| ¿µ¹® | tuberculosis | ÇÑ±Û | °áÇÙ |
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| ¼³¸í | °áÇÙ±Õ¿¡ ÀÇÇÑ »ç¶÷À̳ª µ¿¹°ÀÇ °¨¿°À¸·Î¼, °áÀýÇü¼º°ú Á¶Á÷ÀÇ Ä¡Á»ç(caseation necrosis)°¡ Ư¡ÀÌ´Ù. ÁÖµÈ ¿øÀαÕÀº Mycobacterium tuberculosis, M. bovis, M. avium, M. kansasii¿Í ±âŸ ºÐ·ùµÇÁö ¾ÊÀº ºñÀüÇüÀÇ ¹ÌÄÚ¹ÚÅ×·ýµµ ¿øÀαÕÀÌ µÈ´Ù. ÀüÇüÀûÀÎ Áúº´°ú´Â ÀÓ»óÀûÀ¸·Îµµ ÇüÅÂÇÐÀûÀ¸·Îµµ ±¸º°ÇÒ ¼ö ¾ø´Â ºñÁ¤Çü°¨¿°Àº, »ç¶÷¿¡¼ »ç¶÷À¸·Î Á÷Á¢ °¨¿°À» ÀÏÀ¸Å°´Â °ÍÀ¸·Î »ý°¢µÇÁö ¾Ê´Â´Ù. °áÇÙÁõÀº ±× Áõ»óÀÇ ¹ßÇö¿¡ ÀÖ¾î ´ë´ÜÈ÷ ´Ù¾çÇÏ¸ç ¸¸¼ºÈµÇ±â ½±´Ù. ¸ðµç Àå±â¿¡ °¨¿°ÀÌ ÀϾÁö¸¸, »ç¶÷¿¡ À־ ÁÖ·Î Æó°¡ ħ¹üµÇ¸ç, ±×°÷À¸·ÎºÎÅÍ Ç÷°ü°ú ¸²ÇÁ°üÀ» ÅëÇØ ´Ù¸¥ Àå±â¿¡ °¨¿°µÈ´Ù. Áõ»óÀº ¿ÀÈÄÀÇ ¹Ì¿°ú ¼ö¸éÁßÀÇ °¡º¿î ½ÄÀº ¶¡ µî°ú ÇÔ²² ħ¹üµÈ Àå±âÀÇ ±â´É ÀúÇÏ¿¡ µû¸¥ Áõ»óÀÌ µ¿¹ÝµÈ´Ù. Ä¡·á´Â Ç×°áÇÙÁ¦ÀÇ Àå±â°£, ÁýÁßÀûÀÎ Åõ¿©À̸ç Çʿ信 µû¶ó¼´Â ¼ö¼úÀ» Çϱ⵵ ÇÑ´Ù. |
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| ¿µ¹® | Mycobacterium tuberculosis | ÇÑ±Û | °áÇÙ±Õ |
|---|---|---|---|
| ¼³¸í | ¹ÌÄÚ¹ÚÅ×·ý¼ÓÀÇ »ç¶÷ °áÇÙÀ» ÀÏÀ¸Å°´Â ±ÕÀÌ´Ù. 1882³â ÄÚÈå(Koch)¿¡ ÀÇÇØ ¹ß°ßµÇ¾ú´Ù. ±×·¥¾ç¼º »ê¼Ò¼º ¸·´ë±ÕÀ̸ç 0.3~0.6¡¿2~4¥ìm, ¹«¾ÆÆ÷, Ç׻꼺ÀÌ´Ù. Ç×»ê, Ç×¾ËÄ®¸®, Ç×¾ËÄÚ¿Ã, ¼Òµ¶Á¦¿¡ ÀúÇ×ÇÑ´Ù. ÀúÇ׷°ú ¹ø½Ä·ÂÀÌ °ÇÏ¿© Àü¿°¼ºÀÌ ³ôÀ¸³ª °ÇÁ¶, ¿, ÇÞºû¿¡´Â ¾àÇÏ´Ù. ¼¼Æ÷º®¿¡´Â ´Ù·®ÀÇ Áö¹æÁúÀÌ Æ÷ÇԵǾî ÀÖ´Ù. ´Ï¾Æ½Å°Ë»ç´Â »ç¶÷Çü °áÇÙ±Õ¸¸ ¾ç¼ºÀ̸ç À̰ÍÀº °¨º°¿¡ µµ¿òÀÌ µÈ´Ù. °¨¿°Àº ºñ¸»°¨¿°ÀÌ°í Æó°áÇÙÀÌ ¸¹Áö¸¸ Ç÷Çà ¼Ó¿¡ µé¾î°¡¸é ¸ðµç Àå±â¿¡ °áÇÙÀ» ÀÏÀ¸Å²´Ù. ƯÀ¯ÇÑ °áÇÙ°áÀýÀ» Çü¼ºÇÑ´Ù. °áÇÙÀÇ Áø´Ü¿¡´Â Æ®º£¸£Ä𸰠¹ÝÀÀÀÌ »ç¿ëµÇ¸ç ¿¹¹æ¿¡´Â ºñ¾¾Áö(BCG) Á¢Á¾ÀÌ ½Ç½ÃµÈ´Ù. ¸é¿ªÀº ¼¼Æ÷¼º ¸é¿ªÀ̸ç Å«Æ÷½Ä¼¼Æ÷ÀÇ È°¼ºÈ·Î ÀÎÇØ ±ÕÀÇ Áõ½ÄÀÌ ¾ïÁ¦µÈ´Ù. |
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| CFA | colonization factor antigen; colony-forming assay; complement-fixing antibody; complete Freund's adj... |
|---|---|
| DIFP | diffuse interstitial fibrosing pneumonitis; diisopropyl fluorophosphonate |
| FA | false aneurysm; Families Anonymous; Fanconi anemia; far advanced; fatty acid; febrile antigen; femor... |
| IFA | idiopathic fibrosing alveolitis; immunofluorescence assay; immunofluorescent antibody; incomplete Fr... |
| AFB | Acid-Fast Bacillus(Type that causes Tuberculosis) |
| M. tuberculosis | Mycobacterium tuberculosis |
|---|---|
| CFA | Cryptogenic Fibrosing Alveolitis |
| FA | Fibrosing alveolitis |
| FCH | Fibrosing cholestatic hepatitis |
| EBTB | Endobronchial tuberculosis |
| chronic fibrosing alveolitis | <radiology> Aka: usual interstitial pneumonia (UIP), 5-6th decade; M:F = 1:1, clubbing of fingers (83%), lymphocytosis on lavage, increased occurence of bronchogenic CA, average survival of 4-6 years; 87% mortality CXR findings: occasional ground glass pattern in early stage of alveolitis, diffuse reticulations (60%) predominantly at bases, honeycombing, pleural effusion (4%); pleural thickening (6%), pneumothorax in 7% (late stage), progressive volume loss see: interstitial pulmonary fibrosis (12 Dec 1998) |
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| fibrosing adenomatosis | A nodular, benign breast lesion occurring most frequently in relatively young women and consisting of hyperplastic distorted lobules of acinar tissue with increased collagenous stroma; the changes may be difficult to distinguish microscopically from carcinoma. Also, a benign nodular microscopic lesion of the prostate consisting of acimar tissue with increased stroma; the basal cell layer shows characteristic smooth muscle metaplasia. Synonym: adenofibrosis, fibrosing adenomatosis, fibrosing adenosis. (05 Mar 2000) |
| fibrosing adenosis | A nodular, benign breast lesion occurring most frequently in relatively young women and consisting of hyperplastic distorted lobules of acinar tissue with increased collagenous stroma; the changes may be difficult to distinguish microscopically from carcinoma. Also, a benign nodular microscopic lesion of the prostate consisting of acimar tissue with increased stroma; the basal cell layer shows characteristic smooth muscle metaplasia. Synonym: adenofibrosis, fibrosing adenomatosis, fibrosing adenosis. (05 Mar 2000) |
