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증례 : 심실 중벽부 무운동을 보이는 재발성 스트레스성 심근병증 1예
김현우 ( Hyun Woo Kim ),홍종서 ( Jong Seo Hong ),노지호 ( Ji Ho Roh ),천병철 ( Byung Chul Chon ),이관행 ( Gwan Hang Lee ),박인호 ( In Ho Park ),안경주 ( Kyoung Ju Ahn ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
스트레스성 심근병증은 다양한 정신적 혹은 육체적 스트레스 후 발생하는 새로운 심장질환 증후군이며 초기 임상양상이 급성 심근경색과 비슷하지만 양호한 예후를 갖는 새로운 질환으로 생각된다. 그러나 기존에 발표된 연구에서는 대부분의 환자에서 심첨부 무운동이 발생하였으나 저자들은 심실중벽부의 무운동을 보이며 반복적인 발생양상을 보이는 스트레스성 심근병증 증례를 경험하였기에 보고한다. The novel stress-induced cardiomyopathy, mimicking acute myocardial infarction, has recently been reported. We experienced a case of novel cardiomyopathy with recurrent episodes following emotional stress. We reported on this novel cardiomyopathy showing transient left mid-ventricular wall motion abnormality following emotional stress. Our case exhibited an acute onset, transient left mid-ventricular wall motion abnormality with chest pain, electrocardiographic changes and minimal enzyme release, which mimicked acute myocardial infarction without stenosis on the coronary angiogram. Wall motion abnormality and clinical outcome was rapidly improved within a few weeks. (Korean J Med 69:S812-S817, 2005)
강지향,이공섭,이창선,최현주,홍종서,고영민,이재용,이은천,Kang, Ji-Hyang,Lee, Goung-Sup,Lee, Chang-Seon,Choi, Hyun-Ju,Hong, Jong-Seo,Koh, Young-Min,Lee, Jai-Yung,Lee, Eon-Chun 대한결핵및호흡기학회 2000 Tuberculosis and Respiratory Diseases Vol.48 No.4
The bronchopulmonary sequestration is a region of the lung parenchyma that has an incomplete or no connection with the airways and is supplied by an aberrant artery arising from the aorta or one of its branches. The anatomy of the supplying artery is very important during operation. A case of pulmonary sequestration supplied with the left gastric artery is presented. The patient was 61 years old male and had hemoptysis. The chest CT showed cystic bronchiectasis in the left lower lung with few air-fluid level. Also, in aortogram, arterial supply was The aortogram also showed arterial supply coming from the left gastric artery of abdominal aorta branches. Left lower lobectomy and abnormal arterial ligation were performed. 폐격리증은 비정상적으로 발생한 폐조직과 이상동맥에 의해 형성된 선천성 질환으로 비교적 드문질환이다. 폐격리증에서 이상동맥의 해부학적 위치는 수술합병증의 발생에 매우 중요하다. 저자들은 객혈을 주소로 내원한 61세 남자환자에서 대동맥촬영상 좌위동맥에서 기시하는 비비꼬인 형태의 이상동맥에 의해 공급받는 폐격리증 1예를 경험하였기에 보고하는 바이다.
증례 : 낭성 기관지확장증 환자에서 비대된 관상동맥 -기관지동맥 문합 1예-
천병철 ( Byoung Cheol Cheon ),박인호 ( In Ho Park ),유정화 ( Jeong Hwa Yu ),장세중 ( Sei Joong Chang ),홍종서 ( Jong Seo Hong ),안경주 ( Kyoung Ju Ahn ),전의용 ( Eui Yong Jeon ) 대한내과학회 2007 대한내과학회지 Vol.73 No.3
관상동맥-기관지동맥 간 문합은 특별한 증상이 없는 일반인에서도 관찰할 수 있는 혈관기형이다. 하지만 기저폐질환이 문제가 된다거나 다른 원인들에 의해 문합을 통해 폐로 가는 혈류량이 늘어 심근에 허혈성 증상을 나타내는 경우에는 치료가 필요한 경우가 있다. 우리가 보고한 환자는 심한 낭성 기관지확장증으로 인하여 종격동 내 비정상적 문합의 비대가 심한 환자였다. 환자는 비특이적인 흉통을 주소로 시행한 심혈관 조영술에서 우연히 혈관 이상이 발견 되었고, 기관지동맥 색전술과 폐부분절제술을 통하여 성공적인 치료를 받았다. Anastomoses between a coronary artery and bronchial or mediastinal arteries have been described since the 19th century. Although coronary-to-bronchial artery communication has been well described, it remains an unusual finding. We report one adult case of abnormally enlarged two coronary-to-bronchial artery communications in a severe cystic bronchiectasis patient. In this case, the bronchial arteries were also supplied from the multiple systemic arteries (the internal mammary, subclavian, inferior phrenic and intercostal arteries) because of severe cystic bronchiectasis. We treated the patient by embolization of the bronchial artery with the abnormal anastomoses and then by surgical resection of the cystic bronchiectatic lung lesion. To date, the patient remains free of symptoms.(Korean J Med 73:330-335, 2007)
만성신부전을 동반한 신장의 Oncocytomatosis 1예
이종욱,최현주,한진석,이정상,이창선,김연수,김성권,이서진,안규리,강지향,이공섭,홍종서,황보빈,김승협 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.6
Renal oncocytomas account for approximately 5% of renal parenchymal tumors. Usually it has unilateral solitary oncocytic nodule, but bilateral multifocal renal oncocytomasis is rare. The term renal oncocytoma should be used to characterize a well-differentiated renal epithelial tumor with eosinophilic granular cytoplasm that has benign behavior and favourable progress. Also, multiple oncocytoma distributed diffusely in both kidneys is termed renal oncocytomatosis. Because of the benign nature, multicentricity, possible bilaterality and absence of pathognomonic radiographic features, renal oncocytomas should be considered in differential diagnosis of solid masses, especially renal cell carcinoma. We report a patient with bilaleral multifocal renal oncocytomatosis, who had progressive renal failure. Renal oncocytomatosis was diagnosed pathologically after bilateral nephrectomy.
고영민,최현주,이창선,김도형,이민영,오인균,김병엽,이공섭,강지향,홍종서 대한내과학회 2001 대한내과학회지 Vol.61 No.1
Chemical pneumonitis induced by hydrocarbon ingestion is rare in Korea. Cresol and xylenol, commonly used hydrocarbon disinfectants, can cause chemical burn on skin, gastrointestinal corrosive injury, central nervous system disturbance, and multiorgan failure including acute respiratory failure and chemical pneumonitis following intoxication1,2,8. We will report a case of chemical pneumonitis induced by ingestion of a hydrocarbon disinfectant as suicidal attempt. A 39-years-old female was found unconscious after ingestion of 100-200mL of solution containing cresol (5.5 g/100 mL), xylenol (7.5 g/100 mL), and benzene (37.5 g/100 mL). Upon arriving at emergency room the patient was in come, had undectable blood pressure (0/0) and had no self respiration. Cardiopulmonary resuscitation were given immediately, resulting in reversed her consciousness and elevated blood pressure. The patient had dermal bum on face, erosion of oral and gastric mucosa, impairment of liver function, leukocytosis, metabolic acidosis with hypoxemia, chemical pneumonitis, and spontaneous pneumothorax. The patient survived after artificial ventilation, intensive general supportive treatment and wound care. She was discharged in relatively good clinical condition with minimal sequele. (Korean J Med 61:53-58, 2001)