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자료유형
학술저널
저자정보
저널정보
대한내과학회 대한내과학회지 대한내과학회지 제87권 제3호
발행연도
2014.1
수록면
373 - 378 (6page)

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A 30 year-old female visited our out-patient clinic with painful joint swelling in both hands and feet. Because she had testedpositive for rheumatoid factor, and her inflammatory markers were elevated, the case was initially classified as rheumatoid arthritis(RA), according to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR)classification criteria. However, radiographic examinations, including simple radiography and MRI, revealed that her peripheralbone lesions were compatible with bone tuberculosis. The patient also exhibited pulmonary tuberculosis (TB) on chest X-ray andCT examinations. She was treated with isoniazid (INH), rifampicin (RFP), ethambutol (EMB), and pyrazinamide (PZA), andexhibited a good response to these medications. The patient was diagnosed as having bone TB, and her peripheral bone lesions wereresolved using anti-TB treatment. This was an uncommon case of bone TB mimicking RA.

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