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반가영 ( Ga Young Ban ),양은미 ( Eun Mi Yang ),김지혜 ( Ji Hye Kim ),신유섭 ( Yoo Seob Shin ),예영민 ( Young Min Ye ),남동호 ( Dong Ho Nahm ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2015 Allergy Asthma & Respiratory Disease Vol.3 No.5
Anaphylaxis is a severe and life-threatening systemic reaction. Despite the extensive evaluation to determine the cause, 30%-60% of cases of anaphylaxis in adults remain idiopathic. Recently, omalizumab treatment has been postulated to treat refractory idiopathic anaphylaxis. We report a case of idiopathic anaphylaxis treated with omalizumab and investigated its pharmacological mechanism. A 66-year-old female presented to our clinic with recurrent anaphylaxis. She suffered from anaphylaxis 2-3 times a month for 6 months. She had past medical history of nonallergic bronchial asthma. History was carefully undertaken and anaphylaxis was not related to any specific foods, drugs, exercise, and insect bites. Serum specific IgE antibodies to common food allergens showed negative results. Oral provocation tests to food additives revealed to be negative. To screen systemic mastocytosis and mast cell activating syndrome, baseline tryptase level was checked, and it was within normal range. From comprehensive evaluation, she was diagnosed as having idiopathic anaphylaxis. She could not tolerate oral medications due to gastrointestinal discomfort, therefore, omalizumab treatment (150 mg, monthly) was started. After 6 months of treatment, anaphylaxis did not occur with complete remission status. To evaluate the pharmacological mechanism of omalizumab treatment, basophil histamine releasability test was performed. Histamine releasability induced by anti-IgE did not change after 6 months of treatment, while that induced by calcium inophore decreased. Omalizumab treatment can induce remission or favorable effects on idiopathic anaphylaxis, which may be derived from increased threshold of mast cell degranulation. Long-term studies in a larger cohort will be needed to confirm its efficacy. (Allergy Asthma Respir Dis 2015;3:380-383)
메타콜린 기관지유발시험에 음성반응을 보인 천식 환자들의 임상적 특징
반가영 ( Ga Young Ban ),박혜린 ( Hae Lin Park ),황의경 ( Eui Kyung Hwang ),예영민 ( Young Min Ye ),신유섭 ( Yoo Seob Shin ),남동호 ( Dong Ho Nahm ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.3
Background: The methacholine bronchial challenge test is widely used to evaluate airway hyperresponsiveness in asthmatics; however some studies have reported a few asthmatics have negative methacholine bronchial challenge test results. We investigated the prevalence and clinical characteristics of this group of patients. Methods: We retrospectively analyzed the medical records of 118 patients diagnosed as having asthma who visited the Allergy Clinic of Ajou University Hospital between March 2010 and February 2011. Patients were divided into 2 groups according to the methacholine bronchial challenge test results: group I included those with positive results (group I, n=92) and those with negative results (group II, n=26). Results: Of the 118 subjects, 26 (22.0%) showed negative methacholine bronchial challenge test results. The rates of late-onset asthma (65.4%), non-atopy (42.1%) and overweight (47.4%) were higher in group II than in group I (37%, P=0.013; 19.6%, P=0.008; and 23.9%, P=0.008). The baseline lung function and the frequency of severe asthma exacerbation were not significantly different between the 2 groups. Conclusion: In this study, 22% of the asthmatic patients diagnosed by allergy specialists had negative methacholine bronchial challenge test results. It is suggested that late-onset asthma, non-atopy and overweight may be characteristic findings.
