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허진욱 ( Jin Wuk Hur ),김태환 ( Tae Hwan Kim ) 대한류마티스학회 2005 대한류마티스학회지 Vol.12 No.3
The hallmark of ankylosing spondylitis (AS) is acute and chronic spinal inflammation initiating in the sacroiliac joints, often coupled with enthesitis, presenting as chronic inflammation at the sites of ligamentous and tendinous insertions into bone. Peripheral joint synovitis can be a prominent feature as well. Reactive arthritis (ReA) is a sterile synovitis arising after enteric or urogential tract infections. A great progression has been recently achieved in revealing the causes, and making plans for the treatments for AS and other types of spondyloarthropathy. The human leukocyte antigen (HLA)-B27 has been well known to be associated with disease susceptibility in AS and ReA. But the pathogenesis of AS and ReA is still not well defined. Although the clinical manifestations of AS and ReA may differ, in this review we discuss the two diseases together and focus on recent developments on the pathogenesis of both diseases.
허남진,조규상,이준희,서병국,강경화,최종욱 中央醫學社 1983 中央醫學 Vol.45 No.3
The postoperative maxillary retention cyst is a relatively uncommon disease, which usually develops slowly from pathological mucosal remnant in the antrum after Caldwell-Luc's operation. Its main manifestations are tender swelling on cheek, buccal sulcus, and toothache. We experienced 21 cases of postoperative maxillary cyst for recent 7 years. In this study, the clinical manifestations and operation findings were investigated, and histological analysis were performed in detail.
간세포암 환자의 발생원인에 따른 말초혈액의 T 세포 아형과 자연살해세포능의 비교
허진욱,최바울,임현정,김수홍,김은석,윤병철,한병훈,이상욱 고신대학교 의학부 2003 高神大學校 醫學部 論文集 Vol.18 No.1
Backgrounds : Many cancer patients, such as Hepatocellular carcinoma(HCC), have a compromised cellular immune system. Several lympocytes subpopulations are involved in immunosurveillance against tumors. We try to evaluate on alteration of peripheral T cell subsets, NK cell and NK cell activity in patients with HCC. Materials and Method : Our study contain 257 patients with chronic liver disease. Of the 257 patients, 147 patients were chronic hepatitis, 44 patients were liver cirrhosis, 66 patients were Hepatocellular carcinoma. We distributed these patients to 3 groups due to cause, chronic hepatitis B (1st group, n=183), chronic hepatitis C (2nd group, n=52), alcoholic liver disease(3rd group, n=22). This study analysis ratio of CD3+, CD4+ CD8+, CD56+ T cell and NK cell activity. Results : The percentage of CD3+ and CD8+ cells were significantly decreased in LC and HCC groups. The activity of NK cells was significantly decreased in HCC than hepatitis group in HBV group. But not different in HCV and alcohol groups. NK cell and NK cell activity were significant decreased in HCC of younger patients (below 40 years) than older patients (above 60 years). Conclusions : Our study showed HCC was altered cellular immune system and decreased activity of NK cells. On the basis of this results, it can be suggested that decreased activity of NK cells according to age may be related to differnce of common age, prognosis and response of immune therapy.
류마티스 관절염 환자에서 hydroxychloroquine에 의한 급성 전신성 발진성 농포증 증례
임혜진 ( Hye Jin Lim ),정지혜 ( Ji Hye Jung ),김민정 ( Min Jeoung Kim ),김정민 ( Jeoung Min Kim ),강혜란 ( Hye Ran Kang ),송윤경 ( Yoon Kyung Song ),허진욱 ( Jin Wuk Hur ),김상훈 ( Sang Hoon Kim ),김은경 ( Eun Kyung Kim ) 대한천식알레르기학회 2013 Allergy Asthma & Respiratory Disease Vol.1 No.2
Acute generalized exanthematous pustulosis (AGEP) is characterized by acute nonfollicular sterile pustules on a background of edematous erythema. Hydroxychloroquine (HCQ), an antimalarial drug, widely used to treat rheumatic and dermatologic diseases. HCQ has been reported to be an uncommon cause of AGEP. We report a 60-year-old woman with rheumatoid arthritis requiring the use of HCQ presented fever and erythematous eruption on the trunk with sterile pustules. Leukocytosis and elevated erythrocyte sedimention rate noted on laboratory examination. On the histopathological examination of the skin biopsy specimen showed neutrophilic infiltration and scattered eosinohpils. The lesions were resolved with removal of HCQ. The clinical course was consistent with the diagnosis of AGEP associated with HCQ. We reported a case of typical AGEP associated with HCQ in a patient with Rheumatoid arthritis. The patient presented resolution from cutaneous lesions with withdrawal of culprit drug, without the need of systemic steroid. (Allergy Asthma Respir Dis 2013;1:176-178)Allergy Asthma Respir Dis 2013;1:176-178)
