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조지현,박도심,김태현,염주진,김학철,문주현,양재식 대한간학회 2004 Clinical and Molecular Hepatology(대한간학회지) Vol.10 No.1
목적: HBV 감염이 무증상의 자연 회복부터 간경변 혹은 간세포성 간암까지 다양하게 나타나는 요인들로 숙주의 요인과 바이러스의 요인으로 구분되어 제시되는데, 바이러스 요인으로는 감염된 바이러스이 유형이나 염기 변이들이 논의된다. HBV 유형을 구분하는 데는 혈청형과 유전자형이 이용되는데 근자에는 주로 유전자형이 이용된다. 이러한 HBV의 분포는 지역적으로 다르나 지역에 따라서 다른 유형들이 혼재되어 있다. 동남아시아는 B형이지만 극동아시아는 C형으로 알려져 있으며, 대만과 오키나와에서는 B와 C형이 혼재되어 나타난다. 이러한 결과로 미루어 보아 우리 나라의 남부지역에서는 B과 C형이 혼재되어 있을 가능성이 있다. 이에 본 연구는 제주 지역에서 HBV의 유전자형을 조사하고자 하였다. 대상과 방법: 원적지가 제주도이면사, HBsAg가 양성이었던 107명(평균 연령: 46.5세)을 대상으로 하였다. 이들의 혈청으로부터 HBsAg/antiHBe를 분석하고, DNA를 추출하여 7개의 유전자형에 따라 특이성을 갖는 시발체(genotype specific primer)들을 이용하여 PCR로 증폭한 후 이를 분석하였다. 주된 유전자형의 일부와 다른 유형에서 증폭에 이용되었던 시발체를 다르게 이용하여 hemi nested PCR로 증폭한 후 염기를 분석하여 계통발생학적 분석법을 이용하였다. 결과: 1. PCR에 의한 HBV DNA 양성은 107명 중 59명(55.1%)이 양성이었다. HBeAg/anti HBe의 발현 양태에 따라 음성/음성에서 2명(66.7%), 음성/양성에서 30명(41.1%), 양성/음성에서 24명(85.7%), 양성/양성에서는 3명(100%)에서 증폭되었다. 2. Multiplex PCR에서는 58명의 유전자형이 C형, 1명에서는 B형과 C형이 동반 출현하였다. 3. Genotype specific primer를 이용하여 각각 따로 PCR을 시행한 경우에 A형에 의하여 증폭된 예가 1예, B형에 의하여 증폭된 예가 1예, C형에 의하여 증폭된 예가 59예로 A형과 B형 모두가 C형에서 증폭된 예였다. 4. 한 쌍의 시발체에 의하여 증폭되었던 A형과 B형 및 C형의 일부에서 염기를 분석한 결과 모두 C 유전자형이었다. 결론: HBsAg이 양성인 제주 지역 주민의 HBV의 유전자형은 C형일 것으로 생각된다. Background/Aims: Hepatitis B virus (HBV) was classified into 8 genotypes by a sequence divergence in the entire genome designated from A o H. HBV genotypes have distinct geographic distributions. Recently, HBV genotypes have been partially found as influencing the clinical manifestation of chronic liver disease in hosts. In Korea, the distribution of HBV genotypes remains unclear. The aim of this study was to evaluate the prevalence of the HBV genotype on Jeju Island. Methods: Hepatitis B virus genotypes were evaluated among 107 hepatitis B carriers residing on Jeju Island. We used single PCR and multiplex-PCR assay with genotype-specific primer pairs for HBV genotypes A-F for the genotyping. Results: 1. Fifty nine samples (55%) were positive for HBV DNA. The positivity was different according to the pattern of HBeAg/anti-HBe expression, as -/-; 2/3 (66.7%), -/+; 30/73 (30%), +/-; 24/28 (85.7%) and +/+; 3/3 (100%). 2. In the single primer set of genotype-specific PCR, 59 samples (100%) were detected as genotype C and 2 (3%) were also detected as genotype A and B. 3. In multiplex-PCR, 58 samples (98%) were detected as genotype C and only one (2%) as a mixed pattern of genotype B and C. 4. When the PCR products were amplified with universal sense and genotype specific anti-sense from one genotype A, one B, and 2 C, all were included in genotype C. Conclusions: These results suggest that on Juju Island, almost all HBV genotypes are C.(Korean J Hepatol 2004;10:42-50)
항정신병약물을 처음으로 사용하는 초발 정신증 환자에서 나타나는 체중 및 대사성 지표의 변화 : 후향적 연구
김우진,심주철,공보금,강제욱,문정준,김정은,김민걸,박민경,김성진,김현정,정도운 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2
Objectives:This study was to identify weight & metabolic changes in first-episode psychotic patients with antipsychotics use and investigate the differences of weight & metabolic changes between first-episode psychotic patients and controls with antipsychotics use. Method:In this retrospective study, twenty eight first-episode psychotic patients and twenty eight controls with schizophrenia, schizoaffective or bipolar disorder defined by DSM-IV criteria were included. Information about demographic and clinical characteristics of the subjects was gathered from the medical records. Also body weight, sBP, dBP, fasting glucose, lipid profile and WBC count were evaluated before and after antipsychotics use. Rogistic regression was conducted to assess factors associated with weight gain. Results:First-episode psychotic patients showed more weight and BMI changes than controls after antipsychotics use, and these changes continue over 12 months. On the other hand, there were no significant factors associated with weight gain. Conclusion:The results of present study suggest that antispychotics is one of the major causes inducing weight gain of psychotic patients and antipsychotics-induced weight gain is more vulnerable to drug-naive first-episode psychotic patients.
