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손성표 사단법인 한국당뇨협회 2002 당뇨 Vol.151 No.-
당뇨병 환자에서 고혈압은 미세혈관 및 대혈관 합병증을 촉반 혹은 악화시킬 수 있으므로 임상적으로 매우 중요하다. 당뇨병 환자에서 사망의 원인은 주로 대혈관 합병증인 관동맥심장질환, 심비대, 울혈성 심부전증, 뇌졸중, 말초혈관 질환 등의 심혈관계 및 뇌혈관계 질환때문이며, 당뇨병이 없는 사람에 비해 이들 질환의 빈도는 2$\~$6배나 높다. 고혈압도 심혈관계 및 뇌혈관계 독립인자로서 당뇨병 환자에서 고혈압이 동반되면 각각을 동반할 때보다 이들 질환의 발생 위험도는 훨씬 높아진다. 이들 질환에 의한 사망률 증가뿐 아니라 당뇨병의 미세혈관 합병증인 망막증과 신증의 발생률이 고혈압을 동반할 때 증가하며, 특히 기존의 신증 혹은 망막증의 진행은 고혈압이 나타나면 촉진된다. 임상적으로 더욱 중요한 사실은 이러한 고혈압을 치료함으로써 이들 합병증의 진행을 지연시키거나 막을 수 있다는 것이며, 이미 당뇨병성 신증환자에서 고혈압 치료의 효과가 밝혀져 있다. 따라서 당뇨병 환자에서 고혈압을 반드시 조기에 확인하여 적극적으로 치료하여야 한다.
Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan
석지혜,이창원,손성표,김민철,안준협,이광재,박자영,신선혜,권민정,김상수,김보현,이순희,박정현,김인주 대한당뇨병학회 2014 Diabetes and Metabolism Journal Vol.38 No.3
Background: Data regarding the prescription status of individuals with diabetes are limited. This study was an analysis of participants from the relationship between cardiovascular disease and brachial-ankle pulse wave velocity in patients with type 2 diabetes (REBOUND) Study, which was a prospective multicenter cohort study recruited from eight general hospitals in Busan, Korea. We performed this study to investigate the current status of prescription in Korean type 2 diabetic patients. Methods: Type 2 diabetic patients aged 30 years or more were recruited and data were collected for demographics, medical history, medications, blood pressure, and laboratory tests. Results: Three thousands and fifty-eight type 2 diabetic patients were recruited. Mean age, duration of diabetes, and HbA1c were 59 years, 7.6 years, and 7.2%, respectively. Prevalence of hypertension was 66%. Overall, 7.3% of patients were treated with diet and exercise only, 68.2% with oral hypoglycemic agents (OHAs) only, 5.3% with insulin only, and 19.2% with both insulin and OHA. The percentage of patients using antihypertensive, antidyslipidemic, antiplatelet agents was similar as about 60%. The prevalence of statins and aspirin users was 52% and 32%, respectively. Conclusion: In our study, two thirds of type 2 diabetic patients were treated with OHA only, and one fifth with insulin plus OHA, and 5% with insulin only. More than half of the patients were using each of antihypertensive, antidyslipidemic, or antiplatelet agents. About a half of the patients were treated with statins and one third were treated with aspirin.
이준호,윤설영,최소진,이창렬,손성표 대한내분비학회 1999 Endocrinology and metabolism Vol.14 No.1
Hypercalcemia is one of the most common paraneoplastic syndromes and believed to occur through two general mechanisms, one humoral and the other local. The former mechanism has been termed humoral hypercalcemia of malignancy (HHM) and has been associated with the secretion of various cytokines, including parathyroid hormone-related protein (PTHrP). PTHrP beats sttuctural and functional similarities to PTH and seems to play a key role in the pathogenesis of HHM. We experienced the case of HHM associated with hepatoma, a rare cause of HHM, in 48 year-old male. We found no evidence of bone metastasis. In this case, contrary to our general acknowledgment, serum 1,25 (OH)D concentration was elevated. We report this case with a brief review of related literatures (J Kor Soc Endocrinol 14:197~202, 1999).
김성일,이준상,김인주,이재복,손성표,나하연,곽임수,홍택종,양용석 대한신장학회 1995 Kidney Research and Clinical Practice Vol.14 No.1
Background: We studied to evaluate the realationship between disease activity of lupus nephritis and renal uptake of Ga 67 citrate. Methods.: The relationship between the renal accumulation of Ga 67 citrate and pathological or clinical parameters of lupus nephritis was analyzed in thirteen SLE patients. The renal uptake of Ga-67 citrate was graded from o to 4th degree. The patients were divided to two groups according to the degree of Ga 67 citrate renal uptake. Group I patients had 0, first, and second degree renal uptake of gallium and Group II patients had third to fourth degree of renal gallium uptake. Results : 1) 7 out of 13 patients had lupus nephritis, among them 5 patients had renal uptake of Ga 67 citrate above grade 3(Group II ). The other 2 patients and 6 patients without lupus nephritis had renal uptake below grade 2(Group I ). 2) Renal disease activity in group II patients was significantly higher than that in group I patients(7. 6±1.1 vs 2.4± 1.4, p$lt;0.05). And the degree of renal Ga67 citrate uptake was correlated positively with real disease activity(r=0.9, p$lt;0.05). 3) The serum creatinine value of group II (2.16± 1.3mg/dl) tended to be higher than that of group I (0.7±0.1mg/dl), but there was no statisticall signifi- cance. 4) The blood pressure of group II (136 ± 11/86 ±5 17mmHg) tended to be higher than thst of group I (109±14/69±11mmHg), but there was no statical significance. 5) The amount of 24 hour urine protein excretion of group II(3.4@k1.5gm/day) were higher than that of group I (0.7±0.6gm/day) significantly(p$lt;0.05). 6) The serum C and C$lt; level of group II patients (18.1± 15.5mg/dl andl 10.1 ±5.3mg/dl) tended to be lower than those of group I patients(26.5 ± 18.7mg/ dl andl 15.0±5.3mg/dl) but, there was no statical signif icance. 7) Renal biopsy was done in 5 patients of group II, the findings were diffuse proliferative lupus GN in 4 cases and mesangial lupus GN in 1 case. Conclusion: We can suggest that Ga 67 citrate scan is useful to diagnose and to estimate t of lupus nephritis.