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- 저자 : 황헌규 ( Hun Gyu Hwang ) (검색결과 6 건)
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사지마비로 장기 침상안정 환자에서 폐결핵 발생부위 변화
황헌규 ( Hun Gyu Hwang ),정은정 ( Eun Jung Jung ),임건일 ( Gune Il Lim ),양승부 ( Seung Boo Yang ),임한혁 ( Han Hyeok Im ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.1
Pulmonary tuberculosis has intermediate prevalence in Korea. It is known that tuberculosis infection predominantly involves the upper lobes, based on the fact that multiplication of Mycobacterium tuberculosis is favored in areas with decreased pulmonary blood flow, impaired lymphatic drainage, and high oxygen tension. We report this case of a 40-year-old man who was brought to our hospital with hemoptysis and dyspnea. Prior to admission, the patient had been in a bedridden state for 15 years due to an injury of the cervical spine 4~5. A 3-Dimensional computed tomography showed predominantly longitudinal distribution of centrilobular nodules along the anterior chest wall, in the left lung. MTB-PCR and AFB culture of bronchial washing fluid revealed pulmonary tuberculosis. This case shows that long-standing supine posture and decreased motion of the anterior chest wall may change the distribution of preferential infection site of Mycobacterium tuberculosis in the lung, resulting in a ventral predominance of tuberculosis infection in the quadriplegic patient.
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증례 : 호흡기 ; 결핵성 흉막염을 동반한 갑상선 유두암의 폐전이 1예
안병규 ( Byung Kyu Ahn ),박세윤 ( Se Yun Park ),황헌규 ( Hun Gyu Hwang ),임건일 ( Gun Il Lim ),김숙 ( Sook Kim ),양승부 ( Seung Boo Yang ),임한혁 ( Han Hyeok Im ) 대한내과학회 2010 대한내과학회지 Vol.79 No.3
저자들은 70세 여자 환자가 흉수소견으로 내원하여 흉수 천자 및 늑막 조직검사를 시행하여 결핵성 흉막염이 진단되었으나, 아데노신 탈아미노효소가 2.4 IU/L로 낮았고, 흉부 전산화단층촬영상 우하엽에 폐종괴 소견과 양측 미세결절이 관찰되었다. 경흉 세침흡입 세포검사에서 5년 전 전절제술을 받았던 갑상선 유두암의 폐전이가 진단되어, 결핵성 흉막염을 동반한 갑상선 유두암의 폐전이 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Papillary thyroid carcinoma is the most prevalent type of thyroid cancer. Metastasis of this carcinoma commonly occurs in the lung and has been reported to present 5 to 30 years after the initial diagnosis of thyroid cancer. Pleural effusion can mask this metastatic spread. In patients with pleural effusion, laboratory measurement of the adenosine deaminase (ADA) level in the pleural fluid can be effective in identifying and ranking pulmonary metastasis in the differential diagnosis. A 70-year-old female patient visited our hospital with dyspnea. She presented with a considerable amount of pleural effusion. A pleural biopsy was performed and the Ziehl-Neelsen stains revealed a few acid-fast bacilli, but the ADA level in the pleural fluid was 2.4 IU/L. After drainage of the pleural effusions, we discovered pulmonary nodules by computed tomography (CT), which were later diagnosed through histologic examination as pulmonary metastasis from papillary thyroid carcinoma. We report this case. (Korean J Med 79:311-315, 2010)
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증례 : 호흡기 ; Teflon 흡입으로 인해 발생한 화학성 폐렴
이지연 ( Ji Yeon Lee ),김민정 ( Min Jung Kim ),유진영 ( Jin Yong Yoo ),안병규 ( Byung Kyu Ahn ),황헌규 ( Hun Gyu Hwang ),임건일 ( Gune Il Lim ),임한혁 ( Han Hyeok Im ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
테프론 흡입에 의한 발열, 오한, 기침 등의 임상증상은 ``중합체 연기발열``이라 하며 노출된 양상과 정도에 따라 다양한 임상양상을 보인다. 저자들은 44세 남성에서 테프론에 젖은 담배를 5분간 흡입하고 나서 발생하였고, 산소 치료 및 스테로이드 사용으로 합병증 없이 회복된 화학성 폐렴 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Chemical pneumonitis is defined as lung irritation caused by inhalation of substances toxic to the lungs. Acute chemical pneumonitis causes swelling of the lung tissue, movement of fluid into the air spaces in the lung, and a decreased ability to absorb oxygen and eliminate carbon dioxide. Teflon (polytetrafluoroethylene) is a commonly used synthetic fiber or insulator. To our knowledge, chemical pneumonitis and acute respiratory failure induced by Teflon inhalation has not been previously reported in Korea. We experienced a 44-year-old patient who had a cough and dyspnea that were aggravated 10 h after smoking tobacco wet by Teflon for 5 min at his workplace. Upon arrival at the emergency room, his blood pressure was low and his arterial blood gas analysis revealed hypoxemia. A chest radiograph showed diffuse haziness on both mid- to-lower lung fields. Following treatment by conservative therapy, including oxygen supply and steroid use, his condition was relatively good and his chest radiograph normalized. (Korean J Med 2011;80:S194-S198)
