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관동맥 질환 환자에서 Lipoprotein ( a ) 농도와 당내인성과 관련성
두영철(Young Cheoul Doo),최조영(Jo Young Choi),장명국(Myung Kuk Jang),홍성훈(Sung Hun Hong),장명준(Myeong Jun Chang),고순희(Soon Hee Koh),한규록(Kyoo Rok Han),오동진(Dong Jin Oh),유규형(Kyu Hyung Ryu),고영박(Young Bahk Koh),이영(You 대한내과학회 1996 대한내과학회지 Vol.51 No.4
Objectives: A raised Lp (a) lipoprotein concentration is associated with coronary artery disease and impaired glucose intolerance has also been shown to be predictive of coronary artery clisease in some studies. It has been suggested that there is a significant association between impaired glucose tolerance and increased circulating Lp (a) lipoprotein concentration. The object of this study is to determine whether glucose intolerance and raised Lp (a) concentration are associated in subjects with coronary artery disease. Methods: The study group comprised 60 patients with coronary artery disease (M:20, mean age 56+/-13 year) and 70 control subjects without coronary artery disease (M:15, mean age 58+/-10 year). We compared the clinical variables, lipid profile including Lp (a), fasting glucose, and fasting insulin in subjects with coronary artery disease with impaired glucose tolerance and normal glucose tolerance, and in controls. Results: 1) Nine of 60 patients (15%) with coronary artery disease had glucose intolerance. There were no significant difference in the incidence of cardiovascular risk factors, body mass index, left ventricular mass index, the levels of lipid including Lp (a), and the levels of fasting glucose, insulin, and C-peptide except in the incidence of smoking (48% in patients with coronary artery disease vs 24% in normal control, p<0.05) between patients with coronary artery disease and normal controls. 2) Between coronary artery disease patients group with and without glucose intolerance, and normal controls, there were no difference in the level of Lp (a) concentration. Conclusion: The level of fasting glucose and concentration of Lp (a) were no difference in between patients with coronary artery disease and normal controls. There was no difference in concentration of Lp (a) in patients of coronary artery disease with and without glucose intolerance, and so suggest that raised Lp (a) lipoprotein concentration are not responsible for the association between impaired glucose tolerance and coronary artery disease.
항 내인자 및 항 벽측 세포 항체 양성을 보인 악성 빈혈 1 예
이록윤(Rok Yun Lee),박영석(Young Suk Park),한태호(Tae Ho Han),최조영(Jo Young Choi),강승식(Seung Sik Kang),박수종(Soo Jong Park),이정애(Jung Ae Lee),조성태(Sung Tae Cho),이재명(Jae Myung Lee),선덕재(Duk Jae Shun),정지영(Ji Young Jung 대한내과학회 1997 대한내과학회지 Vol.52 No.4
We present a case of pernicious anemia without history of operation in 52 year old female. She suffered from oral ulcer, gum bleeding, nausea, vomiting, and beefy tongue. She had dysesthesia on the both arm and foot, and hypesthesia of global and stocking type by neurologic examination. Laboratory findings were as follows: serum cobalamin 9.1 pg/mL (normal range: 180-710pg/mL), anti intrinsic factor antibody (strong positive), antiparietal cell Antibody 1:10 (positive), first stage of Schilling test (1.4%). The findings of peripheral blood and bone marrow were compatible with megaloblastic anemia. We report a case of pemicious anemia with positive anti intrinsic factor antibody and antiparietal cell antibody.
