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J Korean Neurol Assoc. 1993;11(3):467-470.
- A Case of Steroid Myopathy in Istrogenic Cushing Syndrome
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Choong-Sub Sim, M.D., Hyung-Chul Kim, M.D., Seung-Hyun Kim, M.D., Joo-Han Kim, M.D., Myung-Ho Kim, M.D., Yoo-Hun Ahn, M.D., Jae-Geun Jee, M.D.
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Department of Neurology and Internal Medicine, College of Medicine Hanyang University, Department of Pathology, College of Medicine Seoul National University
- 의인성 쿠싱 증후군에서 수반된 스테로이드 근병증 1례
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심충섭, 김형철,김승현,김주한,김명호,안유헌,지제근
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한양대학교 신경과, 내과. 서울대학교 병리학.
- Abstract
- Steroid myopathy is one of the most common drug-induced myopathy. We report a case of iatrogenic steroid myopathy in a 61-year-old female who had taken herb medication more than 2 months. She presented a slowly progressive proximal muscle weakness and wasting with typical features of cushing syndrome. Needle EMG showed typical myopathic patterns. The muscle biopsy revealed a pronounced muscle fiber atrophy and fatty degenerative change without inflammation. In addition, there was a selective type 2 fiber depletion on ATPase staining in pH 9.4 buffer. Her muscle powers and bulks were slowly improved after discontinuation of herb medication with phenytoin and physical therapy.
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- 초록
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