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만성 C형 간염의 신이식 환자에서 페그인터페론 알파와 리바비린 병합치료로 치유한 1예
석민규 ( Min Gue Seok ),이태희 ( Tae Hee Lee ),윤성로 ( Sung Ro Yun ),황원민 ( Won Min Hwang ),윤세희 ( Se Hee Yoon ),최인수 ( In Soo Choe ),강성주 ( Seong Joo Kang ),홍주영 ( Ju Young Hong ),김대성 ( Dae Sung Kim ) 영남대학교 의과대학 2016 Yeungnam University Journal of Medicine Vol.33 No.2
Hepatitis C virus (HCV) infection is present in a high proportion of patients with kidney transplantation. Compared with uninfected kidney transplant recipients, HCV infected kidney recipient have higher prevalence of liver disease and worse allograft survival after transplantation. Interferon monotherapy before transplantation is standard therapy for HCV-infected kidney transplant candidates. If HCV infection is discovered after transplantation, interferon monotherapy is considered due to the limited critical situation. However, in this patient, who was a kidney recipient, HCV infection was treated after kidney transplantation with peginterferon-α and rivabirin. As a result, the patient achieved sustained virologic response.
좌우 기관지 모두에서 발견된 생선등뼈로 인한 폐쇄성 폐렴
최유진 ( Choe Yu Jin ),황원민 ( Hwang Won Min ),나문준 ( Na Mun Jun ),이원영 ( Lee Won Yeong ) 대한내과학회 2003 대한내과학회지 증례 특집호 65-5 부록3 Vol.0 No.-
Foreign body aspiration occurs rarely in adults. Aspiration of foreign bodies into tracheobronchial tree commonly occurs by accident, and in most cases they get removed without delay. Sometimes, however, small foreign bodies that lodge in the peripheral a
장석현 ( Suk Hyun Jang ),박민지 ( Min Ji Park ),조아름 ( A Reum Cho ),이미영 ( Mi Young Lee ),조성우 ( Sung Woo Cho ),황원민 ( Won-min Hwang ),윤성로 ( Sung Ro Yun ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4
Glutaraldehyde is a five-carbon dialdehyde with highly reactive chemical properties. It has bactericidal, sporicidal, and fungicidal activities and is used as a disinfectant to combat foot-and-mouth disease in Korea. To our knowledge, there are no reportsof chemical pneumonitis caused by glutaraldehyde aspiration. Chemical pneumonitis is defined as lung irritation caused by substances toxic to the lungs. We treated a 71-year-old patient who had a dyspnea and hoarseness that worsened 7 h after ingesting three mouthfuls of 10% glutaraldehyde. Upon arrival at the emergency room, he had severe laryngeal swelling. A chest radiograph showed diffuse haziness of both lower-lung fields. Despite all our efforts at treatment, he died from chemical pneumonitis and its secondary complications. (Korean J Med 2012;83:498-502)
급성 신우신염의 일측성/양측성에 따른 급성 신 손상 발생의 임상적 차이
장석현 ( Suk Hyun Jang ),이충섭 ( Chung Seop Lee ),이미영 ( Mi Young Lee ),황원민 ( Won Min Hwang ),윤성로 ( Sung Ro Yun ) 대한내과학회 2012 대한내과학회지 Vol.82 No.6
Background/Aims: Acute pyelonephritis (APN) can involve a single kidney or both kidneys. The aim of this study was to define the clinical characteristics of unilateral and bilateral APN and compare their differences in acute kidney injury (AKI). Methods: This was a retrospective study of patients admitted to Konyang University Hospital from January, 2006 to December, 2010 with APN diagnosed by the presence of definitive APN lesions on abdominal CT. Patients with a history of renal disease or anatomical predisposing factors were excluded. The patients were divided into two groups: unilateral and bilateral APN. BUN, creatinine, MDRD eGFR, and FENa were evaluated. Results: Of the 177 patients, 130 had unilateral APN and 47 had bilateral APN. Significant differences were noticed in BUN, creatinine, and MDRD eGFR between the two groups. According to RIFLE criteria, 51 patients were at risk and six were in failure. Compared with unilateral APN, bilateral APN patients had lower eGFR (65.2 vs. 61.7, p = 0.042) and higher FENa (0.81 vs. 1.43, p = 0.04), and failure was more frequent (4 vs. 2, p = 0.044). Conclusions: Our study showed a significant correlation between bilateral APN and decreased renal function. AKI in bilateral APN was more likely than AKI in unilateral APN to result in severe renal dysfunction. The pathophysiology of AKI may differ between unilateral and bilateral APN.