HBsAg 과 HBsAg 가 동시에 출현한 19 예에 대한 임상적 고찰
이남(Nam Lee),변동일(Dong Il Byun),김성근(Sung Kuen Kim),이광래(Kwang Lae Lee),최일균(Il Kyun Choi),최조영(Jo Young Choi),곽정재(Jung Jae Kwack),이상용(Sang Yong Lee) 대한내과학회 1987 대한내과학회지 Vol.33 No.4
N/A The usual sequence of events in the serum in response to infection with hepatitis B virus does not include the sustained presence of both HBsAg and it antibody, HBsAb becomes detectable after HRsAb has been cleared from the serum. The presence of HBsAg implies infectivity of the serum, wherase that of HBsAb indicated recovery from HBV infection, immunity from subsequent infection, and noninfectivity of the serum. However, we found and evaluated 19 patients who have had coexistent HBsAg and HRsAb. To study hepatitis B virus maker was done by using RIA technique (Ausria ll and Ausab, Abbott Laboratories, North Chicago, Illinois) The following results were obtained. 1) 2475 Patients with HBsAg positive were 26% in 9501 patients that studied both HBsAg and HBsAb. 19 patients with HBsAg and HBsAb present simultaiously, were 0.076% in 2475 patients with HBsAg positive. 2) HBcAb was positive in all of 14 patients. HBeAg was positive in 4 of 5 patients and HBeAb was negative in all of 5 patients. 3) 2 of 19 patients (10.5%) had liver cirrhosis and 3 of 19 patients (15.8%) had hepatoma at their initial medical evaluation. 4) 10 of 19 patients were positive persistently circulating hepatitis B surface antigen and antibody. The duration of concomitant HBsAb and HBsAb was from 2 to 211 weeks (mean 70.4 weeks) 5) 9 of 10 patients were positive for both HBsAg and HBsAb at their initial medical evaluation, And the presence of HBsAg antedated that of HBsAg and HBsAb simultaneously in one patient of pediatrics for 29 months. 6) Two patients had only HBsAb negative after both HBsAg and HBsAb were found, HBsAb titers of above two patients were significant lower than HBsAb titiers of 19 patients with concomitant HBsAg and HBsAb (HBsAb titer: 1124±174cpm VS 4977±4077cpm, P<0.01) 7) 5 of 10 patients were postivie persistently circulating hepatitis R surface antigen and antibo4y for above 6 months. There were no significant difference in HBsAb titer between above 5 patients and 19 patients with concomitant HBsAg and HBsAb. (HBsAb titer: 6909±4696cpm VS 4977±4007cpm) 8) HBsAb titer of 19 patients with concomitant HBsAg and HBsAb were significant lower than in HRsAb titer of 50 patients with HBsAg (-) HBsAb (+). This result suggest that 19 patients with concomitant HBsAg and HBsAb had relatively lower HBsAb titier. (HBsAg titer: 4977±4007cpm VS 7124±4011cmp, P<0. 05)
긴급 내시경검사에 의한 상부 위장관 출혈의 임상적 고찰
송관석(Gwan Seok Song),안혜진(Hea Jin An),김걸(Geol Kim),최일균(Il Kun Choi),최조영(Jo Young Choi),곽정재(Jeong Jae Gwak),이상용(Sang Yong Lee) 대한내과학회 1988 대한내과학회지 Vol.35 No.2
N/A Upper gastrointestinal tract bleeding has been a common clinical problem for several decades with a relatively high mortality rate. According to the literature the cause and nature of such bleeding is controversial despite the improved diagnostic procedure and treatment method available today. Emergency endoscopy was performed in patients with upper gastrointestioal tract bleeding for a 6year period, from Jan. 1982 to Dec. 1987, at Incheon Christian Hospital. The following results were obtained: 1) The ratio of male to female patients was 3.4:1 2) The age distribution revealed that the peak incidence of bleeding occured in the 5th decade of life. 3) The causative diseases were in the order of frequency of gastric ulcer (28.6%), duodenal ulcer(24.4%), eso. varices (16.8%),erosive gastritis (13.8%) and gastric ca. (8.2%). 4) The mode of bleeding was hematemesis in 27% of the cases, melena in 29%, and mixed type in 44/o. 5) According to Palumbo classification, the severity of bleeding was mimmal in 35.7% of the cases, moderate in 43.9% and massive in 30.4%. 6) Blood transfusions were done in 145 cases (74% of all cases). Of these, 1-5 pints were given in 43% of the cases, 6-10 pints pints in 18%, and more than 26 pints in 0.5%. Blood transfusions were not given in 26% of all cases. 7) Of the 196 ca the time of endoscopic examination after the episode of bleeding was within 6hr in 33 cases(16.8%), within 6-12hr in 46 cases (23.5%), within 12-24hr in 53 cases(27%) and within 24-36hr in 28 cases(14.3%). In total, 67,3% of the cases were examined within 24hr and 95.4% within 48hr. 8) The state of the lesions upon endoscopic examination was active bleeding in (39 cases) 19.9%, recent bleeding in 90 cases(46%), lesion only in 63 cases(32.1%), and no lesions were found in 4 cases(2%). 9) The treatment consisted of medical and surgical methods; medical in 86.2% of the cases and surgical in 13.8%. 10) The overall mortality was 9.7%.
김형길,오광제,정덕자,정동균,방규태,최웅승,백용아,최조영 대한감염학회 1991 감염 Vol.23 No.4
Emphysematous pyelonephritis is a rare, life treating necrotizing infection of renal parenchyme and perirenal tissue. The disease is encountered mainly in diabetics with or without urethral obstruction and is characterized by parenchymal necrosis and spontaneous gas formation. Herein we report a case of Emphysematous pyelonephritis which occurred in 45-year-old diabetic woman and caused by Enterobacter. The patient was managed with fluids, insulin and antibiotics, followed by incision and drainage and resulted in recovery.