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이창혜,남양일,유수웅,박희숙 최신의학사 1978 最新醫學 Vol.21 No.1
It is well known that many of the glomerulonephropathies are triggered by immunologic mechanism. There is abundant evidence to support the role of immunologic mechanisms in the pathogenesis of human renal disease. The basic pathogenetic mechanisms include (a) Antiglomerular basement membrane glomerulonephritis and (b) Immune complex deposit glomerulonephritis. Immune complex deposit glomerulonephritis may frequently be associated with various diseases particularly mediated by immune mechanisms. For these reasons, Immunofluorescent studies of kidney biopsies have been of value in elucidating the pathogenesis of various diseases, and it is also important to evaluate the glomerulonephropathies whether or not it is associated with other diseases, because there are no excellent therapeutic methods due to lack of etiological information. In this study, a total of 47 renal biopsies done from 1974 to 1977 at National Medical Center, is conveniently classified according to the classifications of McCluskey (1974) and Kincaid-Smith (1975), and particularly analysed the glomerulonephropathies associated with other diseases. Most interesting findings are glomerulonephropathies associated with liver cirrhosis which showed Membranoproliferative glomerulonephritis in all cases. In our country, there is a report about HB Ag radioimmunoassay in patients with hepatitis, liver cirrhosis and primary hepatoma (Hann, 1977) in 93% of HBs Ag, and 100% of HBc Ag. Further immunopathological survey of the cases of hepatitis, liver cirrhosis and also primary hepatoma with glomerulonephropathies will be interesting and very important.
이창혜,김열자,김대하 최신의학사 1978 最新醫學 Vol.21 No.12
The Nephrotic syndrome is commoner in children than in adults, and because the "minimal change" lesion is by far the commonest underlying pathology in children. In adult life, the nephrotic syndrome is rather rare and only 20 to 30 percent of nephrotic adults can be expected to show a "minimal change" lesion. We describe 17 patients who developed a nephrotic syndrome after age of 15 years, and who showed a "minimal change" pattern in their renal biopsies. Among the 17 patients with "minimal change" lesions, 2 had spontaneous complete remission, 2 had complete remission with corticosteroids therapy and 1 died of severe cellulitis. 9 among the 12 surviving patients sustained remissions after drug with-drawal, and their renal function remains rather excellent. We report here our experience with "minimal change" glomerulonephritis in adult population and we have found that histologically seperating these patients into groups with "minimal change" lesions helps to predict their response to treatment as we as their subsequent clinical course.
金漢錫,趙明俊,李昌惠 최신의학사 1976 最新醫學 Vol.19 No.1
For last 3 years (1973-1975), Double contrast knee arthrography has been performed in 40 patients in the Radiologic department of the National Medical center. The results were as followings: 1) Sex distribution was male 25, female 15, and age ranged from 10 to 49. High incidence was noted in the 3rd decade. 2) In the majority, clinical symptom was knee joint pain. 3) The lesion was more frequent on the Right knee than on the left. 4) lateral meniscus tear (19 cases) was more frequent than the medical one (3 cases). 5) Double contrast Knee arthrography can disclose those lesions of the menisci, the articular cartilages, the synovium, and ligaments. 6) Diagnostic accuracy of double contrast knee arthrography is more than 95%, but authors obtained about 80%, probably due to unskillful technique and inaccurate interpretation. Batter technique and interpretation are necessitated.