| fibrosing alveolitis | A progressive inflammatory condition starting with diffuse alveolar damage and resulting in fibrosis and honeycombing over a variable time period; also a common feature of collagen-vascular diseases. Synonym: fibrosing alveolitis, Hamman-Rich syndrome, idiopathic interstitial fibrosis. (05 Mar 2000) |
| fibrosing mediastinitis | <radiology> Histoplasmosis most common cause, can cause superior vena cava obstruction (12 Dec 1998) |
| acute miliary tuberculosis | A rapidly fatal disease due to the general dissemination of tubercle bacilli in the blood, resulting in the formation of miliary tubercles in various organs and tissues, and producing symptoms of profound toxaemia. Synonym: acute miliary tuberculosis, disseminated tuberculosis. (05 Mar 2000) |
| acute tuberculosis | A rapidly fatal disease due to the general dissemination of tubercle bacilli in the blood, resulting in the formation of miliary tubercles in various organs and tissues, and producing symptoms of profound toxaemia. Synonym: acute miliary tuberculosis, disseminated tuberculosis. (05 Mar 2000) |
| adult tuberculosis | Tuberculosis found in adults and characterised by lesions near the apex of an upper lobe, which may cavitate or heal with scarring without spreading to lymph nodes; theoretically, secondary tuberculosis may be due to exogenous reinfection or to reactivation of a dormant endogenous infection. Synonym: adult tuberculosis, postprimary tuberculosis, reinfection tuberculosis. (05 Mar 2000) |
| aerogenic tuberculosis | Infection with the Mycobacterium tuberculosis spread by inhalation of infected droplets. (05 Mar 2000) |
| anthracotic tuberculosis | <chest medicine> Fibrosis and scarring of the lungs secondary to the repeated inhalation of dust associated with some occupation. Examples include silica, asbestos and coal dust exposure. (29 Oct 1998) |
| arrested tuberculosis | A scar or a calcified, fibrous, or caseous nodule in the lung pleura, lymph node, or other organ, resulting from previous tuberculosis that has regressed; reactivation is possible. Synonym: arrested tuberculosis, inactive tuberculosis. (05 Mar 2000) |
| attenuated tuberculosis | A mild chronic form marked by caseous tubercles of the skin and the occurrence of cold abscesses. (05 Mar 2000) |
| basal tuberculosis | Tuberculosis of the basilar portions of the lungs. (05 Mar 2000) |
| general tuberculosis | Usually a chronic tuberculosis infection where spread of the original primary infection has occurred via the patients lymphatic system (or bloodstream). Disseminated disease occurs primarily in the immunocompromised individual (for example AIDS, cancer patient). The elderly are at increased risk for dissemination. In disseminated disease, organs and tissues that can be affected include pericardium, peritoneum, larynx, bronchus, bone, joints, lymph nodes, stomach, meninges, eyes, kidneys and skin. Treatment is with INH, rifampin, ethambutol and other antibiotics. (27 Sep 1997) |
| reinfection tuberculosis | Tuberculosis found in adults and characterised by lesions near the apex of an upper lobe, which may cavitate or heal with scarring without spreading to lymph nodes; theoretically, secondary tuberculosis may be due to exogenous reinfection or to reactivation of a dormant endogenous infection. Synonym: adult tuberculosis, postprimary tuberculosis, reinfection tuberculosis. (05 Mar 2000) |
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