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김시찬 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
A 33-year-old woman was admitted to the hospital with a sudden onset of hearing loss in her right ear. Audiometry showed a sloping-type sensorinerural hearing loss with a pure-tone average of 95 dB in the right ear. Intravenous infusion of steroid, heparin and dextran were administered. The tachypnea and dyspnea developed 2 days later. A chest radiograph revealed pulmonary edema with bilateral perihilar infiltrates. After interruption of dextran, subsequent supportive treatment relieved chest symptoms without any sequelae. The treatment with dextran in the pregnant woman with sudden deafness should be cautiously performed.
김시찬,홍혜연,정수연,이혜란,양은혜,백충희 대한내과학회 2022 대한내과학회지 Vol.97 No.2
Nutcracker syndrome is caused by external compression of the left renal vein and is characterized by various symptoms, such as hematuria and left flank pain. However, long-standing gross hematuria is uncommon. We report the case of a 23-year-old woman who had had painless gross hematuria for several months. Kidney biopsy revealed thin basement membrane disease, but this did not explain the gross hematuria with proteinuria. Renal venography and Doppler ultrasonography showed increased diameter and velocity ratios between the left renal vein and inferior vena cava. Cystoscopy revealed that the hematuria originated from the left ureteral orifice. These results indicate coexisting Nutcracker syndrome. Nutcracker syndrome with thin basement membrane disease should be considered in the differential diagnosis of a patient who has long-standing gross hematuria.