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Case reports in rheumatology 43건

  1. [해외논문]   Utility of [ 18 F] Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography Scan in Inflammatory Myopathies: Case Report and Literature Review  

    Rivas-de Noriega, Juan Pablo (Internal Medicine Service, The American British Cowdray Medical Center IAP, Mexico City, Mexico ) , Galnares-Olalde, Javier André (Internal Medicine Service, The American British Cowdray Medical Center IAP, Mexico City, Mexico ) , s (Nephrology Service, The American British Cowdray Medical Center IAP, Mexico City, Mexico ) , Zú (Nephrology Service, The American British Cowdray Medical Center IAP, Mexico City, Mexico ) , ñ (Neurology Service, The American British Cowdray Medical Center IAP, Mexico City, Mexico ) , iga-Varga, Javier (Rheumatology Service, The American British Cowdray Medical Center IAP, Mexico City, Mexico) , Herrera-Fé , lix, Juan Pablo , Alegrí , a-Loyola, Marco Antonio , Turrent-Carriles, Alonso
    Case reports in rheumatology v.2018 ,pp. 8398453 , 2018 , 2090-6889 ,

    초록

    Introduction Inflammatory myopathies are a rare group of diseases characterized by proximal weakness. Incidence ranges from 7.98/million/year and prevalence at 14/100,000. The utility of [ 18 F] fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) scan is increasing for the complementary diagnosis of myopathies. Case Report An 84-year-old male was admitted with a history of difficulty rising from a chair and a fall. Laboratory results showed increased creatine kinase levels of more than 50 times the normal reference values. Electromyography (EMG) showed myopathic changes, and FDG-PET/CT scan showed increased FDG uptake in bilateral quadriceps. A biopsy was performed revealing lymphocytic predominant infiltrates and myonecrosis. Prednisone and intravenous immunoglobulin (IVIG) were administered with strength improvement. The patient was discharged for further follow-up. Discussion FDG-PET/CT in inflammatory diseases has proven useful as muscle fibers have increased FDG uptake. In some cases, FDG-PET/CT is also useful in determining associated neoplastic diseases.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

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  2. [해외논문]   Immunoglobulin G4 Sclerosing Cholangitis: An Unusual Cause of Obstructive Jaundice—Case Report and Literature Review  

    Shrestha, Pragya (Department of Medicine, Reading Hospital-Tower Health System, West Reading, PA 19611, USA ) , Le, Brian (Department of Pathology, Reading Hospital-Tower Health System, West Reading, PA 19611, USA ) , Wagner, Brent (Department of Radiology, Reading Hospital-Tower Health System, West Reading, PA 19611, USA ) , Pompella, William (Department of Medicine, Reading Hospital-Tower Health System, West Reading, PA 19611, USA ) , Karmacharya, Paras (Department of Medicine, Reading Hospital-Tower Health System, West Reading, PA 19611, USA)
    Case reports in rheumatology v.2018 ,pp. 9602373 , 2018 , 2090-6889 ,

    초록

    IgG4-related sclerosing cholangitis (IgG4-SC) is one of the most common extra-pancreatic manifestation of IgG4-related disease (IgG4-RD) and is clinically distinct from primary sclerosing cholangitis (PSC). IgG4-RD is an increasingly recognized immune-mediated fibroinflammatory systemic disease, mostly affecting middle-aged and older male populations that can affect multiple organs. The presence of extra-biliary clinical manifestations of IgG4-RD, such as parotid and lacrimal swelling, lymphadenopathy, autoimmune pancreatitis, and retroperitoneal fibrosis, if present could provide important clues to diagnosis. High serum IgG4 levels, characteristic radiological (e.g., sausage-shaped pancreas or periaortitis) or biopsy findings (high percentage of IgG4+ plasma cells, lymphoplasmacytic infiltrate, storiform fibrosis, or obliterative phlebitis) in the setting of these features is diagnostic of this disease process. However, isolated IgG4-SC might be a diagnostic challenge, and the distinction is important as management of this disorder is vastly different from other causes of cholangitis such as PSC. Systemic corticosteroid therapy is the mainstay of therapy.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Pulmonary Sarcoidosis following Etanercept Treatment for Ankylosing Spondylitis: A Case Report and Review of the Literature  

    Majjad, A. (Rheumatology Department, Mohammed V Military Academic Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco ) , Bezza, A. (Rheumatology Department, Mohammed V Military Academic Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco ) , Biyi, A. (Nuclear Medicine Department, Mohammed V Military Academic Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco ) , El Ochi, M. R. (Anatomic Pathology Department, Mohammed V Military Academic Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco ) , El Maghraoui, A. (Rheumatology Department, Mohammed V Military Academic Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco)
    Case reports in rheumatology v.2018 ,pp. 9867248 , 2018 , 2090-6889 ,

    초록

    Antitumor necrosis factor therapies have revolutionized the treatment of some inflammatory diseases. However, the use of these agents is associated with the development of many paradoxical autoimmune diseases. Less well-recognized is the association with sarcoidosis. We report a 55-year-old female with long-standing ankylosing spondylitis who developed persistent dry cough and dyspnea while receiving etanercept therapy. High-resolution computed tomography scanning showed mediastinal lymphadenopathy and multiple nodules in both lung fields developed two months after the administration of etanercept. Lymph node biopsy was not practicable. Histopathological examination of minor salivary gland biopsy revealed noncaseating granulomata, and the serum angiotensin-converting enzyme was very elevated. All infectious studies were negative. Etanercept was discontinued plus a course of corticosteroids with a clinical improvement, and a follow-up high-resolution computed tomography scanning 4 months later showed evident regression of mediastinal lymph nodes and pulmonary nodules. Potential pathogenic mechanisms of this paradoxical effect of tumor necrosis factor-alpha blocking agents are discussed.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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