๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #6

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Male
์ง€์‹œ์‚ฌํ•ญ: ์น˜๋ฃŒ ์ค‘์ธ ๋ฏธ๋งŒ์„ฑ ๊ฑฐ๋Œ€ B์„ธํฌ ๋ฆผํ”„์ข…

์ฆ๋ก€ #6

๊ฒฐ๊ณผ

  • ์–‘์ธก ์ค‘์†Œ๋‡Œ๊ฐ, ์ขŒ์ธก ์ƒ์†Œ๋‡Œ๊ฐ, ์ขŒ์ธก์ด ์šฐ์ธก๋ณด๋‹ค ํฐ ์ค‘๋‡Œ ๋ฐ ๋Œ€๋‡Œ๊ฐ, ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ํฐ ๋ Œ์ฆˆํ•ต, ๊ทธ๋ฆฌ๊ณ  ๋‡Œ์‹ค์ฃผ์œ„ ๋ฐฑ์งˆ, ํŠนํžˆ ์–‘์ธก ์ธก๋‘์—ฝ ๋ฐ ์ขŒ์ธก ๋‘์ •์—ฝ์„ ์นจ๋ฒ”ํ•˜๋Š” ์ฒœ๋ง‰ํ•˜ ๋ฐ ์ฒœ๋ง‰์ƒ ๋ฐ˜์ ์ƒ T2/FLAIR ๊ณ ์‹ ํ˜ธ ๊ฐ•๋„
  • ์œ ์˜ํ•œ ๋™๋ฐ˜ ์ข…๊ดด ํšจ๊ณผ, ํ™•์‚ฐ ์ œํ•œ ๋˜๋Š” ์กฐ์˜ ์ฆ๊ฐ• ์—†์Œ
  • ๊ธ‰์„ฑ ๊ฒฝ์ƒ‰, ์ถœํ˜ˆ ๋˜๋Š” ์ˆ˜๋‘์ฆ์˜ ์ฆ๊ฑฐ ์—†์Œ
  • ๊ฒฝ๋ฏธํ•œ ์ „๋ฐ˜์  ๋Œ€๋‡Œ ์šฉ์  ๊ฐ์†Œ
  • ๊ฒฝ๋ฏธํ•œ ๋ฏธ๋งŒ์„ฑ ํ‰ํ™œ ๊ฒฝ๋ง‰ ๋น„ํ›„
  • ์šฐ์ธก ์ƒ์•…๋™์˜ ๋ฏธ๋Ÿ‰ ์ ๋ง‰ ๋น„ํ›„

์ง„๋‹จ

์ง„ํ–‰์„ฑ ๋‹ค์ดˆ์  ๋ฐฑ์งˆ๋‡Œ๋ณ‘์ฆ(PML)

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์œ ์˜ํ•œ ๋™๋ฐ˜ ์ข…๊ดด ํšจ๊ณผ, ํ™•์‚ฐ ์ œํ•œ ๋˜๋Š” ์กฐ์˜ ์ฆ๊ฐ• ์—†์ด ์ฃผ๋กœ ๋ฐฑ์งˆ์„ ์นจ๋ฒ”ํ•˜๋Š” ๋น„๋Œ€์นญ ์–‘์ธก ๋ฐ˜์ ์ƒ ์ฒœ๋ง‰ํ•˜ ๋ฐ ์ฒœ๋ง‰์ƒ T2/FLAIR ๊ณ ์‹ ํ˜ธ ๊ฐ•๋„. ์ด ์˜์ƒ ์†Œ๊ฒฌ์€ ์ง„ํ–‰์„ฑ ๋‹ค์ดˆ์  ๋ฐฑ์งˆ๋‡Œ๋ณ‘์ฆ(PML)์„ ๊ฐ€์žฅ ์‹œ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ๋ฆผํ”„์ข…์€ ์ข…๊ดด ํšจ๊ณผ, ํ™•์‚ฐ ์ œํ•œ ๋ฐ ์กฐ์˜ ์ฆ๊ฐ•์˜ ๋ถ€์žฌ๋กœ ์ธํ•ด ๊ฐ€๋Šฅ์„ฑ์ด ๋‚ฎ์€ ๊ฒƒ์œผ๋กœ ํŒ๋‹จ๋˜๋‚˜, ์Šคํ…Œ๋กœ์ด๋“œ ์น˜๋ฃŒ ์ƒํ™ฉ์—์„œ๋Š” ์กฐ์˜ ์ฆ๊ฐ• ๋ถ€์žฌ๊ฐ€ ๋‚˜ํƒ€๋‚  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค.

๊ธ‰์„ฑ ๊ฒฝ์ƒ‰, ์ถœํ˜ˆ ๋˜๋Š” ์ˆ˜๋‘์ฆ์˜ ์ฆ๊ฑฐ ์—†์Œ.

๊ฒฝ๋ฏธํ•œ ๋ฏธ๋งŒ์„ฑ ํ‰ํ™œ ๊ฒฝ๋ง‰ ๋น„ํ›„๋กœ, ๋น„ํŠน์ด์ ์ด๋ฉฐ ์ด์ „ ์ฒ™์ˆ˜๊ฐ•๋‚ด ์ ‘๊ทผ, ๋‘๊ฐœ๋‚ด ์ €์••์ฆ ๋˜๋Š” ๊ฐ€๋Šฅ์„ฑ์€ ๋‚ฎ์ง€๋งŒ ๋ฆผํ”„์ข… ์นจ๋ฒ”๊ณผ ๊ด€๋ จ๋  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค.

๊ฒฝ๋ฏธํ•œ ์ „๋ฐ˜์  ๋Œ€๋‡Œ ์œ„์ถ•.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Maas RP, Muller-Hansma AH, Esselink RA, Murk JL, Warnke C, Killestein J, Wattjes MP. Drug-associated progressive multifocal leukoencephalopathy: a clinical, radiological, and cerebrospinal fluid analysis of 326 cases.ย J Neurolย 2016 Oct; 263(10): 2004-2021.
  • Smith AB, Smirniotopoulos JG, Rushing EJ. From the archives of the AFIP: central nervous system infections associated with human immunodeficiency virus infection: radiologicโ€“pathologic correlation. Radiographics 2008; 28: 2033-2058.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.