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A case of Castleman disease that improved after kidney transplantation
이희룡,안정명,이동렬,최현욱,오준석,김중경 대한이식학회 2019 Korean Journal of Transplantation Vol.33 No.1
This is a case of a 56-year-old man with Castleman disease (CD) who improved after kidney transplantation (KTP). CD is an uncommon lymphoproliferative disorder that was found incidentally on biopsy during dialysis in the current patient and was followed up without further treatment. However, the lesion showed improvement after KTP. Therefore, active KTP can be considered even if CD is one of the lymphoproliferative disorders that can occur as a complication after KTP.
지병훈,윤지훈,이진호,이희룡,유성민,김민대,최영일,이일선 대한소화기내시경학회 2011 Clinical Endoscopy Vol.42 No.6
Duodenal abscess is a form of phlegmonous enterocolitis and is a rarely reported disease throughout the entire world. Duodenal abscess mostly develops from complications of duodenal ulcer perforation, and may result in a clinically fatal course because it is difficult to differentiate from some diseases such as gastric ulcer, gastric cancer, hepatobiliary disorders etc.. The therapeutic gold standard is surgical intervention including abscess removal and drainage. We experienced a case of duodenal abscess that expressed non-specific symptoms, weight loss and epigastric pain, and diagnosed by gastrointestinal endoscopy, abdominal computed tomography. We successfully treated it through surgical intervention with intravenous antibiotics. 십이지장 농양은 장관에서 발생하는 농양의 한 형태로 드물게 발생하는 질환으로 알려져 있으며, 상복부 통증, 식욕부진과 같은 비특이적인 증상을 보이는 경우가 많고 위궤양, 위암, 담도계 질환과의 감별이 어려워 진단과 치료가 늦어져서 치명적인 임상경과로 진행할 수 있다. 본 증례는 알코올 남용, 흡연, 스테로이드 제제 및 비스테로이드성 항염증약물의 복용과 같은 위장관 점막 손상의 복합적인 위험 인자를 가진 59세 남자환자에게서 체중감소 및 심와부 통증 등의 비특이적인 증상으로 발현된 십이지장벽 농양의 예이다. 저자들은 병리소견과 병변부 세균배양검사 결과를 종합하여 이물질로 인해 발생한 십이지장 농양으로 결론을 내렸고 수술적 치료와 경피적배농술 및 항생제 투여를 통해 임상경과의 호전을 경험하여 문헌고찰과 함께 보고한다.
신장 이식 환자와 말기 신부전 환자의 심박수 변이도 비교
김성민 ( Sung Min Kim ),최승호 ( Seung Ho Choi ),오준석 ( Joon Seok Oh ),홍택종 ( Taek Jong Hong ),신용훈 ( Yong Hun Sin ),배우형 ( Woo Hyung Bae ),김중경 ( Joong Kyung Kim ),이희룡 ( Hee Ryong Lee ),정필 ( Peel Jung ),류태현 ( T 대한내과학회 2012 대한내과학회지 Vol.83 No.5
Background/Aims: Heart rate variability (HRV) is a method for evaluation of autonomic nervous system activity by expressing the balance of sympathetic and parasympathetic tones. Some studies of HRV in patients with end-stage renal disease (ESRD) have been performed in Korea. However, few have examined kidney transplantation (KT) patients. Therefore, we investigated autonomic nervous system activity by means of HRV in patients with KT due to ESRD. Methods: We compared the pattern of cardiac sympathetic and parasympathetic activity by time- and frequency-domain analysis of HRV with 24-h Holter monitoring of 23 KT and 56 dialysis patients. Patients underwent KT between January, 2008 and June, 2011. Results: The mean ages of KT and dialysis patients were 54.2±12.3 and 53.7±12.6 years, respectively. The KT group showed increased time- and frequency-domain HRV (including HRV index), very low frequency (VLF), means and standard deviations of all normal R-R intervals for all 5-min segments of the entire recording (SDNNi), low frequency (LF), LF in normalized units (LF norm), and LF to high-frequency power ratio, compared with the dialysis group. Conclusions: Autonomic tone in patients with KT is higher than that in patients with ESRD on dialysis. (Korean J Med 2012;83:606-612)