박혜린 ( Hae Lin Park ),반가영 ( Ga Young Ban ),배창범 ( Chang Bum Bae ),임현이 ( Hyun Ee Yim ),김흥수 ( Heung Soo Kim ),박인휘 ( In Whee Park ),신규태 ( Gyu Tae Shin ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2
Sarcoidosis, systemic inflammatory disease characterized by non-caseating granulomas, is rarely associated with renal failure in a kidney transplant. We report a 51-year-old woman with a kidney transplant who was diagnosed to have renal sarcoidosis. After 7 years of renal transplantation, the patient presented with relatively rapid deterioration of renal function and, subsequently, she underwent kidney transplant biopsy. Renal biopsy revealed interstitial nephritis with non-caseating granulomas compatible with granulomatous interstitial nephritis (GIN). She was also found to have granulomatous lymphadenitis and skin lesions. Diagnosis of sarcoidosis was made based on histopathologic findings, the high serum angiotensin converting enzyme level and exclusions of other causes of GIN including tuberculosis, ANCA associated glomerulonephritis and tubulointerstitial nephritis and uveitis syndrome. The patient was started on oral prednisolone, and subsequently her renal function improved. (Korean J Med 2013; 84:290-294)
양민석 ( Min-suk Yang ),반가영 ( Ga-young Ban ),김민혜 ( Min-hye Kim ),임경환 ( Kyung-hwan Lim ),권혁수 ( Hyouk-soo Kwon ),송우정 ( Woo-jung Song ),정재우 ( Jae-Woo Jung ),이정민 ( Jeongmin Lee ),서동인 ( Dong In Suh ),권재우 ( Ja 대한천식알레르기학회 2017 Allergy Asthma & Respiratory Disease Vol.5 No.5
Diagnostic methods for drug allergy include the patient’s history, in vivo skin test, in vitro laboratory test, and provocation test. How-ever, the history is often not reliable, procedures for in vivo and in vitro tests are not standardized, and provocation tests are some-times harmful to patients. Generally, skin prick and intradermal tests are useful for immediate reactions; in contrast, patch test and delayed reading of both skin prick and intradermal tests are helpful for delayed reactions. A drug provocation test is the gold stan-dard for both responses, and it is necessary to be aware of exact indications and contraindications with appropriate drugs, doses, and intervals. To date, several methods have been developed to detect culprit agents for drug hypersensitivity reactions, but they are neither completely well validated nor standardized. Based on this awareness and necessity, the Korean Academy of Asthma, Al-lergy and Clinical Immunology launched the Standardization Committee to review the international guidelines and the literature, and then developed the consensus report on the procedures and applications of diagnostic tests for drug allergy. (Allergy Asthma Respir Dis 2017;5:239-247)
김미애 ( Mi-ae Kim ),예영민 ( Young-min Ye ),반가영 ( Ga Young Ban ),신유섭 ( Yoo Seob Shin ),남동호 ( Dong-ho Nahm ),박해심 ( Hae-sim Park ) 대한천식알레르기학회 2017 Allergy Asthma & Respiratory Disease Vol.5 No.4
Purpose: Allergic rhinitis is one of the most common chronic diseases that affect in sleep, fatigue, headache, impaired cognition, and performances at work or school. Monitoring rhinitis control is important, because rhinitis is a life-long disease and affects patients` health-related quality of life. The rhinitis control assessment test (RCAT) completed its development and initial validation, following confirmation of its reliability, validity, and responsiveness in the United States. To apply the RCAT in Korean clinical practice, we conducted linguistic adaptation of the RCAT in Korean language. Methods: The process of linguistic adaptation was composed of 10 steps: preparation, forward translation, reconciliation, back translation, back translation review, harmonization, cognitive debriefing, review of cognitive debriefing results and finalization, proofreading, and the final report. Results: We completed a Korean version of the RCAT according to 10 steps. The Korean version of the RCAT was composed of 6 items, including nasal and ocular symptoms, sleep disturbances, limitation of casual activity, and symptom control. The score ranged from 5 to 30. Higher score indicated the well-controlled status of rhinitis. Conclusion: We conducted linguistic adaptation of the RCAT in Korean, which would be helpful in clinical practice to assess the status of rhinitis control and to adjust rhinitis medications. (Allergy Asthma Respir Dis 2017;5:205-210)
Culotte 스텐팅 기법으로 치료한 좌주간지 침범 자발성 관상동맥 박리증
이주호 ( Joo Ho Lee ),전자영 ( Ja Young Jeon ),반가영 ( Ga Young Ban ),강은정 ( Eun Jung Kang ),박진선 ( Jin Sun Park ),조대열 ( Dai Yeol Joe ),최병주 ( Byoung Joo Choi ) 대한내과학회 2012 대한내과학회지 Vol.83 No.3
Spontaneous coronary artery dissection (SCAD) is an extremely rare clinical manifestation of ischemic heart disease. A 43-year-old female was admitted to our hospital for non-ST elevation myocardial infarction. She had no cardiac risk factors except smoking. Coronary angiography showed moderate stenosis of the proximal left circumflex artery (LCX) with intraluminal haziness and a spastic appearance from the culprit lesion in the left main coronary artery (LM). Subsequent analysis by intravascular ultrasound (IVUS) revealed a clear dissection flap from the LCX to the LM. Generally, SCAD of the LM or multivessel involvement requires primary surgical management. The present case was treated percutaneously using the culotte stent technique.