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증례 : 호흡기; 17세까지 천식으로 오인된 식도이완불능증
김혜진 ( Hye Jin Kim ),김명신 ( Myung Shin Kim ),임건일 ( Gune Il Lim ),박윤선 ( Youn Sun Park ),임한혁 ( Han Hyeok Im ),황헌규 ( Hun Gyu Hwang ) 대한내과학회 2013 대한내과학회지 Vol.85 No.3
식도이완불능증은 하부식도괄약근의 이완장애 및 식도체부의 연하운동부전을 특징으로 하는 식도운동장애질환으로 연하장애를 동반한다. 소아 및 청소년에서 가장 흔한 증상은 구토, 연하곤란, 체중감소, 반복적인 폐렴, 야간기침, 흉통 등이 발생할 수 있다. 4세경부터 운동시 유발되는 호흡곤란과 기침증세를 보였으며, 치료에 반응을 잘 보이지 않는 천식의 과거력이 있는 17세 환아가 내원 1주 전부터 발생한 기침, 객담, 발열을 주소로 내원하여 마침내 식도이완불능증과 식도하부확장, 폐렴, 기관지확장증으로 진단되어 풍선확장술을 시행 받고 호흡기 증세의 호전을 보여 문헌고찰과 함께 보고하는 바이다. Achalasia is a primary esophageal motility disorder characterized by functional obstruction of the distal esophagus and subsequent dilation of the proximal esophagus. The most common symptoms in children and adolescents are vomiting, progressive dysphagia, weight loss, recurrent pneumonia, nocturnal cough, and chest pain. A girl who had been diagnosed with asthma poorly responsive to inhaled steroids until age 17, presented at the hospital with cough, sputum, and fever. Finally, she was diagnosed with achalasia and underwent esophageal balloon dilatation, which relieved her GI and pulmonary symptoms. We report this case with a literature review. (Korean J Med 2013;85:308-312)
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수술 및 단기간의 항생제 투여로 완치된 기관지 방선균증 2예
이용관 ( Yong Kwan Lee ),이호성 ( Ho Sung Lee ),오미혜 ( Mee Hye Oh ),최재성 ( Jae Sung Choi ),서기현 ( Ki Hyun Seo ),김용훈 ( Yong Hoon Kim ),나주옥 ( Ju Ock Na ),황헌규 ( Hun Gyu Hwang ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.2
Endobronchial actinomycosis is a rare chronic suppurative granulomatous infection of the bronchus, and this is sometimes related with a foreign body or a broncholith. The traditional treatment of endobroncial actinomycosis is intravenous antibiotics for 2 to 6 weeks and then oral antibiotics therapy for 6 to 12 months. We report here on 2 cases of endobronchial actinomycosis that were associated with a broncholith and a foreign body, respectively. Surgery followed by short term antibiotics therapy for only 20 days and 34 days, respectively, was effective as treatment for the endobronchial actinomycosis in our cases. After treatment, there were no complications or recurrence during the following period. We suggest that short term antibiotics therapy combined with a surgical operation might be effective as treatment for primary endobronchial actinomycosis, and especially when this illness is combined with a foreign body or a broncholith, as compared with traditional long term antibiotic therapy. (Tuberc Respir Dis 2008;65:125-130)
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Methimazole 유발 담즙울체성 황달예에서 스테로이드사용 1예
김완섭,김영민,유명희,서교일,김철희,변동원,김재한,윤병옥,송상훈,오명진,황헌규 대한내분비학회 1999 Endocrinology and metabolism Vol.14 No.3
Cholestatic jaundice caused by imidazole derivatives is a rare complication of antithyroid drug therapy. We present a case of cholestatic jaundice with systemic hypersensitivity reaction, which developed in a 27-year old male one day after exposure to methimazole. The patient showed clinical improvement and gradual resolution of jaundice after the discontinuation of methimazole and treatment with prednisolone. Histologic findings of liver revealed bile pigment, predominantly in centrilobular area, and infiltration of chronic inflammatory cells in a few portal area without evidence of degeneration or necrosis of hepatocytes. Methimazole could be presumed as etiologic agent from clear chronological relationship and the lack of other causative factors. We report this unusual case with review of literature (J Kor Soc Endocrinol 14:592-598, 1999).
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