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빈뇨와 복통, 설사로 발현된 방광과 위장관을 동시 침범한 과호산구증가증후군 1예
김자경 ( Ja Kyung Kim ),김주희 ( Joo Hee Kim ),박한민 ( Han Min Park ),정용설 ( Yong Seol Jeong ),최청조 ( Chung Jo Choi ),나성균 ( Seong Kyun Na ),김종혁 ( Jong Hyeok Kim ),송영림 ( Young Rim Song ),황용일 ( Yong Il Hwang ),장승 대한천식알레르기학회 2015 Allergy Asthma & Respiratory Disease Vol.3 No.1
Idiopathic hypereosinophilic syndrome (IHES) is a rare disorder defined by persistent blood eosinophilia, evidence of eosinophil-associated organ dysfunction and absence of secondary causes. Eosinophilic infiltration and its mediator release can cause damage to multiple organs. Although IHES can involve every organ system, bladder involvement is rarely evidenced. We recently reported a case of IHES with both bladder and gastrointestinal tract involvement. A 43-year-old woman visited Hallym University Sacred Heart Hospital complaining of urinary frequency, abdominal pain, and diarrhea for several months. Abdominal pelvic computed tomographic scan showed diffuse wall thickenings in her bladder and colon with small pelvic ascites. Laboratory investigation showed a marked peripheral eosinophilia and tissue biopsies confirmed eosinophilic infiltration in the bladder wall, esophagus, and duodenum. The patient was treated with prednisolone and her eosinophilia and symptoms have gradually improved.
압력센서가 내장된 보행 분석기를 통한 아치 형성 보행의 생역학적 변수의 특성
이배열 ( Bae Youl Lee ),유승돈 ( Seung Don Yoo ),이승아 ( Seung Ah Lee ),전진만 ( Jinmann Chon ),김동환 ( Dong Hwan Kim ),정용설 ( Yong Seol Jeong ),노성규 ( Seong Gyu Noh ),이미애 ( Mi Ae Lee ),이우진 ( Woo Jin Lee ),김은혜 ( Eun 대한스포츠의학회 2016 대한스포츠의학회지 Vol.34 No.1
The objective of study was to compare biomechanical parameters between normal and arch building gait in healthy subjects. A total of 40 feet from 20 healthy adults were evaluated in this study. The participants were asked to walk on a treadmill comfortably at 2 km/hr for 30 seconds. Then, they were asked to walk after making arch building through raising arches with their feet by pulling the big toe toward the heel. Gait parameters such as geometry, center of pressure, maximum force, and maximum pressure were measured in normal and the arch building gait using a gait analysis system equipped with pressure sensor. Arch building gait demonstrated significantly (p<0.01) decreased forefoot maximum force but significantly (p=0.024) increased heel maximum force compared to normal gait. Maximum pressures of the midfoot and heel were also significantly (both p<0.01) increased. However, the maximum pressures of the forefoot were not significantly (p>0.05) different between the two conditions. Geometry, phase, and time parameters were not significantly (p>0.05) different between the two conditions, either. Although forefoot and midfoot maximum force were significantly decreased in arch building gait compared to those in normal gait, the maximum pressure of forefoot was not significantly changed, indicating decreased area of forefoot contact during arch building gait. The arch building gait moves the center of presser to the hind foot and redistributes the contact area, thus changing the distribution of maximum pressure.
증례 : 소화기 ; Terlipressin 투여 후 발생한 저나트륨혈증에 의한 간질발작 1예
김진희 ( Jin Hee Kim ),김자경 ( Ja Kyung Kim ),문소영 ( So Yeong Mun ),최청조 ( Chung Jo Choi ),박한민 ( Han Min Park ),정용설 ( Yong Seol Jeong ),강준구 ( Jun Goo Kang ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
Terlipressin has splanchnic vasoconstrictive effects, and is generally used for the management of gastroesophageal variceal bleeding secondary to liver cirrhosis. Terlipressin is a synthetic arginine vasopressin (AVP) analog containing a nonapeptide sequence. Terlipressin has increased selectivity for the V1 receptor, compared with AVP; hence, it is considered to be a safe vasoconstrictor. However, side effects such as hyponatremia and seizure, although very rare, have been reported. Hyponatremia related to terlipressin may be caused by the syndrome of inappropriate antidiuresis (SIAD), which is a disorder of sodium and water balance characterized by hypotonic hyponatremia without elevation of the antidiuretic hormone level. Here, we report a case of hyponatremic seizure induced by an infusion of terlipressin in a 52-year-old female who had isolated gastric variceal bleeding secondary to alcoholic liver cirrhosis. (Korean J Med 2014;87:323-327)