“배 찌르듯 아프고 23kg 빠져”…세계 1위 유튜버, ‘이 질환’ 앓고 있었다?

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id="contents" class="newsct_body"> <div id="newsct_article" class="newsct_article _article_body"> <article id="dic_area" class="go_trans _article_content"> <strong class="media_end_summary">치료제 부작용으로 면역력 약해지기도</strong><figure class="wp-block-image size-full"><span class="end_photo_org"><div class="nbd_im_w _LAZY_LOADING_WRAP "> <div class="nbd_a _LAZY_LOADING_ERROR_HIDE" id="img_a1"> <img id="img1" data-src="https://imgnews.pstatic.net/image/296/2025/02/23/0000086991_001_20250223065011911.jpg?type=w860" class="_LAZY_LOADING _LAZY_LOADING_INIT_HIDE" alt="" style="display: none;" /> </div> </div></span><figcaption class="wp-element-caption">유튜버 미스터비스트(26)가 크론병을 앓고 있다고 밝혔다. [사진=유튜브 채널 'The Diary Of A CEO' 영상 캡처]<br></figcaption></figure><br><br>3억6400만 명의 구독자를 보유한 세계 1위 유튜버 미스터비스트(26)가 크론병을 앓고 있다고 고백했다.<br><br>최근 미스터비스트는 영국 기업가 스티븐 바틀렛이 진행하는 팟캐스트 'Diary of a CEO'에 게스트로 출연했다.<br><br>그는 "싱글맘인 우리 엄마는 나와 형을 키우며 항상 일했다"며 "크론병을 앓아 유년 시절에 많이 아팠다"고 했다. 투병으로 인해 15세 때는 86kg에서 63kg까지 체중이 줄었다고.<br><br>미스터비스트는 "15세 때 하루에 8~10번 화장실을 갔다"며 "위장관(소화 기관)이 스스로를 공격해 음식을 전혀 소화하지 못했다"고 말했다. 이어 "위장관 염증이 심해지고 누군가 배를 계속 찌르는 것 같아서 정말 아팠다"고 덧붙였다.<br><br>현재 미스터비스트는 치료와 식단 관리를 통해 건강을 회복하면서 체중을 92kg까지 늘렸다. 다만, 사용 중인 크론병 치료제(레미케이드) 부작용으로 면역력이 약해졌다고 했다.<br><br>그는 약을 사용한 후 "코로나에 여섯 번 걸렸고, 대상포진도 앓았다"며 "최근에는 독감 합병증으로 남아프리카의 병원에서 4일간 입원했다"고 말했다.<br><br><strong>소화기 기관 어디서든 발생할 수 있는 염증성 질환</strong><br><br>미스터비스트가 앓고 있는 크론병은 입에서부터 항문까지 소화기 기관 어디에서든지 발생할 수 있는 염증성 질환이다. 10대 후반부터 20대에 주로 나타나며 호전과 악화를 반복하는 경향을 보인다.<br><br>정확한 발병 원인이 밝혀지지는 않았으나 일반인에게는 문제 되지 않는 장내 세균이 유전적 감수성이 있는 사람에게 문제를 일으켜 소장·대장에 비정상적인 면역 반응에 의해 염증이 발생하면서 손상을 일으키는 것으로 추측되고 있다.<br><br>진단은 환자의 증상이나 의사의 진찰 소견, 혈액검사, 내시경, 조직검사 등이 복합적으로 이뤄져야 한다. 합병증 유무를 관찰하기 위해 CT 검사도 필요하며 장 내부를 볼 수 있는 내시경과 조직검사가 가장 중요한 진단법이다. 대장내시경 검사에서 길고 깊은 궤양이 띠 모양을 이루고 주위는 자갈밭처럼 울퉁불퉁 튀어나오는 소견을 보인다.<br><br>크론병의 증상으로는 복통과 설사, 체중감소 등이 있다. 특히 크론병 환자의 50% 이상에서 항문 병변인 치루나 치핵 등이 나타나기 때문에 해당 질환이 있다면 크론병을 의심해보는 게 좋다.<br><br>합병증으로는 장에 구멍이 뚫리는 천공과 누공 그리고 장이 줄어드는 협착. 복부 농양 등이 발생할 수 있다. 소아의 경우 장이 영양을 흡수하지 못해 성장 장애를 일으킬 수 있다. 눈이나 관절에 염증이 나타나기도 한다.<br><br>크론병은 완치가 힘들고 호전과 악화가 반복되지만 치료를 받으면 개선할 수 있다. 조기에 치료하면 증상이 호전될 뿐 아니라 합병증을 미리 막을 수 있어 정상인과 같은 생활을 할 수 있다..<br><br><strong>약물 치료 효과적이지만 종류에 따라 면역력 떨어지는 부작용도</strong><br><br>주요 치료 방법은 약물치료다. 염증을 줄이는 약과 면역억제의 일종인 부신피질 호르몬제, 면역억제제 그리고 항생제와 최근에 많은 각광을 받고있는 생물학제제를 사용한다.<br><br>미스터비스트가 사용하는 약물인 레미케이드 자가면역질환을 치료하기 위해 강력한 항염증 효과를 가진 생물학적 제제다. 크론병은 물론 류마티스 관절염, 궤양성 대장염, 건선성 관절염, 강직성 척추염 등 다양한 질환에서 염증 반응을 억제하는 역할을 한다.<br><br>하지만 강력한 면역 조절 기능을 가진 만큼 면역력 저하 및 감염 위험 증가, 알레르기 반응, 간 기능 이상 등 여러 가지 부작용이 나타날 수 있다. 감염 예방 기능이 저하되면서 미스터비스트가 겪은 것처럼 세균, 바이러스, 곰팡이 감염 위험이 증가할 수 있다.<br><br>따라서 치료 시작 전에는 잠복결핵 검사를 필수로 시행하고 치료 중에는 독감, 폐렴구균, 대상포진 예방접종을 고려하는 것이 좋다. 만약 발열, 기침, 피로감 등 감염 증상이 나타나면 즉시 병원을 방문해야 하며 감염 위험이 높은 공간을 방문할 때는 마스크를 필수로 착용하고 개인 위생을 철저히 지켜야 한다.<br><br> </article> </div> <div class="byline"> <p class="byline_p"> <span class="byline_s">이지원 ljw316@kormedi.com</span> </p> </div> <div class="newsct_journalist"> <div class="newsct_journalist_inner"> <h4 class="blind">기자 프로필</h4> <div class="media_journalistcard _JOURNALIST_CARD _MORE_WRAP"> <div id="JOURNALIST_CARD_LIST" class="media_journalistcard_inner"> <div class="media_journalistcard_item _SUBSCRIBE_ELE" data-subscribe-type="JOURNALIST" data-current-subscribe="true"> <div class="media_journalistcard_item_inner"> <div class="media_journalistcard_intro"> <div class="media_journalistcard_summary"> <span class="media_journalistcard_summary_press _LAZY_LOADING_WRAP" data-show-type="block"> <img data-src="https://mimgnews.pstatic.net/image/upload/office_logo/296/2017/01/11/logo_296_6_20170111151211.jpg" height="24" alt="코메디닷컴" title="" 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