Necrobiotic xanthogranuloma treated with combination of oral prednisolone and cyclosporine
( Hyun Joo Lee ),( Hyunju Jin ),( Hyang Suk You ),( Woo Haing Shim ),( Jeong Min Kim ),( Gun Wook Kim ),( Hoon Soo Kim ),( Byung Soo Kim ),( Moon Bum Kim ),( Hyun Chang Ko ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.1
Necrobiotic xanthogranuloma (NXG) is a chronic granulomatous disorder characterized by yellowish indurated plaques and nodules with the histological features including large areas of necrobiosis with granulomatous inflammation. Although there is no definitive therapeutic guidelines, various treatments like surgery, antimetabolites, and IVIG have been reported. A 44-year-old man presented with multiple erythematous to brownish patches and sclerotic plaques on both legs for 18 months. Histological evaluation demonstrated hyaline necrobiosis and granulomatous foci composed of histiocytes with foamy cytoplasm and multinucleated giant cells consisted of both the Touton type and the foreign-body type. Serum protein electrophoresis showed a monoclonal paraproteinemia, and bone marrow biopsy confirmed a diagnosis of monoclonal gammopathy of unknown significance (MGUS). Consequently, he was diagnosed as NXG associated with MGUS. He has shown significant improvement of skin lesions after treatment with combination of oral prednisolone and cyclosporine and no signs of recurrence during corticosteroid tapering. For MGUS, he was kept on regular follow-up without any change in hematologic status. This is a rare case of NXG treated with oral prednisolone and cyclosporine. We suggest that such treatment can be an alternative therapeutic option for NXG without underlying hematological malignancies.
A Clinical Study of Androgenetic Alopecia (3)
(Joo Hyun Shim),(Sung Wook Ro),(Byung In Ro) 대한피부과학회 2002 Annals of Dermatology Vol.14 No.1
N/A Background: Androgenetic alopecia is considered to be a genetically determined disorder influenced by age and androgen. The proportion of patients with androgenetic alopecia among the total number of patients with alopecia seems to be gradually increasing. Objective: The purpose of this study is to evaluate the family history,clinical and endocrine status of the patients with androgenetic alopecia. Method :1113 patients with androgenetic alopecia who had visited the Department of Dermatology, Yongsan Hospital, College of Medicine,Chung-Ang University during the 3 years (1995.1-1998. 12) have been examined. Results: The results are summarized as follows 1) The incidence of androgenetic alopecia among the total number of alopecia patients was 64.5%, showing recent increment. 2) There were 855 male and 258 female patients being most prevalent in the third decade in both sexes and the patients younger than 30 years old with premature androgenetic alopecia,made up 70.3% of the male patients and 48.8%of the female patients with androgenetic alopecia. 3) While Norwood`s type Iia was the most common and following type II,III vertex,and IV in the male AGA, Ludwig`s type II was the most common in female AGA 4) There was a family history of baldness in 53.5%of first degree relatives in male patients and 51.6%in female patients. 5)Associated diseases were observed in 565(66.8%)of the male patients and 219 (84.8%)of the female patients:diseases associated with androgen such as seborrheic dermatitis and acne vulgaris occupied 39.1%. Conclusion :Based on our findings, those who want to treat androgenetic alopecia at the earlier ages are gradually increasing and it seems to be reasonable to believe that the age, genetic factors, localized effects of androgens on the scalp and the density and/or functional activity of androgen receptors may influence the pathogenesis of androgenetic alopecia. (Ann Dermatol 14(1)11-17,2002).
( Hyun-joo Lee ),( Dae-lyong Ha ),( Tae-wook Kim ),( Sung-min Park ),( Hyunju Jin ),( Hyang-suk You ),( Woo-haing Shim ),( Hoon-soo Kim ),( Hyun-chang Ko ),( Byung-soo Kim ),( Moon-bum Kim ),( Gun-woo 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.2
Background: Erythema dyschromicum perstans (EDP), idiopathic eruptive macular pigmentation (IEMP) and lichen planus pigmentosus (LPP) is a hyperpigmentary disorder. They are controversial entities and sometimes considered as the same disease. Yet, studies investigating the differences among each diseases are limited. Objectives: To evaluate differences in the clinical and histopathological features of EDP, IEMP and LPP. Methods: We retrospectively reviewed medical records, clinical photos and histopathologic slides of 44 patients diagnosed with EDP, 5 patients diagnosed with IEMP and 34 patients diagnosed with LPP by skin biopsy in the Pusan National University Hospital over the 11 year period. Results: 44 patients diagnosed as EDP (mean age, 30 years), consisting of 21 males and 23 females, in most lesion primarily affected the trunk (86.3%). 5 patients diagnosed as IEMP (mean age, 23.2 years), consisting of 2 males and 3 females, in lesion primarily affected the face (100%). The majority of patients of EDP and IEMP had no associated symptom (97.7%, 80% respectively). 34 patients diagnosed as LPP (mean age, 45 years), consisting of 14 males and 20 females, in most lesion primarily affected the trunk (79.4%). 26 patients (76.4%) had itching sensation at the lesion. Conclusion: We suggest that EDP, IEMP and LPP is a distinctive entity, which have different clinical characteristics. The result of this study could be helpful for dermatologist when encountering hyperpigmentary disorder.