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경증 및 중등증 지속형 기관지천식 환자에서 알레지온 ( epinastine HCI ) 의 임상효과
홍천수(Chein Soo Hong),김철우(Cheol Woo Kim),박중원(Jung Won Park) 대한천식알레르기학회 2000 천식 및 알레르기 Vol.20 No.6
Background: Alesion, which is known as one of the second generation anti-histamine agents, has diverse anti-allergic effects. Some investigators have reported the clinical effects of Alesion as acting like an addictive agents to inhaled steroid in mild to moderate persistent bronchial asthma. Methods : We evaluated the additive effects of daily administration of 20 mg of Alesion (epinastine HC1) in 30 mild to moderate persistent bronchial asthma patients, We estimated the clinical effects of Alesion with symptom scores, morning PEFR without bronchodilator, sputum eosinophil counts of induced sputum, spirometer parameters and frequency of short acting β2 agonist inhalation. Results: With administration of Alesion for 4 weeks, the score of dyspnea, cough, nocturnal symptoms and limitation of daily activity were significantly improved. The mean value of morning PEFR without bronchodilator was also significantly improved by administration of Alesion. These improvements appeared after 1 week of administration. But, the frequencies of short acting β2 agonist inhalation. FEV1, FVC. peripheral blood eosinophil count, eosinophil percentage of induced sputum were not changed by the Alesion. About 64% of the enrolled patients expressed the clinical effects of Alesion. The patients complained of headache (1 case), drowsiness or sleepiness (3 cases), and weight gain (1 case) as adverse effects of Alesion. Conclusion . We suggest that Alesion can be effective as an the additive agent in mild to moderate persistent degree of bronchial asthma. (J Asthma Allergy Clin Immunol 20: 887-94, 2000)
홍천수(Chein Soo Hong),윤영연(Yeong Yeon Yun),김철우(Cheol Woo Kim),박중원(Jung Won Park),노현정(Hyun Jung Rho),박무석(Moo Suk Park),서지연(Ji Yeon Suh),김동기(Dong Ki Kim) 대한천식알레르기학회 2000 천식 및 알레르기 Vol.20 No.2
Background: The effectiveness of treatment of asthma has been assessed by lung function test, airway responsiveness and symptoms. But, they rarely capture the emotional and social impairment. Recently, questionnaires that reflect the quality of life(QOL) in asthma patients were developed. In this study, we evaluated the impairment on quality of life in Korean adult asthmatic patients cross-sectionally by using the QOL questionnaires of Juniper EF. Methods : One hundred eighty nine adult patients with over 1 year history of asthma were enrolled. The patients were asked to choose the five most important daily activities among 40 daily activities which were important in Korea. The QOL questionnaire was composed of 32 items in 4 domains(activity, symptom, emotion and exposure to environmental stimuli) and the response option was scored on a 7-point scale. Results 45.5% of patients who participated in this study were men, and 48.3% had atopy. The disease severities of asthma evaluated by physician were mild intermittent(31%), mild persistent(35%), moderate persistent(21%) and severe persistent(12%). Among 40 items of general daily activities, 19 items were chosen by more than 20 patients. Among them, running, walking uphills, hurried movement were most impaired daily activities. The QOL of our asthma patients showed statistical difference on disease severity, control state and symptom status during the last 3 months. The QOL was not influenced by sex, age or atopy score. Occupational asthma showed the lowest score on QOL in all 4 domains. On grouping with medications, the group with oral steroid noted statistically lower scores of QOL in all domains. The QOL score of asthma was well correlated with average symptom attacks during the last 3 months. Conclusion : According to our study, rapid control of asthma and lowering of the disease severity are essential for improvement of QOL. A QOL questionnaire in Korea should be developed in Korea.
