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류마티스관절염이 동반된 고전형 카포시육종의 에토포사이드 치료 1예

A Case of Etoposide Therapy in a Patient Newly Diagnosed with Classic Kaposi's Sarcoma and Rheumatoid Arthritis

  • 최난영 (한림대학교 의과대학 내과학교실) ;
  • 박승아 (한림대학교 의과대학 내과학교실) ;
  • 한보람 (한림대학교 의과대학 내과학교실) ;
  • 김호영 (한림대학교 의과대학 내과학교실) ;
  • 민수기 (한림대학교 의과대학 병리학교실) ;
  • 김효정 (한림대학교 의과대학 내과학교실) ;
  • 장대영 (한림대학교 의과대학 내과학교실)
  • Choi, Nan Young (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Park, Seung Ah (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Han, Bo Ram (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Ho Young (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Min, Soo Kee (Departments of Pathology, Hallym University College of Medicine) ;
  • Kim, Hyo Jung (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Zang, Dae Young (Department of Internal Medicine, Hallym University College of Medicine)
  • 투고 : 2013.04.27
  • 심사 : 2013.09.01
  • 발행 : 2014.02.01

초록

본 저자들은 류마티스관절염을 처음 진단받고 면역저하의 증거가 없으며 HHV-8 음성이며 전신상태가 좋지 않은 고령의 환자에서 전신 피부에 발생한 4병기 고전형 카포시육종을 진단하였고 지속적인 저용량 경구 에토포사이드 단독요법으로 좋은 임상경과를 얻은 증례가 있어 보고하는 바이다.

Kaposi's sarcoma typically occurs in immunocompromised patients, especially those with acquired immunodeficiency syndrome. Human herpesvirus 8 (HHV-8) and human immunodeficiency virus (HIV) may play important roles in the development of Kaposi's sarcoma. We report the case of a 75-year-old male who presented with progressive multiple purplish papules and nodules on the skin for 3 months. Social and past medical histories seemed incompatible with an immunesuppressed condition and tests for HIV antibodies and HHV-8 were negative. He was newly diagnosed with rheumatoid arthritis, according to the 2010 ACR-EULAR criteria. Typical findings of Kaposi's sarcoma were confirmed by biopsy. After treatment with metronomic oral etoposide 25 mg once daily for 9 months, the skin lesions had almost resolved with no serious complication. Thus, we report a rare case of Kaposi's sarcoma developing in a patient with newly diagnosed rheumatoid arthritis who showed a good response to oral etoposide.

키워드

참고문헌

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