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MR Vol.11 No3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.3 |
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Rapidly progressing neurological disturbance
due to intraspinal calcification in a patient with systemic sclerosis |
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| K. Ogawa , T. Ogawa , T. Ogura A1, M. Akutsu
A1, E. Saito A1 |
(1)Fourth Department of Internal Medicine,
Toho University School of Medicine, Tokyo, Japan
(2)Arthritis Center, Boston University School of Medicine, K5 715 Albany Street,
Boston, MA 02118, USA |
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| Abstract |
| Abstract A 53-year-old woman with diffuse
cutaneous systemic sclerosis (dsSSc) who developed muscle weakness
in her lower extremities was admitted to our hospital. Computed
tomography (CT) of her thoracic spine showed paraspinal and intraspinal
calcifications producing severe spinal stenosis. After admission,
her neurological symptoms, including muscle weakness and sensory
disturbance, rapidly progressed and finally her lower extremities
became completely paraplegic. After initiation of diltiazem and
bucillamine, her neurological disturbance showed a marked improvement.
A CT scan of the thoracic spine after medication showed dominant
decrements in both intraspinal and paraspinal calcifications. |
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| Key words |
| Key words Bucillamine ・ Diltiazem ・ Intraspinal calcification
・ Paraspinal calcification ・ Systemic sclerosis |
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