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경주지역에서 식물제제에 의한 급성 간손상 환자의 임상적 고찰
천우정(Woo Jung Chun),윤병구(Byung Gu Yoon),김남일(Nam Il Kim),이구(Goo Lee),양창헌(Chang Heon Yang),이창우(Chang Woo Lee),서정일(Jeong Ill Suh) 대한내과학회 2002 대한내과학회지 Vol.63 No.2
Background: The prevalence of acute viral liver injury is decreasing, but drug induced liver injury by herbal medicine and health foods is on an increasing trend after introduction of vaccination. Nevertheless, there is no consensus of diagnostic method and causality assessment for acute liver injury. Therefore, the cause, clinical features, prevalence and pattern of acute liver injury caused by herbal medicine and health foods in Gyeongju area were analyzed. Moreover, Council for International Organization of Medical Science (CIOMS) scale and Maria and Victorino (M&V) scale, clinical scales for causality assessment in hepatotoxicity were compared. Methods: 78 patients in whom there was definite evidence of taking medicine and there was one more increase of over 2N (upper limit of the normal range) in alanine aminotransferase (ALT) or total bilirubin (TB) or alkaline phosphatase (ALP) and self-remitted after drug stop were selected excluding patients with previous liver disease history and history of alcohol, metabolic liver disease and hapatobiliary disease and viral, autoimmune, unknown origin hepatitis among 150 patients of admission due to acute liver injury, from April 1997 to March 2001. Each case was investigated retrospectively about taken medicine, the pattern of liver injury, recovery period after drug stop, history of alcohol, other hepatobiliary disease, pregnancy, recent hypotension, rechallenge and viral markers of hepatitis, aspartate aminotransferase (AST), ALT, TB, ALP. Also, herbal medicine and western medicine groups were compared and consistency with CIOMS scale and M&V scale were investigated. Results: For four years, among 150 cases, drug-induced liver injury were 78 cases (52.0%), occurred the highest prevalence. In taken medicine, western medicine were 39 cases (50.0%), herbal medicine and health foods were 39 cases (50.0%), too. Among those cases, herbal medication were 23 cases (58.9%), pellet 5 cases (12.8%), In-jin-ssuk 3 cases (7.7%), deer extract 3 cases (7.7%), kitosan 2 cases (5%) and pumpkin extract, carp, plant roots was 1 case (2.5%) respectively. In the pattern of liver injury, hepatocellular liver injury were 48 cases (61.5%), occurred the highest prevalence. Between CIOMS and M&V scale, best correlation were only 2 cases (2.6%), therefore, their agreement was very low. Conclusion: The prevalence of drug induced liver injury is on an increasing trend in Gyeongju area and acute liver injury caused by herbal medicine and health foods had very high incidence was ascertained. Therefore, we should attend to indiscreet use of herbal medicine and health foods and should give a warning to our society. And a new clinical scale suitable for characteristic of our country that had high prevalence of liver injury caused by herbal medicine and health food is needed. (Korean J Med 63:141-150, 2002)
포스터 전시 : 간 ; Fusobacterium nucleatum에 의한 간농양 1예
정소연 ( So Yean Jung ),정희철 ( Hee Chul Jung ),이창화 ( Chang Hwaa Lee ),천우정 ( Woo Jung Chun ),김남일 ( Nam Il Kim ),김성자 ( Sung Ja Kim ),이구 ( Goo Lee ),서정일 ( Jeung Ill Suh ),이창우 ( Chang Woo Lee ),하경임 ( Gyoung Y 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<증례> 45세 여자가 2개월 전부터 발생한 간헐적인 발열 및 전신 쇠약감을 주소로 내원하였다. 환자는 2개월 전부터 발열 및 오한이 있어 개인 의원에서 상기도 감염 진단하에 약물치료를 받았으나 내원 전날까지 증상의 호전과 악화가 반복되어 내원하였다. 과거력상 2년전 고혈압을 진단 받고 치료중인 것 외에는 특이 사항이 없었다. 이학적 검사상 전신 상태는 양호하였고 복부 촉진에서 압통이 있는 부위는 없었으며 간이나 비장의 종괴는 만져지지 않았다. 검사실