류마티스 관절염 환자에서 hydroxychloroquine에 의한 급성 전신성 발진성 농포증 증례 1예
임혜진 ( Hye Jin Lim ),정지혜 ( Ji Hye Jung ),김민정 ( Min Jeoung Kim ),김정민 ( Jeoung Min Kim ),강혜란 ( Hye Ran Kang ),송윤경 ( Yoon Kyung Song ),허진욱 ( Jin Wuk Hur ),김상훈 ( Sang Hoon Kim ),김은경 ( Eun Kyung Kim ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1991 소아알레르기 및 호흡기학회지 Vol.1 No.2
Acute generalized exanthematous pustulosis (AGEP) is characterized by acute nonfollicular sterile pustules on a background of edematous erythema. Hydroxychloroquine (HCQ), an antimalarial drug, widely used to treat rheumatic and dermatologic diseases. HCQ has been reported to be an uncommon cause of AGEP. We report a 60-year-old woman with rheumatoid arthritis requiring the use of HCQ presented fever and erythematous eruption on the trunk with sterile pustules. Leukocytosis and elevated erythrocyte sedimention rate noted on laboratory examination. On the histopathological examination of the skin biopsy specimen showed neutrophilic infiltration and scattered eosinohpils. The lesions were resolved with removal of HCQ. The clinical course was consistent with the diagnosis of AGEP associated with HCQ. We reported a case of typical AGEP associated with HCQ in a patient with Rheumatoid arthritis. The patient presented resolution from cutaneous lesions with withdrawal of culprit drug, without the need of systemic steroid. (Allergy Asthma Respir Dis 2013;1:176-178)
박정필,허진욱,김신,김유리,박찬복,임현정,이지영,박무인,박선자,천봉권,안병권,구자영 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1
저자들은 좌하복부 동통을 주소로 내원한 환자에서 대장 조영술, 대장 내시경, 하복부 전산화 촬영을 통해 S자 결장 게실염으로 진단하고 약물적 치료를 통해 호전되었으나, 지난 3년간 수회에 걸쳐서 게실염의 재발로 내과적 치료를 받은 병력과 최근 시행한 대장 조영술상 S상 결장의 누공이 관찰되어 재발성 게실염의 근치적 치료 목적으로 수술을 시행하여 합병증 없이 좋은 경과를 보였기에 이에 보고하는 바이다. Diverticular disease of the colon is quite common in developed countries, and its prevalence increases with age. The large majority of patients will remain entirely asymptomatic. Nonetheless, an estimated 20% of those affected may manifest clinical illness, mainly diverticulitis, with its potential complications of abscesses, fistulas, and obstruction as well as lower intestinal hemorrhage. A case was experienced involving of diverticulitis operated due to recurrent left lower abdominal pain in 51-year-old female. We present this case with brief review of the related literature.
( Hye Won Kim ),( Jin Wuk Hur ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Prostacyclin that binds to prostacyclin receptor on platelets and vascular smooth muscle cells increase intracellular c-AMP and block infiux of calcium, resulting in antiplatelet and vasodilatory effect. As such, prostacyclin analogue is often attempted to patients who are accompanied by peripheral vasculopathy. TNF-alpha is a representative in. ammatory marker in rheumatoid arthritis (RA), known to be integral target to treat. Assuming that prostacyclin may show anti-infiammatory effect, we aim to investigate serum TNF-alpha level before/after prostacyclin analogue treatment in patient with RA. Methods: Patients with RA suffering from symptom of vasculopathy (age > 20 years, diagnosed as RA at least 3 months earlier, on stable disease modifying anti-rheumatic drug therapy) were included. Participants were given 0.02mg three times a day of beraprost sodium, an oral prostacyclin analogue. CBC, ESR, CRP, serum TNF-alpha level were measured at baseline and 4, 12 weeks after treatment. Interviews on peripheral symptoms such as tingling sense, coldness of hand and Raynaud`s phenomenon were processed at baseline and 12 weeks after treatment. Results: Thirty-two patents were enrolled and 25 patients (male (n = 8), female (n = 17), mean disease duration 3.7 years) completed the study for 12 weeks. Most patients were on 3 or more DMARDs. Patients with ESR = 40mm/hr or with CRP = 2.0 mg/dL showed a declining tendency of serum TNF-alpha level at 4 weeks and at 12 weeks after prostacyclin analogue treatment, though it did not reached statistical signifi- cance (p=0.367, p=0.227) probably due to lack of numbers of participants. Conclusions: TNF-alpha is an integral pro-in. ammatory cytokine, against which targeted treatment for RA are fiourishing. We showed serum TNF-alpha level before and after treatment of prostacyclin analogue. Our results suggest anti-in. ammatory effect of prostacyclin that may have a role in treatment of RA.