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위선암에 병발된 미세맥관 용혈성 빈혈의 2 가지 유형 - 임상특징 , 치료 및 예후 -
양철우(Chul Woo Yang),강혜정(Hae Chung Kang),문한림(Han Lim Moon),박종원(Chong Won Park),김훈교(Hoon Kyo Kim),김호연(Ho Youn Kim),김춘추(Choon Choo Kim),이경식(Kyung Shik Lee),김동집(Dong Jip Kim) 대한내과학회 1989 대한내과학회지 Vol.37 No.6
N/A Microangiopathic hemolytic anemia (MAHA) is char-acterized by schizocytes, intravascular hemolysis and in some instances, thrombocytopenia and coagulation factor deficiencies. Of many cases of cancer related MAHA reported, gastric adenocarcinoma is most frequently related. We found 10 cases of MAHA in gastric adenocarcinoma and analysed their clinical features, therapy and response, and prognosis, and then classified them into two groups. The results are as follows: 1) Cancer related A1AHA could be classified into two groups according to their clinical manifestations: pure MAHA (Group 1:7 cases), and a syndrome of MAHA, renal insufficiency and pulmonary edema (Croup II: 3 cases). 2) Croup I patients showed bane marrow metastasis (Stage IV), no previous chemotherapy (except 2 cases) and consumption coagulopathy in 2 cases. In contrast. Group II patients showed no bone marrow metastasis, but all had previous chemotherapy, especially mitomycin-C, and no evidence of disseminated intravascular coagulation. 3) Therapeutic approaches were directed to reduce tumor burden and immune complexes. In Group I, single or combination chemotherapy reduced the hemolytic event in peripheral blood, but most patients expired due to progression of cancer. In Group II, treatments with plasmapheresis and high dose steroid were tried, but the response was poor and all patients expired due to complications (bleeding, ARDS and uremia) within I month after detection of MAHA.
박두호(Doo Ho Park),최상욱(Sang wook Choi),강혜정(Hae Chung Kang),양영상(Young Sang Yang),임근우(Keun Woo Lim),김재성(Jae Sung Kim),서은주(Eun Joo Seo) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
Heterotopic calcification and ossification are a well recognized but uncommon sequelae of abdomi- nal trauma. This condition may lead to discomfort and cause alarm, confusion and mistaken diagnosis; it may mimic a foreign body sensation. Its recognition, diagnosis and treatment, therefore, warrant emphasis. Two cases of heterotopic bone formations in abdominal scars were reported in Korea. We experi- enced a case who had had external trauma on abdomen 20 years before. After decades due to abdominal discomfort, pain and palpable mass the patient went through clinical evaluation and laparotomy was performed. The diagnosis of heterotopic calcification with bone formation was made. We present this case with a review of relevant literatures.