The Korean Journal of Medicine

  • 제84권1호
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  • Pages.141-144
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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말단 괴저를 주소로 내원하여 진단된 전신홍반루푸스 1예

A Case of Systemic Lupus Erythematosus Diagnosed by Initial Presentation of Digital Gangrene

  • 손경민 (한림대학교 의과대학 성심병원 내과학교실) ;
  • 임수경 (한림대학교 의과대학 성심병원 내과학교실) ;
  • 전의용 (한림대학교 의과대학 성심병원 영상의학과교실) ;
  • 김현아 (한림대학교 의과대학 성심병원 내과학교실) ;
  • 서영일 (한림대학교 의과대학 성심병원 내과학교실)
  • Son, Kyeong Min (Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Lim, Soo Kyung (Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Jeon, Eui Yong (Department of Radiology, Hallym University Sacred Heart Hospital) ;
  • Kim, Hyun Ah (Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Seo, Young Il (Department of Internal Medicine, Hallym University Sacred Heart Hospital)
  • 발행 : 2013.01.01
⟨ 이전 논문 다음 논문 ⟩

초록

전신홍반루푸스에서 말단 괴저는 드물며 첫 임상증상으로 나타나는 환자의 보고가 국내에는 없었다. 저자들은 오른쪽 손가락 및 발가락의 말단괴저를 주소로 내원하여 전신홍반루푸스를 진단받은 환자를 경험하여 1예를 보고하는 바이다.

Although digital gangrene is an uncommon clinical feature, it may lead to serious complications, such as amputation. Therefore, it requires prompt evaluation and treatment. Digital gangrene is often seen in systemic sclerosis, but is rare in systemic lupus erythematosus (SLE). In SLE, digital gangrene results from vasculitis, vasospasm, and thromboembolism. Here, we report a 15-year-old male SLE patient who initially presented with digital gangrene, and present a review of the relevant literature.

키워드

참고문헌

  1. Lee HY, Jang JS, Kim HW, Kim YS, Kim YO, Yoon SA. A case of digital gangrene complicated by atypical hemolytic uremic syndrome in a patient with systemic lupus erythematosus. Korean J Nephrol 2010;29:392-397.
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  9. Nagai Y, Shimizu A, Suto M, et al. Digital gangrene in systemic lupus erythematosus. Acta Derm Venereol 2009; 9:98-401.
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피인용 문헌

  1. Symmetrical Peripheral Gangrene ComplicatingEscherichia coliSepsis Associated with Antiphospholipid Antibodies in Lupus Nephritis vol.87, pp.3, 2013, https://doi.org/10.3904/kjm.2014.87.3.379