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증례 : 순환기 ; 달맞이꽃 종자유로 인한 일시적인 가역적 완전방실차단 1예
민인선 ( In Sun Min ),이주영 ( Ju Young Lee ),정태섭 ( Tae Seob Jung ),강남규 ( Nam Kyu Kang ),박보배 ( Bo Bae Park ),김배근 ( Bae Keun Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.5
완전방실차단의 원인은 약물 복용을 포함하여 다양하다. 달맞이꽃 종자유를 포함하여 다양한 약물이 완전방실차단을 유발함을 알 수 있다. 약물 중단에 의해 정상 조율로 회복되는 경우가 대부분이나, 합병증이 발생할 경우도 있으므로 안전하지 않은 약물 복용에 대한 주의가 필요하겠다. 달맞이꽃 종자유를 복용하여 발생한 일시적인 가역적 완전방실차단 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A complete atrioventricular block is seen in patients due to a variety of causes, including drugs. The resolution of a drug-induced atrioventricular block is often accomplished by drug discontinuation. We report a case of a complete atrioventricular block in a 31-year-old woman following a month of treatment with evening primrose oils. After excluding all other likely causes of conduction disorders, an adverse effect of the evening primrose oils seemed to be the most likely diagnosis. After discontinuation of the oils, no associated symptoms or conduction disturbances were observed for 4 months after discharge. We stress the reconsideration of taking medicines and functional foods continuously as most patients are not aware of the hazards they pose. (Korean J Med 2016;90:440-443)
좌측 액와부와 식도, 십이지장 구부에서 발생한 삼중 원발암의 1예
이주영,민인선,고현철,한대희,이무현,길세용,이창수,최정우,강성환,김호정,정태섭,홍정운,박경득 중앙대학교 의과대학 의과학연구소 2015 中央醫大誌 Vol.40 No.2
Multiple primary cancers are defined as the multiple occurrence of malignant neoplasm in the same indivisual. The incidence of multiple primary cancers is 0.26~1.43% in Korea, but this malady is increasing due to development of diagnostic modalities, the treatment of cancer and the recording of accurate cancer statistics. The most common site of multiple primary cancers in Korea is the stomach, colon, breast, cervix, liver and lung. We report here on a case of triple cancers that was located at the left axillary lesion, mid esophagus and duodenum in a 90 year-old man.
Borrmann 4형 진행 위암으로 오인된 급성 경과를 보인 호산구성 위장관염 1예
이주영,민인선,홍정운,정태섭,박보배,노인영,강성환 대한상부위장관ㆍ헬리코박터학회 2015 Korean Journal of Helicobacter Upper Gastrointesti Vol.15 No.4
Eosinophilic gastroenteritis is an uncommon disease of unknown etiology that is characterized by massive tissue infiltration of eosinophils in the tissue layers of various areas of the gastrointestinal tract. An accurate diagnosis is difficult as clinical presentations, symptoms, endoscopic and radiologic findings are nonspecific. A 51-year-old man visited our hospital presenting with abdominal pain. Esophagogastroduodenoscopy revealed diffuse hyperemic mucosal lesions at the stomach, duodenum. Symptoms and endoscopic findings deteriorated rapidly after three days. Small amounts of eosinophilic infiltration without malignant cells was confirmed from biopsy. However, we could not exclude malignancy and performed a subtotal gastrectomy. Stomach specimen showed eosinophilic infiltrations, and the patient was finally diagnosed as eosinophilic gastroenteritis. We report a case of atypical eosinophilic gastritis with rapid deterioration mimicking Borrmann type 4 advanced gastric cancer. (Korean J Helicobacter Up Gastrointest Res 2015;15:-269)
이창수,김호정,이무현,강성환,김세영,민인선,이주영,박경득,고현철,조현정,최정우 중앙대학교 의과대학 의과학연구소 2015 中央醫大誌 Vol.40 No.2
Most peptic ulcers respond to treatment with conventional therapy including antimicrobial and antisecretory agents. However, in some individuals, the ulcer recurs following successful initial treatment, which means the refractory ulcer. We report a case with a gastric ulcer at antrum, which had been treated with conventional regimen. After conventional treatment, we confirmed that the ulcer was improving through the endoscopy. However, after a short time, he came back to emergency room with acute ill-look appearance. He was pale and anemic status. Emergency endoscopy was performed and we found that the gastric ulcer had a gastroduodenal fistula without peritonitis.