홍천수(Chein Soo Hong),심정연(Jung Yeon Shim),김봉성(Bong Sung Kim),박기영(Ki Young Park),김경모(Kyung Mo Kim) 대한천식알레르기학회 1999 천식 및 알레르기 Vol.19 No.4
Background : Recurrent wheezing in infants is manifested in a number of disease spectrums and gastroesophageal reflux ( GER ) has been known to be associated with apnea, recurrent pneu- monia, asthma, chronic cough, and wheezing. The prevalence of GER in infants with recurrent wheezing and the relationship between atopy and GER in infantile asthmatics have not yet been established, but it was hypothesized that microaspiration of food allergen could induce food - indu - ced wheezing. Objective : To evaluate the prevalence of GER in infants with recurrent wheezing episodes, and to determine whether the presence of atopy affects the prevalence of GER in infantile asthmatics. Method : Seventy infants with recurrent wheezing episodes were evaluated for GER using 24 hour continuous esophageal pH monitoring. Patients were classified into five groups, : 12 atopic asthmatics : 20 nonatopic asthmatics : 15 infants with recurrent bronchiolitis : 8 infants with recur- rent pneumonia : and 15 infants with chronic lung disease ( CLD ) of prematurity. GER was consid- ered to be prevalent when reflux index was higher than 95 percentile of normal values by Vande- nplas, 1991. Result : The prevalence of GER in infants with recurrent wheezing was 21.4%. The prevalence of GER in each group was 25% in atopic asthmatics, 20% in nonatopic asthmatics, 6.7% in infa- nts with recurrent bronchiolitis, 12.5% in infants with recurrent pneumonia, and 40% in infants with CLD of prematurity. There were no significant differences in prevalence of GER between atopic asthmatics and nonatopic asthmatics, between asthmatics with atopic dermatitis and those without, and between asthmatics with family history of allergy and those without. Conclusion : The prevalence of GER in infants with recurrent wheezing was high, especially in infantile asthmatics and infants with chronic lung disease of prematurity. The presence of atopy may not affect the prevalence of GER in infantile asthmatics.
결체조직 질환 환자의 모세혈관 변화에 관한 광시야 현미경적 관찰과 그 진단적 의의
홍천수(Chein Soo Hong),정미령(Mi Ryoung Chung),김병철(Byung Chul Kim),이수곤(Soo Kon Lee),허갑범(Kap Bum Huh) 대한내과학회 1989 대한내과학회지 Vol.37 No.5
N/A Twenty-three patients with connective tissue disorders (progressive systemic selerosis, 8 patients; systemic lupus erythermatosus (SLE), 10 patients: Raynaud`s disease, 4 patients; mixed connective tissue disease (MCTI)), 1 patient) were observed for nailfold capillary abnormalities by in vivo widefield microscopy. Enlarged and deformed capillary loops surrounded by relatively avascular areas were found in the nailfolds of all 8 patients with progressive systemic sclerosis, 2 of 10 patients with SLE, 2 of 3 patients with Raynaud`s disease and 1 patient with MCTD. However, no positive correlation was found between the degree of abnormal capillary patterns and extent of organ involvement, These results demonstrate that the widefield microscopic examination of nailfold capillary patterns could be a simple, noninvasive and useful aid in the diagnosis of progressive systemic sclerosis.
홍천수 ( Chein Soo Hong ) 대한천식알레르기학회 2015 Allergy Asthma & Respiratory Disease Vol.3 No.4
Pollen reactivity in respiratory allergic diseases has recently increased in Korea. According to changes in allergen sensitization over the last 30 years, tree pollen sensitization in the 2010s markedly increased in oak, birch, alder, and pine. The sensitization to grasses and most weeds in the 2010s decreased in comparison with the 90s results. Oak Pollen allergens have increased in air during the last 30 years, and this increment has been correlated with increased oak reactivity. The number of birch trees is not so many as oak, but skin reactivity to birch pollen is as same as that to oak pollen. Because there are many chestnut near the residence, sensitization to Castanea spp. has to be evaluated. Maidenhair tree and Japanese elm are regarded as offending allergens of pollenosis. There are many maindenhair trees (Ginkgo biloba) and Japanese elm (Zelkova serrata) on streets and in park areas, and they produce a large amount of anemophilous pollen in spring. There is little wide grassland in Korea except the rice fields. Therefore, we do not have dominant grasses for pollenosis. There are a few peculiar grasses, such as orange foxtail, common reed, Korean lawn grass, Chinese silver grass, and green bristle grass. These pollens should be evaluated for cross-allergenicity with known allergenic pollens, such as timothy and Bermuda grass. In Korea, sagebrush, ragweed, and hop Japanese are prominent plants in autumn. Chrysanthemum spp. should be further evaluated because of persistently increased sensitization during the last 30 years, which are widely distributed in wild fields and bloom massively during late autumn. Recent climate changes and air pollution increase pollen production and alter pollen allergenicity. Therefore, continuous monitoring of plant ecology and pollen sensitization is necessary in effectively controlling pollen allergy for human health. (Allergy Asthma Respir Dis 2015;3:239-254)