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신건,김관엽,고행일 ( Keun Shin,Kwan Yub Kim,Haeng Il Koh ) 대한소화기학회 1980 대한소화기학회지 Vol.12 No.2
Typhoid fever is an acute systemic disease resulting from infection with S. typhi which can produce localized infection in the body anywhere. One case of acute pancreatitis associated with typhoid fever that was proven by positive blood culture and elevated serum amylase and amylase clearance was observed, But it is uncertain that causative agent of acute pancreatitis is S. typhi.
임산부에서 부신절제술 후 잔여 선종인한 일차성 고알도스테론증
박선욱 ( Sun Wook Park ),고행일 ( Haeng Il Koh ),노지현 ( Ji Hyun Noh ),김문철 ( Mun Cheol Kim ),이혜경 ( Hye Kyung Lee ),박상현 ( Sang Hyun Park ),나현희 ( Hyun Hee Na ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.3
Primary aldosteronism is present in approximately 1 percent of hypertensive patients, and is rarely associated with pregnancy. We report a case of unilateral aldosterone producing adenoma in a pregnant woman. A 29-year-old woman was referred to with hypertension and proteinuria at 14 weeks` gestation. She had known that she had unilateral aldosterone producing adenoma for 18 months and refused medical or surgical treatment. She was prescribed antihypertensive medication and preformed laparoscopic adrenalectomy in left adrenal gland at 22 weeks` gestation. After adrenalectomy, her blood pressure was normal. At 29 weeks` gestation, she complained headache, and her blood pressure was 200/100 mmHg with pitting edema. We thought preeclampsia and performed cesarean section. After the baby was delivered, she had uncontrolled hypertension, hypokalemia with persistent proteinuria. We checked plasma renin activitity, aldoterone and abdminopelvic computed tomography. We found remnant left adrenal adenoma and perfomed laparoscopic operation. After reoperation, her blood pressure was normal and no proteinuria.
증례 : 신장 ; 소량의 Colchicine 음독 후 발생한 사망 1예
나현희 ( Hyun Hee Na ),조소영 ( So Young Jo ),곽명옥 ( Myung Ok Kwak ),총배천 ( Tsung Pei Chuan ),고행일 ( Haeng Il Koh ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
본 저자들은 만성 신부전 환자에서 발생한 colchicine의 전신적 독성을 보고한 김 등14)의 보고 외에 치사량 이하의 중독에서 예측하기 어려운 심혈관계 장애로 사망한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. In rheumatology, colchicine is used in the treatment of gout and Behcet`s syndrome. Colchicine intoxication, although rare, can cause symptoms ranging from mild gastrointestinal complaints to severe toxic conditions resulting in death. A 59-year-old woman visited the emergency department after ingesting 18 mg colchicine (30 tablets) 22 hours earlier. She complained of abdominal pain, vomiting, and diarrhea. We treated her conservatively and admitted her to the intensive care unit. Sixty-two hours after ingesting the colchicine, she complained of chest discomfort and dyspnea, and developed cardiac arrest immediately thereafter. Despite cardiopulmonary resuscitation, she died 68 hours after ingesting the colchicine. (Korean J Med 77:S1222-S1225, 2009)
증례 : 신장 ; 신경색을 동반한 외상성 신동맥 박리를 스텐트 삽입술로 치료한 1예
박성원 ( Sung Won Park ),나현희 ( Hyun Hee Na ),박상현 ( Sang Hyun Park ),이기재 ( Ghi Jai Lee ),조영권 ( Young Kwon Cho ),고행일 ( Haeng Il Koh ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
본 증례는 외상으로 인한 신경색을 동반한 신동맥 박리를 경피적 혈관 성형술과 스텐트 삽입술로 치료한 경우로 추가적인 항응고제 투여 없이도 신혈류가 완전히 개선되었고, 스텐트 삽입만으로 신경색이 호전된 증례이다. 또한 신동맥 박리 및 신경색이 발생하고 24시간 후에 신혈류를 개선하였음에도 신혈류 및 신경색이 회복되었던 것으로 보아 우연히 발견한 신동맥 박리의 경우 경피적 중재술을 적극적으로 고려해 볼 수 있을 것으로 생각된다. Renal artery dissection may be caused by iatrogenic injury, trauma, or underlying arterial disease such as fibromuscular disease, atherosclerotic disease, or connective tissue disease. The treatment for renal artery dissection is chosen based on the patient`s hemodynamic status, renal function, and the feasibility of the treatment modality. However treatment and long-term management of renal artery dissection is controversial. A 43 year-old man visited the emergency department after being jammed in a cultivator. He complained of abdominal pain and vomiting. We performed abdominopelvic computed tomography and found a right renal artery dissection with infarction. At 24 hours after the accident, he was treated with balloon dilatation and endovascular stenting of the right renal artery. He was discharged without renovascular hypertension or renal insufficiency complications. (Korean J Med 77:S1237-S1240, 2009)
고원섭,김용균,전영빈,이윤우,고행일 인제대학교 1990 仁濟醫學 Vol.11 No.3
51세 여자 환자로서 신, 직장조직생검에 의해 원발성 유전분증으로 밝혀진 1례를 문헌 고찰과 함께 보고하는 바이다. A 51-year-old female patient with primary amyloidisis showing huge hepatonegaly & nephrotic syndrome is reported. Amyloidosis was confirmed by renal and biopsy and involvement of heart & liver were suggested clinically.