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급성 감염후 사구체 신염이 동반된 성인 Henoch-Schonlein 자반증 1례
문경민 ( Kyoung Min Moon ),강주형 ( Joo Hyung Kang ),김동규 ( Dong Gyu Kim ),이웅철 ( Woong Chul Lee ),문유리 ( Yu Ri Moon ),주종은 ( Jong Eun Joo ),김용일 ( Yong Il Kim ),양승오 ( Seoung Oh Yang ),이영숙 ( Young Sook Lee ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.4
Henoch-Schonlein purpura (HSP) is a small-vessel vasculitis that are predominantly observed in children, affecting their skin, joints, gut and kidneys. The renal prognosis of HS nephritis is known to be worse in adults than in children. It is defined by tissue deposition of IgA. In most HSP patients, serum complement levels are usually normal. However, some authors reported abnormalities of serum complement levels in children-onset HSP. The authors report here a rare adult-onset case of HSP combined with post-infectious glomerulonephritis, especially hypocomplementemia and subepithelial `hump`-like electron dense deposits.
김영훈,박영숙,문영수,김혜랑,이정돈,한준길,문찬희,황인후,황의경,김은경,주종은 대한소화기학회 1999 대한소화기학회지 Vol.33 No.3
Mucosa-associated lymphoid tissue (MALT) lymphoma is a low grade B cell lymphoma which de velops in MALT. The authors report a case of MALT lymphoma in cecum and ascending colon in a 37-year-old male. He recognized palpable mass and tenderness on right lower abdomen 3 days before admission. At his first admission, he was misdiagnosed as actinomycosis in colon and penicillin G was administered. Four weeks later, he revisited our hospital because of colonic mecha nical obstruction. Subsequently, right hemicolectomy was performed. Macroscopically, infiltrating tumor from terminal ileum to ascending colon was found. Microscopic findings showed glandular mucosa with atypical lymphocytes, lymphoepithelial lesion (LEL) formed by centrocyte-like (CCL) cell invasion of epithelium lining gland, plasmacytoid differentiation and positive B cell marker in immunohistochemical stain. A histological and immunohistochemical study revealed it to be a lowgrade B cell lymphomas of MALT type.