• 제목/요약/키워드: Arthralgia

검색결과 174건 처리시간 0.026초

피부근염에 이환되었던 환아의 Henoch-Schonlein 자반증 증례 1례 (A Clinical Case of Dermatomyositis Complicated by Henoch-Schonlein Purpura)

  • 홍상훈;김성환
    • 대한한의학회지
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    • 제23권2호
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    • pp.225-230
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    • 2002
  • Dermatomyositis is an inflammatory cutaneo-muscular disease of unknown etiology, characterized by symmetrical proximal muscle weakness and typical dermatologic manifestation. Henoch-Schonlein purpura is most common in children. In Korea, dermatomyositis or Henoch-Schonlein purpura associated with herbal medicine has not been reported. The subject patient is a seven year-old girl diagnosed with dermatomyositis in August 1999 and Henoch-Schonlein purpura in January, July 2001. There were symptoms of dermatomyositis such as headache, arthralgia, eruption, itching and abdominal pain. I think the herb-prescription composed or Radix astragali (Huangqi), Herba agrimoniae (Xianhecao), Fructus jujubae (Dazao) had an ameliorating effect on Henoch-Schonlein purpura by decreasing these symptoms.

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오약순기산(烏藥順氣散)의 소염 진통작용에 관한 연구 (Studies on the Anti-inflammatory and Analgesic Activities of Ohyaksungisan)

  • 이돈일;이성님;문영희
    • 생약학회지
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    • 제27권3호
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    • pp.184-189
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    • 1996
  • Ohyaksungisan, combined preparation of crude drugs, has been used for hemiplegia, arthralgia and paralysis in traditional Korean medicine. The anti-inflammatory activity of the aqueous extract from Ohyaksungisan(OSSE) was investigated on acetic acid-induced edema and adjuvant arthritis in rats. Acute toxicity and analgesic action in mice were also examined. Its anti-inflammatory activity on 5% acetic acid-induced edema and adjuvant arthritis was observed with oral administration. The acute toxicity showed 10% mortality at 2400 mg/kg (p.o), but was not showed at 1200 mg/kg (i.p). OSSE was showed to have significant analgesic action (P<0.05) at 150 mg/kg and this action was strengthened at 300, 600 mg/kg. The anti-inflammatory effect was showed significant preventive effect on the hind paw edema from 90 min. and the adjuvant arthritis, when orally administered for 19 days. showed significant inhibitory effect on the hind paw edema from the 5th day.

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정맥투여용 면역글로불린에 반응한 심한 복통을 가진 $Henoch-Sch\"{o}nlein$ 자반증 3례 (IV-gamma Globulin Therapy for Severe Abdomlnal Pain Refractory to Steroid Therapy in $Henoch-Sch\"{o}nlein$ Purpura)

  • 허영옥;이창연
    • Childhood Kidney Diseases
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    • 제1권2호
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    • pp.176-178
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    • 1997
  • Henoch-Scholein purpura is a systemic vasculitis of small blood vessels. It is characterized by nonthrombocytopenic purpura, abdominal pain, arthralgia and renal involvement. In Henoch-Scholein purpura, severe abdominal pain may be relived by steroid, but occasionally unresponsive to steroid and conventional analgesics therapy. We tried IV-gamma globulin for severe abdominal pain, unresponsive to steroid, analgesics, and antispasmodics therapy in HSP, and experienced dramatic symptomatic improvement. So we report three cases of IVIG therapy against severe abdominal pain in HSP with a brief review of literatures

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족관절 통증을 호소하는 류마토이드 관절염 환자 1례에 대한 증례보고 (A Case Study of ankle pain induced Rheumatoid arthritis)

  • 최용훈;강준혁;홍서영;허동석;윤일지
    • 혜화의학회지
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    • 제17권1호
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    • pp.167-172
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    • 2008
  • Objective : This study shows the clinical effects on Bee-venom acupuncture and Burning acupuncture therapy for a patient who was diagnosed as Rheumatoid arthritis with ankle pain. Methods : This study was carried out a patient who was diagnosed as Rheumatoid arthritis with ankle pain. The patient was treated by Bee-venom acupuncture, Burning acupuncture therapy. To evaluate the effect of treatment, measured grade of pain by Visual Analogue Scale(VAS). Result and Conclusion: The ankle pain was reduced from VAS 10 to VAS 2 and the patient could walk on foot. In this study, Bee-venom acupuncture, Burning acupuncture therapy was effective in arthralgia of Rheumatoid arthritis.

