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만성신부전증 환자에서 혈액투석, 복막투석 및 신장이식이 혈중 Apolipoprotein(a) 농도에 미치는 영향
윤건호 ( Kun Ho Yoon ),유순집 ( Soon Jip Yoo ),강무일 ( Moo Il Kang ),차봉연 ( Bong Yun Cha ),윤영석 ( Young Suk Yoon ),이광우 ( Kwang Woo Lee ),손호영 ( Ho Young Son ),강성구 ( Sung Koo Kang ),방병기 ( Byung Kee Bang ) 한국지질동맥경화학회(구 한국지질학회) 1996 韓國脂質學會誌 Vol.6 No.1
수술적 치료를 받은 갑상선질환의 임상적 고찰 - 1988 년부터 1992 년까지 갑상선 수술의 경향 -
김형근(Hyung Keun Kim),문성대(Sung Dae Moon),장상아(Sang Ah Chang),안유배(Yoo Bae Ahn),송기호(Ki Ho Song),한제호(Je Ho Han),유순집(Soon Jip Yoo),이종민(Jong Min Lee),손현식(Hyun Sik Son),윤건호(Kun Ho Yoon),강무일(Moo Il Kang),차봉연(Bo 대한내과학회 1998 대한내과학회지 Vol.55 No.6
Objectives: The thyroid disease is the common form of endocrine diseases, which often requires surgical management. Recently, fine needle aspiration biopsy is widely used preoperatively. As a result, some studies show that numbers of thyroid operation have decreased significantly. We performed this study to analyze the clinical features of thyroid diseases and the trend of thyroid operation in Korea. Methods: We reviewed medical records of 1787 cases with thyroid diseases who were managed surgically in Catholic Medical Center, Korea from 1988 to 1992. Results: 1) The percentage of thyroid diseases in total cases undergoing operation in Department of General Surgery was 3%, which tended to decrease with time. 2) 72.9% of thyroid diseases was benign. Among them, the frequency of nodular hyperplasia and follicular adenoma were 67.5% and 18.4%, respectively. 3) The percentage of thyroid cancers in thyroid diseases was 27.1%, which tended to increase with time. The frequency of papillary adenocarcinoma was 78.6%, follicular adenocarcinoma 18.2% and medullary carcinoma 1.5%. 4) Thyroid cancers were most commonly found in the forty and sixty decades. Male: female ratio was 1:8.5. 5) 7.6% of thyroid cancers was accompanied by benign thyroid diseases which were mostly nodular hyperplasia and follicular adenoma. 6) The most common type of operation was lobectomy(82.5%) in benign thyroid diseases, and total thyroidectomy(47.1%) and lobectomy(41.1%) in thyroid cancers. 7) Fine needle aspiration biopsy was performed in 51.7% of thyroid nodules, the frequency of which tended to increase with time. The sensitivity, specificity, false negative rate and false positive rate of this test were 78.3%, 89.4%, 13.7% and 17.2%, respectively. Conclusion: With the use of fine needle aspiration biopsy, numbers of thyroid operation decreased and the percentage of thyroid cancers in thyroid operation increased.
그레이브스 병에서 항갑상성제 투여중 발생한 갑상성기능저하증의 치료
송기호(Ki Ho Song),김병수(Byung Su Kim),장상아(Sang A Jang),안유배(Yu Bae Ahn),한제호(Je Ho Han),유순집(Soon Jip Yoo),이종민(Jong Min Lee),손현식(Hyun Sik Son),윤건호(Kun Ho Yoon),감무일(Moo Il Kang),차봉연(Bong Yun Cha),이광우(Kwang Wo 대한내과학회 1996 대한내과학회지 Vol.51 No.3
Objectives : Antithyroid drug is highly effective and safe in the treatment of Graves` disease. However, some patients may be rendered hypothyroid by large dosage of andithyroid drug : at this point reduction of dosage is common but often difficult to quantitate. Alternatively, combination therapy of antithyroid drug with L-thyroxine is often used, but there are few reports on its long-term effectiveness. Methods : 43 patients with Graves` disease who developed hypothyroidism during methimazole treatment were studied. They received combination therapy of 100mg methimazole with 50 ㎍(group 1, n=16) or 100 ㎍(group 2, n=27) L-thyroxine per day. Hypothyroidism was defined as elevation of seruum thyroid-stimulating hormone (TSH) concentrations above normal ranges. Results : 1) Hypothyroidism occurred within 5.8±3.7(mean ± SD) months after methimazole treatment and mean doses of methimazole were 22,1±8.4mg per day. 2) Serum total thyroxine concentrations increased significantly from 3.7±2,4㎍/dl in the hypothyroid stage to 9.4+3.0 ㎍/dl after 2 months of combination therapy(p<0.0001). 3) Serum TSH concentrations decreased significantly from 34.1+30.6μU/ml in the hypothyroid stage to 3.4+5.2 μU/ml after 2 months of combination therapy(p<0.0001). 4) After 6 months of combination therapy, 74.2Yo of patients became euthyroid. 5) There was no significant difference in the frequency of euthyroid patients after combination therapy betwen group 1 and group 2. Conclusion: These results suggest that long- term combination therapy of antithyroid drug with L-thyroxine in small fixed doses could be effective and convenient to maintain euthyroidism in patients with Graves' disease who developed hypothyroidism during antithyroid drug treatment.
