신경유육종증이 병발한 폐유육종증 1예
A Case of Pulmonary Sarcoidosis Combined with Neurosarcoidosis
장준 (연세대학교)
박무석 (연세대학교)
김영삼 (연세대학교)
김세규 (연세대학교)
김성규 (연세대학교)
박선철 (연세의대)
신상윤 (연세의대)
전한호 (연세의대)
정경수 (연세의대)
정우영 (연세의대)
변민광 (연세의대)
문지애 (연세의대)
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초록
유육종증은 다발성 비건락성 육아종 형성을 특징으로 하는 원인 미상의 전신 질환으로 주로 폐, 피부, 림프절 등의 장기를 침범하며, 신경계 침범은 상대적으로 드문 것으로 알려져 있다. 저자들은 다른 신경학적 증상 없이 단기 기억장애만을 특징으로 하는 신경유육종증이 병발한 폐유육종증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
- keywords
- Sarcoidosis, Neurosarcoidosis, Central nervous system., Sarcoidosis, Neurosarcoidosis, Central nervous system.
Abstract
Sarcoidosis is a multi-systemic syndrome of an unknown etiology, and it is characterized by the formation of multiple noncaseating granulomas that disrupt the architecture and function of the tissues in which they reside. The most commonly affected organs are lung, skin and lymph nodes. Overt clinical involvement of the nervous system is uncommon and this occurs in about 5% of all patients during the course of their disease. The most common manifestations are granulomatous leptomeningitis, cranial nerve palsy, electrolyte or other endocrinologic abnormalities, but isolated memory impairment is a rare manifestation. This is a case of 59 years-old male with recent memory impairment, and he was previously diagnosed with pulmonary sarcoidosis by transbronchial lung biopsy. The brain MRI imaging revealed the leptomeningeal and parenchymal involvement of sarcoidosis. He was treated with high dose corticosteroid and his memory function was improved to nearly a normal level. We report here on a case of successful treatment of pulmonary sarcoidosis combined with neurosarcoidosis with using high dose corticosteroid, and the patient presented with recent memory impairment. (Tuberc Respir Dis 2007; 62: 549-553)
- keywords
- Sarcoidosis, Neurosarcoidosis, Central nervous system., Sarcoidosis, Neurosarcoidosis, Central nervous system.
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