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복합 항암 화학요법 후 HBsAg 양성 악성림프종환자의 임상경과
구본권(Bon Kwon Ku),한지숙(Jee Sook Hahn),한광협(Kwang Hyub Hahn),이승태(Seung Tae Lee),서형찬(Hyung Chan Suh),권건호(Kun Ho Kwon),이진헌(Jin Hun Lee),민유홍(Yoo Hong Min),고윤웅(Yun Woong Ko) 대한내과학회 1997 대한내과학회지 Vol.52 No.4
Objectives: Infection and replication of the hepatitis B virus are closely related to the host imm- unity. Anticancer chemotherapy decreases the immune response of the host, Especially, glucocorticoid can activate the replication of hepatitis B virus directly. It is well known that hepatitis B virus infection and hepatic complications are more common in patients with hematologic malignancies like malignant lymphoma. We studied the incidence of hepatitis B virus infection and hepatic complications following anti- cancer chemotherapy in patients with malignant lymphoma. Methods: Among 224 cases diagnosed as malignant lymphoma from January 1989 to December 1993 at Yonsei University Medical Center, 77 cases tested for hepatitis B virus serology was studied. Results: 1) Eighteen cases (23%) was HBsAg positive. 2) The results of hepatitis C virus serology in six cases were all negative. 3) Eight (57%) of 14 follow-up cases had hepatic complications, Two patients had fulminant hepatitis, two nonicteric hepatitis and four icteric hepatitis. 4) Interferon-alpha was administered in three cases among the patients with hepatic complications. Loss of HBeAg was observed in one case and loss of HBsAg in another case. Conclusion: Serious hepatic complications can be occurred following anticancer chemotherapy in HBsAg-positive patients with malignant lymphoma. Therefore, we recommend that patients being considered as candidates for anticancer chemotherapy should routinely undergo serologic test for Hepatitis B virus. In addition HBsAg-positive patients with anticancer chemotherapy should be regularly monitored for hepatic injury. And with the careful use of steroid and interferon, prolongation of survival might be searched for these patients.
무통성 후하벽심근경색증 후에 발생한 좌심실류를 동반한 심실중격결손증 1 예
신준한(Joon Han Shin),김한수(Han Soo Kim),탁승제(Seung Jea Tahk),고충원(Choong Won Ko),구본권(Bon Kwon Ku),송민경(Min Kyung Song),최병일(Byung Il William Choi) 대한내과학회 1996 대한내과학회지 Vol.50 No.4
Ventricular septal rupture is a potentially lethal complication which occurs in 1% to 3% of patients with acute myocardial infarction. Awareness of this complications in the appropriate clinical setting is important, since early surgical intervention can be lifesaving, Especially, recognition of this complication following unusual presentation permitted a favorable outcome. We report one case of ventricular septal reupure following a silent myocardial infarction in 64 years of male patient who had been suffered from exertional dyspnea. 1 he diagnosis was confirmed by echodcardiography, cardiac cath, coronary angiography and MRI.