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류마토이드 관절염과 연관된 이차성 신유전분증에서의 반월상 사구체 신염
최정현 ( Choe Jeong Hyeon ),임병국 ( Im Byeong Gug ),최준혁 ( Choe Jun Hyeog ),조현경 ( Jo Hyeon Gyeong ),최영일 ( Choe Yeong Il ),김흥수 ( Kim Heung Su ),신규태 ( Sin Gyu Tae ),김도헌 ( Kim Do Heon ),한재호 ( Han Jae Ho ) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.6
A case of renal amyloidosis with crescentic glomerulonephritis associated with rheumatoid arthritis is described. A 60-year-old female with 15 years` history of rheumatoid arthritis developed nephrotic syndrome followed by rapid deterioration of renal function. Glomerular amyloid deposition and sclerotic change was present in kidney biopsy specimen and crescentic change was found in 85% of the glomerulus. Electron microscopic finding of glomerulus showed randomly oriented, rigid-appearing, long nonbranching fibrils. The patient was treated with intravenous high-dose methylprednisolone pulses combined with intravenous cyclophosphamide followed by oral corticosteroids. Three months after the above treatment, renal function gradually improved, reaching serum creatinine level to 2.5 mg/dL. But the nephrotic range proteinuria persisted.
4 Dipyridamole (99m)Tc-MIBI SPECT의 육안 분석과 정량적 분석
최진현 ( Choe Jin Hyeon ),도문홍 ( Do Mun Hong ),이근우 ( Lee Geun U ),신원호 ( Sin Won Ho ),최성란 ( Choe Seong Lan ),함종열 ( Ham Jong Yeol ),최동주 ( Choe Dong Ju ),염명걸 ( Yeom Myeong Geol ),정순일 ( Jeong Sun Il ),최진학 ( C 대한내과학회 1993 대한내과학회지 Vol.44 No.4
Background: The usefulness of myocardial SPECT in diagnosing coronary artery disease, & assessing the functional significance of the coronary stenosis is confirmed by many investigators. To determine the superiority of the quantitative analysis method over the visual analysis method in assessing myocardial SPECT this study was performed. Methods: One hundred & twenty six patients with suspicious coronary artery disease had both intravenous dipyridamole ^(99m)Tc-MIBI SPECT and coronary angiougraphy within an interval of 5 days. The scintigraphic findings were assessed visually and quantitatively using two dimensional polar map. The results of visual and quantitative assessments were compared to the coronary angiographic findings. In 85 patients who showed perfusion defect on stress scintigraphy, the reversibility of the defect was evaluated by visual analysis. Results: For detection of coronary artery disease, the overall sensitivity of the visual and quantitative analyses was 91% & 94% respectively (p>0.05). The overall specificity was 76% by visual and 71% by quantitative analyses(p>0.05). For detection of individual coronary branch diseases, the quantitative analysis was higher than visual analysis in the sensitivity(LAD: 89% vs. 92%, RCAl 84% vs.93%, LCx: 71% vs. 77%), but the differences were not statistically significant. The specificities of both visual and quantitative analyses were similary high(LAD: 79% vs. 70%, RCA: 77% vs. 82%, LCx: 96% vs. 92%), but there were no significant differences also. The reversibility of perfusion defect was assessed by visual analysis. Of the 144 abnormal vascular territories in 85 patients, 49 vascular territories showed complete redistribution and 30 territories showed partial redistribution. The patients with angina had significantly higher percentage of complete redistribution (angina: 50% vs. MI: 15%, P<0.05). Conclusion: Our results showed that quantitative analysis of ^(99m)Tc-MIBI tomography may not be more accurate technique than visual analysis for detection of coronary artery disease and for localization of individual coronary stenoses.
현일식 ( Hyeon Il Sig ),조경란 ( Jo Gyeong Lan ),백상현 ( Baeg Sang Hyeon ),김진배 ( Kim Jin Bae ),최호순 ( Choe Ho Sun ),이오영 ( Lee O Yeong ),한동수 ( Han Dong Su ),손주현 ( Son Ju Hyeon ),함준수 ( Ham Jun Su ),이민호 ( Lee Min 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
원발성 간세포암종은 간 외로 전이하는 경우가 드문 암이다. 전이가 있는 경우 주로 폐, 복부 임파선, 뼈, 뇌 순으로 전이된다. 그러나, 전이성인 경우라도, 간 종물 없이 전이 병변만 발견된 경우는 보고된 바가 없었다. 이에 간 종물 없이 흉벽에서만 발견된 전이성 간세포암종을 경험하였기에 보고하는 바이다. 51세 남자로, 좌상부 흉벽에 약 12×10㎝ 크기로 단단한 종물이 촉지되고 8개월 전부터 크기가 증가되어 내원하였다. 환자는 10년 전 만성 B형
최강현,김명환,이성구,민영일,홍석준 대한소화기내시경학회 1990 Clinical Endoscopy Vol.11 No.1
The villous adenoma of the duodenum is a rare disease and a considerable portion of the cases are known to be associated with malignancy. Although the diagnosis can be made with duodenoscopy, some cases showed false negative rate for malignancy detection with endoscopic biopsy only. So Whipple's operation is preferred than local excision. We experienced a case of tubulovillous adenoma involving ampulla of Vater, which recurred after local excision. So we report a case of tubulovillous adenoma involving ampulla of Vater with relevant literature.
최문영 ( Choe Mun Yeong ),송현주 ( Song Hyeon Ju ),김미연 ( Kim Mi Yeon ),이영숙 ( Lee Yeong Sug ),김승정 ( Kim Seung Jeong ),최규복 ( Choe Gyu Bog ),윤견일 ( Yun Gyeon Il ),강덕희 ( Kang Deog Hui ),박기덕 ( Park Gi Deog ) 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.2
Baclofen, a derivative of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA), is used for the treatment of muscle spasm, intractable hiccups and multiple sclerosis. It is mostly excreted by glomerular filtration with a clearance that is proportional to creatinine clearance. Early hemodialysis is a treatment of the choice for baclofen-induced neurologic complication in renal failure patients. We experienced a 57-year-old hemodialysis patient with right arm muscle spasm who developed baclofen-associated encephalopathy by a single dose of oral baclofen (10 mg). He admitted to the hospital with the symptom of stuporous mental status with no specific focal neurologic signs. Brain CT imaging and blood biochemistry showed no specific abnormality. EEG revealed the typical metabolic encephalopathy findings, such as triphasic wave and frontal lobe syndrome with delta wave. After daily hemodialysis for 3 days, there was a complete recovery of an altered mentality. After one month later, the follow-up EEG showed normal finding with the resolution of abnormal waves. We report this case with a review of relevant literature. Baclofen should be used carefully, and rather recommended not to be administered in patients with renal failure. (Korean J Nephrol 2004;23(2):353-357)