당뇨망막병증 환자에서 플루레신 형광안저조영술이 신기능에 미치는 영향
김정태(Jung Tae Kim),진선영(Sun Young Jin),장영석(Young Suk Chang),황원민(Won Min Hwang),이영훈(Young Hoon Lee) 대한안과학회 2016 대한안과학회지 Vol.57 No.10
목적: 당뇨망막병증 환자에서 플루레신을 이용한 형광안저조영술 시행 전후의 신기능의 변화에 대하여 알아보고자 한다. 대상과 방법: 2004년 4월부터 2014년 12월까지 당뇨망막병증을 진단 받은 비투석 환자 80명을 대상으로 플루레신 형광안저조영술 시행 전후 1주일 이내의 혈액검사를 후향적으로 분석하여, blood urea nitrogen (BUN)/serum creatinine (Scr)및 estimated glomerular filtration rate (eGFR)의 변화를 측정하고, chronic kidney disease (CKD) stage에 따라 플루레신이 신기능에 미치는 영향을 평가하였다. 결과: 형광안저조영술 시행 전후 측정한 BUN, Scr의 평균값은 변화가 없었고, 추정 사구체여과율(eGFR)은 형광안저조영술 시행 전과 비교하여 후에 감소는 없었으며, 4 mL/min per 1.73 m2의 증가를 보였다(p=0.006). CKD stage로 구분한 환자군에서는 CKD stage 5, 4, 2 & 1에서 형광안저조영술 시행 전후 신기능에 변화는 없었고, CKD stage 3에서는 형광안저조영술 시행 후에 eGFR이 증가되었다(p=0.042). 결론: 당뇨망막병증 환자에서 플루레신을 이용한 형광안저조영술 시행 전후의 신장 기능은 유의한 변화를 보이지 않았으며, 만성신부전 정도에 따른 분류에서도 시술 전후의 신기능의 감소는 관찰되지 않았다. 이에 투석을 시행하지 않는 당뇨망막병증 환자에서 플루레신을 이용한 형광안저조영술은 신기능 저하의 위험성이 크지 않은 비교적 안전한 진단법이라 할 수 있다. <대한안과학회지 2016;57(10):1598-1603> Purpose: This study was designed to compare the change of renal function before and after fluorescein angiography in patients with diabetic retinopathy. Methods: This study included 80 patients diagnosed with diabetic retinopathy who did not receive dialysis from April 2004 to December 2014. Based on retrospective analysis of a blood test performed within one week before and after fluorescein angiography, the changes of blood urea nitrogen (BUN), serum creatinine (Scr), and estimated glomerular filtration rate (eGFR) were measured. Additionally, the effect of fluorescein angiography on renal function was estimated according to chronic kidney disease (CKD) stage. Results: The average BUN/SCr before and after fluorescein angiography was not statistically significantly different before and after fluorescein angiography. The average eGFR before and after fluorescein angiography increased from 62.62 ± 31.59 to 66.46 ± 31.22 (p = 0.006). Regarding changes in renal functions according to CKD stage, based on the average eGFR in CKD stages 5, 4, 2, and 1, no significant differences were observed in renal functions before and after fluorescein angiography, whereas eGFR was significantly increased after fluorescein angiography at CKD stage 3 (p = 0.042). Conclusions: In patients with diabetic retinopathy, BUN/Scr and eGFR were not significantly different before or after fluorescein angiography. Moreover, the deterioration of renal function was not observed at any CKD stage. Therefore, fluorescein angiography is a relatively safe diagnostic examination in patients with diabetic retinopathy who did not receive dialysis due to the low-risk of renal function deterioration. J Korean Ophthalmol Soc 2016;57(10):1598-1603