클라인펠터 증후군(Klinefelter’s Syndrome)에서 동반된 류마티스관절염 1예
A Case of Rheumatoid Arthritis Associated with Klinefelter’s Syndrome
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초록
저자 등은 29세 남자에서 드문 활동성 류마티스관절염이 클라인펠터 증후군에 동반하여 발생한 국내 첫 증례를 경험하였다. 환자는 클라인펠터 증후군의 치료를 위해 지속적인 테스토스테론의 보충 요법을 했지만, 혈청 안드로겐 수치는 정상보다 낮았다. 환자의 성호르몬 불균형 상태가 류마티스관절염의 발병과 경과에 영향을 미쳤을 것으로 추정된다.
Abstract
Klinefelter’s syndrome is a disorder of sexual differentiation in males, characterized by the presence of two or more X-chromosomes, hypogonadism, and lack of secondary sexual characteristics. The association between Klinefelter’s syndrome and systemic lupus erythematous has been described, while cases of rheumatoid arthritis associated with Klinefelter’s syndrome are rare. We report the first Korean case: a 29-year-old man with Klinefelter’s syndrome who developed rheumatoid arthritis. The sex hormone imbalance might have influenced the onset and course of his disease. (Korean J Med 2011;81:412-415)
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