국소적 보툴리늄 독소 A 주사에 의한 호흡곤란 1예
A Case of Dyspnea Caused by Local Botulinum Toxin Type A Injection
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초록
국소적으로 투여된 보톡스가 호흡곤란을 일으킨 증례는국내에 지금까지 보고된 바가 없어 1예를 경험하여 이를 보고하는 바이다.
Abstract
Botulinum toxin type A is widely used for functional improvement of muscles and aesthetic plastic surgery. It paralyzes the injected muscle by inhibiting acetylcholine release from synapses of neuromuscular junctions. We herein report a case of progressive respiratory distress after botulinum toxin injection at both the gastrocnemius and soleus muscles. The patient also showed ptosis, dysphonia, dysphagia, and general weakness. Vocal cord dysfunction was observed by laryngoscopy. Other neurologic examination findings, including those of the physical examination, brain MRI, and Jolly’s test, were normal. To our knowledge, this is the first report of botulinum toxin injection associated with dyspnea (MRC dyspnea scale, grade 3) in Korea.
참고문헌 (9)
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