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한병근(Byoung Geun Han),최승옥(Seung Ok Choi),김효열(Hyo Youl Kim),강남규(Nam Kyu Kang),류정선(Jeong Seon Ryu),이광훈(Kwang Hoon Lee) 대한내과학회 1996 대한내과학회지 Vol.50 No.3
N/A Objectives : We analyzed the clinical characteristics and complications of poisonous snake bite in Korea. Also we evaluated the causes of acute renal failure associated with poisonous snake bite. Methods: Fifty-eight patients with poisonous snake bite were included in this study. We reviewed and compared the clinical symptoms, physical examinations, and laboratory data of the complications that could be expected, such as rhabdomyolysis, disseminated intravascular coagulopathy and acute renal failure. Results: 1) The epidemiologic feature showed that most of the cases occurred from June to September, and the peak incidence of age was fifties and sixties. The snake distributions we studied were 12 cases(41.4%) of Agkistrdon blomhoffi brevicandus, 10 cases(34.5%) of A. saxatilis and 7 cases(24.1%) of A. caliginosus. 2) The systemic symptoms and signs were various. The most common complaints were nausea and vomiting. Most of the patients complained of localized edema and pain around the snake bite wound. 3) Generally, patients showed a mild clinical course but 2 cases were discharged hopelessly due to its complication accompanying acute renal failure. The complications of poisonous snake bite were rhabdomyolysis (32.7%), disseminated intravascular coagulopathy (29.3%), acute renal failure (8.6%) and hemolysis (1.7%). 4) A caliginosus was found to be the most common cause of the rhabdomyolysis induced by snake bite(p<0.05). Disseminated intravascular coagulopathy was mostly associated with A. blomhoffi brevicandus(p<0.05). 5) We believe that the secondary effects of fluid sequestration into the third space, rhabodmyolysis, disseminated intravascular coagulopathy and hemolysis play significant roles in acute renal failure associated with poisonous snake bite.
Case Report : Membranoproliferative Glomerulonephritis Associated with Papillary Thyroid Carcinoma
( Seung Tae Han ),( Seung Ok Choi ),( Shin Han Song ),( Jae Seok Kim ),( Min Seob Eom ),( Jong In Lee ),( Min Keun Kim ),( Byoung Geun Han ),( Jae Won Yang ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.2
Malignant tumors have been shown to be a major secondary cause of nephrotic syndrome. They have been associated with different glomerulopathy depending on their type. Membranoproliferative glomerulonephritis (MPGN) rarely develops in solid tumors, although cases have been reported in renal cell cancer, melanoma, lung cancer, and tumors in the urogenital system. However, to our knowledge, there have been no case reported of MPGN associated with thyroid cancer. In the present case, we observed MPGN associated with thyroid cancer in a 44-year-old woman with nephrotic syndrome and renal insufficiency. Her thyroid ultrasound revealed a tumor measuring 1.01×1.14×1.48 cm with an indistinct border that was partially calcified. The tumor was confirmed to be papillary carcinoma by percutaneous needle aspiration biopsy. Renal biopsy showed chronic tubulointerstitial nephritis and MPGN. On day 45 of admission, total thyroidectomy and neck lymphadenectomy were performed. After total thyroidectomy, serum total protein, albumin, C3, and C4 normalized. In conclusion, this case represents the first report of simultaneous development of MPGN and thyroid cancer.
( Seung Tae Han ),( Shin Han Song ),( Min Keun Kim ),( Jae Seok Kim ),( Byoung Geun Han ),( Seung Ok Choi ),( Jae Won Yang ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.3
The superior vena cava (SVC) syndrome refers to all clinical phenomena appeared as bronchial pneumonia, lymphoma, mediastinitis, and aortic aneurysm compress the superior vena cava and the veins in the vicinity in the superior mediastinum. Iatrogenic superior vena cava syndrome due to vascular stenosis or aneurysmal change has occurred by the repeated placement of cardiac pacemaker. Cardiac tamponade and hematoma have been reported in patients with end-stage renal disease due to impairment of blood coagulation caused by uremia. But acutely developed SVC syndrome was not reported after catheterization. In this report, we describe a case of acute SVC syndrome and mediastinal hematoma after insertion of internal jugular catheter for hemodialysis.
국소 분절 사구체 경화증 환자에서 발생한 Nocardia farcinica 뇌 농양 1예
한승태 ( Seung Tae Han ),김영섭 ( Young Sub Kim ),송신한 ( Shin Han Song ),어영 ( Young Uh ),한병근 ( Byoung Geun Han ),최승옥 ( Seung Ok Choi ),양재원 ( Jae Won Yang ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Nocardia is an opportunistic pathogen that can cause disseminated disease in serious immunosuppressive patients with organ transplantation, advanced HIV infection, malignancy or long-term corticosteroid use. Cerebral nocardiosis constitutes the most severe form of Nocardial infection. Early detection and treatment of cerebral abscess of Nocardia is important because the mortality is three times higher than that of other bacterial cerebral abscesses. We report a case of N. farcinica brain abscess in a focal segmental glomerulosclerosis (FSGS) patient after steroid treatment.
한동수,이민호,최춘식,박근태,이오영,기춘석,박경남,정진웅,조윤주,박문승,손주현,윤병철,최호순,권오정,임현철 대한소화기학회 1998 대한소화기학회지 Vol.31 No.2
Intestinal malrotation is a rare disorder typically found in childhood. In adults it is an uncommon disease, and usually presents as bowel obstruction. Occasionally the clinical picture is confusing and the diagnosis of mahotation is not discovered until operation. Intestinal malrotation represents an arrest in the normal counterclockwise rotation of the cecum from the left lower quadrant to the right upper quadrant. The example is nondescent of the cecum, in which this structure remains in the subhepatic position. These are the diagnostic problems of differentiating between acute appendicitis and acute cholecystitis and the difficulty of appendectomy through a lower abdominal incision. In some patients, the cecum that cross the duodenum (Ladd's bands) is often fixed in an abnormal position by dense adhesion. In addition, the colon and the small intestine have a common mesentery with a lack of fixation to the lateral and posterior regions of the abdominal cavity. The usual mechanism of obstruction is adhesive compression of the duodenum and volvulus of the small intestine. Herein we experienced the case with intestinal malrotation associated with Ladd's bands with duodenal compression, presenting with acute abdominal pain and vomiting.