http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
( Yoon Suk Bak ),( Hye Ran Kang ),( Young Kwan Cho ),( Young Sook Park ),( Seong Hwan Kim ),( Yun Ju Jo ),( Byung Kwan Son ),( Sang Bong Ahn ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Backgrounds: Primary intestinal lymphangiectasia (PIL) is a rare disease resulting by lymph leakage into the small bowel lumen. Less than 200 PIL cases have been reported globally after 1961. As lymphatic fi uid contains a lot of protein, fat, and lymphocytes, leakage of lymph will cause hypoproteinemia, hypoalbuminemia, hypogammaglobulinemia, and lymphocytopenia. 2 The most common symptoms of patients with PIL are intermittent diarrhea, nausea, and vomiting. Peripheral edema by protein-losing enteropathy, chylous ascites and chylous pleural effusion are often presented. 3 The diagnosis of PIL should exclude the secondary intestinal lymphangiectasia and be confi rmed by pathlogic fi nding from enteroscopic biopsy or surgical resection. Aims: Our purpose is to investigate the clinical characteristics of PIL, the process of distinguish the PIL from secondary intestinal lymphangiectasia and pathologic confi rmation from enteroscopic biopsy. Case report : A 73-year-old male was admitted for endoscopic submucosal dissection of gastric adenoma without any complaining symptom. In the contrast-enhanced abdominal CT, there are nodularity of inner layer with mucosal enhancement of gastric antrum, and large amount ascites without other clue of malignancy, pancreatitis or cirrhosis. In the peritoneal analysis, the fi uid was chylous ascites and negative result for infi ammation, infection and malignancy using neutrophil count, bacterial culture and cytology. By enteroscopic biopsy, lymphangiectasia was comfirmed. Based on these results, low-fat and medium-chain triglyceride diet started. Discussion : We presented a case of patient with chylous ascites accidentally detected. After exclusion of secondary cause, we confi rmed the PIL by enteroscopic biopsy. We reported a rare intestinal disease in adults.
( Ghil Suk Yoon ),( Yang Kyu Choi ),( Ha Na Bak ),( Beom Joon Kim ),( Myeung Nam Kim ),( Je Ne Choi ),( Hye Myung Rheu ),( Joo Ryung Huh ),( Jee Ho Choi ),( Sung Eun Chang ) 대한피부과학회 2009 Annals of Dermatology Vol.21 No.1
Background: Angioimmunoblastic T-cell lymphoma (AITL) is a complex lymphoproliferative disorder and often mimics a viral infection with frequent skin involvement. Epstein-Barr virus (EBV) and human herpes virus (HHV)-6 are reported to be associated with AITL, but there are conflicting results. Objective: We evaluated the association of EBV and HHV-6 with AITL. Methods: We reviewed the clinical, histological and immunophenotypical features of 19 cases of AITL. Among them, 11 lymph node biopsies of AITL were examined for HHV-6, -7, and -8 by polymerase chain reaction (PCR) using virus-specific primers. In situ hybridization of EBV early region RNA (EBER) was performed and T cell receptor (TCR) gene rearrangement was also investigated in some cases. Results: Among these 19 cases, maculopapular, plaque or nodular skin lesions accompanied AITL in 12 cases. Clonal TCR gene rearrangement was seen in 8/9 cases tested. EBER in situ hybridization was positive in 8 cases (57.1%). Among 7 cases with skin biopsies, five cases were consistent with cutaneous involvement of AITL, 1 case was a drug eruption, and the other case was Kaposi`s sarcoma. Except a HHV-8 (+) case who also had Kaposi`s sarcoma, all of these cases were negative for HHV-6, -7 and -8. Conclusion: Skin manifestation seems to be a cardinal component of AITL, be it in the context of presentation, progression or recurrent disease. Recognition of clinicopathological features of skin lesions in AITL as diagnostic clues should be stressed among dermatologists. The lack of HHV-6, -7 and -8 in lymph node biopsy of AITL argues against a pathogenic role for HHVs in AITL. (Ann Dermatol(Seoul) 21(1) 1∼5, 2009)
김제시 부량면 제4기 퇴적물에서 산출된 규조 및 고환경 연구
박영숙(Young-Suk Bak),이종덕(Jong-Deock Lee),양동윤(Dong-Yoon Yang),남욱현(Wook-Hyun Nahm),이상헌(Sangheon Yi) 한국고생물학회 2007 고생물학회지 Vol.23 No.1
김제시 부량면 일대에서 채취한 코어퇴적물 JB13A로부터 규조 화석 분석을 실시한 결과, 총 22속 59종의 담수규조를 감정하였으며 3개의 규조화석 군집대를 설정하였다. 퇴적층은 탄소동위원소 연대 측정에 의하면 약2,780y BP. ~ 50,000y BP.에 퇴적되었다. 규조군집 분석에 의해 JB13A 코어퇴적물은 퇴적될 당시 범람원으로 인한 배후습지였으나 최후빙기 최성기동안침식콕이 발달하여 건조한 육지환경이 되었다가 기후가 온난해지면서 간헐적으로 건조한 습지 환경으로 변화하였다. Sediment samples of JB 13A core from Buryang-myeon, Gimje yielded 59 freshwater diatom species belonging to 22 genera. They enabled three diatom assemblage zones. Radiocarbon dates indicate that the studied section is approximately 2,780 to 50,000 yr BP. Diatom assemblages suggest that there were paleoenvironmental change in following ascending order; back marsh, eroded valley, terrestrial environment and back marsh or intermittent dry.