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<P><B><FONT size=4>기꾸치병 (Kikuchi's lymphadenitis) [I89.10]</FONT></B></P>
<P ><SPAN style="COLOR: blue; FONT-FAMILY: 굴림; "></SPAN> </P>
<P ><STRONG><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 동의어</SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; "></SPAN><SPAN style="FONT-FAMILY: 돋움; ">아급성 림프절염<SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">아급성 괴사성 림프절염</SPAN><SPAN style="FONT-FAMILY: 돋움">, Kikuchi-Fujimoto’s Disease</SPAN></SPAN></P>
<P ><STRONG><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 개요<SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">1972</SPAN><SPAN style="FONT-FAMILY: 돋움; ">년 일본에서 기꾸치와 후지모토 등에 의해서 처음 보고된 질환으로<SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">동양에서 흔하고 서양에서는 드문 원인미상의 괴사성 림프절염</SPAN></SPAN><SPAN style="FONT-FAMILY: 굴림; "><SPAN style="FONT-FAMILY: 돋움"> </SPAN></SPAN></P>
<P ><STRONG><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 정의<SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">림프절 피막이 잘 유지도어 있으면서<SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">곁피질</SPAN><SPAN style="FONT-FAMILY: 돋움">(paracortex)</SPAN><SPAN style="FONT-FAMILY: 돋움">내에 부분적으로 경계가 뚜렷한 세포괴사 부위가 보이고</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">호산성섬유질</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">림프구</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">조직구</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">세포핵붕괴 및 대식세포를 관찰 할 수 있는 병리조직학적 소견을 보이는 림프절염의 한 종류</SPAN></SPAN><SPAN style="FONT-FAMILY: 굴림; "><SPAN style="FONT-FAMILY: 돋움"> </SPAN></SPAN></P>
<P ><STRONG><SPAN style="COLOR: blue; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 빈도<SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">10</SPAN><SPAN style="FONT-FAMILY: 돋움; ">개월에서<SPAN style="FONT-FAMILY: 돋움"> 75</SPAN><SPAN style="FONT-FAMILY: 돋움">세까지 넓은 범위의 연령대에서 발병할 수 있지만</SPAN><SPAN style="FONT-FAMILY: 돋움">, 30</SPAN><SPAN style="FONT-FAMILY: 돋움">대 이하 젊은 동양 여성들에게 가장 흔하게 발생한다</SPAN><SPAN style="FONT-FAMILY: 돋움">. </SPAN><SPAN style="FONT-FAMILY: 돋움">남녀비는</SPAN><SPAN style="FONT-FAMILY: 돋움"> 1: 3~4</SPAN><SPAN style="FONT-FAMILY: 돋움">이다</SPAN><SPAN style="FONT-FAMILY: 돋움">.</SPAN></SPAN><SPAN style="FONT-FAMILY: 굴림; "><SPAN style="FONT-FAMILY: 돋움"> </SPAN></SPAN></P>
<P ><STRONG><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 원인<SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">원인모름<SPAN style="FONT-FAMILY: 돋움">. </SPAN><SPAN style="FONT-FAMILY: 돋움">바이러스 감염</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">자가면역질환과의 관련 추정</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN></SPAN><SPAN style="FONT-FAMILY: 굴림; "><SPAN style="FONT-FAMILY: 돋움"> </SPAN></SPAN></P>
<P ><STRONG><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 증상<SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">무증상<SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">고열</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">경부림프절 종대</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">피부발진</SPAN><SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">피부결절</SPAN></SPAN></P>
<P ><STRONG><SPAN style="COLOR: blue; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="FONT-FAMILY: 돋움; "> <SPAN style="COLOR: #0000ff">진단</SPAN><SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">림프절 조직 절제 생검으로 확진</SPAN></P>
<P ><SPAN style="FONT-FAMILY: 굴림; "><SPAN ></SPAN></SPAN><SPAN style="FONT-FAMILY: 돋움"></SPAN></P>
<P ><STRONG><SPAN style="COLOR: blue; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 치료</SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">비스테로이드성 항염제<SPAN style="FONT-FAMILY: 돋움">, </SPAN><SPAN style="FONT-FAMILY: 돋움">경구용 스테로이드</SPAN></SPAN></P>
<P ><SPAN style="FONT-FAMILY: 굴림; "><SPAN ></SPAN></SPAN><SPAN style="FONT-FAMILY: 돋움"></SPAN></P>
<P ><STRONG><SPAN style="COLOR: blue; FONT-FAMILY: 돋움; ">●</SPAN><SPAN style="COLOR: #0000ff; FONT-FAMILY: 돋움; "> 예후<SPAN ></SPAN></SPAN></STRONG></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">증상이 가라앉을 때까지의 기간은 약<SPAN style="FONT-FAMILY: 돋움"> 1</SPAN><SPAN style="FONT-FAMILY: 돋움">개월에서</SPAN><SPAN style="FONT-FAMILY: 돋움"> 6</SPAN><SPAN style="FONT-FAMILY: 돋움">개월 정도 소요</SPAN><SPAN ></SPAN></SPAN></P>
<P ><SPAN style="FONT-FAMILY: 돋움; ">루프스 등 자가면역질환으로 진행 가능성 있음<SPAN ></SPAN></SPAN></P>
<P> </P>
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질병해설-건강상식
기꾸치병
강대리
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조회 966
10.11.16 14:12
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