서대홍 ( Dae Hong Seo ),이영수 ( Young Soo Lee ),반가영 ( Ga Young Ban ),윤문경 ( Moon Gyung Yoon ),김지혜 ( Ji Hye Kim ),신유섭 ( Yoo Seob Shin ),박해심 ( Hae Sim Park ),예영민 ( Young Min Ye ) 대한천식알레르기학회 2015 Allergy Asthma & Respiratory Disease Vol.3 No.1
Various foods can induce anaphylaxis. However, mushrooms-induced anaphylaxis has not been reported in Korea. We report a patient with past anaphylactic episode caused by mushroom ingestion, confirmed by the skin test and specific IgE antibody to mushrooms. A 17-year-old girl with asthma was referred to our department due to itchy throat, dyspnea, and urticaria within 10 minutes after ingestion of a soup containing Oyster mushrooms. She presented an itching throat after ingestion of cooked mushrooms 3 years before the visit. She had an elevated serum IgE level (205 kU/L) and was sensitized to house dust mites. Skin prick tests with mushroom extracts showed a strong positive on Oyster and King Oyster mushrooms as well as Pyogo mushroom. The specific IgE antibody to each mushroom measured by enzyme-linked immunosorbent assay showed significant positive results to Oyster and Pyogo mushroom extracts, but was negative on King Oyster mushroom. We educated her to avoid eating Oyster and Pyogo mushroomsfor preventing recurrence, whereas we couldn’t perform oral challenge tests
국내 단일 병원 의료관계자들의 아나필락시스 인지도 조사
서대홍 ( Dae Hong Seo ),예영민 ( Young Min Ye ),김수진 ( Su Chin Kim ),반가영 ( Ga Young Ban ),김지혜 ( Ji Hye Kim ),신유섭 ( Yoo Seob Shin ),박해심 ( Hae Sim Park ),이수영 ( Soo Young Lee ) 대한천식알레르기학회 2016 Allergy Asthma & Respiratory Disease Vol.4 No.2
Purpose: Anaphylaxis is a rapidly progressive allergic reaction that requires precise recognition and immediate management. However, health care providers, awareness of anaphylaxis has not been acknowledged. The aim of this study is to investigate the extent of knowledge and principal management skills on anaphylaxis among medical personnel and students. Methods: We performed a questionnaire survey on knowledge, education, and managing skills for anaphylaxis to physicians, nurses, health personnel, and medical students in Ajou University Medical Center, from 26 June to 31 October, 2014. The survey contained 2 main sections: questions about demographic data and 2 types of questionnaire (type I for all participants and type II for only medical staffs) for self-assessment on anaphylaxis. Results: A total of 1,615 participants (128 doctors, 828 nurses, 436 students, and 223 health personnel) completed the survey. For questionnaire I, the percentages of correct answers in doctors, nurses, medical students, and health personnel were 77.5%, 56.4%, 47.8%, and 28.0% respectively, showing significant differences between groups (P<0.001). For questionnaire II, 93% of doctors and 75.6% of nurses indicated epinephrine as the drug of choice, and 79.7% of doctors and 71.3% of nurses selected the correct intramuscular route. More than 3 quarters of the doctors (80.5%) selected epinephrine within the first 5 steps of treatment, but only 48% included epinephrine within the first 3 steps. Conclusion: Our study showed considerable lack of knowledge on anaphylaxis among health care providers, especially on the specific management steps of anaphylaxis. As significant gaps on overall knowledge of anaphylaxis were observed between different groups of medical personnel, regular education should be implemented for each department in the health care setting. (Allergy Asthma Respir Dis 2016;4:133-139)
