Jung Eun Sun, Jin Young Lee, Woo Seog Sim, Seojin Park, Ji Won Choi
언어
한국어(KOR)
URL
https://www.earticle.net/Article/A480195
※ 기관로그인 시 무료 이용이 가능합니다.
4,000원
원문정보
초록
영어
Fibrous dysplasia (FD) is a benign bone tumor, which is prone to deformities, fractures, and results in pain. The etiology of FD has been linked to G protein mutation. FD can cause a wide spectrum of symptoms depending on the degree of involvement or comorbidity. We report a case of FD diagnosed at the pain clinic. A 37-year-old male visited the pain clinic with upper back and chest pain. The patient suffered from throbbing and burning sensation on his back for 12 years, and it has worsened since 3 years ago. We performed three times of erector spinae plane block at one-month interval and prescribed medications under the diagnosis of intercostal neuralgia. His pain improved over few weeks, however, the symptoms had a pattern of wax and wane with a numerical rating scale(0 = no pain, 10 = worst pain imaginable) ranging from 2 to 8 during the 6-month follow-up. We decided to perform chest CT and 3 phase bone scan(3PBS) concerned about potential lesions or malignancies. Chest CT and 3PBS showed recent and multiple old fracture of ribs, and a focal radioactive uptake in the right temporal skull. After discussing with a radiologist, thoracic and neuro-surgeon, his lesions were presumed as FD. We planned to continue managing of his pain, and will consider further multidisciplinary care if needed.
Jung Eun Sun [ 선정은 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea ]
Jin Young Lee [ 이진영 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea ]
Woo Seog Sim [ 심우석 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea ]
Seojin Park [ 박서진 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea ]
Ji Won Choi [ 최지원 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea ]
Corresponding Author