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류마티스 관절염 환자에서 외안근 마비증상을 동반한 안부대상포진
이혜순 ( Hye Soon Lee ),전재범 ( Jae Bum Jun ),엄완식 ( Wan Sik Uhm ),서정철 ( Jeong Cheol Seo ),김주한 ( Ju Han Kim ),고명규 ( Myung Kyoo Ko ),변정원 ( Jung Won Byeon ),유대현 ( Dae Hyun Yoo ),김성윤 ( Seong Yoon Kim ) 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.2
There have been many reports about infections in patients with rheumatoid arthritis (RA) being more frequent than general population. Increased susceptability to infections in RA could be related to disease itself, comorbid conditions, and use of immunosuppressive drugs and steroid. Herpes zoster viral infections also have been reported to be more frequent in RA. We describe a case of 60-year-old woman with RA presented with ophthalmoplegia associated with herpes zoster ophthalmicus. Initially she complained of right orbital and periorbital pain. Six days later, she noted a cutaneous herpes zoster eruption involving the right 1st division of trigeminal nerve. Three days after developing skin eruption, she developed a right ptosis with external ophthalmoplegia and pupil dilatation resulting from the 3rd and 6th cranial nerve involvement. She was placed on intravenous acyclovir for 7days. Eight weeks after the onset of ophthalmoplegla, she recovered nearly completely.