말티즈견에서 저작근염 발생례

Masticatory Muscle Myositis in a Maltese Dog

  • 강병재 (서울대학교 수의과대학 수의외과학교실) ;
  • 류다은 (서울대학교 수의과대학 수의외과학교실) ;
  • 김용선 (서울대학교 수의과대학 수의외과학교실) ;
  • 이승훈 (서울대학교 수의과대학 수의외과학교실) ;
  • 김완희 (서울대학교 수의과대학 수의외과학교실) ;
  • 권오경 (서울대학교 수의과대학 수의외과학교실)
  • Kang, Byung-Jae (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Rhew, Daeun (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Kim, Yongsun (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Lee, Seunghoon (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan Hee (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University)
  • 심사 : 2014.06.09
  • 발행 : 2014.06.30

초록

8년령 중성화 수컷 말티즈가 입을 열기 어려운 증상으로 내원하였다. 2M 항체 검사를 통해 저작근염을 진단하였다. 코르티코스테로이드로 처치 후 턱관절의 가동범위가 증가하였고, 처치 5개월 후에는 거의 정상으로 돌아왔다. 저작근염이 발생한 개에서 초기 발견 및 적극적인 면역억제 치료는 예후 향상을 위해 필요한 것으로 사료된다.

A 8-year-old, castrated male Maltese with difficulty in opening his mouth was presented. Masticatory muscle myositis (MMM) was diagnosed by 2M antibody test. After treatment of MMM with corticosteroids, range of jaw motion improved and was almost normal at 5 months. In dogs with MMM, early detection and aggressive immunosuppressive therapy are required to improve the prognosis.

키워드

참고문헌

  1. Brogdon J, Brightman A, McLaughlin S. Diagnosing and treating masticatory myositis. Vet Med 1991; 86: 1164-1170.
  2. Krisher K, Cunningham MW. Myosin: a link between streptococci and heart. Science 1985; 227: 413-415. https://doi.org/10.1126/science.2578225
  3. Melmed C, Shelton GD, Bergman R, Barton C. Masticatory muscle myositis: pathogenesis, diagnosis, and treatment. Compend Contin Educ Pract Vet 2004; 26: 590-605.
  4. Nanai B, Phillips L, Christiansen J, Shelton GD. Life threatening complication associated with anesthesia in a dog with masticatory muscle myositis. Vet Surg 2009; 38: 645-649. https://doi.org/10.1111/j.1532-950X.2009.00515.x
  5. Pitcher G, Hahn C. Atypical masticatory muscle myositis in three cavalier King Charles spaniel littermates. J Small Anim Pract 2007; 48: 226-228. https://doi.org/10.1111/j.1748-5827.2006.00242.x
  6. Pumarola M, Moore PF, Shelton GD. Canine inflammatory myopathy: analysis of cellular infiltrates. Muscle Nerve 2004; 29: 782-789. https://doi.org/10.1002/mus.20043
  7. Shelton GD, Cardinet GH, Bandman E, Cuddon P. Fiber type-specific autoantibodies in a dog with eosinophilic myositis. Muscle Nerve 1985; 8: 783-790. https://doi.org/10.1002/mus.880080907
  8. Shelton GD, Cardinet GH, Bandman E. Canine masticatory muscle disorders: a study of 29 cases. Muscle Nerve 1987; 10: 753-766. https://doi.org/10.1002/mus.880100812
  9. Shelton GD, Cardinet GH, Bandman E. Expression of fiber type specific proteins during ontogeny of canine temporalis muscle. Muscle Nerve 1988; 11: 124-132. https://doi.org/10.1002/mus.880110207
  10. Taylor S. Selected disorders of muscle and the neuromuscular junction. Vet Clin North Am Small Anim Pract 2000; 30: 59-75. https://doi.org/10.1016/S0195-5616(00)50003-5