1.A Case of Iatrogenic Kaposi's Sarcoma Developed in a Psoriasis Patient after a Long-term Use of Immunosuppressive Agents.
Jun Yeong PARK ; Ji Yun JUNG ; Bok Won PARK ; Eun Byul CHO ; Eun Joo PARK ; Kwang Ho KIM ; Kwang Joong KIM
Korean Journal of Dermatology 2017;55(6):372-374
No abstract available.
Cyclosporine
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Humans
;
Immunosuppressive Agents*
;
Psoriasis*
;
Sarcoma, Kaposi*
2.A Case of Iatrogenic Kaposi's Sarcoma Developed in a Psoriasis Patient after a Long-term Use of Immunosuppressive Agents.
Jun Yeong PARK ; Ji Yun JUNG ; Bok Won PARK ; Eun Byul CHO ; Eun Joo PARK ; Kwang Ho KIM ; Kwang Joong KIM
Korean Journal of Dermatology 2017;55(6):372-374
No abstract available.
Cyclosporine
;
Humans
;
Immunosuppressive Agents*
;
Psoriasis*
;
Sarcoma, Kaposi*
3.A Case of Poncet's Disease in a Patient with Pulmonary Tuberculosis.
Sung Soo PARK ; Chan Young YUN ; Eun Ha KANG ; Eun Young LEE ; Yun Jong LEE ; Eun Bong LEE ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 2010;17(2):183-187
Since 1897 when Poncet first described polyarthritis in the acute stage of extra-articular tuberculosis, Poncet's disease has been considered a reactive arthritis to Mycobacterium tuberculosis. It is characterized by polyarthritis without evidence of direct mycobacterial involvement in patients with active tuberculosis, and eventually resolves without residual joint damage. Even though Poncet's disease is uncommon, the distinction between Poncet's disease and other arthritis, including tuberculous arthritis is clinically important. We report the second case of Poncet's disease diagnosed in a patient with pulmonary tuberculosis in Korea and review the relevant literature.
Arthritis
;
Arthritis, Reactive
;
Humans
;
Joints
;
Korea
;
Mycobacterium tuberculosis
;
Tuberculosis
;
Tuberculosis, Pulmonary
4.A Case of Wegener's Granulomatosis with Periaortitis and Pachymeningitis.
Sung Hae CHANG ; Hye Won KIM ; Chan Young YUN ; Eun Ha KANG ; Eun Young LEE ; Yun Jong LEE ; Eun Bong LEE ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 2010;17(4):406-411
Wegener's grandulomatosis (WG) is a systemic small-vessel vasculitis characterized by necrotizing granulomatous lesions and anti-neutrophil cytoplasmic antibodies (ANCA). WG frequently affects the upper and lower respiratory tracts and kidney but involvement of the pachymeninges or large vessels has rarely been reported. We report the first case of WG with periaortitis and pachymeningitis in Korea. A 57-year-old female complained of a stabbing headache, paresthesia below the thoracic 4th nerve level, and lower extremity weakness. During her course, she developed otitis media with sensorineural hearing loss, nodular scleritis, and microhematuria. A neuroimaging study showed an intradural mass in the area from the cervical 7th spine to the thoracic 5th spine, left cerebral convexity, and the left petrous area. A chest computed tomography scan revealed an enhanced and thickened aortic arch. A dural biopsy showed necrotizing granulomatous inflammation, and anti-MPO ANCA was positive. Under a diagnosis of WG, she received high-dose glucocorticoid and oral cyclophosphamide with improvement.
Antibodies, Antineutrophil Cytoplasmic
;
Aorta, Thoracic
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Biopsy
;
Cyclophosphamide
;
Female
;
Headache Disorders, Primary
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Hearing Loss, Sensorineural
;
Humans
;
Inflammation
;
Kidney
;
Korea
;
Lower Extremity
;
Meningitis
;
Middle Aged
;
Neuroimaging
;
Otitis Media
;
Paresthesia
;
Respiratory System
;
Scleritis
;
Spine
;
Thorax
;
Vasculitis
;
Wegener Granulomatosis
5.A Case of Antineutrophil Cytoplasmic Antibody-negative Granulomatosis with Polyangiitis Presenting as Breast Mass.
Min Gyo KIM ; Jae Hyeong HUH ; Yun Hong CHEON ; Sang Yeong CHO ; Gyung Hyuck KO ; Hyun Ok KIM ; Ji Eun KIM ; Hye Yeong CHOI ; Sang Il LEE
Journal of Rheumatic Diseases 2014;21(4):219-222
Granulomatosis with polyangiitis (GPA) is a disease characterized by a granulomatous necrotizing vasculitis of the small vessels, along with the presence of antineutrophil cytoplasmic antibody (ANCA), serologically. GPA is a multisystem disease, in which the diagnosis is frequently based on respiratory and renal manifestations, with rare breast invasion. To date, several cases of breast invasion by GPA have been published, and most cases have been positive for ANCA. However, ANCA-negative forms of breast invasion by GPA are extremely rare and have not been reported in Korea thus far. Therefore, we report a case of ANCA-negative GPA in a 70-year-old woman, who was initially presented with a localized palpable mass in the left breast.
