다발성 근염, 피부 근염에서 비정상 자발 전위의 임상적 의의
Clinical Implication of Abnormal Spontaneous Activities in Polymyositis or Dermatomyositis
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Objective: To analyse the relationship between severity of abnormal spontaneous activities and muscle power and serum muscle enzyme level in patients with polymyositis or dermatomyositis. Methods: We studied 15 patients who were diagnosed with polymyositis or dermatomyositis. They were assessed by clinical findings, electromyography and clinical laboratory test. Severity of electromyographic findings was classified into mild and severe groups based on amount of abnormal spontaneous activities. Results: Degree of abnormal spontaneous activities was negatively correlated with muscle power, especially in proximal muscles of upper extremity. Patients with severe abnormal spontaneous activities showed higher creatine kinase level than that of mild group. Conclusion: Severity of abnormal spontaneous activities could provide supportive information to assess the disease activity in patients with polymyositis or dermatomyositis.
Abstract
Objective: To analyse the relationship between severity of abnormal spontaneous activities and muscle power and serum muscle enzyme level in patients with polymyositis or dermatomyositis. Methods: We studied 15 patients who were diagnosed with polymyositis or dermatomyositis. They were assessed by clinical findings, electromyography and clinical laboratory test. Severity of electromyographic findings was classified into mild and severe groups based on amount of abnormal spontaneous activities. Results: Degree of abnormal spontaneous activities was negatively correlated with muscle power, especially in proximal muscles of upper extremity. Patients with severe abnormal spontaneous activities showed higher creatine kinase level than that of mild group. Conclusion: Severity of abnormal spontaneous activities could provide supportive information to assess the disease activity in patients with polymyositis or dermatomyositis.
참고문헌 (14)
- 한태륜, "다발성 근염 및 피부 근염의 근전도적 연구", 대한재활의학회지, 8, pp.139~144 (1984)
- Cordeiro AC, "Treatment of inflammatory myopathies", Postgrad Med J, 82, pp.417~424 (2006)
- Miller FW, "Proposed preliminary core set measures for disease outcome assessment in adult and juvenile idiopathic inflammatory myopathies", Rheumatology, 40, pp.1262~1273 (2001)
- Blijham PJ, "Needle electromyographic findings in 98 patients with myositis", Eur Neurol, 55, pp.183~188 (2006)
- Bohan A, "Computerassisted analysis of 153 patients with polymyositis and dermatomyositis", Medicine, 56, pp.255~286 (1977)
- Bohan A, "Polymyositis and dermatomyositis (first of two parts)", N Eng J Med, 292, pp.344~347 (1975)
- Dumitru D, "Needle electromyography. In Electrodiagnositic medicine, 2nd ed", pp.257~291 (2002), Hanley & Belfus
- 오현일, "사지 약화를 주소로 내원한 봉입체 근염: 증례보고", 대한재활의학회지, 24, pp.1229~1234 (2000)
- 이은우, "염증성 근질환", 대한의학협회지, 37, pp.610~620 (1994)
- Askanas V, "Idiopathic inflammatory myopathies: inclusion- body myositis, polymyositis, and dermatomyositis", Curr Opin Neurol, 7, pp.448~456 (1994)
- Bunch TW, "Polymyositis: a case history approach to the differential diagnosis and treatment", Mayo Clin Proc, 65, pp.1480~1497 (1990)
- Dayal NA, "Isenberg DA: Assessment of inflammatory myositis", Curr Opin Rheumatol, 13, pp.488~492 (2001)
- Dumitru D, "Introduction to myopathies and muscle tissue’s reaction to injury. In Electrodiagnositic medicine, 2nd ed", pp.1229~1264 (2002), Hanley & Belfus
- Buchthal F, "Fibrillation: clinical electrophysiology. In Abnormal nerve and muscle generators", pp.632~662 (1982), Oxford university press