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재발된 루푸스 신장염에서 증식성 병변에서 비증식성 병변으로의 전환 1예
박진주 ( Jin Ju Park ),곽지영 ( Ji Yeong Kwak ),정주양 ( Ju Yang Jung ),고보람 ( Bo Ram Koh ),김현아 ( Hyoun Ah Kim ),서창희 ( Chang Hee Suh ) 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.5
There are numerous studies about the transformation of renal pathology during lupus nephritis progression. A number of researchers suggest that patients with previous proliferative glomerulonephritis may not need to repeat renal biopsy in relation to treatment strategies. However, the pathology of renal biopsy could offer important information to clinicians about the progression of disease. Here, we report a rare case of the convertion of ISN/RPS classification from a proliferative lesion to a wholly non- proliferative lesion. A 40-year-old female was admitted complaining of generalized edema for 1 month. At the age of 33 she had been diagnosed as SLE with proliferative lupus nephritis. The renal remission was induced with corticosteroid pulse therapy and 12 cycles of intravenous cyclophosphamide treatment. The repeated renal biopsy revealed class V lupus nephritis compared with referential biopsy of class IV-G. A better prognosis is expected with lower activity and a lower chronicity index. Repeat renal biopsy may give useful information relating to the prognosis of nephritis.
심장외막지방과 대사 증후군 및 심혈관 질환 위험인자와의 연관성
백승희 ( Seung Hee Baik ),안성균 ( Sung Gyun Ahn ),최정현 ( Jung Hyun Choi ),고보람 ( Bo Ram Koh ),유준환 ( Jun Hwan Yoo ),강수진 ( Soo Jin Kang ),최병주 ( Byoung Joo Choi ),최소연 ( So Yeon Choi ),윤명호 ( Myeong Ho Yoon ),탁승제 대한내과학회 2007 대한내과학회지 Vol.72 No.3
Background: Increased adiposity is widely accepted as the main expression of obesity and an important risk factor for the development of cardiovascular and metabolic syndrome. The significance of epicardial adipose tissue (EAT), frequently observed during a transthoracic echocardiographic examination, is not well recognized. The purpose of this study was to investigate the relationship of EAT to metabolic syndrome and cardiovascular risk factors. Methods: We collected clinical, biochemical, and anthropometric information from 289 consecutive and prospective patients (147 men; 59±11 years) who visited our hospital for a complaint of chest pain. EAT thickness was measured by transthoracic echocardiography on the free wall of the right ventricle in the parasternal long axis and short axis views at the base level during end-diastole. Results: EAT thickness was significantly increased in 185 (64%) patients with metabolic syndrome as compared with patients without metabolic syndrome (4.3±2.5 mm vs. 3.6±2.8 mm, p=0.005). By a simple linear regression analysis, EAT was correlated to age (r=0.484, p<0.001), waist circumference (r=0.177, p=0.01), the level of HDL cholesterol (r=-0.182, p=0.001) and log CRP (r=0.268, p=0.012). Multivariate analysis showed that age and log CRP were the independent variables that correlated to EAT thickness. Conclusions: These results suggest that echocardiographic EAT should be considered as a new useful imaging indicator of visceral adipose tissue related to metabolic syndrome and cardiovascular disease. (Korean J Med 72:290-297, 2007)
Guillain-Barre 증후군과 항인지질 증후군, 루푸스 신염으로 발현된 전신홍반루푸스
정주양 ( Ju Yang Jung ),김현아 ( Hyoun Ah Kim ),주인수 ( In Soo Joo ),원제환 ( Je Hwan Won ),고보람 ( Bo Ram Koh ),박진주 ( Jin Ju Park ),곽지영 ( Ji Yeong Kwak ),최용우 ( Yong Woo Choi ),김동훈 ( Dong Hoon Kim ),서창희 ( Chang He 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.5
Systemic lupus erythematosus (SLE) is an autoimmune disease with various manifestations, while its autoantibodies and immune reactions involve multiple organs. Neuropsychiatric involvement in SLE is known to be common, however, peripheral neuropathy is relatively rare. Guillain-Barre syndrome is clinically defined as an acute demyelinating peripheral neuropathy causing weakness and numbness in the legs and arms. We describe a case of Guillain-Barre syndrome with antiphospholipid syndrome and lupus nephritis. The patient was admitted with fever and diarrhea. He developed progressive weakness of the upper and lower extremities and dysarthria with characteristic nerve conduction patterns compatible with Guillain-Barre syndrome. He also had proteinuria and gangrene of the hand and toe with antiphospholipid antibody. He received intravenous immunoglobulin and plasmapheresis for progressive neuropathy, intravenous high dose steroid to control activity of SLE, and anticoagulation for antiphospholipid syndrome. Neuropsychiatric manifestation of SLE is related to lupus activity closely, so it is important to control lupus activity.