요도암에서 구획증후군으로 나타난 염증성 근염 1예 (Compartment Syndrome followed by Inflammatory Myositis in a Patient with Urethral Cancer)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 90권 / 1호 / 83 ~ 87페이지
· 저자명 : 양재국, 최하영, 김민진, 김경하, 김현숙, 진윤미

초록

염증성 근염은 부종양증후군의 하나이나, 국내에서 요도암과 연관되거나 또한 염증성 근염이 구획증후군으로 나타난 보고는 없었다. 저자는 요도암 환자에서 CCRT 시행 중염증성 근염에 의한 구획증후군이 발생하여 근막 절개, 고용량 스테로이드(250 mg/일) 및 면역글로불린(1 g/Kg)을 투여하고 호전을 보인 예를 경험하였기에 이에 대한 문헌고찰과함께 증례를 보고하는 바이다.

영어초록

Inflammatory myositis is a heterogeneous group of rare diseases characterized by inflammation of the skeletal muscle. The association between cancer and inflammatory myositis is well established, with most cancer-associated myopathies diagnosed within 2 years of initial diagnosis. However, despite this strong association, inflammatory myositis as a paraneoplastic syndrome of urethral cancer has not been reported in Korea. Furthermore, compartment syndrome in the context of inflammatory myositis is extremely rare. A 69 year-old woman presented with paresthesia and painful swelling of the right lower extremity 2 months after diagnosis with urethral cancer, which was treated by chemoradiotherapy. Painful numbness was particularly severe when extending the knee, leading to a preliminary diagnosis of myositis with compartment syndrome, which was confirmed by magnetic resonance imaging.
After fascia resection, the patient was treated with high dose steroid and immunoglobulin therapy. Here, we report a case of compartment syndrome followed by inflammatory myositis in a patient with urethral cancer.

참고자료

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