KMID : 0388220080150020175
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Journal of the Korean Rheumatism Association 2008 Volume.15 No. 2 p.175 ~ p.179
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A Case of Candida Bursitis Associated with Etanercept Treatment in a Patient with Rheumatoid Arthritis
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Lee Kwang-Sun
Jung Ho-Joong Song Jung-Soo Lee Ha-Yeon Lee Sang-Won
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Abstract
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Tumor necrosis factor (TNF)-alpha blockade has been well proved to significantly improve the disease course of rheumatoid arthritis. However, since TNF-alpha plays an important role in the immune system against external infectious organisms, it was reported that TNF-alpha blockade could increase the frequency of serious opportunistic infections such as tuberculosis. Fungal bursitis is a rare infectious disease following sever infections, malignancies and immune deficiencies. Moreover, there was no report on fungal bursitis occurring after administration of TNF-alpha blockade in Korea to date. Recently we experienced a 58-year-od female patient with rheumatoid arthritis who presented soft buttock mass after treatment with etanercept and was finally diagnosed as fungal bursitis by Candida parapsilosis.
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KEYWORD
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Etanercept, Candida parapsilosis, Bursitis, Rheumatoid arthritis
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