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유지홍 ( Ji Hong You ),조기원 ( Ki Won Cho ),차윤진 ( Yoon Jin Cha ),박효진 ( Hyo Jin Park ) 대한소화기학회 2016 대한소화기학회지 Vol.68 No.4
Syphilis is a rare disease in the rectum. It is difficult to diagnose because the characteristics of the rectal syphilis rectal lesion are highly varied. The endoscopic findings of rectal syphilis are proctitis, ulcers, and masses. If rectal syphilis is suspected to be the cause for rectal lesions, it is important for physicians to consider the sexual history and sexual orientation of the patient. We report a case of incidental rectal syphilis in a 41-year-old man diagnosed during a regular medical check-up. (Korean J Gastroenterol 2016;68:218-220)
갈색세포종이 유발한 심인성 쇼크의 체외순환 보조 요법에 의한 성공적 치료
이민영 ( Min Young Lee ),이상배 ( Sang Bae Lee ),차현서 ( Hyun Seo Cha ),유지홍 ( Ji Hong You ),최의영 ( Eui-young Choi ),박종숙 ( Jong Suk Park ) 영남대학교 의과대학 2017 Yeungnam University Journal of Medicine Vol.34 No.2
Pheochromocytoma can present with various symptoms including cardiogenic shock and cardiac arrest. Particularly, in cases of cardiogenic shock of unknown origin, pheochromocytoma should be considered. A 20-year-old woman without any medical history visited our emergency department due to nausea, vomiting, headache, and chest pain. Echocardiography revealed severe left ventricular dysfunction. Mechanical ventilation and veno-arterial extracorporeal membrane oxygenation (ECMO) were implemented owing to her unstable vital signs. For unstable vital sign and cardiogenic shock in a young woman without any previous medical history, pheochromocytoma was considered and diagnosed based on elevated levels of catecholamine derivatives in a 24-hour urine sample. Cardiac function recovered and ECMO was discontinued on the 5th day of hospitalization. She later underwent an elective adrenalectomy and no recurrence was found during the follow-up period. We reported a case of pheochromocytoma which was presented with cardiogenic shock in a young woman with no concomitant disease, and successfully treated with ECMO followed by an elective adrenalectomy.
특이 병력 없는 젊은 여성에게서 알파리포산 투약 후 발생한 인슐린자가면역증후군
이상배 ( Sang Bae Lee ),이민영 ( Min Young Lee ),유지홍 ( Ji Hong You ),김성한 ( Seong Han Kim ),남지선 ( Ji Sun Nam ) 영남대학교 의과대학 2017 Yeungnam University Journal of Medicine Vol.34 No.1
Insulin autoimmune syndrome (IAS) is characterized by spontaneous hypoglycemia, extremely high serum insulin levels, and high titers of autoantibodies against endogenous insulin, in the absence of exogenous insulin injection. IAS often occurs following exposure to sulfhydryl-containing drugs, including alpha-lipoic acid (ALA). A 30-year-old woman without diabetes visited our outpatient clinic with recurrent hypoglycemia. She had been taken ALA for weight reduction since 3 weeks ago. Further hypoglycemia work up revealed very high insulin levels, C-Peptide levels and positive insulin antibodies. And conventional imaging examinations were negative for insulinoma or other pancreatic tumors. Finally, the diagnosis of Insulin autoimmune syndrome (IAS) was made. Following the cessation of ALA, hypoglycemia improved, with no medication, and the patient experienced no further hypoglycemic attacks over the next month. The use of ALA as a nutritional supplement is increasing. We report a case of IAS associated with ALA in a non-diabetic patient.