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급성신부전증과 간문맥 혈전증으로 발현한 미세변화신증후군 1예
권희선 ( Hee Sun Kwon ),신아영 ( Ah Young Shin ),이화영 ( Hwa Young Lee ),조성연 ( Sung Yeon Cho ),김민주 ( Min Ju Kim ),윤유선 ( Yu Seon Yun ),김현경 ( Hyun Gyung Kim ),김영수 ( Young Soo Kim ),최영진 ( Yeong Jin Choi ),김영옥 ( 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.4
Patients with the nephrotic syndrome are at risk of developing thromboembolic complications. Much evidence suggests that a hypercoagulable state exists in the setting of the nephrotic syndrome, but the exact mechanisms are poorly understood. The nephrotic syndrome associated with portal vein thrombosis is relatively uncommon. We experienced a case of minimal change nephrotic syndrome presented as portal vein thrombosis and acute renal failure. On renal biopsy, electron microscopic examination reveals diffuse foot process effacement. Treatment with corticosteroid and anticoagulation resulted in complete remission of proteinuria.
증례 : 혈액종양 ; 슬관절 전이로 인한 통증이 초기 증상으로 발현된 대장암 1예
조율희 ( Yul Hee Cho ),장민옥 ( Min Ok Jang ),권희선 ( Hee Seon Kwon ),고윤호 ( Yoon Ho Ko ),강진형 ( Jin Hyoung Kang ),홍영선 ( Young Seon Hong ),이명아 ( Myung Ah Lee ) 대한내과학회 2011 대한내과학회지 Vol.80 No.3
저자들은 슬관절의 전이로 인한 증상이 내원 당시의 첫 증상이 되어 진단된 직장암 1예를 경험하였기에 이를 문헌고찰과 더불어 보고하는 바이다. Knee pain is rarely an initial symptom of colon cancer, because most bone metastases develop in the late stage of cancer. Therefore, patients with colorectal cancer usually present with gastrointestinal symptoms. Recently, we experienced a 46-year-old female with rectal cancer that presented as knee pain due to tibial metastasis without other organ metastasis. She was evaluated for knee pain and diagnosed with a rectal cancer after biopsies of the tibial and rectal masses. We report the first such case in Korea with a review of the literature. (Korean J Med 2011;80:352-355)