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김태협,이정혜,안정현,우경인,서연림,김윤덕,Tae Hyup Kim,Jung Hye Lee,Jung Hyun Ahn,Kyung In Woo,Yeon Lim Suh,Yoon Duck Kim 대한안과학회 2013 대한안과학회지 Vol.54 No.4
Purpose: Eccrine ductal carcinoma is an extremely rare tumor that arises in the eccrine sweat glands. The authors of the present study describe a case of an eyelid mass diagnosed as eccrine ductal carcinoma. Case summary: A 74-year-old woman visited our institute with a 3-month history of a mass in the left medial canthus. The lesion appeared as a solitary nodule with central ulceration. A magnetic resonance imaging (MRI) of the orbit showed a relatively well enhanced 0.8 cm x 0.8 cm-sized ovoid soft tissue mass. A mass excision was performed under frozen section control. The tumor was completely excised with margin clearance and medial canthal reconstruction was performed. Histopathological examination revealed a tumor composed of numerous duct-like structures lined with pleomorphic cuboidal epithelium that was diagnosed as eccrine ductal carcinoma of the eyelid. Conclusions: This is the first description of eccrine ductal carcinoma in a patient in Korea. The possibility of the eccrine ductal carcinoma should be considered in the differential diagnosis in an elderly patient with an eyelid mass.
김태협,배지현,임동희,정의상,정태영,Tae Hyup Kim,MD,Ji Hyun Bae,MD,Dong Hui Lim,MD,Eui Sang Chung,MD,PhD,Tae Young Chung,MD,PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.4
Purpose: To report the first case of lattice corneal dystrophy, gelsolin type in Korea. Case summary: A 61-year-old man visited our clinic with severe dry eye symptom in both eyes. Clinical examination revealed in both eyes a visual acuity of 0.7 without correction and intraocular pressure of 18 mm Hg. On slit-lamp examination, both corneas had scattered lattice lines at various depths within the stroma with punctate epithelial erosions. The patient had characteristic features of Meretoja syndrome, including cranial neuropathy characterized by dermatochalasis and facial weakness, and was positive for the gelsolin mutation according to DNA analysis. This is the first description of a patient with lattice corneal dystrophy, gelsolin type in Korea. Conclusions: This is the first description of a patient with lattice corneal dystrophy, gelsolin type in Korea and demonstrates the importance of recognizing the systemic and ophthalmic features for appropriate management of the condition.
김태협(Kim Tae-Hyup),양동석(Yang Dong-Suk),박선규(Park Sun-Kyu),김형열(Kim Hyeong-Yeol),정연주(Jeong Youn-Ju) 한국구조물진단유지관리학회 2005 한국구조물진단학회 학술발표회논문집 Vol.9 No.2
The use of high-strength and high-durability bridge decks in the highway bridge construction becomes very crucial to minimize the maintenance works during the service and to increase the sercice life of bridges. Steel-concrete composite bridge decks can offer low dead load, minimum maintenance, and long service life. Therefore this paper performed the tests to gain fundamental understanding of the material behavior, design and analysis techniques for the steel-concrete composite structures.
증례 : 소화기 ; 종격동 기종과 공기후복막증이 발현된 신경성 식욕부진 1예
김태협 ( Tae Hyup Kim ),최기돈 ( Kee Don Choi ),김민경 ( Min Kyung Kim ),김순주 ( Soon Joo Kim ),송호준 ( Ho June Song ),정훈용 ( Hwoon Yong Jung ),김진호 ( Jin Ho Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.3
신경성 식욕부진은 정신과적인 문제뿐만 아니라 여러 계통의 합병증을 유발한다. 월경이상, 혈액학적 이상, 간 기능 이상 등은 흔하게 알려져 있는 합병증이고, 원인은 정확히 알려지지는 않았으나, 신체 내 비정상적인 공기 축적을 보일 수 있는데, 종격동 기종, 피하 공기증, 공기후복막증 등이 나타날 수 있다. 이러한 합병증은 드물게 발생하는 것이라 소화기계의 천공 같은 다른 이차적인 문제는 없는지 확인해 보아야 할 것이다. 저자들은 이차적인 문제없이 신경성식욕부진과 병발된 종격동 기종, 공기후복막증, 피하공기증을 보인 환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Since anorexia nervosa is a multi-systemic disorder, as well as a psychiatric disorder, it needs a multidisciplinary approach. It causes many medical problems, including irregular menstruation, hematologic problems, decreased bone density, electrolyte imbalance, and dysrhythmias. Sometimes, this disorder also causes rare, unexpected complications, including abnormal air collections, such as pneumomediastinum, retropneumoperitoneum, or subcutaneous emphysema. The cause of these phenomena is unknown, although fragile parenchymal tissue that is disrupted easily when the local pressure is increased by coughing, vomiting, or defecation is a suggested cause. We experienced a case of anorexia nervosa complicated with abnormal air collections. After we excluded other possible causes, such as perforation of the gastrointestinal tract, and ordered the patient to undergo a short fast and inhale oxygen, the abnormal air collections resolved. We report this case because of its rarity and benign course. (Korean J Med 76:338-342, 2009)
김태협 ( Kim Tae-hyup ),양동석 ( Yang Dong-suk ),박선규 ( Park Sun-kyu ),김형열 ( Kim Hyeong-yeol ),정연주 ( Jeong Youn-ju ) 한국구조물진단유지관리공학회 2005 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.9 No.2
The use of high-strength and high-durability bridge decks in the highway bridge construction becomes very crucial to minimize the maintenance works during the service and to increase the sercice life of bridges. Steel-concrete composite bridge decks can offer low dead load, minimum maintenance, and long service life. Therefore this paper performed the tests to gain fundamental understanding of the material behavior, design and analysis techniques for the steel-concrete composite structures.
