| 영문 | iron deficiency anemia | 한글 | 철결핍빈혈 |
|---|---|---|---|
| 설명 | 적혈구의 기능은 산소를 운반하는데 있다. 적혈구 속에 산소와 결합을 하여 산소를 운반하는 혈색소라는 물질이 있다. 철은 이 혈색소의 중요한 부분을 이루는 것으로 철이 없으면 혈색소가 만들어질 수가 없다. 혈색소가 없으면 역시 적혈구도 만들어지지 않으므로 체내에 철이 부족하면 빈혈이 생긴다. 이 철결핍성 빈혈은 빈혈의 원인 중에서 가장 흔한 것이다(약 25%를 차지한다). 철저장량의 저하-결핍, 혈청철농도의 저하, 트란스페린량 상승, 트란스페린포화도의 저하, 혈색소농도 또는 헤마토크리트의 저하, 저색소성대적혈구를 특징으로 하는 빈혈로서, 생체 내에서 철이 장기에 걸쳐 결핍되며 그 때문에 혈색소 생산 감소에 의해 일어난다. 창자에서의 철흡수량 부족, 철의 수요 증대(유아기, 사춘기, 임신), 철소실과잉(출혈)에 의해 일어나며, 특히 사춘기에서 폐경기까지의 여성에게 많다. 증상으로서는 얼굴창백, 피로감, 피부창백, 손톱 변화(스푼 모양) 등을 나타낸다. 구강 영역에서는 혀의 접촉통, 발적, 건조감, 삼킴곤란을 수반하면 플러머-빈슨(Plummer-Vinson)증후군이라고 한다. 혈액 소견은 혈청철은 저하하며, 철결합능력의 상승, 저색소성 작은적혈구성을 나타낸다. |
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| acute contagious conjunctivitis | An obsolete term for an acute conjunctivitis marked by intense hyperaemia and profuse mucopurulent discharge. Synonym: acute epidemic conjunctivitis, pinkeye. (05 Mar 2000) |
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| acute crescentic glomerulonephritis | <nephrology> A relatively uncommon (affecting 1 out of 10,000 people) form of acute glomerulonephritis that results in damage within the glomerulus of the kidney. There is rapid loss of kidney function with the formation of crescents on microscopic analysis (kidney biopsy). This disorder may result in acute glomerulonephritis or nephrotic syndrome, but ultimately results in renal failure and end-stage renal disease. Symptoms include smoky coloured urine (pyuria), decreased urine output, swelling and hypertension. Any conditions which can cause a vasculitis increase the risk of this disorder. Some examples include lupus, Goodpasture's syndrome, Henoch-Schonlein purpura, IgA nephropathy, membranoproliferative glomerulonephritis, anti-glomerular basement membrane antibody disease, history for malignant tumours and exposure to hydrocarbon solvents. (27 Sep 1997) |
| acute cutaneous leishmaniasis | A form of cutaneous leishmaniasis characterised by rural distribution of human cases near infected rodents, particularly communal ground squirrels; characterised by acute rapidly developing dermal lesions that become severely inflamed, with moist necrotizing sores or ulcers that heal in two to eight months after a two to four month incubation period; among nonimmune immigrants, multiple lesions may develop, which heal more slowly and leave disabling or disfiguring scars. A strong delayed hypersensitivity and involvement of immune complexes play a role in necrosis, which is part of the healing process and of the strong specific immunity that follows. Synonym: acute cutaneous leishmaniasis, rural cutaneous leishmaniasis, wet cutaneous leishmaniasis. (05 Mar 2000) |
| acute decubitus ulcer | A severe form of bedsore, of neutrophic origin, occurring in hemiplegia or paraplegia. (05 Mar 2000) |
| acute delirium | Delirium of recent, rapid onset. (05 Mar 2000) |
| acute demyelinating polyneuropathy | <neurology> A neurologic condition. Synonym: Guillain-Barre syndrome. Origin: Gr. Pathos = disease (27 Sep 1997) |
| acute disease | Disease having a short and relatively severe course. (12 Dec 1998) |
| acute disseminated encephalomyelitis | <radiology> Immune-mediated encephalitis (IME), ADE, allergic treatmentn to prior infection, begins 1-2 weeks after event, occus after viral infection or vaccination, affects corpus callosum and white matter (above and below tent), self-limited; steroids may help See also: white-matter disease, demyelinating disease (12 Dec 1998) |
| acute disseminated myositis | The occurrence of multiple foci of acute inflammation in the muscular tissue and overlying skin in various parts of the body, accompanied by fever and other signs of systemic infection. See: dermatomyositis. Synonym: acute disseminated myositis, pseudotrichinosis, pseudotrichiniasis. (05 Mar 2000) |
| acute epidemic conjunctivitis | An obsolete term for an acute conjunctivitis marked by intense hyperaemia and profuse mucopurulent discharge. Synonym: acute epidemic conjunctivitis, pinkeye. (05 Mar 2000) |
| acute epidemic leukoencephalitis | A disease characterised by acute onset of fever, followed by convulsions, delirium, and coma, and associated with perivascular demyelination and haemorrhagic foci in the central nervous system. Synonym: acute primary haemorrhagic meningoencephalitis, Strumpell's disease. (05 Mar 2000) |
| acute extrinsic allergic alveolitis | <radiology> No chest X-ray findings in 30-95%, diffuse acinar consolidative pattern (oedema and exudative filling of alveoli), basilar distribution, lymph node enlargement (unusual, more common with recurrence) see: extrinsic allergic alveolitis (12 Dec 1998) |
| acute febrile illness | An illness of sudden onset that manifests with fever. (27 Sep 1997) |
| acute febrile neutrophilic dermatosis | A rare dermatosis, predominant in women, of rapid onset and characterised by plaque-like lesions, usually multiple, on the face, neck, and upper extremities, accompanied by conjunctivitis, mucosal lesions, fever, malaise, arthralgia, and peripheral blood neutrophilia in many cases; biopsy reveals polymorphonuclear infiltrate of the dermis; rapid remission occurs with systemic steroid therapy. Synonym: Sweet's disease. (05 Mar 2000) |
| acute fibrinous pericarditis | The usual lesion of acute pericarditis in which inflammation produces large quantities of fibrin. (05 Mar 2000) |