5 months.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127486167","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 Avascular Necrosis of Bone as the Initial Manifestation of Polyarteritis Nodosa 结节性多动脉炎以骨缺血性坏死为首发表现1例
The Journal of The Korean Rheumatism Association Pub Date : 2009-09-01 DOI: 10.4078/JKRA.2009.16.3.232
Soo-Min Kim, B. H. Park, Y. Kang, M. Park, Juhee Song
{"title":"A Case of Avascular Necrosis of Bone as the Initial Manifestation of Polyarteritis Nodosa","authors":"Soo-Min Kim, B. H. Park, Y. Kang, M. Park, Juhee Song","doi":"10.4078/JKRA.2009.16.3.232","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.3.232","url":null,"abstract":"We describe a 28-year old man in otherwise apparently good health, in whom pain in his left knee joint caused by avascular necrosis led to a diagnosis of polyarteritis nodosa (PAN). The angiogram showed multiple microaneurysmal and thrombotic lesions, notably in the renal, mesenteric and tibial arteries. A skin biopsy of the upper dermis of the left thigh with an erythematous skin rash showed the infiltration of mononuclear leukocytes in the perivascular area. During hospitalization, he was diagnosed with chronic hepatitis B, and was treated with lamivudine, and corticosteroid, azathioprine to control the PAN. The knee joint pain improved progressively, and the patient could walk normally after several months. This case is an unusual presentation because the initial manifestation of PAN was avascular necrosis.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130094602","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
Bone Marrow Findings and Cytokine Expression in Patients with Adult Onset Still's Disease 成人发病斯蒂尔氏病患者的骨髓表现和细胞因子表达
The Journal of The Korean Rheumatism Association Pub Date : 2009-09-01 DOI: 10.4078/JKRA.2009.16.3.171
J. Min
{"title":"Bone Marrow Findings and Cytokine Expression in Patients with Adult Onset Still's Disease","authors":"J. Min","doi":"10.4078/JKRA.2009.16.3.171","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.3.171","url":null,"abstract":"","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122173378","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 Chronic Inflammatory Demyelinating Polyneuropathy in a Patient with Systemic Lupus Erythematosus 系统性红斑狼疮并发慢性炎性脱髓鞘性多神经病变1例
The Journal of The Korean Rheumatism Association Pub Date : 2009-09-01 DOI: 10.4078/JKRA.2009.16.3.243
K. Moon, Y. Song, R. Song, C. Yun, J. K. Koh, Jinhyun Kim, E. Lee, E. Lee
{"title":"A Case of Chronic Inflammatory Demyelinating Polyneuropathy in a Patient with Systemic Lupus Erythematosus","authors":"K. Moon, Y. Song, R. Song, C. Yun, J. K. Koh, Jinhyun Kim, E. Lee, E. Lee","doi":"10.4078/JKRA.2009.16.3.243","DOIUrl":"https://doi.org/10.4078/JKRA.2009.16.3.243","url":null,"abstract":"Chronic inflammatory demyelinating polyneuropathy (CIDP) is characterized by symmetrical weakness, impaired sensation, absent or diminished tendon reflexes, an elevated cerebrospinal fluid protein level and nerve-conduction studies that show demyelination. The occurrence of CIDP in patients with systemic lupus erythematosus (SLE) has been rarely reported. We experienced a case of a 33 year-old woman with SLE and she presented with fever, abdominal pain, a tingling sensation of both of her hands and feet, and symmetrical weakness in both the proximal and distal extremities. Her symptoms had persisted for over 1 months before she visited our department. The CSF examination showed an elevated protein level and the nerve conduction studies revealed demyelination. Her symptoms showed minimal improvement with high dose steroid and immunoglobulin therapy, but she responded to cyclophosphamide therapy.","PeriodicalId":448877,"journal":{"name":"The Journal of The Korean Rheumatism Association","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121496550","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
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