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조현정 ( Hyon Joung Cho ),여인구 ( Inku Yo ),류희정 ( Heejung Ryu ),이주형 ( Juuhyoung Lee ),백한주 ( Han Joo Beak ) 대한류마티스학회 2013 대한류마티스학회지 Vol.20 No.2
저자들은 축성 척추관절염 환자에서 돌발성 감각신경난청이 저음역에서 편측성으로 발병한 예를 경험하였다. 본 증례의 난청은 증상 발생 24시간 이내 전신적 및 국소적 스테로이드 치료로 회복되었다. 축성 척추관절염환자에서 돌발성 감각신경난청이 동반될 수 있으며 이 경우 조기 스테로이드 치료를 고려해야 한다. Sudden sensorineural hearing loss (SNHL) is rarely presented in patients with several immune-mediated inflammatory diseases. We report a case of sudden SNHL in a patient with axial spondyloarthritis (aSpA). A 29-year-old male with aSpA was admitted for sudden unilateral hearing loss. His aSpA symptom was stable; however, pure tone audiometry revealed that he had SNHL in the left ear at low frequency. His hearing was fully recovered with systemic and local steroid therapy. This case suggests that sudden SNHL may be an extra-articular manifestation of aSpA and thus need prompt steroid therapy in order to restore hearing.
축성 척추관절염 환자에서 4주간 침 시술의 효과와 안전성에 관한 무작위, 이중맹검, 대조군 연구
조종현 ( Jong Hyun Jo ),권정주 ( Jeong Ju Kweon ),송윤경 ( Yun Kyung Song ),임형호 ( Hyung Ho Lim ),백한주 ( Han Joo Beak ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.4
Objectives : To evaluate the clinical effectiveness and safety of acupuncture in patients with axial spondyloarthritis. Methods : A randomized, double-blinded, sham controlled, parallel group trial. Random allocation was done under blocked randomization with allocation concealment by opaque sequentially numbered sealed envelopes. Participants Conducted between November 2011 and February 2013, participants were recruited from the outpatients of department of rheumatology in Gil hospital who were diagnosed with axial spondyloarthritis by rheumatologists under ASAS(assessment in ankylosing spondylitis) classification criteria. Intervention Active acupuncture and sham control group were made. Each participant in that group took 8 sessions of acupuncture in 4 weeks, twice per a week. Usual medical treatments were attained independently during whole session. Results : 10 participants were analyzed. 6 were allocated in treatment group and 4 went sham control group. Acupuncture showed significant reduce on visual analogue scale of low back pain at 4th week.(p=0.021) but failed to show superiority on control. Harms 1 participant(16.5%) from acupuncture group complained of mild local pain. Conclusions : Acupuncture is able to reduce low back pain with axial spondyloarthritis but it could be placebo effect.