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한성민,김화영,김재일,박석준,이창후,유인환,박주일,김석은,강정협,곽경근,박해규,소순찬 대한소화기학회 1998 대한소화기학회지 Vol.31 No.5
Although the survival rate of patients with stomach cancer has been increased by the early diagnosis and treatment of the disease, it still remained the second most common cause of death with cancer. Studies about the premalignant causes of stomach cancer has been in progress, actively. It is well known that the risk of development of stomach cancer increases after the partial gastrectomy far the treatment of benign gastric disease. The importance of regular follow up of gastrofiberscopic examination is suggested for the early diagnosis of possible stomach cancer in these patients. In addition, it is known that the vagotomy and pyloroplasty for the treatment of duodenal ulcer increase the risk of the development of stomach cancer. However, no case has been reported in Korea. We report a case of adenocarcinoma of stomach occurring after tnmcal vagotomy and pyloroplasty, which have been performed for the treatment of duodenal ulcer perforation with review of relevant literatures.
이정민 ( Jeong Min Lee ),곽대훈 ( Dae Hun Kwack ),윤종현 ( Chong Hyeon Yoon ),최보미 ( Bomi Choi ),김영옥 ( Young Ok Kim ),김영수 ( Young Soo Kim ),윤선애 ( Sun Ae Yoon ) 대한내과학회 2017 대한내과학회지 Vol.92 No.3
본 증례는 치료를 받지 않고 지내던 전신홍반루푸스 환자에서 발생한 극심한 고칼슘혈증으로 혈액 투석 및 스테이로이드 치료로 호전된 예이다. 고칼슘혈증의 가장 흔한 원인은 부갑상선기능항진증 및 악성 종양에서 기인하는 부종양증후군이지만 전신홍반루푸스도 고칼슘혈증의 드문 원인 중 하나이므로 일반적인 원인들이 배제되면 전신홍반루푸스의 질병 활성도 및 관련 생화학 검사를 확인해 볼 것을 제시하는 바이다. Hypercalcemia is a common clinical problem. The most frequent causes of hypercalcemia include primary hyperparathyroidism and malignancy; systemic lupus erythematosus (SLE) is a very rare cause of hypercalcemia. Here we describe a case of symptomatic severe hypercalcemia, which developed during a lupus flare. After treatment with intravenous fluids, diuretics, pamidronate, and hemodialysis, calcium levels normalized and were maintained on low-dose prednisolone treatment. To the best of our knowledge, this is the first case of hypercalcemia in a patient with SLE in Korea. Clinicians should consider lupus as a differential diagnosis for patients with severe hypercalcemia. (Korean J Med 2017;92:300-302)