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십이지장 우회술을 받은 신장이식환자에서 반복적 급성 거부반응으로 인한 이식 신소실
김하늘 ( Ha Neul Kim ),조율희 ( Yul Hee Cho ),김영신 ( Young Shin Kim ),전현지 ( Hyun Ji Chun ),최수진 ( Su Jin Choi ),김은오 ( Eun Oh Kim ),양철우 ( Chul Woo Yang ) 대한내과학회 2012 대한내과학회지 Vol.83 No.3
The calcineurin inhibitor-immunosuppressant tacrolimus is widely used in patients undergoing kidney transplantation. Although tacrolimus is absorbed from the entire gastrointestinal tract, the duodenum is the primary site of its absorption and metabolism. Therefore, duodenal bypass surgery in a renal transplant recipient can significantly disrupt tacrolimus absorption and metabolism, Here, we report a case of allograft failure that developed after duodenal bypass surgery, The patient was a 41-year-old woman who received a deceased donor kidney transplantation, She underwent a gastrojejunostomy due to a duodenal perforation and pancreatitis after endoscopic retrograde cholangiopancreatography, After the surgery, her blood tacrolimus level decreased gradually, and remained lower than therapeutic target levels, even after the tacrolimus dose was increased from 5 to 12 mg/day. Repetitive rejection developed and the patient suffered allograft failure 3 months after bypass surgery. This case raises the importance of drug absorption in renal transplant recipients undergoing duodenal bypass surgery.
TNF-α 억제제로 치료중인 연소성 류마티스관절염 환자에게서 발생한 2차성 아밀로이드증
민홍기 ( Hong Ki Min ),윤문희 ( Moon Hee Yoon ),김은오 ( Eun Oh Kim ),김대원 ( Dae Won Kim ),김남용 ( Nam Yong Kim ),곽승기 ( Seung Ki Kwok ),박성환 ( Sung Hwan Park ),김호연 ( Ho Youn Kim ),주지현 ( Ji Hyeon Ju ) 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.5
Secondary amyloidosis is one of the most serious complications in chronic inflammatory diseases such as rheumatoid arthritis. The extracellular deposit of aggregates of amyloid leads to target organ dysfunction. The mainstay treatment of secondary amyloidosis is the control of underlying disease activity. Many reports have reported that TNF-α inhibitors improve clinical outcomes. Here, we encountered a 34-year-old patient with juvenile rheumatoid arthritis who developed secondary amyloidosis despite treatment with TNF-α inhibitors. We present this case and include a review of the literature.
반우호 ( Woo Ho Ban ),강현희 ( Hyeon Hui Kang ),백명기 ( Myong Ki Baeg ),김재경 ( Jae Gyung Kim ),김현진 ( Hyun Jin Kim ),백인운 ( In Woon Baek ),김은오 ( Eun Oh Kim ),고선혜 ( Sun Hye Ko ),이상학 ( Sang Haak Lee ),문화식 ( Hwa Si 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.4
Herein we report the case of a 71-year-old woman who complained of fatigue and enlarged right axillary lymph nodes for 18 months. At her first visit, her chest X-ray showed diffuse nodular opacities in both lung fields. Initial excisional biopsy of the axillary lymph nodes showed granulomatous lesions and acid fast bacilli were seen on Ziehl-Neelsen staining. However, even after 15 months of anti-tuberculosis (TB) medication, her right axillary lymph nodes were enlarged. We re-performed an excisional biopsy of the nodes, which showed Hodgkin`s lymphoma (HL). A retrograde review of the biopsy before anti-tuberculous medication, revealed HL coexisting with TB. HL and TB cause difficulties in differential diagnosis due to similarities in clinical course, imaging procedures and histopathological analysis of the involved tissue. Therefore, it is important to consider the possibility of concurrent HL and TB when patients who undergo treatment for TB or chemotherapy for lymphoma complain of persistent systemic symptoms or enlarged lymph nodes.