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혈액투석환자에서 십이지장벽의 이물질을 내시경으로 제거한 후 발생한 후복막 출혈
이민경 ( Min Kyung Lee ),현여경 ( Yu Kyung Hyun ),김윤지 ( Yoon Ji Kim ),윤수영 ( Soo Young Yoon ),조준희 ( Joon Hee Joh ),이종인 ( Jong In Lee ),조재희 ( Jae Hee Cho ),김희만 ( Hee Man Kim ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.4
Fish bones are often ingested accidently. Most of them passes out through the gastrointestinal tract safely, but serious complications, such as perforation, abscess, obstruction, and bleeding in the gastrointestinal tract, can occur. An ingested fish bone can be easily removed by endoscopy, and surgery is rarely required. However, there may be complications related to the endoscopic procedure including mucosal laceration, bleeding, fever, and perforation. Here, we report a case of retroperitoneal hemorrhage developed after endoscopic removal of a fish bone stuck in the duodenal wall, and then resolved spontaneously by conservative care. (Korean J Gastroenterol 2011;58:212-216)
신종 인플루엔자 A (H1N1) 감염으로 입원한 성인 폐렴 환자의 임상양상
한창훈 ( Chang Hoon Han ),현여경 ( Yu Kyung Hyun ),최유리 ( Yu Ri Choi ),성나영 ( Na Young Sung ),박윤선 ( Yoon Seon Park ),이꽃실 ( Kkot Sil Lee ),정재호 ( Jae Ho Chung ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.1
Background: A novel 2009 influenza A (H1N1) virus emerged and disseminated to all over the world. There are few reports on the clinical characteristics of patients with complications. We describe the clinical features of pneumonia in adult patients hospitalized, who have novel influenza infection. Methods: There were 43 adult patients enrolled into the study with pneumonia of 528 hospitalized patients confirmed influenza A (H1N1) virus infection by real-time reverse transcriptase polymerase chain reaction testing, between 24 August 2009 and 31 January 2010. The clinical data of patients with pneumonia were collected retrospectively. Results: There were 22 of 43 (51.2%) influenza patients with pneumonia that had higher risk factors for complications. Compared to 28 patients with influenza A (H1N1) viral pneumonia and 15 patients, who had isolated bacteria from cultures, those with mixed viral and bacterial pneumonia were significantly more likely to have unilobar consolidations on chest radiographs (53.3 vs. 10.7%, p<0.01) and higher scores of pneumonia severity index (PSI; 90 [66~100] vs. 53 [28~90], p=0.04). Six patients required mechanical ventilation support in an Intensive Care Unit and were more likely to have dyspnea (83.3 vs. 29.3%, p=0.02) and low levels of PaO2 (48.3 [37.0~70.5] vs 64.0 [60.0~74.5] mm Hg, p=0.02) and high levels of pneumonia severity index (PSI) score (108.0 [74.5~142.8] vs. 56.0 [40.5~91.0], p=0.03). Conclusion: The majority of pneumonia patients infected with novel influenza improved. Chest radiographic findings of unilobar consolidations suggest that mixed pneumonia is more likely. Initial dyspnea, hypoxemia, and high levels of PSI score are associated with undergoing mechanical ventilation support.
투석 환자에서 혈관 석회화, 동맥 경직, 염증, 영양 상태와의 상관관계
신선영 ( Sun Young Shin ),한규현 ( Kyu Hyun Han ),정혜윤 ( Hye Yun Jeong ),추지민 ( Ji Min Chu ),김홍민 ( Hong Min Kim ),서성은 ( Seong Eun Suh ),현여경 ( Yu Kyung Hyun ),김형종 ( Hyung Jong Kim ) 대한내과학회 2014 대한내과학회지 Vol.87 No.1
Background/Aims: The vascular calcification (VC) score on a plain X-ray is associated with cardiovascular disease and mortality in hemodialysis (HD) patients. This study examined the correlations among the VC scores for the hands and pelvis X-rays, arterial stiffness, inflammation, and nutrition in HD patients. Methods: VC was evaluated using plain x-rays of the hands and pelvis. Patients were categorized into the VC (+) (VC score ≥ 3) or VC (-) (VC score < 3) groups. We measured the pulse wave velocity (PWV), ankle brachial index (ABI), and augmentation index (AI). Results: The mean age of the patients was 55.6 ± 13.2 years. The prevalence of diabetes mellitus (DM) was significantly higher in the VC (+) group than in the VC (-) group (87.5 vs. 34.2%, p < 0.05). The serum PTH (98.4 ± 141.9 vs. 183.6 ± 231.3 pg/mL, p < 0.05) and albumin (3.7 ± 0.5 vs. 3.9 ± 0.3 g/dL, p < 0.05) levels were significantly lower and PWV was significantly (p < 0.05) higher in the VC (+) group. In multiple linear regression analysis, only the presence of diabetes mellitus was significantly related to the VC score. Conclusions: The VC score was associated with the serum PTH and albumin, as well as with vascular stiffness. C-reactive protein did not show any significant association with the VC score. (Korean J Med 2014;87:42-52)
깊은 정맥혈전증이 합병된 이식신의 신대체 지방종증 1예
이상철 ( Sang Choel Lee ),김윤지 ( Yoon Ji Kim ),이상헌 ( Sang Hun Lee ),박형복 ( Hyung Bok Park ),현여경 ( Yu Kyung Hyun ),동시헌 ( Shi Heon Dong ),윤수영 ( Soo Yong Yoon ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.6
Purpose: Replacement lipomatosis of the kidney is a rare disorder in which a massive fatty tissue proliferation occurs within the renal sinus, hilum and perirenal region. Clinical symptoms includes flank pain, hematuria, fever usually associated with urinary tract infection and renal stone. But deep vein thrombosis due to mass effect has not been reported to be associated with replacement lipomatosis of kidney. A 37-year-old male was referred for the initiation of hemodialysis due to chronic rejection of allograft kidney. Collateral superficial veins were observed on his anterior abdominal wall and firm mass was palpable in the right lower quadrant abdomen. Abdominal-pelvis computed tomography revealed huge fatty mass originated from allograft kidney and non-visualization of inferior vena cava with lower density thrombus at both the common femoral veins. We report a rare case of replacement lipomatosis of the kidney complicated by deep vein thrombosis after renal transplantation.
Infliximab으로 치료한 류마티스관절염 환자에서 발생한 결핵성 복막염 1예
이상헌 ( Sang Hun Lee ),김인태 ( In Tae Kim ),최상태 ( Sang Tae Choi ),김윤지 ( Yun Ji Kim ),송정수 ( Jung Soo Song ),이용원 ( Yong Won Lee ),박형복 ( Hyung Bok Park ),현여경 ( Yu Kyung Hyun ) 대한류마티스학회 2011 대한류마티스학회지 Vol.18 No.4
One of the severe adverse reactions to anti-tumor necrosis factor (TNF)-α therapy is the reactivation of tuberculosis. We present a case of tuberculous peritonitis in a 57-year-old woman with rheumatoid arthritis (RA) that appeared during treatment with infliximab. Confirming a diagnosis of tuberculous peritonitis is difficult and can be delayed because of the nonspecific symptoms, the rarity of the disease, and the low detection rate of mycobacteria in ascites fluid. This case illustrates that prompt anti-tuberculous therapy is needed for suspected cases of tuberculous peritonitis in RA patients treated with infliximab.