DOI QR코드

DOI QR Code

다형 홍반으로 발현한 신생아 루푸스와 역진단된 산모 루푸스 1례

A Case of Neonatal Lupus Erythematosus and Retrospectively Diagnosed with Asymtomatic Maternal Lupus Erythematosus

  • 한지연 (건양대학교 의과대학 소아청소년과학교실) ;
  • 윤정민 (건양대학교 의과대학 소아청소년과학교실) ;
  • 김준범 (건양대학교 의과대학 소아청소년과학교실) ;
  • 임재우 (건양대학교 의과대학 소아청소년과학교실) ;
  • 이영혁 (건양대학교 의과대학 소아청소년과학교실) ;
  • 고경옥 (건양대학교 의과대학 소아청소년과학교실)
  • Han, Ji-Yeon (Department of Pediatrics, College of Medicine, Konyang University) ;
  • Yoon, Jung-Min (Department of Pediatrics, College of Medicine, Konyang University) ;
  • Kim, June-Bum (Department of Pediatrics, College of Medicine, Konyang University) ;
  • Lim, Jae-Woo (Department of Pediatrics, College of Medicine, Konyang University) ;
  • Lee, Young-Hyuk (Department of Pediatrics, College of Medicine, Konyang University) ;
  • Ko, Kyong-Og (Department of Pediatrics, College of Medicine, Konyang University)
  • 발행 : 2011.11.30

초록

저자들은 다형 홍반과 구강 궤양으로 발현하였고 빈혈, 혈소판 감소증, 간기능 이상 등을 동반한 신생아 루푸스 환아의 확진과 신생아 진단을 통하여 무증상 산모 루푸스를 역으로 진단한 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Neonatal lupus erythematosus (NLE) is a rare disease characterized by typical clinical features and the transplacental passage of maternal autoantibodies, particularly anti-SSA/Ro. The major clinical manifestations are cutaneous lupus lesions, congenital heart block, hematological disorders, and hepatobiliary diseases. We report a case of NLE presenting with multiple round and oval target-like erythematous skin lesions and abnormal liver function, born to a clinically asymptomatic mother whose diagnosis was made retrospectively only after her newborn's diagnosis. Both the infant and the mother were positive for the anti-SSA/Ro and anti-SSB/La antibodies.

키워드

참고문헌

  1. McCuistion CH, Schoch EP Jr. Possible discoid lupus erythematosus in newborn infant; report of a case with subsequent development of acute systemic lupus erythematosus in mother. AMA Arch Derm Syphilol 1954;70:782-5. https://doi.org/10.1001/archderm.1954.01540240088009
  2. Laxer RM, Roberts EA, Gross KR, Britton JR, Cutz E, Dimmick J, et al. Liver disease in neonatal lupus erythematosus. J Pediatr 1990;116:238-42. https://doi.org/10.1016/S0022-3476(05)82880-X
  3. Rosh JR, Silverman ED, Groisman G, Dolgin S, LeLeiko NS. Intrahepatic cholestasis in neonatal lupus erythematosus. J Pediatr Gastroenterol Nutr 1993;17:310-2. https://doi.org/10.1097/00005176-199310000-00014
  4. Lee LA, Reichlin M, Ruyle SZ, Weston WL. Neonatal lupus liver disease. Lupus 1993;2:333-8. https://doi.org/10.1177/096120339300200511
  5. Buyon JP. Neonatal lupus. Curr Opin Rheumatol 1996;8:485-90. https://doi.org/10.1097/00002281-199609000-00016
  6. Boh EE. Neonatal lupus erythematosus. Clin Dermatol 2004;22:125-8.
  7. Reichlin M. Systemic lupus erythematosus. Antibodies to ribonuclear proteins. Rheum Dis Clin North Am 1994;20:29-43.
  8. Reed BR, Lee LA, Harmon C, Wolfe R, Wiggins J, Peebles C, et al. Autoantibodies to SS-A/Ro in infants with congenital heart block. J Pediatr 1983;103:889-91. https://doi.org/10.1016/S0022-3476(83)80707-0
  9. Lee LA, Frank MB, McCubbin VR, Reichlin M. Autoantibodies of neonatal lupus erythematosus. J Invest Dermatol 1994;102:963-6. https://doi.org/10.1111/1523-1747.ep12384148
  10. Tincani A, Balestrieri G, Faden D, DiMario C. Systemic lupus erythematosus in pregnancy. Lancet 1991;338:756-7.
  11. Gimovsky ML, Montoro M, Paul RH. Pregnancy outcome in women with systemic lupus erythematosus. Obstet Gynecol 1984;63:686-92.
  12. Kleinman D, Katz VL, Kuller JA. Perinatal outcomes in women with systemic lupus erythematosus. J Perinatol 1998;18:178-82.
  13. Shin JH, Lee EY, Lee CK, Cho YS, Kim A, Yoo B, et al. Fetal outcome and clinical feature during pregnancy in systemic lupus erythematosus. Korean J Med 2003;65:511-9.
  14. Kang HS, Song SE, Ma JS, Choi YY, Song TB. The clinical characteristics and outcome of neonates born to systemic lupus erythematosus mothers. J Korean Soc Neonatol 2006;13:139-48.
  15. Lee LA. Neonatal lupus: clinical features and management. Paediatr Drugs 2004;6:71-8. https://doi.org/10.2165/00148581-200406020-00001
  16. Park SH, Kim HJ, Yoo KH, Hong YS, Lee JW, Kim SK. A case of neonatal lupus erythematosus with pancytopenia and bradycardia. J Korean Soc Neonatol 2001;8:150-5.
  17. Tseng CE, Buyon JP. Neonatal lupus syndromes. Rheum Dis Clin North Am 1997;23:31-54. https://doi.org/10.1016/S0889-857X(05)70313-6
  18. Harris EN, Gharavi AE, Hegde U, Derue G, Morgan SH, Englert H, et al. Anticardiolipin antibodies in autoimmune thrombocytopenic purpura. Br J Haematol 1985;59:231-4. https://doi.org/10.1111/j.1365-2141.1985.tb02989.x
  19. Burch JM, Sokol RJ, Narkewicz MR, Reichlin M, Frank MB, Mackenzie T, et al. Autoantibodies in mothers of children with neonatal liver disease. J Pediatr Gastroenterol Nutr 2003;37:262-7. https://doi.org/10.1097/00005176-200309000-00012
  20. Geggel RL, Tucker L, Szer I. Postnatal progression from second- to third-degree heart block in neonatal lupus syndrome. J Pediatr 1988;113:1049-52. https://doi.org/10.1016/S0022-3476(88)80581-X

피인용 문헌

  1. 미세피부침, 절개침법과 봉독 약침 복합 요법의 여드름 흉터 치료 27례 임상 보고 vol.28, pp.3, 2011, https://doi.org/10.6114/jkood.2015.28.3.101