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질벽의 실리콘 액 주사에 의한 폐색전증 및 급성 호흡곤란 증후군
강문보 ( Moon Bo Kang ),김성태 ( Seong Tae Kim ),이정구 ( Jung Gu Lee ),서찬종 ( Chan Jong Seo ),이화은 ( Hwa Eun Lee ),정중배 ( Jung Bae Jeong ),김성권 ( Sung Gwon Kim ),김철 ( Chul Kim ),박정웅 ( Jeong Woong Park ),정성환 ( Seo 대한결핵 및 호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.46 No.3
이종호,김성권,차미경,서찬종,하승연,강문보,정중배,서일혜 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.5
Systemic lupus erythematosus is a multisystemic autoimmune disease in which the kidneys are frequently involved. Clinical diagnosis of SLE is based on the criteria of American Rheumatism Association (ARA). A few cases who were classified as SLE by the ARA criteria but were antinuclear antibody (ANA)-negative have been reported. It was reported that critical factor in ANA positivity is the choice of substrate. It is generally accepted that the cultured cell of human origin, especially HEP-2 cell, is better than tissue section or animal cells. Thus, the ANA test is negative only in approximately 2M of SLE patients when human tissue culture cells are used as substrate. We report a 25-year-old man admitted to our hospital because of generalized edema. He was found to have active lupus nephritis(WHO class IV), photosensitivity and pancytopenia. The result of FANA test which used HEP-2 cell as substrate was repeatedly negative, but anti-ds DNA and anti-Ro antibody were positive.
혈액투석으로 치료된 Phenobarbital 중독 1예
김철,이종호,김성태,이정구,김성권,차미경,이화은,서찬종,강문보,정중배 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.6
Phenobarbital is one of long-acting barbiturate with low lipid solubility and used frequently as an anticonvulsant. However, in severe intoxication, hypotension and respiratory arrest are the major causes of prehospital mortality. Mortality is 3M for blood levels over HO pg/mL and estimated lethal adult dose is 6-10g. No effective antidotes are available. We report a case of phenobarbital intoxication in a 29-year-old female, treated successfully with hemodialysis. She was found corhatose on the day of admission and was alleged to have taken 30g of phenobarbital. On physical examination, the blood pressure was 80/60mmHg, and pulse, 97/min. There was no respiration. Pupil was dilated fully. Corneal and deep tendon reflexes were absent. There was no response to painful stimuli. She was treated conservatively with mechanical ventilation, gut decontamination and forced diuresis. Hemodialysis was tried to remove excess phenobarbital for 13 hours. The blood phenobarbital level at admission was 162.2 pg/ mL, which was decreased to 114.4pg/mL after first session of hemodialysis. On the fifth hospital day, blood level decreased to 41.8 pg/mL and she regained her consciousness. She was discharged on the 10th hospital day without major sequelae.
김철,김성태,김주현,윤명환,박현철,강동훈,김은아,김선숙,박종재,김유경,최덕주,강문보 대한소화기학회 2000 대한소화기학회지 Vol.35 No.4
Intestinal pancreatic fistula complicating acute pancreatitis usually follows surgical intervention or drainage of a pseudocyst or abscess. Occasionally, spontaneous intestinal fistula may develop due to the rupture of a pancreatic pseudocyst or abscess into the adjacent viscera, or the gastrointestinal necrosis secondary to vascular thrombosis in peripancreatic inflammation. Here, we report two cases of spontaneous duodenal fistula complicated by pancreas divisum-associated acute pancreatitis. One case occurred due to spontaneous rupture of a pseudocyst into the duodenum and the other case occurred by periduodenal panniculitis secondary to ductal disruption.