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황덕원,김재훈,김진주,김은경,김은미,김현영,김태환 대한내과학회 2011 대한내과학회지 Vol.80 No.-
Neurological manifestations as extra-articular features of ankylosing spondylitis (AS) have not been reported often, and present as root lesions, cauda equina syndrome, and compression of the spinal cord. We report a 31-year-old man who complained of back pain and claudication of both lower extremities. The patient showed typical inflammatory back pain and significant sacroiliitis, consistent with AS. He also had mechanical back pain and unexplained neurological symptoms. A neurological evaluation, including spinal magnetic resonance imaging and a cerebrospinal fluid study, revealed that the patient had acute transverse myelitis (ATM). ATM can be associated with connective tissue diseases. The pathophysiology of ATM consists primarily of inflammatory disorders, similar to the neurological complications of AS. We suggest that ATM is a possible extra-articular manifestation of AS. (Korean J Med 2011;80:S314-S318) 급성 횡단성 척추염은 강직성 척추염에서의 염증성 요통과 다른 양상의 기계적 요통을 유발하며, 드물게 발생하지만 빠른 진단과 치료가 예후를 결정한다. 강직성 척추염과 급성 횡단성 척추염과의 연관 관계는 아직 확실하지 않으나, 강직성 척추염에서 동반되는 신경학 증상과 유사한 병인을 가지며, 강직성 척추염에 병발된 급성 횡단성 척추염의 예가 보고된 바 있다. 따라서 강직성 척추염 환자가 호소하는 요통에 대해 접근할 때 요통의 양상에 대한 정확한 문진이 필요하며 동반된 신경학적 증상의 유무도 살펴보는 것이 중요하다.
증례 : 류마티스 ; 강직성 척추염 환자에서 동반된 급성 횡단성 척추염
황덕원 ( Deok Won Hwang ),김재훈 ( Jae Hoon Kim ),김진주 ( Jin Ju Kim ),김은경 ( Eun Kyoung Kim ),김은미 ( Eun Mi Kim ),김현영 ( Hyun Young Kim ),김태환 ( Tae Hwan Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
급성 횡단성 척추염은 강직성 척추염에서의 염증성 요통과 다른 양상의 기계적 요통을 유발하며, 드물게 발생하지만 빠른 진단과 치료가 예후를 결정한다. 강직성 척추염과 급성횡단성 척추염과의 연관 관계는 아직 확실하지 않으나, 강직성 척추염에서 동반되는 신경학 증상과 유사한 병인을 가지며, 강직성 척추염에 병발된 급성 횡단성 척추염의 예가 보고된 바 있다[4,6]. 따라서 강직성 척추염 환자가 호소하는 요통에 대해 접근할 때 요통의 양상에 대한 정확한 문진이 필요하며 동반된 신경학적 증상의 유무도 살펴보는 것이 중요하다. Neurological manifestations as extra-articular features of ankylosing spondylitis (AS) have not been reported often, and present as root lesions, cauda equina syndrome, and compression of the spinal cord. We report a 31-year-old man who complained of back pain and claudication of both lower extremities. The patient showed typical inflammatory back pain and significant sacroiliitis, consistent with AS. He also had mechanical back pain and unexplained neurological symptoms. A neurological evaluation, including spinal magnetic resonance imaging and a cerebrospinal fluid study, revealed that the patient had acute transverse myelitis (ATM). ATM can be associated with connective tissue diseases. The pathophysiology of ATM consists primarily of inflammatory disorders, similar to the neurological complications of AS. We suggest that ATM is a possible extra-articular manifestation of AS. (Korean J Med 2011;80:S314-S318)
정순목,황덕원 대한건축학회지회연합회 2005 대한건축학회지회연합회 학술발표대회논문집 Vol.1 No.1
Contemporary society gets entangled into cultural hybridity of the world. The hybridity turns into reinterpretation on the concept of "boundary" which was traditionally regarded fixed and invariable space. Therefore, this study examines the change of spatial composition and methodology in contemporary architecture through the 'boundary' concept. The original meaning of "boundary" is a limited outline or an isolated line. The idea of "boundary", however, has been understood fluid space or linking passage of different fields since Post-modernism. Like this, the boundary concept has been diversely changed according to the phase and the value of the times. And there are three types of boundary concept. First, the boundary of ‘defined identity’ which completely rules out heterogeneity and difference, second, the boundary of ‘base of difference’which is based on decontructive thought of Derrida, third, the boundary of ‘difference itself‘ which suggests ‘abstract machine’ as a result of everlasting de-formalization.