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증례 : 류마티스 ; 베체트병에서 발생한 요관 궤양 및 협착 1예
유정현 ( Jung Hyun You ),김유민 ( You Min Kim ),이혜영 ( Hae Young Lee ),이진성 ( Jin Sung Lee ),오동호 ( Dong Ho Oh ),성영호 ( Yung Ho Sung ),신대열 ( Dae Yeol Sin ) 대한내과학회 2009 대한내과학회지 Vol.77 No.6
베체트병은 여러 장기를 침범하는 만성적이고, 반복적인 염증성 질환으로, 베체트병에 동반된 요관 궤양 및 협착은 흔하지 않은 합병증이다. 저자들은 베체트병을 진단받은 환자에서 요관 궤양 및 협착 합병증 1예를 경험하였기에 문헌적고찰과 함께 보고하는 바이다. Behcet`s disease is a chronic multisystem inflammatory disorder. Genetic, environmental, and immunological factors have been suggested as possible causes of Behcet`s disease. Although seen at any age, Behcet`s disease generally begins when individuals are in their 20s or 30s. The common major symptoms of Behcet`s disease include recurrent oral ulcers, genital ulcers, and eye inflammation. The disorder may also cause various skin lesions, arthritis, bowel inflammation, meningitis, and cranial nerve palsies. The common urinary system manifestations are glomerulonephritis, cystitis, epididymitis, orchitis, and genital ulceration, whereas ureteral ulcers and strictures are uncommon. Here, we report an uncommon case of a ureteral ulcer and stricture in a 34-year-old man with Behcet`s disease. (Korean J Med 77:797-800, 2009)
대장내시경 전처치로 Sulfate Free-Polyethylene Glycol 복용 후 발생한 허혈성 대장염 1예
유정현 ( Jung Hyun You ),최선택 ( Sun Taek Choi ),김동희 ( Dong Hee Kim ),이동욱 ( Dong Wook Lee ),김유민 ( You Min Kim ),이혜영 ( Hae Young Lee ) 대한장연구학회 2009 Intestinal Research Vol.7 No.2
Ischemic colitis is the most common form of gastrointestinal ischemia. Factors that can contribute to the development of ischemic colitis include atherosclerosis, congestive heart failure, sustained hypovolemia, vasculitis, and mechanical colonic obstruction. Also, pharmacologic agents, including diuretics, pseudoephedrine, non-steroidal anti-inflammatory drugs, and oral contraceptives may be the cause of colonic ischemia. Oral sulfate-free polyethylene glycol (SF-PEG, Colyte-Fⓡ) has frequently been used as a cleaning agent in bowel preparation for colonoscopy. Some cases of ischemic colitis produced by oral hyperosmotic laxatives have been reported; however, no case has been reported regarding ischemic colitis caused by SF-PEG. Herein we report a rare case of ischemic colitis caused by oral sulfate-free polyethylene glycol, which was given for bowel preparation before colonoscopy in a 70-year-old man with chronic constipation. (Intest Res 2009;7:129-132)
증례 : 신장 ; 당뇨병성 신증 환자에서 발생한 기종성 신우신염과 방광염의 치료 1예
이동욱 ( Tong Wook Lee ),유정현 ( Jung Hyun You ),김용섭 ( Yong Sub Kim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
저자들은 요로폐색이 동반되지 않은 당뇨병성 신증환자에서 방광 및 신장에 동시에 발생한 기종성 요로감염 1예를 초기에 복부 단층촬영을 이용해 조기 진단하고 외과적 처치 없이 항생제 투약만으로 치료하였기에 문헌고찰과 함께 보고하는 바이다. In the past, increased mortality from emphysematous pyelonephritis in diabetic patients has occurred, and disease treatment was based on surgical intervention. But newly developed antibiotics and radiographic techniques make early diagnosis and treatment much more effective without surgical treatment. At present, mortality and complications from emphysematous pyelonephritis in diabetic patients have decreased as a consequence of such developments. We report a case of emphysematous pyelonephritis and cystitis that occurred simultaneously in a diabetic patient, without urinary tract obstruction, who was cured with only medical treatment, and without surgical intervention. (Korean J Med 77:S1241-S1245, 2009)