๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #29

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Male
์ง€์‹œ์‚ฌํ•ญ: ๊ทผ๋ ฅ ์ €ํ•˜, AIDS ๋ณ‘๋ ฅ

์ฆ๋ก€ #29

๊ฒฐ๊ณผ

  • ์ขŒ์ธก ์ „๋‘์—ฝ ๋ฐ ๋‘์ •์—ฝ ๋ฐฑ์งˆ์— ์œตํ•ฉ๋œ T2/FLAIR ๊ณ ์‹ ํ˜ธ ์˜์—ญ์ด ์žˆ์œผ๋ฉฐ, ์ •๋„๋Š” ๋œํ•˜์ง€๋งŒ ์šฐ์ธก ์ „๋‘์—ฝ, ์šฐ์ธก ๋‘์ •์—ฝ ๋ฐ ์–‘์ธก ํ›„๋‘์—ฝ์—๋„ ํ”ผ์งˆํ•˜ U ์„ฌ์œ  ์นจ๋ฒ”๊ณผ ํ•จ๊ป˜ ์กด์žฌํ•จ
  • ๋™๋ฐ˜๋œ ํ™•์‚ฐ ์ œํ•œ ๋˜๋Š” ์กฐ์˜ ์ฆ๊ฐ• ์—†์Œ
  • ๊ธ‰์„ฑ ์ถœํ˜ˆ, ์ข…๊ดด ํšจ๊ณผ ๋˜๋Š” ์ˆ˜๋‘์ฆ์˜ ์ฆ๊ฑฐ ์—†์Œ
  • ๋ถ€๋น„๋™์˜ ๊ด‘๋ฒ”์œ„ํ•œ ์ ๋ง‰ ๋น„ํ›„

์ง„๋‹จ

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

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๊ด€๋ จ ํ™•์‚ฐ ์ œํ•œ, ์กฐ์˜ ์ฆ๊ฐ• ๋˜๋Š” ์ข…๊ดด ํšจ๊ณผ ์—†์ด ์šฐ์ธก๋ณด๋‹ค ์ขŒ์ธก์ด ๋” ์‹ฌํ•œ ๋Œ€๋‡Œ ๋ฐฑ์งˆ์˜ ๋น„๋Œ€์นญ ์œตํ•ฉ์„ฑ T2/FLAIR ๊ณ ์‹ ํ˜ธ ์˜์—ญ. ํ™˜์ž ๋ณ‘๋ ฅ์„ ๊ณ ๋ คํ•  ๋•Œ, ์ด ์˜์ƒ ์†Œ๊ฒฌ์€ ์ง„ํ–‰์„ฑ ๋‹ค์ดˆ์  ๋ฐฑ์งˆ๋‡Œ๋ณ‘์ฆ(PML)์„ ๊ฐ€์žฅ ์‹œ์‚ฌํ•จ.

๋ถ€๋น„๋™์˜ ๊ด‘๋ฒ”์œ„ํ•œ ์ ๋ง‰ ๋น„ํ›„๋กœ, ๊ธ‰์„ฑ ๋ถ€๋น„๋™์—ผ์—์„œ ๊ด€์ฐฐ๋  ์ˆ˜ ์žˆ์Œ.

ํ† ๋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.