횡문근융해증으로 발현된 피부근염 환자 1예

• Published in: Journal of rheumatic diseases 2011, 18(3), , pp.203-207
• Main Authors: 이향선, Hyang Sun Lee, 지용관, Yong Gwan Jee, 송신한, Sin Han Song, 성세용, Se Yong Sung, 이지호, Ji Ho Lee, 양재원, Jae Won Yang, 한병근, Byoung Geun Han, 정순희, Soon Hee Jung, 박정하, Jeong Ha Park, 강태영, Tae Young Kang
• Format: Article
• Language: Korean
• Subjects: Dermatomyositis; Inflammatory myopathy; Rhabdomyolysis; 내과학
• ISSN: 2093-940X; 2233-4718

저자들은 보존적 치료에도 불구하고 호전되지 않는 횡문근융해증 환자에서 피부근염을 진단한 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Rhabdomyolysis is caused by injury to skeletal muscle and it involves leakage of intracellular contents into the plasma. Rhabdomyolysis is an extremely rare manifestation of dermatomyositis. Dermatomyositis is a rare idiopathic inflammatory myopathy that is characterized by chronic inflammation of skeletal muscles and skin, resulting in muscle weakness. A 20 year old Korean male soldier presented with acute muscle pain, weakness and skin rashes over the face, neck and anterior chest. He received military training with carrying a radio set one week previouslyago. The patient was treated for rhabdomyolysis. However, the patient`s symptoms did not improve. Muscle biopsy results suggested the diagnosis of rhabdomyolysis. Nevertheless, the features of skin and muscle inflammation raised the possibility of dermatomyositis. High dose steroid treatment was started, and then the symptoms and signs of muscle inflammation were improved. Rhabdomyolysis as the presenting sign of dermatomyositis has not been reported in Korea. Thus, we report on this case with a literature review.