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- 저자 : 이중기 ( Chong Ki Lee ) (검색결과 1 건)
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이동환 ( Dong Hwan Lee ),권소정 ( So Jeong Kwon ),박진석 ( Jin Seouk Park ),우창근 ( Chang Keun Woo ),이창기 ( Chang Ki Lee ),황중하 ( Joong Ha Hwang ),이병기 ( Byung Ki Lee ),이중기 ( Chong Ki Lee ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.2
Relapsing polychondritis is an uncommon disease manifested by episodes of progressive inflammation and destruction of cartilage. While the cause remains unknown, an autoimmune pathogenesis appears likely. Characteristic features include auricular chondritis, arthritis, nasal chondritis, ocular inflammation, respiratory tract involvement and audiovestibular damage. The clinical course of patients may vary from a relatively benign illness free of clinically evident visceral involvement, to one of episodic or smoldering activity with variable intensity, to a fulminant illness and death within months of diagnosis. Dapsone, corticosteroid and immunosuppressive agent remain the effective therapies. We have experienced a case of relapsing polychondritis and active pulmonary tuberculosis in a 69-year-old man. He suffered from arthralgia and swelling of joints for several months on the first admission and initially was diagnosed as pseudo gout based on polyarthritis and chondrocalcinosis of right knee joint. During follow-up, chondritis of both auricles and nose, which was proved by the biosy of right auricle, and relapse of polyarthritis were developed. His sputum smear for acid-fast bacillus was postive on the second admission. Then he was diagnosed as relapsing polychondritis and active pulmonary tuberculosis and has achieved improvement with medication of dapsone and antituberculosis drugs according to susceptability test during followed-up. Thus we report this case with literature review.
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