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증례 : 인공 대동맥 판막 기능 부전으로 나타난 과호산구 증후군 1예
최태혁 ( Tae Hyuck Choi ),이주용 ( Ju Yong Lee ),정상식 ( Sang Sig Cheong ),최윤석 ( Yoon Suck Choi ),홍현일 ( Hyun Il Hong ),박종빈 ( Chong Bin Park ),강길현 ( Gil Hyun Kang ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
특발성 과호산구 증후군은 특별한 원인없이 호산구가 1500/㎣ 이상의 호산구 증가증이 6개월 이상 지속되고 다양한 기관의 침범으로 인한 증상과 증후를 보이는 질환이다. 저자들은 처음으로 인공 대동맥 판막을 침범하여 이의 기능 부전 유발한 특발성 과호산구 증후군 환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Idiopathic hypereosinophilic syndrome (HES) refers to a group of leukoproliferative disorders characterized by unexplained persistent eosinophilia associated with damage to several organ. Cardiac involvement is the major source of morbidity and mortality. There have been several case reports that showed various types of cardiac involvement including native or prosthetic valve dysfunction with this syndrome. However, there has been no report involved mechanical aortic valve. We, for the first time, report a case of a 58-year-old man with idiopathic hypereosinophilic syndrome manifested by prosthetic mechanical aortic valve dysfunction that was successfully treated by valvular replacement, steroid and hydroxyurea therapy.(Korean J Med 69:S974-S978, 2005)
빈성일,정상일 대한스포츠의학회 1995 대한스포츠의학회지 Vol.13 No.2
Twenty-two symptomatic patients with suspected tears of the rotator cuff were studied with MR imaging and ultrasonography to determine the ability of detecting the rotator cuff tears. All patients underwent surgery. 1. For 2 patients of complete tears, MR images and ultrasonography also showed complete tear. 2. For 20 patients of partial tears, MR images showed partial tears in 17 of 20 patients and complete tears in 3of 20 patients. Thus the sensitivity of MRI for presence of rotator cuff tear was 100% and that for partial tear, 85%, Ultrasonographic findings showed partial tears in 11 of 20 patients, complete tears in 7 patients and negative finding for tear in 2 patients. Thus the sensitivity of ultrasonography for rotator cuff tear was 90% and that for partial tear, 55%. This result shows that MR imaging is the excellent diagnostic method for rotator cuff tear and is useful for differential diagnosis of partial and complete tear. On the other hand, sonography is inappropriate for differential diagnosis of partial and complete tear, but it is appropriate for the diagnosis for rotator cuff tear itself. So, ultrasonography may be used as a screening method of rotator cuff tear.