김태협(Kim Tae Hyup),김광수(Kim Kwang Soo),박준명(Park Jun Myung),양동석(Yang Dong Suk),박선규(Park Sun Kyu),김형열(Kim Hyeong Yeol) 한국철도학회 2006 한국철도학회 학술발표대회논문집 Vol.- No.-
Composite steel-concrete structures are used widely in modern bridge and building construction. This paper deals with a steel-concrete composite bridge deck with perfobond rib shear connectors. For a prototype of steel-box-girder bridge, a deck with profiled sheeting and perfobond ribs was designed. To validate the effectiveness of the proposed deck system, eight composite deck flexural specimens and two RC specimens were tested under a static monotonic loading. Moreover, a full scale mock-up was conducted to make a comparative study of simplify supported composite deck.
내시경 유두괄약근 절개술과 큰 풍선 유두 확장술을 병행한 담관결석의 치료
김민경 ( Min Kyung Kim ),김명환 ( Myung Hwan Kim ),이태윤 ( Tae Yoon Lee ),오형철 ( Hyoung Chul Oh ),권승현 ( Seung Hyun Kwon ),한정혜 ( Jeung Hye Han ),최형오 ( Hyung Oh Choi ),박수정 ( Soo Jung Park ),김태협 ( Tae Hyup Kim ) 대한내과학회 2007 대한내과학회지 Vol.73 No.5
목적: 내시경 유두괄약근 절개술(endoscopic sphincterotomy, EST)은 담관결석의 제거를 위해 가장 빈번하게 시행되지만, 시술과 연관된 출혈, 급성 췌장염 혹은 담낭염의 발생, 천공 등의 위험 때문에 시술에 제약이 따른다. 저자 등은 최근 EST만으로 총담관결석의 제거가 어려웠던 환자들을 대상으로 EST와 큰 풍선을 이용한 내시경 유두 확장술(endoscopic papillary large balloon dilation, EPLBD)을 병행하는 치료의 유용성을 알아보고자 하였다. 방법: 2005년 3월부터 2006년 9월까지 담관결석의 제거를 위해 EST를 시행하거나(21명) 혹은 이전에 이미 시행되었던 환자들(14명) 중에서 12~18 mm 직경의 EPLBD를 병행한 35명의 환자를 대상으로 하였다. 결과: 환자들의 평균 연령은 66.91±12.65 (범위: 29~86)세였고, 남녀 비는 11:24로 여자가 많았다. 총담관결석의 수는 1개이었던 경우가 10예(28.6%)였고, 2~5개인 경우가 19예(54.3%), 6~9개인 경우가 2예(5.7%), 10개 이상의 다발성인 경우도 4예(11.4%)있었다. 결석의 평균 최대 직경은 26.11±8.88 (범위: 12~50) mm였다. 결석의 완전 제거는 31예(88.6%)에서 가능하였고, 결석의 제거에 실패한 4예 중 3예는 경피경간 경로를 통한 담관내시경(percutaneous transhepatic choledochoscopy)을 이용하여 제거하였으며 나머지 1예는 체외 충격파 쇄석술 시행 후 내시경으로 다시 결석을 제거하였다. 시술 후 급성췌장염이 생긴 경우는 없었고, 1예(2.8%)에서 천공이 발생하였으나 금식과 항생제 치료 등의 대증적인 치료로 호전되었다. 이외 시술과 연관된 출혈이나 사망은 한 예도 없었다. 유두 주위 게실을 동반한 환자 9명(25.7%)에서도 안전하게 시행할 수 있었고, 이전에 이미 EST를 시행하였던 14명(40.0%)의 환자들도 안전하게 시행할 수 있었다. 결론: EST와 EPLBD를 병행한 총담관결석의 제거는 비교적 안전하고 효과적이어서, 기존의 EST만으로 총담관결석의 제거가 어려웠던 경우에 EST의 대체 치료법으로 기대되나 주의 깊은 시술 및 적절한 적응대상의 선택이 중요하다. Background: The combined use of small endoscopic sphincterotomy (EST) followed by endoscopic papillary large balloon dilation (EPLBD) might be associated with a lower incidence of procedure-related complications such as pancreatitis, bleeding or perforation, compared to the use of EPLBD or a large EST alone. The aim of this retrospective study was to evaluate the utility of a combined EST and EPLBD method for the removal of common bile duct (CBD) stones that could not be extracted by use of an EST and conventional techniques. Methods: Between March 2005 and September 2006, a total of 35 patients with CBD stones were enrolled. Fourteen patients had received a previous EST, and 21 patients underwent an EST. The sphincterotomy site was then dilated with a 12~18 mm diameter balloon. Results: The average number of stones was 3.6±2.9 (range: 110). The average maximum stone diameter was 26.11±8.88 mm (range: 12~50 mm). Complete stone removal was accomplished in 31 patients (88.6%). In 9 patients (25.7%), a mechanical lithotripsy was required. No episode of true pancreatitis occurred. A procedure-related perforation occurred in one patient (2.8%) and the patient was treated with NPO and antibiotics. No procedure-related bleeding or mortality was observed. The procedure was performed safely in 9 patients (25.7%) with a periampullary diverticulum and in 14 patients (40.0%) with a previous EST. Conclusions: Combined EST and EPLBD may be a safe and effective method, and may be a good alternative treatment for removing CBD stones that cannot be extracted by an EST and conventional techniques. However, prospective studies based on a large number of patients are needed.(Korean J Med 73:474-480, 2007)