비특이적 슬관절 활액막염에 의한 다발성 미립체
A Case of Multiple Rice Bodies by the Nonspecific Synovitis in the Knee Joint
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초록
다발성 미립체는 주로 다양한 류마티스성 질환이나 결핵성 관절염에서 관찰되며 이러한 기저질환이 없이 비특이적 활액막염에서 발생하는 경우는 드물다. 저자들은 기저질환이 없는 31세의 남자환자에서 발생한 다발성 미립체를 동반한 슬관절의 비특이적 활액막염에서 관절경적 미립체 제거술 및 활액막 절제술을 시행하여 만족스런 결과를 얻었으며 2년간 추시 관찰 상 류마토이드 관절염이나 결핵성 관절염등의 기저질환의 증거가 발견되지 않았다. 그러나 미립체로 진단된 경우 기저질환이 없는 경우는 흔치 않으므로 류마티스성 질환이나 감염성 질환 등의 기저질환에 대한 정확한 감별 진단이 필요하며, 이를 간과한다면 기저질환의 악화로 관절 연골의 파괴는 계속될 가능성이 있으므로 주의해야 할 것으로 생각된다.
Abstract
Multiple rice bodies are commonly observed in various rheumatologic disorders and tuberculous arthritis, but rice bodies are rarely observed in nonspecific synovitis without any underlying disease. We performed arthroscopic rice body removal and synovectomy for nonspecific synovitis with multiple rice bodies in a 31-year-old male patient, and the results were satisfactory. No evidence of underlying disease, including rheumatoid arthritis or tuberculous arthritis, was observed during 2 years on the follow-up evaluations after the arthroscopic procedure. There have been very few confirmed rice bodies cases without underlying disease, so making a careful differential diagnosis to rule out rheumatologic and infectious disorders is required to avoid possible aggravation of disease, which may result in persistent articular cartilage destruction.
참고문헌 (10)
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