유진영,이광우,김명훈,손호영,차봉연,강무일,강성구,백기현,원종만,유순집,최의진,김욱 대한내분비학회 1995 Endocrinology and metabolism Vol.10 No.3
A case of a pregnant woman with an undiagnosed pheochromocytoma is presented. Gestational hypertension was developed at 33 weeks' gestation. Also she experienced intermittent chest discomfort, headache and irritability during those period. Normal vaginal delivery was successfully performed with close observation. Even though experiencing same symptoms for two years after delivery, she had been treated as neurosis. Uncatched pheochromocytoma was detected and the tumor was resected successfully. It seems to be that many cases of pheochromocytoma with pregnancy still go unrecognized because of close similarity between pheochromocytoma and toxemia. High index of suspicion should be maintained to achieve early diagnosis because antenatal diagnosis can lower the mortality in both mother and fetus(J Kor Soc Endocrinol 10: 295-299, 1995).
Coagulase 음성 포도상구균 혈증에 대한 임상적 고찰
이봉수,박태근,유순집,윤선애,신완식,강문원,정희영 대한감염학회 1990 감염 Vol.22 No.4
The cases of all patients hospitalized at St. Mary's hospital from July 1986 to June 1989 who had blood culture positive for coagulase-negative staphylococcus (CNS) were retrospectively analyzed. Among 345 cases, 125 cases (36.2%) were true CNS bacteremia and remaining 220 cases (63.8%) were contaminants. Two-thirds of CNS bacteremia were hospital-acquired. Cases were higher in males than in females. There was no difference of clinical parameters and deaths between primary and secondary bacteremia. The data indicate a rising incidence of cases and deaths from CNS bacteremia, but the case-fatality rate was similar between years. CNS bacteremia was most frequent in the youngest (birth through nine years) groups, especially under one year of age, where as the case-fatality rate was lowest in this group. 70 patient (56%) were in intensive care areas at the time of infection. The greatest proportion of bacteremias were on medical services and case-fatality rate was more than twice as higher on the medical than on the surgical services. Patients with underlying hematologic or neoplastic diseases, gastrointestinal or liver diseases, neurologic diseases had a much greater risk of bacteremia. Cytotoxic chemotherapy, catheterization, steroid and surgery were the common procedure related to bacteremia. The main sources recognized were the respiratory tract, infected wound or mucosa and catheter, however the source was unknown in nearly half of episodes. The main clinical features were fever and leukocytosis. The overall mortality was 24.0%. Mortality was exceptionally higher in patients over age of 51, hematologic neoplasm, associated pulmonary or gastrointestinal involvement, neutropenia, and sepsis. In antimicrobial susceptibility, the prominent feature of CNS isolates was resistance to many commonly used antimicrobial agents except vancomycin.
박태근,김부성,이창돈,유순집,임계순,양영상,윤기주,선희식 대한내과학회 1990 대한내과학회지 Vol.39 No.1
Ogilvie's syndrome is a descriptive term referring to a clinical entity in which the signs and symptoms of rapid colonic distension are present without evidence of mechanical obstruction. The pathogenesis of pseudoobstruction remains unknown. Because it has been associated with such a wide variety of concomitant conditions, it is likely that several pathophysiologic mechanisms may trigger the pseudoobstruction. This syndrome is clinically important because of impending colonic perforation due to marked colonic distension. We experienced a case of Ogilvie's syndrome associated with pancreas cancer and reported with the review of the literature.