| 영문 | epidemic hemorrhagic fever | 한글 | 유행출혈열 |
|---|---|---|---|
| 설명 | 한국전쟁당시 국내에서 발견되면서 한때 한국형 출혈열(Korean hemorrhagic fever)이라고도 불리웠던 이 병은 갑자기 시작하는 오한, 두통, 근육통을 나타내고 이어서 3~5일 내에 전신 피부 및 공막출혈, 혈소판감소증, 단백뇨 및 신장 기능상실 등이 온다. 말기에는 쇼크 및 저체온이 될 수 있다. 처음 7~10일 간에 살아남은 환자들은 서서히 회복되나 단백뇨의 핍뇨는 수 주간 지속된다. 증세에 따라서 발열기, 저혈압기, 감뇨기, 이뇨기, 회복기로 비교적 특이하게 구분된다. Hantaan virus라고 불리는 이 병원체는 세포질에서 자라는 RNA 바이러스이며 Bunyaviridae과에 속하는 Hanta 바이러스속에 속하는 종(species)으로 한탄 바이러스 이외에 Puumula virus, Hill virus가 있다. 최근에 환자로부터 한탄바이러스와는 구분되는 Seoul virus가 분리, 동정됨에 따라서 야외형(Hantaan virus)과 도시형(Seoul virus)이 병원체가 서로 다르다는 점이 알려졌다. 한국을 비롯하여 만주, 시베리아 등지에서 유행하는 질환으로 알려졌으나 한탄바이러스의 발견을 계기로 혈청검사가 가능해지자 한탄바이러스 내지는 이와 항원구조가 유사한 바이러스로 생기는 감염증이 세계 각처에 분포되어 있다는 것이 판명되었다. 계절적인 발생은 특이하며, 국내에서는 봄과 가을에 두 번의 유행이 있다고 하지만 최근에는 가을의 유행이 크다. 특징적인 육안적 소견은 콩팥속질의 출혈, 오른심방출혈, 뇌하수체 전엽의 괴사이며, 이밖에 후복강 연조직의 심한 부종, 체강내로 누출된 체액 저류, 장막의 산재성 출혈, 돌창자의 점막출혈, 폐부종 내지는 폐출혈 등이다. 조직소견의 특징은 여러 장기의 출혈과 콩팥속질, 뇌하수체, 부신 등에 생기는 초점성 응고성 괴사와 각 장기의 광범성 단핵세포 침윤이며, 세정맥이 확장되고 울혈이 생기고 혈장과 적혈구가 혈관외로 누출되고 부위에 따라서는 초점성 모세혈관 파열이 나타나 있다. |
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| 영문 | purpura | 한글 | 자색반증 |
|---|---|---|---|
| 설명 | 피부내의 출혈로 인하여, 피부 표피를 통하여 쉽게 보이는 자홍색 혹은 적갈색 반점을 특징으로 하는 일련의 질환을 총칭하는 용어이다. 대개 홍반과 구별해야 하는 데 홍반은 피부밑의 혈관이 팽창하여 붉게 보이는 현상으로 투명한 자를 이용하여 피부를 눌러서 관찰해보면 쉽게 구별이 가능하다. 이때 홍반은 붉은 색이 없어지지만, 자반은 붉은 색이 없어지지 않는다. |
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| HFRS | Hemorrhagic Fever with Renal Syndrome [HP 849-50] = Korean Hemorrhagic Fever &nbs... |
|---|---|
| ITP | idiopathic thrombocytopenic purpura; immune thrombocytopenia; immunogenic thrombocytopenic purpura; ... |
| AHC | academic health care; academic health center; acute hemorrhagic conjunctivitis; acute hemorrhagic cy... |
| HF | Hageman factor; haplotype frequency; hard filled [capsule]; hay fever; head of fetus; head forward; ... |
| ATP | 1) Adenosine Tri-Phosphate 2) Autoimmune Thrombocytopenic Purpura |
| AITP | Autoimmune thrombocytopenic purpura |
|---|---|
| ATP | Autoimmune thrombocytopenic purpura |
| HSP | Henoch Schonlein Purpura |
| HSPN | Henoch-Schoenlein purpura nephritis |
| ITP | Idiopathic thrombocytopenic purpura |
| hemorrhagic | <haematology> Relating to bleeding and haemorrhage. (09 Oct 1997) |
|---|---|
| acute vascular purpura | <dermatology> This relatively rare disorder is characterised by skin purpura, joint pains, abdominal pain and renal disease (glomerulonephritis). Although Henoch-Schonlein purpura or anaphylactoid purpura, is thought to be a immune complex mediated disease, its exact cause is unknown. Its typical benign coarse can, however, include renal failure. (27 Sep 1997) |
| allergic purpura | Nonthrombocytopenic purpura due to sensitization to foods, drugs, and insect bites. Synonym: anaphylactoid purpura. (05 Mar 2000) |
| anaphylactoid purpura | <dermatology> This relatively rare disorder is characterised by skin purpura, joint pains, abdominal pain and renal disease (glomerulonephritis). Although Henoch-Schonlein purpura or anaphylactoid purpura, is thought to be a immune complex mediated disease, its exact cause is unknown. Its typical benign coarse can, however, include renal failure. (27 Sep 1997) |
| autoimmune thrombocytopenia purpura | <haematology> A rare autoimmune disorder characterised by an acute shortage of platelets with resultant bruising and spontaneous bleeding. The platelet count becomes exceedingly low and spontaneous bleeding from the gums, gastrointestinal tract and nose can be seen. Physical examination may demonstrate enlargement of the spleen. A typical rash occurs to do microscopic haemorrhage of small blood vessels in the skin. Platelet counts under 10,000 can lead to spontaneous haemorrhage into the brain causing death. Treatment with corticosteroids is generally effective. Surgical removal of the spleen (splenectomy) is reserved for some patients. Anti-platelet antibodies are detectable in some cases. It may present in either an acute or a chronic form. Acronym: ITP (20 Sep 2002) |
