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Kikuchi병을 동반한 Systemic Lupus Erythematosus 1예
소유성,당원광,김정한,강준태,채승석,명형준 조선대학교 의학연구소 2013 The Medical Journal of Chosun University Vol.38 No.2
Kikuchi-Fujimoto disease (KFD) is a histocytic necrotizing lymphadenitis of cervical lymph node, which is usually combined with tenderness and fever presents mainly in women in their thirties. KFD has been rarely associated with SLE and the microscopic features of KFD can be similar to SLE. We described the case of a young man, originally diagnosed as having KFD by lymph node histology, who subsequently developed SLE with a skin rash, oral ulcer, hematologic and immunologic disorder and high titer of ANA. We recommend study of sexual and age-specific differences in clinical progress of KFD, and a long-term follow-up evaluation is also needed.
Risk factors and clinical outcomes of foreign body associated esophageal perforation
소유성,전충환,이두현,조은애,박창환,김현수,류종선 대한내과학회 2015 대한내과학회 추계학술대회 Vol.2015 No.1
Background/Aims: Most foreign bodies of the esophagus are successfully removed by endoscopic techniques with little complications. However, perforation can occur occasionally and have severe problems such as mediastinitis leading to death if the patient would not be given appropriate medical care. The aim of this study is to analyze the risk factors predicting the possibility of perforation and clinical outcome of foreign body associated esophageal perforation. Patients and methods The medical records of 498 patients treated between January 2006 and June 2015 at our clinics for suspected foreign bodies in the esophagus were retrospectively reviewed. Patient characteristics, the type of foreign bodies, clinical outcomes, and other risk factors predicting the potentiality of perforation were analyzed. Results: Most of the foreign bodies in the esophagus were successfully removed in 98.6% (491/498) of our patients by endoscopic techniques. Approximately, 3% (15/498) of patients had perforation and they were treated with medical treatment and/or surgeries. There were no procedure-related deaths. According to the multivariate logistic regression analyses, time to endoscopy (40 h, p <0.001), and sharpness of foreign bodies (p=0.016) were significant risk factors predicting the possibility of perforation. In perforated cases, 10 patients received intensive medical treatment and 5 patients underwent surgical treatment. There was no death in perforated case. Conclusions: Most of the foreign bodies in the esophagus were successfully removed in 98.6% (491/498) of our patients by endoscopic techniques. Some had complications but most cases were not severe. However perforation can occur in patients who had endoscopic treatment after 40 hours, and those with sharp foreign bodies in esophagus needing additional care. Time to endoscopy over 40 hours and sharpness of foreign bodies were independent risk factors for esophageal perforation.
김정한,소유성,강준태,채승석,당원광,하성일,서영욱,김준우 조선대학교 의학연구소 2013 The Medical Journal of Chosun University Vol.38 No.4
Spontaneous resolution of aortic dissection is extremely rare and only a few cases have reported. We report on the case of an elderly man who presented with DeBakey type III aortic dissection, which was resolved spontaneously over two years after antihypertensive treatment. We also discuss the possible mechanism and the role of conservative management.
Lemierre 증후군이 발생한 젊은 급성 편도주위 농양 환자 1례
강준태,채승석,김정한,소유성,서영욱,김준우,하성일 대한응급의학회 2014 大韓應急醫學會誌 Vol.25 No.4
Lemierre’s syndrome is very rare and is characterized by previousoropharyngeal infections, such as pharyngitis or peritonsillarabscess, leading to high fever, internal jugular venousthrombosis, and metastatic infections to multiple internalorgans. Prompt and accurate diagnosis followed by earlytreatment with antibiotics is very important because its mortalityis high if treatment is delayed. We report on the case of a23-year-old female who was transferred to our hospital with aleft peritonsillar abscess combined with left jugular venousthrombosis, complaining of a sore throat and left submandibularswelling, and diagnosed as Lemierre’s syndrome. Finally,she was treated successfully without anticoagulants.
제1형 당뇨병 환자에서 상장간막동맥 증후군과 Nutcracker Syndrome이 동반된 1예
김정한 ( Jung Han Kim ),김기태 ( Ki Tai Kim ),변정래 ( Jeong Rae Byun ),김성화 ( Seong Hwa Kim ),허정욱 ( Jeong Uk Heo ),당원광 ( Yuan Kuang Tang ),소유성 ( Yu Cheng Shu ) 대한내과학회 2012 대한내과학회지 Vol.83 No.5
Superior mesenteric artery (SMA) syndrome is an uncommon cause of a proximal intestinal obstruction. The most characteristic symptoms are postprandial fullness, nausea, and vomiting. The diagnosis is established by ultrasonography and contrast-enhanced computed tomography. Almost all patients respond well to conservative management. However, if conservative management fails, surgical options should be applied. In this article, we report a case of SMA syndrome with Nutcracker syndrome in a patient with diabetes mellitus. Establishing the diagnosis of Nutcracker syndrome is usually based on clinical suspicion and radiological findings. Several complications that have been reported to result from SMA syndrome include peptic ulcer disease, pancreatitis, metabolic alkalosis, and uremic syndrome. However, Nutcracker syndrome accompanied by SMA syndrome is extremely uncommon, as described in this case. To our knowledge, this association has not been reported previously. (Korean J Med 2012;83:613-618)