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논문KCI 등재

레미떼징후 단독으로 나타난 재발성 아토피척수염

Recurrent Atopic Myelitis Presenting as an Isolated Lhermitte’s Sign

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초록

Atopic myelitis (AM) is a relatively mild form of myelitis associated with allergic diathesis, and present with predominant sensory manifestations. Lhermitte’s sign has been considered as a relatively non-specific clinical sign suggesting demyelinating lesion in cervical cord. Here we report a patient with recurrent AM who presented with isolated Lhermitte’s sign, both in first and second attacks. This report suggests that either the diagnosis or recurrence of AM can be frequently underdiagnosed because of its predominant sensory manifestations.

Abstract

Atopic myelitis (AM) is a relatively mild form of myelitis associated with allergic diathesis, and present with predominant sensory manifestations. Lhermitte’s sign has been considered as a relatively non-specific clinical sign suggesting demyelinating lesion in cervical cord. Here we report a patient with recurrent AM who presented with isolated Lhermitte’s sign, both in first and second attacks. This report suggests that either the diagnosis or recurrence of AM can be frequently underdiagnosed because of its predominant sensory manifestations.

참고문헌 (8)

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  3. 이경재, "아토피척수염의 특징과 개회충척수염과의 연관성", 대한신경과학회지, 31(3), pp.158~164 (2013), 대한신경과학회
  4. Yoon JH, "Clinical and laboratory characteristics of atopic myelitis: Korean experience", J Neurol Sci, 285, pp.154~158 (2009)
  5. Osoegawa M, "Myelitis with atopic diathesis: a nationwide survey of 79 cases in Japan", J Neurol Sci, 209, pp.5~11 (2003)
  6. Kempster PA, "The Lhermitte phenomenon: variant forms and their significance", Clin Neurosci, 15, pp.379~381 (2008)
  7. Gemici C, "Lhermitte's sign: Review with special emphasis in oncology practice", Crit Rev Oncol Hematol, 74, pp.79~86 (2010)
  8. Al-Araji AH, "Reappraisal of Lhermitte's sign in multiple sclerosis", Mult Scler, 11, pp.398~402 (2005)

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