| Waldenstrom's purpura | <haematology> A condition characterised by proliferation of cells resembling lymphocytes or plasma cells in the bone marrow, anaemia, increased sedimentation rate and hyperglobulinaemia. Physical findings include mucosal bleeding, skin purpura and enlargement of the lymph nodes, liver and spleen. (27 Sep 1997) |
| Henoch-Schonlein purpura | <dermatology> This relatively rare disorder is characterised by skin purpura, joint pains, abdominal pain and renal disease (glomerulonephritis). Although Henoch-Schonlein purpura or anaphylactoid purpura, is thought to be a immune complex mediated disease, its exact cause is unknown. Its typical benign coarse can, however, include renal failure. (27 Sep 1997) |
| Henoch's purpura | <dermatology> This relatively rare disorder is characterised by skin purpura, joint pains, abdominal pain and renal disease (glomerulonephritis). Although Henoch-Schonlein purpura or anaphylactoid purpura, is thought to be a immune complex mediated disease, its exact cause is unknown. Its typical benign coarse can, however, include renal failure. (27 Sep 1997) |
| Schonlein's purpura | <dermatology> This relatively rare disorder is characterised by skin purpura, joint pains, abdominal pain and renal disease (glomerulonephritis). Although Henoch-Schonlein purpura or anaphylactoid purpura, is thought to be a immune complex mediated disease, its exact cause is unknown. Its typical benign coarse can, however, include renal failure. (27 Sep 1997) |
| psychogenic purpura | <syndrome> A condition, usually occurring in women, in which the individual bruises easily (purpura simplex) and the ecchymoses tend to enlarge and involve adjacent tissues, resulting in pain in the affected parts; so-called because similar lesions are produced by inoculation of the individual's blood or various components of red blood cells and it is thought to be a form of localised autosensitization, although no specific antibodies have been demonstrable; in some individuals, there seems to be a psychogenic mechanism. Synonym: Gardner-Diamond syndrome, psychogenic purpura. (05 Mar 2000) |
| purpura | <clinical sign, dermatology> A small haemorrhage (up to about 1 cm in diameter) in the skin, mucous membrane or serosal surface, which may be caused by various factors, including blood disorders, vascular abnormalities and trauma. Purpuric lesions may be associated with inflammation, in which case they present as papular purpura or the haemorrhage may not be accompanied by inflammation, in which case they are macular. The term also comprises a group of haemorrhagic diseases characterised by the presence of purpuric lesions, ecchymoses and a tendency to bruise easily, which may be caused by decreased platelet counts, the presence of abnormal platelets, vascular defects or reactions to certain drugs. (15 Dec 1997) |
| purpura, anaphylactoid | See Purpura, Henoch-Schonlein. (12 Dec 1998) |
| purpura angioneurotica | An eruption marked by angioneurotic oedema, petechiae, and hyperesthesia of the skin and gastric mucous membrane. (05 Mar 2000) |
| purpura annularis telangiectodes | Asymptomatic annular lesions, principally of the lower extremities of adolescent males, in which the peripheral portion is composed of purpura or petechiae with brawny staining of haemosiderin deposits and minute telangiectasia. Synonym: Majocchi's disease. (05 Mar 2000) |
| purpura fulminans | A severe and rapidly fatal form of purpura haemorrhagica, occurring especially in children, with hypotension, fever, and disseminated intravascular coagulation, usually following an infectious illness. (05 Mar 2000) |
| hemorrhagic purpura |
Idiopathic thrombocytopenic purpura .
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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