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통비(痛痺)에 대(對)한 문헌적(文獻的) 고찰(考察) (A Study of Literature Review on Tong Bi(痛痺))

  • 홍순성;오민석;윤일지
    • 혜화의학회지
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    • 제14권1호
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    • pp.187-200
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    • 2005
  • 1. The causes of Tong Bi(痛痺) are divided into external cause(wind, cold, dampness) and internal cause(deficiency yang-excess yin, excess cold). but mostly two causes are combined. 2. Chronic Tong Bi can be turn into bone, kidney, zang organs disease and Hak Sul Pung(鶴膝風). 3. The symptoms are severe arthralgia, limit of ROM, localized coldness and edema, white coated tonge fur, wiry and knotted pulse. 4. The principles of medicinal treatment are mainly eliminating the cold and inducing the wind, removing the dampness. 5. The principle of acupucture and moxibustion treatment is mainly eliminating the cold(iron skin treatment, moxibustion, warming acupucture).

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전형적(典型的)인 비대성(肥大性) 폐성(肺性) 골관절증(骨關節症)의 골(骨)스캔소견(所見)을 보인 1예(例) (A Case of the Hypertrophic Pulmonary Osteoarthropathy with Typical Appearance on Bone Scintigraphy)

  • 이영열;송영욱;윤휘중;이명철;조보연;고창순
    • 대한핵의학회지
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    • 제16권1호
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    • pp.73-77
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    • 1982
  • Hypertrophic pulmonary osteoarthropathy classically consists of clubbing of the fingers and toes, periosteal new bone formation in the tubular bones, painful swelling of limbs, arthralgia and arthritis. Its pathogenesis is uncertain, but it is usually associated with malignant or inflammatory intrathoracic disease. We recently experienced a patient with the characteristic findings of this rare disease on bone scintigraphy using $^{99m}Tc-MDP$(methylene diphosphonate).

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기관 및 기관지를 침범한 재발성다발연골염 1례 (A Case of Relapsing Polychondritis involving Trachea and Bronchi)

  • 임상철;장일권;임성철;박경옥
    • 대한기관식도과학회지
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    • 제4권1호
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    • pp.117-121
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    • 1998
  • Relapsing polychondritis is a rare disesase involving any cartilaginous structure of entire body and is characterized by recurrent episode of inflammation and degeneration of cartilage and most commonly involve ear, nose, larynx, trachea, ribs, Eustachian tube, etc. Its signs and symptoms are recurrent swelling of auricle, saddle nose deformity, polyarthralgia, hoarseness and dyspnea, audiovestibular disturbance and cardiovascular abnormality, etc. Characteristic histologic findings are loss of normal basophilic staining of cartilage, perichondrial inflammatory infiltration with plamsa cells, lymphocytes and neutrophils, and finality, destruction of cartilage and replacement with scar tissue. Our case had saddle nose deformity, arthralgia, tracheal collapse, hearig loss and positive histologic finding but no auricular perichnodritis. Her major problem was airway. obstruction due to tracheal collapse. This case was diagnosed with relapsing polychondritis according to the Damiani's criteria. This case indicates that any patients complaining of airway obstruction have to be examined systemically.

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Sweet's Syndrome Associated with Graves' Disease

  • Yong, Ho Jin;Kang, Mi Il;Kim, Dohee
    • International journal of thyroidology
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    • 제10권1호
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    • pp.50-55
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    • 2017
  • Sweet's syndrome, or acute febrile neutrophilic dermatosis, occurs in association with autoimmune diseases such as Hashimoto's thyroiditis but is rare in Graves' disease, in which all cases are induced by propylthiouracil (PTU). We report a case of Sweet's syndrome in a patient with Graves' disease treated with methimazole (MMI) during three weeks. A 34-year-old man presented with the acute onset of high fever, skin rashes on the whole body, arthralgia, and acroparesthesia. Laboratory results showed leukocytosis and elevated C-reactive protein. MMI first stopped and antibiotics and antihistamine therapy started, but his symptoms dramatically improved after oral prednisolone. Graves' disease has again been treated by MMI because of his aggravated ophthalmopathy. After one year of retreatment with MMI, there has been no recurrence of Sweet's syndrome, supporting that Sweet's syndrome in this case was not related to MMI exposure. To our knowledge, this is the first report of Sweet's syndrome associated with Graves' disease per se but not PTU or MMI use.

