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강직성척추염 환자에서 동반된 급성 횡단성 척추염

Title
강직성척추염 환자에서 동반된 급성 횡단성 척추염
Other Titles
Case Reports : Rheumatology ; Ankylosing Spondylitis Associated with Acute Transverse Myelitis
Author
김태환
Keywords
강직성 척추염; 급성 횡단성 척추염; 신경학적 증상; Ankylosing spondylitis; Acute transverse myelitis; Neurological manifestation
Issue Date
2011-06
Publisher
대한내과학회
Citation
Korean Journal of Medicine, 2011, 80(2), P.314-318(5)
Abstract
급성 횡단성 척추염은 강직성 척추염에서의 염증성 요통과 다른 양상의 기계적 요통을 유발하며, 드물게 발생하지만빠른 진단과 치료가 예후를 결정한다. 강직성 척추염과 급성횡단성 척추염과의 연관 관계는 아직 확실하지 않으나, 강직성 척추염에서 동반되는 신경학 증상과 유사한 병인을 가지며, 강직성 척추염에 병발된 급성 횡단성 척추염의 예가 보고된 바 있다[4,6]. 따라서 강직성 척추염 환자가 호소하는요통에 대해 접근할 때 요통의 양상에 대한 정확한 문진이필요하며 동반된 신경학적 증상의 유무도 살펴보는 것이 중요하다Neurological manifestations as extra-articular features of ankylosing spondylitis (AS) have not been reported often, and present as root lesions, cauda equina syndrome, and compression of the spinal cord. We report a 31-year-old man who complained of back pain and claudication of both lower extremities. The patient showed typical inflammatory back pain and significant sacroiliitis, consistent with AS. He also had mechanical back pain and unexplained neurological symptoms. A neurological evaluation, including spinal magnetic resonance imaging and a cerebrospinal fluid study, revealed that the patient had acute transverse myelitis (ATM). ATM can be associated with connective tissue diseases. The pathophysiology of ATM consists primarily of inflammatory disorders, similar to the neurological complications of AS. We suggest that ATM is a possible extra-articular manifestation of AS. (Korean J Med 2011;80:S314-S318)
URI
http://kiss.kstudy.com/thesis/thesis-view.asp?key=2916265http://repository.hanyang.ac.kr/handle/20.500.11754/70942
ISSN
1738-9364
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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