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갑상선암 환자에서 방사성요오드 치료 후 발생한 만성 골수성 백혈병 2예
박해열 ( Hae Yeul Park ),최성은 ( Sung-eun Choi ),유영훈 ( Young Hoon Ryu ),장항석 ( Hang Seok Change ),박정수 ( Cheong Soo Park ),이경화 ( Kyoung Hwa Lee ),김유리 ( Yu Ri Kim ) 대한내과학회 2016 대한내과학회지 Vol.91 No.1
The incidence of thyroid cancer has increased rapidly worldwide, although most patients can survive for a long time without developing symptoms. While most thyroid cancers are treated with thyroidectomy alone, some patients are given additional radioactive iodine (RAI) in the form of 131I to treat thyroid cancer metastasis. RAI is associated with acute and chronic complications. Secondary malignancies are the most important in long-term cancer survivors. While many studies have reported the occurrence of acute myeloid leukemia after high-dose RAI, there are few reports on chronic myeloid leukemia (CML) after low-dose RAI treatment. Moreover, previous cases of CML following thyroid cancer were reported before the tyrosine kinase inhibitor (TKI) era. Here, we describe two cases of CML following thyroid cancer that were successfully treated with second-generation TKIs. (Korean J Med 2016;91:70-74)
배과수원 주위 거주민에서 발생된 범박이웅애에 의한 천식 1 례
박해심(Hae Sim Park),지영구(Young Koo Jee),황의창(Eui Chang Hwang),박재석(Jae Suk Park),이계영(Kye Young Lee),김건열(Keun Youl Kim) 대한천식알레르기학회 1999 천식 및 알레르기 Vol.19 No.4
There have been a few reports of occupational asthma caused by Tetranychus urticae in fruit farmers or greenhouse workers. We report a case of bronchial asthma induced by Tetranychus urticae from a pear orchard in Cheonan city. An 18-year-old female student living around a pear orchard suffered from intermittent cough, rhinorrhea, and dyspnea for the 3 years. Her PC20 -methacholine was 0.15mg/ml, and skin prick test done with 55 inhalant allergens showed nega- tive responses except Tetranychus urticae extract which was prepared with highly parasitized pear leaves. Bronchial provocation test with Tetranychus urticae extract showed a dual asthma- tic response. These findings indicate that Tetranychus urticae, which include parasites in fruit trees, herba,ceous plants, and greenhouse cultures, can cause IgE-mediated bronchoconstriction in Korea.
김석형,이지훈,박해열,송영구,황창혁,이민주 이화여자대학교 의과학연구소 2015 EMJ (Ewha medical journal) Vol.38 No.2
A 56-year-old woman with emphysematous pyelonephritis underwent an emergent left nephrectomy due to her religious creed. Postoperative hemoglobin level was decreased to 4.4 g/dL from preoperative value of 13.9 g/dL. The patient completely recovered without transfusion and was discharged on the 40th postoperative day without complication.
An atypical case of Lemierre syndrome following oropharyngeal infection
양서연,정수진,박해열,이경화,천유진,김효은,김성한 고신대학교(의대) 고신대학교 의과대학 학술지 2018 고신대학교 의과대학 학술지 Vol.33 No.1
Lemierre syndrome is characterized by anaerobic bacterial infection in the head and neck and clinical or radiological evidence of internal jugular vein thrombophlebitis. The most common pathogens are Fusobacterium species, particularly F u s o b a c t e r i u m n e c r o p h o r u m . Septic emboli resulting from infected thrombophlebitis of the internal jugular vein leads to metastatic infections involving lung, liver, kidney, bone and central nervous system. The accurate diagnosis and treatment is important because it may be associated with a high mortality rate if untreated. We present a case of 28-year-old man with an atypical history for the diagnosis of Lemierre syndrome, which showed no definite evidence of internal jugular thrombophlebitis.
증 례 : 직장암 치료 중 진단된 만성호중구성백혈병 1예
김석형 ( Seok Hyung Kim ),박해열 ( Hae Yeul Park ),황창혁 ( Chang Hyeok Hwang ),정영학 ( Young Hak Jung ),이민주 ( Minjoo Lee ),최성은 ( Sung Eun Choi ),김유리 ( Yu Ri Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1
Chronic neutrophilic leukemia (CNL) is a rare myeloproliferative neoplasm characterized by sustained neutrophilia, splenomegaly, and hypercellular bone marrow without Philadelphia chromosome. Diagnosis of CNL requires exclusion of identifiable causes of reactive neutrophilia, such as infection and tumors. Our patient presented with general weakness and weight loss. Computed tomography (CT) showed a mass in the distal rectum, which was confirmed to be an adenocarcinoma by colonoscopic biopsy. Positron emission tomography-CT showed multiple liver, bone, and lymph node metastases. Liver and lymph node biopsies revealed neutrophilic infiltration with no evidence of adenocarcinoma. The pathological findings of the bone marrow were compatible with CNL. Cytogenetic analysis revealed a normal karyotype, and molecular analysis was negative for BCR/ABL. Here, we present a 73 year-old man diagnosed with concurrent CNL and rectal cancer. (Korean J Med 2016;90:59-62)