Genetic diagnosis of systemic autoinflammatory diseases and underlying primary immunodeficiency

  • Seung Hwan Oh
    • Journal of Genetic Medicine
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    • 제19권2호
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    • pp.57-62
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    • 2022
  • Systemic autoinflammatory diseases (SAIDs) are characterized by unprovoked inflammatory episodes such as recurrent/periodic fever, serositis, skin lesions, abdominal symptoms, arthritis/arthralgia, and central nervous system involvement. Genetic diagnosis of SAIDs has been challenging because disease manifestations overlap among themselves and with other immunological disease categories, such as infection and autoimmune diseases. However, the advent of next-generation sequencing (NGS) technologies and expanding knowledge about the innate immunity and inflammation have made the routine genetic diagnosis of SAIDs possible. Here, we review the recurrent/periodic fevers, other recently identified autoinflammatory diseases, and type I interferonopathies, and discuss the clinical usefulness of NGS targeted sequencing for SAIDs, and recent advance of understandings for this heterogeneous disease group as for underlying primary immunodeficiency.

Henoch-Schönlein 자반증 환아의 임상적 고찰 (A Clinical Study of Childhood Henoch-Schönlein Purpura)

  • 하태선;구현회
    • Clinical and Experimental Pediatrics
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    • 제46권11호
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    • pp.1118-1123
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    • 2003
  • 목 적 : 지난 30년간의 연구로 병인론에 관한 중요한 정보들이 축적되어왔다. 하지만 아직도 완전히 이해된 것은 아니며, 연령이나 성별, 임상증상의 발현율에 대한 다양한 연구 결과들이 발표되고 있다. 이에 본 연구에서는 저자들이 경험한 125명의 HS 자반증 환아들의 임상적 특징을 알아보고, 이전의 다른 논문의 연구결과들과 비교해 보고자 하였다. 방 법 : 환아는 1992년 3월부터 2000년 4월까지 충북대학교병원 소아과에 방문하여 특징적인 자반과 복통이나 관절염 등의 임상증상을 통하여 HS 자반증으로 진단된 환아를 대상으로 하였으며 입원하거나 외래에 내원한 경우 모두 포함하였다. 결 과 : HS 자반증으로 진단된 환아는 남자 87명 여자 38명으로 구성되었고, 연령은 1세에서 14세에 걸쳐 분포하고 있었다. 계절에 따른 변화로 3월부터 5월까지 모두 56명(44.8%), 10월에서 12월까지 51명(32.8%)으로 나타났다. 자반은 모든 환아에서 관찰되었다. 복통은 88명(70.4%)에서 관찰되었으며, 위장관 출혈은 18명(14.4%)에서 관찰되었고, 관절염은 67명(53.6%)에서 관찰되었다. 모두 125명의 환아 중 신장 침범이 있는 환아는 48명으로 HS 자반증 환아 중 38.4%였다. 부고환염은 남아 87명 중 15명(17.2%)에서 발생하였다. 자반이 발생한 후 나타난 동반 증상 중 2명(1.6%)의 환아에서 경련이 발생하였으나 항경련제 치료없이 호전되었고, 두통이 11명(8.8%)의 환아에서 발생하였다. 결 론 : 결론적으로, HS 자반증은 전신적인 혈관염이기 때문에 자반 이외의 증상들이 선행할 수 있으며, 소아에서 설명할 수 없는 복통이나 관절염, 음낭 증상 등이 발생할 경우, 자반이 출현하기 전이라도 임상 각과에서 HS 자반증에 대해 의심해보고, 소아 신장 전문의와의 협진이 필요할 것으로 사료된다.