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Atorvastatin과 Calcium Channel Blocker 사용 환자에서의 콜키신 유발 급성 근육병증: 증례보고의 사례
권유하,강효정,이지훈,김동휘,황미령 대한근전도전기진단의학회 2009 대한근전도 전기진단의학회지 Vol.11 No.2
Myopathy is a rare side effect of chronic colchicine therapy, most often occurring in patients with chronic renal failure. Colchicine and 3-hydroxy-3-methy-glutaryl coenzyme A (HMG-CoA) reductase inhibitors are well known to cause myopathy. We report the case of a patient with chronic renal failure who had been taking atorvastatin and calcium channel blocker and developed acute weakness 7 days after the initiation of colchicines therapy for gouty attack. A 58-year-old woman on colchicine 0.6 mg twice a day for 7 days, developed subacute onset of painless proximal muscle weakness with elevation of creatine phosphokinase (CPK) level. Nerve conduction studies revealed a mild axonal and demyelinating neuropathy affecting the arms and legs and needle electromyography showed non-specific findings indicating myopathy. After withdrawal of colchicine, serum CPK levels returned to normal and her weakness resolved over a period. In our patient, neurological toxicity was induced and accerlated by coadministration of colchicines with atorvastatin and calcium channel blocker in the presence of impaired renal function. Colchicine is to be used with caution in patients with impaired renal function especially in those who are concomitantly administering other drugs that may further inhibit colchicine clearance.
이준성,권유하,김동휘,황미령 대한근전도전기진단의학회 2008 대한근전도 전기진단의학회지 Vol.10 No.2
Objective: To determine the lateral femoral cutaneous nerve (LFCN) ultrasonographic dimensions, nerve pathway, and regional anatomy. Method: Thirty healthy, asymptomatic adult women participated in this study. Using ultrasonography (US), we measured the cross-sectional circumference, area, diameter of the LFCN and the distance from the anterior superior iliac spine (ASIS) to LFCN. Height and weight of the subjects were obtained and body mass index (BMI) was determined. Correlation between the measured parameters and age and body mass index (BMI) was observed Result: The mean circumference, area, longitudinal and transverse diameters were 8.5±0.4 mm, 4.5± 1.0 mm2, 3.5±0.3 mm, and 1.5±0.2 mm, respectively. The mean distance between the ASIS and LFCN was 3.4±0.8 mm. There was no correlation between the US parameters and BMI or age. Conclusion: High-resolution US examination may be a useful tool in the evaluation of LFCN and diagnosis of meralgia paresthetica.
근막통 증후군을 동반한 특발성 후복막 섬유 증식증-증례보고-
강효정,권유하,황미령 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.1
Idiopathic retroperitoneal fibrosis (IRF) is a rare condition in which a mass of fibrous tissue encompasses the abdominal aorta and the common iliac arteries. Although the histologic findings of IRF are mostly benign, its diagnosis is often delayed, leading to significant physiologic deteriorations, namely renal insufficiency, and poor treatment prognosis. Back pain, which is a common presenting symptom, may lead to confusion in determining the diagnosis of IRF. This report presents a patient with retroperitoneal fibrosis whose diagnosis was delayed due to the concomitant presence of myofascial pain syndrome and lumbar intervertebral disc herniation.