Human Immunodeficiency Virus 감염 환자에서 발생한 축형 척추관절염 1예

• Published in: Journal of rheumatic diseases Vol. 22; no. 5; pp. 303 - 307
• Main Authors: 김태진, Tae Jin Kim, 전찬홍, Chan Hong Jeon
• Format: Journal Article
• Language: Korean
• Published: 대한류마티스학회 31.10.2015
• Subjects: HIV; Rheumatic diseases; Spondylarthropathies; 내과학
• ISSN: 2093-940X; 2233-4718

항레트로바이러스 치료의 발전과 함께 HIV 감염 환자에서 류마티스성 합병증의 양상은 계속 변화하고 있다. 꾸준히 새로운 환자가 발생하고 있으며 효과적인 치료 방법이 아직 개발되지 않은 상태에서 이러한 류마티스성 합병증을 경험할 가능성은 크다고 판단되나 이에 대한 국내 보고는 거의 없었다. 저자들은 HIV 감염 환자에서 발생한 축형 척추관절염 환자를 경험하여 이를 문헌 고찰과 함께 보고하는 바이다. Human immunodeficiency virus (HIV) infection is a global pandemic affecting more than 2.9 million people. Aside from opportunistic infections and malignancies, it involves multiple organs, resulting in many complications, and frequently shows various rheumatic manifestations. With improving survival of patients due to the development of highly active anti-retroviral therapy, the number of HIV-infected patients with rheumatic complications is certain to increase. However, reports on HIV induced rheumatic manifestations in Korean patients are limited. On the other hand, spondyloarthropathy is the most common form of inflammatory arthropathy in HIV associated rheumatic manifestations and is frequently accompanied by peripheral arthritis and enthesitis, while axial skeletal involvement is a rare presentation. Herein we report on a 46-year-old man with HIV infection presenting with an axial spondyloarthropathy who was treated successfully with nonsteroidal anti-inflammatory drug, sulfasalazine, and low dose steroid. (J Rheum Dis 2015;22:303-307)