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권태근 ( Tae Geun Gweon ),임철현 ( Chul Hyun Lim ),변성욱 ( Seoug Wook Byeon ),백명기 ( Myong Ki Baeg ),이종율 ( Jong Yul Lee ),문성진 ( Sung Jin Moon ),김진수 ( Jin Su Kim ),최명규 ( Myung Gyu Choi ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.6
Celiac disease is a chronic absorptive disorder of the small intestine caused by gluten. The prevalence rate of celiac disease is 1% in Western countries. But, it is rare in Asian countries, and there is no celiac disease reported in Korea. Here, we report a case of celiac disease. An 36-years-old woman complained non-specific abdominal pain and diarrhea. She had anemia and was taking medication for osteoporosis. Colonoscopy showed no abnormality except shallow ulcer at the terminal ileum. Gastroduodenoscopy showed micronodularity at the duodenum 2nd and 3rd portion. Capsule endoscopy and enteroscopy showed villous atrophy and blunting of villi from the duodenum. Small intestinal pathology showed villous atrophy with lymphocyte infiltration. After gluten free diet, diarrhea, abdominal pain, anemia and osteoporosis were improved. And, she felt well-beingsensation. This is a first case of celiac disease in Korea.
전신홍반루푸스에서 단백 C와 단백 S 결핍증과 동반된 대동맥 혈전증
송준호 ( Jun Ho Song ),권태근 ( Tae Geun Gweon ),민준기 ( Jun Ki Min ) 대한류마티스학회 2009 대한류마티스학회지 Vol.16 No.4
Thrombosis is a well known manifestation in patients with systemic lupus erythematosus, along with lupus anticoagulant, anticardiolipin antibody and anti β2-glycoprotein I. We describe here a 44-year-old female with an abdominal aorta thrombosis of SLE and the patient had no antiphospholipid antibodies. She had this unusual site of thrombosis and this was associated with protein C and S deficiency. She had no other cause of thrombosis. After anticoagulant treatment, her thrombosis of the abdominal aorta resolved.
증례 : 순환기 ; 우관상동맥에서 기원하는 영양혈관을 갖는 거대 좌심방 점액종 1예
김혜강 ( Hye Kang Kim ),이동현 ( Dong Hyeon Lee ),권태근 ( Tae Geun Gweon ),송미애 ( Mi Ae Song ),백명기 ( Myong Ki Baeg ),김정호 ( Jeong Ho Kim ),전희경 ( Hui Kyung Jeon ) 대한내과학회 2010 대한내과학회지 Vol.78 No.1
심방 점액종은 심방 중격에서 발생하여 좌심방 혹은 우심 방으로 천천히 점진적으로 커지며, 대부분은 좌회선 관상동맥에서 혈관 공급이 이루어지나 우관상동맥에서의 혈관공급은 드문 일차성 양성 종양이다. 본 증례에서 저자들은 경·중등도의 호흡곤란을 주소로 내원한 여자 환자에서 관상동맥조영술을 통해 진단된 우관상동맥에서 기시한 거대 심장 종양의 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A 55-year-old woman was referred to our hospital with a 6-month history of dyspnea (NYHA II-III). The physical examination revealed a grade 2/6 "tumor plop," i.e., a low-pitched sound heard during early or mid-diastole. The chest X-ray showed mild cardiomegaly with lung congestion in both lower lung fields. Two-dimensional echocardiogram showed a large myocardial mass, prolapsing into the left ventricle during diastole. Chest computed tomography showed a multi-lobulated mass (6.8×4.1 cm) attached to the interatrial septum during systole and prolapsing into the left ventricle during diastole. Coronary angiography demonstrated large tumor vessels arising from and surrounding the posterior lateral branch of the right coronary artery. The mass was excised and the patient recovered uneventfully. (Korean J Med 78:104-108, 2010)