The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Neuropsychiatric Lupus Presenting as a Thalamic Infarct in a Male Patient

22세 남자에서 시상경색으로 나타난 신경정신루푸스 1예

  • Na, Ji-Sun (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Jung, Jae-Sik (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Bak, Jong-Hun (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Ki, Young-Jae (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Kim, Yun-Sung (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Kim, Hyun-Sook (Department of Internal Medicine, Chosun University College of Medicine)
  • 나지선 (조선대학교 의과대학 내과학교실) ;
  • 정재식 (조선대학교 의과대학 내과학교실) ;
  • 백종훈 (조선대학교 의과대학 내과학교실) ;
  • 기영재 (조선대학교 의과대학 내과학교실) ;
  • 김윤성 (조선대학교 의과대학 내과학교실) ;
  • 김현숙 (조선대학교 의과대학 내과학교실)
  • Published : 2012.06.01
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Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease that can manifest systemically in many organs. It is most common in women of child-bearing age. Neuropsychiatric SLE is characterized by central nervous system (CNS) symptoms. CNS manifestations of SLE have been discovered in all parts of the brain, although thalamic infarcts associated with SLE are rare, especially in males. Here, we report a thalamic infarction in a 22-year-old male SLE patient.

전신홍반루푸스는 상대적으로 가임기 여성에서 흔하게 나타나지만 본 증례는 젊은 성인남자에서 전정신경 안진을 동반한 시상경색으로 나타난 신경정신루프스를 고용량 스테로이드와 싸이클로포스파마이드 충격요법을 사용하여 성공적으로 치료한 사례로 이에 고찰과 함께 보고하는 바이다.

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References

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