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환축추 골강직과 류마티스 관절염양 수부변형을 동반한 연소형 강직성 척추염
장효식 ( Hyo Shick Chang ),신기철 ( Ki Chul Sin ),김재덕 ( Jae Duk Kim ),박영아 ( Young Ah Park ),기명주 ( Myung Ju Ki ),장현규 ( Hyun Kyu Chang ),이지영 ( Jee Young Lee ) 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.2
Ankylosing spondylitis (AS) is a heterogeneous and systemic rheumatic disorder of unknown cause that is characterized by inflammation of the spine and sacroiliac joints. It is more common in young men. The disease is frequently associated with peripheral arthritis, enthesitis, anterior uveitis and high prevalence of HLA-B27. In some patients with AS, peripheral arthritis can occurs earlier than spinal symptom and more commonly affects the lower extremities than the upper extremities. Unlike men, women appear to have milder or atypical AS, especially at juvenile onset. However, involvement of the hands is extremely rare. Juvenile AS, defined as onset of disease prior to the age of 16 years, is considered a pediatric form of AS. On the other hand, although the atlantoaxial subluxation has been infrequently observed in patients with ankylosing spondylitis, atlantoaxial bony ankylosis has not been described in the literature. We describe a 23-year-old woman with juvenile AS who developed the atlantoaxial bony ankylosis and the hand involvement mimicking rheumatoid arthritis. Besides the rheumatoid-like hands and atlantoaxial bony ankylosis, she has shown the typical features of spondyloarthrpathy such as bilateral sacroiliitis, inflammatory spinal pain, enthesitis, severe arthritis of both hip joints, and positive HLA-B27 test.
송승호 ( Seung Ho Song ),남승우 ( Seung Woo Nam ),노임환 ( Im Hwan Roe ),김정원 ( Jung Won Kim ),임창영 ( Chang Young Lim ),장효식 ( Hyo Shick Chang ),신기철 ( Ki Chul Shin ),신현덕 ( Hyun Deok Shin ),김정택 ( Jung Taik Kim ),신 대한소화기학회 2003 대한소화기학회지 Vol.41 No.2
Background/Aims: Xanthogranulomatous cholecystitis (XGC) is an uncommon inflammatory disease of the gallbladder (GB), It is characterized by foamy histiocyte infiltration and increasing fibrosis. The purpose of this study was to evaluate clinical features