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압축공기에 수상 후 안와골절 없이 안구운동제한 소견을 보인 안와기종 1예
정윤,문호석,정지웅,지미정 대한안과학회 2013 대한안과학회지 Vol.54 No.1
Purpose: The authors experienced a case of orbital emphysema causing eye movement disorder following conjunctival tear without any orbital wall fractures after exposure to compressed air. Case summary: A 28-year-old man’s left periorbital area was injured while working with compressed air. There was marked lid swelling on the left side with palpable crepitus. The patient had an exotropia and hypertropia of the left eye. In addition, the extraocular movement of the left eye was restricted on upgaze without nausea and vomiting. On slit-lamp examination, conjunctival partial laceration and subconjunctival air bubbles adjacent to the conjunctival laceration could be seen. Orbital computed tomography showed air in the periorbital and retrobulbar region of the left eye and no evidence of orbital fracture. On examination 4 days after the primary repair of the conjunctival laceration, the patient completely recovered without any complication. Conclusions: Orbital emphysema following a conjunctival laceration caused by compressed air without any orbital wall fractures can cause restriction of eye movement.
미세단백뇨를 동반한 인슐린비의존형 당뇨병 환자에서 신장 병리 소견의 다양성
정윤이(Yun Ey Chung),이기업(Ki Up Lee),박중열(Joong Yeol Park),홍성관(Sung Kwan Hong),강재영(Jae Young Kang),이종수(Jong Soo Lee),오영하(Young Ha Oh),정재걸(Jae Gul Chung),유은실(Eun Sil Yu),박정식(Jung Sik Park) 대한내과학회 1998 대한내과학회지 Vol.55 No.5
N/A Objective: It was suggested that the cause of microalbuminuria is heterogeneous in NIDDM. However, only a few studies are available that investigated the renal pathology in NIDDM patients with microalbuminuria. This study was undertaken to evaluate renal pathology in Korean NIDDM patients with microalbuminuria. Methods: Fifty NIDDM patients with microalbuminuria and without retinopathy were undertaken renal biopsy. Renal pathologic findings were classified as follows' group A, near normal finding; group B, typical diabetic nephropathology; group C, atypical patterns of renal injury (mild glomerular change with disproportionally severe tubulointerstitial lesion, arteriolar hyalinosis or global glomerular sclerosis); group D, non-diabetic renal lesion. Results: Seventeen patients were classified into group A, 19 into group B and 8 into group C. Six patients had non-diabetic renal lesions and they were all confirmed to be IgA nephropathy, Fasting blood sugar and GFR were significantly higher in group B than in group A and group C respectively, and systolic blood pressure was higher in group C than in group A. Conclusion: Renal pathology in microalbuminuric NIDDM patients without retinopathy was heterogeneous. This may explain heterogeneous clinical meaning of microalbuminuria in NIDDM.