Aged
;
Antibodies
;
Antibodies, Antineutrophil Cytoplasmic
;
Breast*
;
Cytoplasm*
;
Diagnosis
;
Female
;
Humans
;
Korea
;
Vasculitis
6.Three Cases of Spondyloepiphyseal Dysplasia Tarda in One Korean Family.
Sang Wan CHUNG ; Eun Ha KANG ; Yun Jong LEE ; You Jung HA ; Yeong Wook SONG
Yonsei Medical Journal 2016;57(5):1290-1293
Spondyloepiphyseal dysplasia (SED) tarda is an inherited skeletal arthropathy. Because SED tarda involves the joints and resemble the clinical findings of chronic arthropathies, this disease is frequently misdiagnosed as juvenile idiopathic arthritis (JIA). We report here on three patients (father and his two daughters) in one family with SED tarda. All patients had back pain and polyarthralgia. Their radiographs revealed typical changes for SED tarda including platyspondyly and dysplastic bone changes. This rare disease has major clinical importance in that it is similar with JIA or rheumatoid arthritis.
Adult
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Arthralgia/complications
;
Back Pain/complications
;
Female
;
Humans
;
Male
;
Osteochondrodysplasias/complications/*diagnostic imaging/pathology/therapy
;
*Pedigree
;
Republic of Korea
;
Young Adult
7.A Case of Kapisi's Sarcoma in a Longstanding Rheumatoid Arthritis Patient.
Eun Nong LEE ; Han Joo BAEK ; Seong Wook KANG ; Yun Chong LEE ; Ki Chul SHIN ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 1998;5(2):276-280
No abstract available.
Arthritis, Rheumatoid*
;
Humans
;
Sarcoma*
;
Sarcoma, Kaposi
8.A Case of Jaccud's Arthropathy in a Patient with Idiopathic Parkinsonism.
Yun Jong LEE ; Ki Chul SHIN ; Seong Wook KANG ; Eun Bong LEE ; Han Joo BAEK ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 1998;5(2):256-260
No abstract available.
Hand Deformities
;
Humans
;
Parkinsonian Disorders*
9.Facial Palsy as a Presenting Symptom of Wegener's Granulomatosis.
Yun Jong LEE ; Young Joo CHOE ; Eun Bong LEE ; Hyun Ah KIM ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 2000;7(3):286-290
Wegener's granulomatosis is a serious multi-systemic disease pathologically characterized by necrotizing vasculitis and granuloma. Although nervous system is one of major target organs in Wegener's granulomatosis, the involvement of facial nerve was rarely reported as an initial symptom. We experienced a female patient with Wegener's granulomatosis presenting otitis media, sinusitis and right facial palsy. Nasal mucosal biopsy revealed necrotizing vasculitis with granuloma formation, which was consistent with Wegener's granulomatosis. During steroid and cyclophosphamide therapy, she developed paralysis of abducens nerve. Methyprednisolone pulse therapy was administrated with symptomatic improvement. We describe a case of Wegener's granulomatosis presenting facial nerve palsy.
Abducens Nerve
;
Biopsy
;
Cyclophosphamide
;
Facial Nerve
;
Facial Paralysis*
;
Female
;
Granuloma
;
Humans
;
Nervous System
;
Otitis Media
;
Paralysis
;
Sinusitis
;
Vasculitis
;
Wegener Granulomatosis*
10.Development of Rheumatoid Arthritis during Treatment of Cushing's Disease.
Han Joo BAEK ; Ki Chul SHIN ; Yun Jong LEE ; Seong Wook KANG ; Eun Bong LEE ; Yeong Wook SONG
Korean Journal of Medicine 1998;55(2):245-249
Exogenous glucocorticoid has anti-inflammatory effect to reduce symptoms and signs of rheumatoid arthritis. However there are few reports about the role of endogenous glucocorticoid in rheumatoid arthritis. Recently we experienced a case of rheumatoid arthritis developed in a female patient with Cushing's disease as her cortisol level decreased during medical management of hypercortisolemia. She underwent trans-sphenoidal surgery for Cushing's disease (pituitary microadenoma). Six years after surgery she had disease recurrence and received brain radiotherapy and ketoconazole medication. Four years later she developed seronegative rheumatoid arthritis. 24 hour urine cortisol level was below the normal value at that time. Polyarthralgia improved with prednisolone (5mg/day). But polyarthralgia was aggravated as cortisol level decreased below the normal value after prednisolone was discontinued. This case and previous reports suggest that the development and aggravation of rheumatoid arthritis is associated with relative cortisol deficiency, or alteration of balance between neuroendocrine system(hypothalamic- pituitary-adrenal axis) and inflammatory process.
Arthralgia
;
Arthritis, Rheumatoid*
;
Brain
;
Female
;
Humans
;
Hydrocortisone
;
Ketoconazole
;
Prednisolone
;
Radiotherapy
;
Recurrence
;
Reference Values