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근긴장방전을 동반한 근육병으로 시작한 시신경척수염범주질환

Neuromyelitis Optica Spectrum Disorder Preceded by Myotonic Myopathy

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초록

Neuromyelitis optica spectrum disorder (NMOSD) is generally known as selective involvement of central nervous system. However, in recent years, some evidences have been found that NMOSD invades other peripheral organs. Especially, skeletal muscle involvement of NMOSD has been documented scantily and further studies must be required. Here, we describe a patient who first had generalized fatigue, mild weakness, and myalgia with increased level of serum creatine kinase and was finally diagnosed with myopathy associated with NMOSD.

Abstract

Neuromyelitis optica spectrum disorder (NMOSD) is generally known as selective involvement of central nervous system. However, in recent years, some evidences have been found that NMOSD invades other peripheral organs. Especially, skeletal muscle involvement of NMOSD has been documented scantily and further studies must be required. Here, we describe a patient who first had generalized fatigue, mild weakness, and myalgia with increased level of serum creatine kinase and was finally diagnosed with myopathy associated with NMOSD.

참고문헌 (10)

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  3. Guo Y, "Autoimmune aquaporin-4 myopathy in neuromyelitis optica spectrum", JAMA Neurol, 71, pp.1025~1029 (2014)
  4. Cosgrove J, "Myocarditis and diffuse skeletal muscle oedema : new features of neuromyelitis optica spectrum disorder? A case report", Mult Scler, 20, pp.120~122 (2014)
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  6. Deguchi S, "HyperCKemia related to the initial and recurrent attacks of neuromyelitis optica", Intern Med, 51, pp.2617~2620 (2012)
  7. Frigeri A, "Expression of aquaporin-4 in fast-twitch fibers of mammalian skeletal muscle", J Clin Invest, 102, pp.695~703 (1998)
  8. Wakayama Y, "Reduced aquaporin 4 expression in the muscle plasma membrane of patients with Duchenne muscular dystrophy", Arch Neurol, 59, pp.431~437 (2002)
  9. Li X, "Membranous nephropathy with neuromyelitis optica spectrum disorder", Mult Scler Relat Disord, 15, pp.49~51 (2017)
  10. Tanaka M, "Sudden hearing loss as the initial symptom in Japanese patients with multiple sclerosis and seropositive neuromyelitis optica spectrum disorders", J Neuroimmunol, 298, pp.16~18 (2016)

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