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복막투석 환자에서 발생한 후천성 천공성 피부병의 성공적 치료 1예
김희서 ( Hui Seo Kim ),이상희 ( Sanghee Lee ),이미지 ( Miji Lee ),주민숙 ( Mihnsook Jue ),이동영 ( Dong Young Lee ),문경협 ( Kyoung Hyub Moon ),김범 ( Beom Kim ) 대한내과학회 2020 대한내과학회지 Vol.95 No.3
Acquired perforating dermatosis (APD) triggers severe itching, and is observed most often in patients with diabetes mellitus (DM) and chronic kidney disease (CKD). Various treatments, such as topical steroids, topical and oral retinoids, allopurinol, and ultraviolet B (UVB) phototherapy, have been used. However, as the precise etiology is unknown, there are a lack of well-established treatment guidelines. We report a peritoneal dialysis patient with a diagnosis of APD who was resistant to topical steroids, phototherapy, allopurinol, and topical retinoids. Severe pruritus persisted, which compromised his ability to lead a normal life. As a final treatment option, we used oral isotretinoin and the patient experienced a dramatic improvement. (Korean J Med 2020;95:201-204)
겨울철 온도와 습도변화에 따른 철도차량 실내 PMV 측정 분석
소진섭(So Jin-Sub),유성연(Yoo Seong-Yeon),김희만(Kim Hui-Man),강성해(Kang Sung-Hae),김완종(Kim Wan-Jong),김윤수(Kim Yun-Su),김진규(Kim Jin-Kyu),서승석(Seo Seung-seok),윤차중(Yun Cha-Jung) 한국철도학회 2008 한국철도학회 학술발표대회논문집 Vol.- No.-
The indoor PMV(Predicted Mean Vote) in rolling stock is very important for the enhancement of the amenity and health of passengers. Many researchers have studied it not for train but for building. Thermal comfort in Rolling Stock is function of temperature, relative humidity, air current, radiation temperature, etc. So, in this study, we have performed thermal environment in rolling stock(Electric motor car, Saemaeul, Mugunghwa train), and verified the relation between the PMV from Nov.2007 and Feb.2008. As a result, the average PMV value for each trains are 0.2, -0.3 Electric motor car, 0.5, 0.1, 0.1, 1.1 for Mugunghwa, 0.3, 0.5 for Saemaeul.
이상희 ( Sang Hee Lee ),이동영 ( Dong-young Lee ),문경협 ( Kyoung Hyoub Moon ),김현정 ( Hyeon Jeong Kim ),이미지 ( Mi-ji Lee ),김희서 ( Hui Seo Kim ),김범 ( Beom Kim ) 대한내과학회 2019 대한내과학회지 Vol.94 No.6
Atraumatic splenic rupture (ASR) in a patient undergoing peritoneal dialysis (PD) is uncommon, but can be life-threatening. According to recent systematic reviews, the major causes of ASR are 1) neoplastic (30.3%), 2) infectious (27.3%), 3) non-in-fectious inflammatory (20.0%), 4) iatrogenic (9.2%), 5) mechanical (6.8%), and 6) idiopathic (6.4%). It is diagnosed by imaging studies, most commonly ultrasonography and computed tomography (CT). Due to its rarity, the early diagnosis of ASR is difficult, and no standard treatment has been described. Here, we report a case of idiopathic ASR in a patient undergoing PD. The diagnosis was established by abdominal CT scan, and splenectomy was performed. Thus, hemoperitoneum in a PD patient should raise suspi-cion of ASR. Early diagnosis and appropriate treatment will lead to a better outcome. (Korean J Med 2019;94:526-529)