면역글로불린 G 아형 결핍이 동반된 Kartagener 증후군
김기찬 ( Ki Chan Kim ),박주한 ( Joo Han Park ),반가영 ( Ga Young Ban ),유혜수 ( Hye Soo Yoo ),신유섭 ( Yoo Seob Shin ),박해심 ( Hae Sim Park ),예영민 ( Young Min Ye ) 대한천식알레르기학회 2013 Allergy Asthma & Respiratory Disease Vol.1 No.3
Kartagener syndrome is characterized by the triad of situs inversus, bronchiectasis, and chronic paranasal sinusitis. Recurrent sinopulmonary infection, the major determinant for diagnosing immunodeficiency, is the most common clinical manifestation of the disease. A 17-year-old female patient presented with dyspnea, cough, sputum, nasal congestion, and rhinorrhea for more than 5 years. Nasal symptoms and dyspnea had not been controlled by intermittent treatment with mucolytics and antibiotics from primary clinics since 3 months before visiting our clinic. Chest X-ray and computed tomography showed situs inversus, dextrocardia and bronchiectasis. Paranasal sinus series revealed mucosal thickening and haziness on both maxillary sinus. Serum immunoglobulin (Ig) G4 was decreased, but total IgG was within normal range. Under the diagnosis of Kartagener syndrome with IgG4 deficiency, monthly intravenous IgG (IVIG) treatment was performed for 6 months. Her symptoms were well controlled and the frequency of antibiotics use was markedly decreased. We report a patient having the Kartagener syndrome with IgG4 deficiency that was successfully controlled with a 6-month-treatment of IVIG. (Allergy Asthma Respir Dis 2013;1:288-291)
면역글로불린 G 아형 결핍이 동반된 Kartagener 증후군 1예
김기찬 ( Ki Chan Kim ),박주한 ( Joo Han Park ),반가영 ( Ga Young Ban ),유혜수 ( Hye Soo Yoo ),신유섭 ( Yoo Seob Shin ),박해심 ( Hae Sim Park ),예영민 ( Young Min Ye ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1991 소아알레르기 및 호흡기학회지 Vol.1 No.3
Kartagener syndrome is characterized by the triad of situs inversus, bronchiectasis, and chronic paranasal sinusitis. Recurrent sinopulmonary infection, the major determinant for diagnosing immunodeficiency, is the most common clinical manifestation of the disease. A 17-year-old female patient presented with dyspnea, cough, sputum, nasal congestion, and rhinorrhea for more than 5 years. Nasal symptoms and dyspnea had not been controlled by intermittent treatment with mucolytics and antibiotics from primary clinics since 3 months before visiting our clinic. Chest X-ray and computed tomography showed situs inversus, dextrocardia and bronchiectasis. Paranasal sinus series revealed mucosal thickening and haziness on both maxillary sinus. Serum immunoglobulin (Ig) G4 was decreased, but total IgG was within normal range. Under the diagnosis of Kartagener syndrome with IgG4 deficiency, monthly intravenous IgG (IVIG) treatment was performed for 6 months. Her symptoms were well controlled and the frequency of antibiotics use was markedly decreased. We report a patient having the Kartagener syndrome with IgG4 deficiency that was successfully controlled with a 6-month-treatment of IVIG. (Allergy Asthma Respir Dis 2013;1:288-291)