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서광섭,김구영,임병욱,채선애,강남훈,유광렬,김창훈,권영우,김호정 중앙대학교 의과대학 의과학연구소 2003 中央醫大誌 Vol.28 No.1
In 1988 Menetner described polyadenomes en nappe also known as hypertrophic or hyperplastic gastropathy, giant hypertrophic gastritis, and giant hypertrophy of gastric rugae. Moderate to severe hypoproteinemia and hypochlorhydria are often encountered. Radiographically and grossly, the condition can be confused with malignant lymphoma and carcinoma. Microscopically there is a striking foveolar hyperplasia accompanied by tortuosity. The glandular content is diminished, and the stroma is edematous and inflamed. Carcinoma may develop in a stomach affected by Menetnets disease, but the incidence is differently appreciate by authors.
2형 당뇨 환자에 있어서 C형 간염의 유병률에 관한 연구
김구영,서광섭,유광렬,임병욱,채선애,강남훈,김창훈,권영우,김희수,류성태,이정환,박성우,오웅식,김정한 중앙대학교 의과대학 의과학연구소 2003 中央醫大誌 Vol.28 No.1
Background: We have doubt about the truth that Type 2 DM is associated with chronic hepatitis C infection. The aim of our study was to prove a close relationship between chronic HCV infection and type 2 DM in korean patients. Methods: We reviewed the out-patient's medical records of 466 patients with type 2 DM who visit the Sung-ae hospital from March 2000 to August 2001. Diabetic patients were analyzed for the following variables: age, sex, waist circumference, weight, waist/hip ratio, using of self monitoring of blood glucose, method of therapy, duration of disease, experience of previous transfusion, major surgical procedure, accompanied disease, liver function tests (LFT), HbA1 c. We ruled out patients with liver cirrhosis. Results: Hepatitis C virus infection was observed more frequently in patient with Type 2 DM. Of 466 Type 2 DM patients, 13 patients were infected with Hepatitis C virus (2.79%). Compared with mean prevalence of Korean population (1.3~1.6%), it's value is very high. the other hand, 21 patients were infected with Hepatitis B virus (4.5%). Such results are similar to mean prevalence of the general public (4~5%). Conclusions: Prevalence of hepatitis C was closely associated in korean patients with type 2 DM. And an increased prevalence is independent of cirrhosis.
고성만,김기훈,서호종,서광섭,유광렬,채선애,임병욱,김홍자,김호정,김진승,허병원,김해경 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.3
The superficial spreading type of early gastric cancer has usually been defined as an early gastric cancer in which the product of the longest diameter and the diameter perpendicular to it was greater than 25㎠. Although the superficial spreading type of early gastric cancer is histologically aggressive compared with those without such histological aggressiveness, the 5 year survival rate is as good as a non-superficial spreading types of early gastric cancers if the wide surgical resection with extensive lymph node dissection is performed as a treatment. We experienced a case of superficial spreading early gastric cancer in a 59-year-old man. This case is reported with a brief review of related literature.
Azithromycin으로 치료한 임신 중 쓰쓰가무시병 1예
김광석,최진욱,서호종,김기훈,박성호,서광섭,고성만,김순혜,김호정 대한감염학회 2001 감염 Vol.33 No.5
We report a case of tsutsugamushi disease in a 26 year-old pregnant woman who was treated with azithromycin. Her gestation period was 27 weeks and she admitted with fever, rash, and eschar on the right shoulder. Currently recommended medications for the treatment of scrub typhus are doxycycline or chloramphenicol. But, these drugs are class D drugs according to the U.S. Food and Drug Administration (FDA) Fetal Risk Summary, so they couldn't be used to treat pregnant women. Recently, a few case reports suggested that azithromycin, a relatively new macrolide antibiotic, was effective and safe for the treatment of scrub typhus in pregnant women. And, there is no evidence that azithromycin causes harmful effects to the developing fetus or to children. On the basis of current in vivo test that confirms the effectiveness of azithromycin, it may be the drug of choice for the treatment of scrub typhus in pregnant women and children. (Korean J Infect Dis 33:380-382, 2001)
종양표지자 CA19-9의 현저한 상승을 보인 급성 담도염 1예
박성호,김기훈,서호종,최진욱,김광석,서광섭,고성만,김홍자,김호정,허병원,김해경 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.3
Doubts about effectiveness of CA19-9 are arsing since CA19-9 may show false positive with increase in blood in such cases of not only malignant tumor, but also acute cholangitis caused by gall stone or biliary obstuction. In such case, it is helpful in differentiating from malignant tumor to adjust the standard level of CA19-9 higher up to 300U/ml, or to reexamine after treament of initial acute inflammation or drainage of bile caused by biliary obstuction. The patient of 64-year-old female whose chief complaints were epigastric pain, fever and chilling sensation. The AST/ALT was 100/120 IU/L and alkaline phosphatase was 325IU/L and her initial level of Ca19-9 was 1,522U/mL and showed a significant increase. On ultrasonography and ERCP there was diffuse dilatation of common bile duct and intrahepatic duct without luminal obstruction. Conservative treatments and antibodics treatment for acute inflammation was applied reexamination thereafter showed the decreased and normal CA19-9 level of 22.4U/mL and liver function test.
서호종,김기훈,박성호,최진욱,김광석,고성만,서광섭,김홍자,김호정,허병원,김해경 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.3
Ulcerative colitis(UC)is a disease that affects the mucosal lining of the colon. Epidemiologlcal studies revealed that UC is global in distribution and the incidence has risen in recent decades. The pathogenesis of UC, remains uncertain. However, recent studies have suggested that colonic environment, most notably bacteria flora, genetic susceptibility, mucosal defects, immunologic abnormalities, altered levels of specific cytokine and inflammatory mediators,and dietary factors are implicated. The major symptoms of ulcerative colitis include diarrher, abdominal pain, and hematochezia(rectal bleeding). Ulcerative colitis also may be complicated by many local and systemic disorders as extracolonic symptoms. Erythema nodosum is one of the most frequent dermatologic complications associated with ulcerative colitis. It is an acute, painful, rective skin inflammation of unknown cause. Physicians can disgnose clinically, since there is no accepted histological diagnostic criteria. Conventational therapy is preferred to control causative disease. We authors experienced a case of suppurative erythema nodosum on both shins of ulcerative colitis patient, which was treated with high dose corticosteroids and discharged with clinical improvement of dematologic manifiestation, coincidently controlled acute exacerbation of the bowel disease. So we report this case with a brief literature review.