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신석준 ( Seok Joon Shin ),김탁용 ( Tak Young Kim ),민준기 ( Jun Ki Min ),이상헌 ( Sang Heon Lee ),홍연식 ( Yeon Sik Hong ),박성환 ( Sung Hwan Park ),문정림 ( Jeong Lim Moon ),조철수 ( Chul Soo Cho ),김호연 ( Ho Youn Kim ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.2
The occurrence of a trigeminal neuropathy associated with connective tissue disease is rare. Trigeminal neuropathy in connective tissue disease is predominantly sensory and it is characterized by numbness, hypesthesia, slurred speech, and touch pain. Although the pathogenesis of trigeminal neuropathy associated with connective tissue disease remains obscure, the main pathologic findings are vasculitis and neuritis. A case of trigeminal neuropathy associated with mixed connective tissue disease is described, and the incidence, symptoms, pathophysiology, treatment of the disease is discussed.
지속성 외래 복막투석 환자에서 24시간 활동성 혈압과 혈장 Atrial Natriuretic Peptide 농도와의 연관성
신석준 ( Seok Joon Shin ),김병수 ( Byung Soo Kim ),김영옥 ( Young Ok Kim ),송호철 ( Ho Cheol Song ),이승헌 ( Seung Hun Lee ),김용수 ( Yong Soo Kim ),최의진 ( Eui Jin Choi ),장윤식 ( Yoon Sik Chang ),방병기 ( Byung Kee Bang ) 대한신장학회 2005 Kidney Research and Clinical Practice Vol.24 No.4
혈액투석 환자에서 Staphylococcus aureus 감염에 의한 감염성 복부 대동맥류 파열
문동규 ( Dong Gyu Moon ),박성민 ( Sung Min Park ),문설경 ( Sul Kyung Moon ),심병주 ( Byung Joo Shim ),신석준 ( Seok Joon Shin ),송호철 ( Ho Cheol Song ),최의진 ( Eui Jin Choi ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.1
Infectious aneurysms in hemodialysis patients are very rare. It is assumed that injuries on atherosclerotic vessel walls are involved in the development of aneurysms associated with septicemia. Rupture of infectious aneurysms carries a high mortality rate because it often leads to hemorrhagic shock. Here we report the case of a hemodialysis patient with rupture of an abdominal aortic infectious aneurysm secondary to Staphylococcus aureus septicemia. A 72 year-old male hemodialysis patient presented with diarrhea and fever. Staphylococcus aureus was identified in his blood culture. On the sixth day after admission, he developed sudden abdominal pain, distension and hypotension, so we assumed hypovolemic shock due to intraabdominal hemorrhage. On abdominal CT, he was found to have a ruptured, 2.4×2 cm infrarenal abdominal aortic aneurysm with a large amount of retroperitoneal hemorrhage. His final diagnosis was rupture of an infectious aneurysm based on the presence of Staphylococcal bacteremia. He underwent a percutaneous stent graft in the infrarenal aorta successfully. However, two weeks later, he developed septic shock due to a newly developed intestinal perforation and died of multiorgan failure.