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BOOP 형태로 발현된 Epstein-Barr Virus 폐렴
나형중 ( Hyoung Jung Na ),김승업 ( Sueng Up Kim ),김도현 ( Do Hyun Kim ),남동혁 ( Dong Hyug Nam ),김정주 ( Chong Ju Kim ),이선민 ( Sun Min Lee ),기정혜 ( Jeong Hae Kie ),홍용국 ( Yong Kug Hong ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.1
In the average adult with a normal immune state, Epstein-Barr virus pneumonia is very rare, especially in the form of interstitial lung disease. According to recent studies, the Epstein-Barr virus is also associated with lymphocytic interstitial pneumonia, AIDS and Langerhans cell histiocytosis, but not with sarcoidosis. BOOP is caused by lung injury due to an infection or drug intoxication, and is related to connective tissue disease or bone marrow transplantation, but is sometimes idiopathic. We experienced a patient with symptoms and signs of interstitial lung disease, with confirmed BOOP and EBV ingection from an open lung biopsy and serologic examination, respectively Herein, this case is reported, with a review of the literature. (Tuberc Respir Dis 2007; 62: 51-55)
소장에서 직장까지 침범한 광범위 Lupus Enteritis 1예
김도현,나형중,최유리,남동혁,이찬희,박수미,강원석 대한류마티스학회 2007 대한류마티스학회지 Vol.14 No.3
Systemic lupus erythematosus (SLE) is a multisystem ic inflammatory disorder mediated by autoantibodies and immune complexes that manifests with a variety of symptoms. Lupus enteritis is a serious complication of SLE and carries a high mortality rate, however the diagnosis is not easy for there are no specific clinical manifestations and laboratory findings. Lupus enteritis usually involves the mesenteric arteries causing ischemic changes of the small and large bowels, and yet rarely involves the rectum. Here, we report a case of a 26-year-old female lupus enteritis patient who presented with atypical abdominal pain. Early diagnosis was made by abdominal pelvic computed tomography (CT) scan, which showed extensive involvement of lupus enteritis from proximal small bowel to rectum. She recovered after being treated with high dose steroid therapy.
결장직장폴립 위치와 폴립절제술의 임상결과와의 상관 관계: 시술시간, 부작용, 그리고병리조직검사 결과를 중심으로
박정현,김어진,김재학,최종순,최재혁,나형중,곽원건 대한장연구학회 2013 Intestinal Research Vol.11 No.3
Background/Aims: Colonoscopic polypectomy should be performed on the five to seven hour of clock (standard position). However, outcomes of polypectomy at non-standard positions have not yet been investigated. This study was to compare the clinical outcomes of colonoscopic polypectomy including procedure time, status of resection margin and complications between standard and non-standard position. Methods: Patients who underwent screening colonoscopy were prospectively recruited from Oct 2011 to Feb 2012 at Dongguk University Ilsan Hosptial, Goyang, Korea. Standard position was defined as polyps which were located from 5 to 7 hour of clock on colonoscopic view. Results: A total of 168 adenomatous polyps of 114 patients were investigated. Mean size of polyp was 7.1±3.2 mm. The most common shape of polyps was sessile in 77 cases (45.8%). Mean overall procedure time per patient was 25.5±12.3 min. 130 adenomatous polyps were resected in standard position (77.4%) and 38 polyps were in non-standard position (22.6%). Overall complete resection rate was 63.7% and immediate bleeding rate was 9.8%. There was no significant difference in overall polypectomy time per polyp (2.9±1.3 min vs. 3.0±1.8 min, P=0.32). Complete resection rates and complication were not statistically different. Conclusions: There was no difference according to procedure time, status of resection margin and complications between standard position and non-standard position. Colonoscopic polypectomy is thus safe and feasible on any position. (Intest Res 2013;11:191-197) 목적: 대장내시경 폴립절제술을 할 때 폴립이 시야에서 하방에 위치했을 경우와 그렇지 않은 경우에 시술시간, 절제 단면, 그리고 합병증을비교하여 폴립절제술의 효율성과 안정성을 알아보고자 하였다. 방법: 2011년 10월부터 2012년 2월까지 동국대학교 일산병원 소화기내과를 방문하여 대장내시경 검사를 시행받고 폴립이 발견된 환자들을대상으로 전향적 연구를 시행하였다. 폴립이 5시 방향에서 7시 방향에 위치해 있었을 때를 표준방향군으로 정의하였다. 결과: 총 114명 환자에서 168예의 선종성 폴립을 대상으로 하였다. 평균 폴립 크기는 7.1±3.2 mm였고 편평한 폴립이 77예(45.8%)로 가장많았다. 평균 시술시간은 25.5±12.3분이었다. 130예(77.4%)의 폴립이 표준방향에서 절제되었고 38예(22.6%)의 폴립이 비표준방향에서절제되었다. 완전절제율은 63.7%였다. 전체 시술시간은 표준방향군과 비표준방향군의 전체 시술시간은 유의한 차이가 없었고 폴립당 절제시간도 유의한 차이가 없었다(2.9±1.3 min vs . 3.0±1.8 min, P =0.32). 완전절제율(63.0% vs . 65.8%, P =0.89)과 합병증 발생률(10.0%vs . 7.9%, P =0.77)도 유의한 차이가 없었다. 결론: 선종성 폴립의 내시경 시야의 위치에 따른 폴립절제술의 시술시간, 합병증 발생률, 그리고 완전 절제율의 차이는 없었다. 대장폴립절제술은 폴립이 표준방향에 위치하지 않더라도 안전하게 폴립을 제거할 수 있는 시술이다.
근치적 신절제술 후 7년만에 기관지내 전이로 발견된 신세포암
김도현 ( Do Hyun Kim ),김선혜 ( Sun Hye Kim ),김동환 ( Dong Hwan Kim ),나형중 ( Hyoung Jung Na ),이주현 ( Ju Hyun Lee ),이선민 ( Sun Min Lee ),김정주 ( Chong Ju Kim ),기정혜 ( Jeong Hae Kie ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.5
A distant metastasis from a renal cell carcinoma is quite common after a radical nephrectomy. For this reason, a5 year scheduled follow up is recommended. However, a distant metastasis 5 years after the resection is quite rare. We encountered an endobronchial metastasis from a renal cell carcinoma that was discovered 7 years after the radical nephrectomy, and did not present during the 5 year scheduled follow up regimen. We report this case with a review of the literatures. (Tuberc Respir Dis 2006; 61: 496-500)