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골수 이형성 증후군에서 급성신손상을 동반한 Sweet 증후군의 치료 1예

A Case of Sweet’s Syndrome with Acute Kidney Injury in a Patient with Myelodysplastic Syndrome

대한내과학회지 2020년 95권 5호 p.344 ~ 348
Kim Hak-Soo, Kim Hak-Soo, 윤정아, 이제환, 장재원, 서원용, 이은경, 윤정아, 이제환, 장재원, 서원용, 이은경,
소속 상세정보
 ( Kim Hak-Soo ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine Division of Nephrology
윤정아 ( Yoon Jung-A ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
이제환 ( Lee Je-Whan ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine Division of Hematology
장재원 ( Chang Jai-Won ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine Division of Nephrology
서원용 ( Suh Won-Yong ) - Cheonan Medical Center Department of Internal Medicine
이은경 ( Lee Eun-Kyoung ) - Dankook University College of Medicine Dankook University Hospital Department of Neurology
윤정아 ( Yoon Jung-A ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine Division of Nephrology
이제환 ( Lee Je-Whan ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine Division of Hematology
장재원 ( Chang Jai-Won ) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine Division of Nephrology
서원용 ( Suh Won-Yong ) - Cheonan Medical Center Department of Internal Medicine
이은경 ( Lee Eun-Kyoung ) - Dankook University College of Medicine Dankook University Hospital Department of Neurology

Abstract


Sweet’s syndrome (SS) is an autoimmune-mediated acute febrile neutrophilic dermatosis with a number of possible etiologies, including infection, malignancy, and drug reactions. In contrast to its original description, it can rarely involve extracutaneous organs, including the central nervous system, cardiovascular system, lung, liver, gastrointestinal tract, spleen, and bone. To our knowledge, there have been only three cases of SS accompanied by acute kidney injury worldwide, and this is the first report in which the patient recovered completely from acute kidney injury as well as cutaneous lesions with early steroid administration. Here, we report a case of SS with acute kidney injury in a patient with myelodysplastic syndrome (MDS) whose skin lesions and renal function recovered fully with early diagnosis and steroid therapy along with a review of the relevant literature.

키워드

Sweet 증후군; 골수 이형성 증후군; 급성신손상
Sweet syndrome; Myelodysplastic syndromes; Acute kidney injury

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