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์นดํ…Œ๊ณ ๋ฆฌ: ์˜ํ•™์ ์ค‘๋“ฑ๋„

์ผ๋ถ€ ์•ฝ๋ฌผ์€ ์š”์‚ฐ ์ˆ˜์น˜๋ฅผ ์ฆ๊ฐ€์‹œํ‚ค๊ณ  ํ†ตํ’ ๋ฐœ์ž‘์„ ์œ ๋ฐœํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ์ด๋‡จ์ œ๋Š” ๊ณ ํ˜ˆ์••๊ณผ ์‹ฌ๋ถ€์ „์„ ์น˜๋ฃŒํ•˜๋Š” ๋ฐ ์ž์ฃผ ์‚ฌ์šฉ๋˜๋ฉฐ, ์‹ ์žฅ์—์„œ ์š”์‚ฐ ๋ฐฐ์ถœ์„ ๊ฐ์†Œ์‹œ์ผœ ๊ณ ์š”์‚ฐํ˜ˆ์ฆ์„ ์œ ๋ฐœํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ์ €์šฉ๋Ÿ‰ ์•„์Šคํ”ผ๋ฆฐ์€ ์‹ฌํ˜ˆ๊ด€ ๊ฑด๊ฐ•์— ์œ ์ตํ•˜์ง€๋งŒ, ํŠน์ • ์šฉ๋Ÿ‰์—์„œ๋Š” ์š”์‚ฐ ์ˆ˜์น˜์— ์˜ํ–ฅ์„ ๋ฏธ์น  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ๋ฉด์—ญ์–ต์ œ์ œ(์˜ˆ: ์‚ฌ์ดํด๋กœ์Šคํฌ๋ฆฐ)๋„ ์š”์‚ฐ ์ƒ์‚ฐ์„ ์ฆ๊ฐ€์‹œํ‚ฌ ์ˆ˜ ์žˆ์œผ๋ฉฐ, ๋ฒ ํƒ€ ์ฐจ๋‹จ์ œ ๋ฐ ์•ˆ์ง€์˜คํ…์‹  ์ „ํ™˜ ํšจ์†Œ ์–ต์ œ์ œ(ACE ์–ต์ œ์ œ)๋Š” ์š”์‚ฐ ๋Œ€์‚ฌ์— ์˜ํ–ฅ์„ ๋ฏธ์น  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. Therapeutic Advances in Chronic Disease์— ๊ฒŒ์žฌ๋œ ์ข…ํ•ฉ ๊ฒ€ํ† ์— ๋”ฐ๋ฅด๋ฉด ๋‹ค์–‘ํ•œ ์•ฝ๋ฌผ์ด ์š”์‚ฐ ์ˆ˜์น˜์™€ ํ†ตํ’ ์œ„ํ—˜์— ์˜ํ–ฅ์„ ๋ฏธ์น  ์ˆ˜ ์žˆ๋‹ค๊ณ  ๋ฐํ˜”์Šต๋‹ˆ๋‹ค [1]. Journal of Rheumatology์— ๊ฒŒ์žฌ๋œ ์—ฐ๊ตฌ์—์„œ๋Š” ์ด๋‡จ์ œ ์‚ฌ์šฉ์ด ๋ฐ˜๋ณต์ ์ธ ํ†ตํ’ ๋ฐœ์ž‘ ์œ„ํ—˜์„ ํฌ๊ฒŒ ์ฆ๊ฐ€์‹œํ‚ค๋Š” ๊ฒƒ๊ณผ ๊ด€๋ จ์ด ์žˆ์Œ์„ ๋ณด์—ฌ์ฃผ์—ˆ์Šต๋‹ˆ๋‹ค [2]. ํ†ตํ’์ด ์žˆ๋Š” ํ™˜์ž๋Š” ์ž์‹ ์˜ ์•ฝ๋ฌผ์ด ์ƒํƒœ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์„ ํ‰๊ฐ€ํ•˜๊ธฐ ์œ„ํ•ด ์˜๋ฃŒ ์ œ๊ณต์ž์™€ ์ƒ๋‹ดํ•˜๋Š” ๊ฒƒ์ด ์ค‘์š”ํ•ฉ๋‹ˆ๋‹ค. ์ฐธ๊ณ ๋ฌธํ—Œ: [1] Choi, H. K., Curhan, G. (2005). Medications that may trigger gout attacks: a review. Therapeutic Advances in Chronic Disease, 10(4), 259-268. [2] Neogi, T., & Zhang, Y. (2010). Diuretics and the risk of recurrent gout attacks. Journal of Rheumatology, 37(9), 1848-1854.

์ด ์ •๋ณด๋Š” ๊ต์œก ๋ชฉ์ ์œผ๋กœ๋งŒ ์‚ฌ์šฉ๋ฉ๋‹ˆ๋‹ค. ์˜ํ•™์  ์กฐ์–ธ์„ ์–ป์œผ๋ ค๋ฉด ํ•ญ์ƒ ์ž๊ฒฉ์„ ๊ฐ–์ถ˜ ์˜๋ฃŒ ์ „๋ฌธ๊ฐ€์—๊ฒŒ ๋ฌธ์˜ํ•˜์‹ญ์‹œ์˜ค.