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- 저자 : 박상율 ( Sang Yool Park ) (검색결과 3 건)
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증례 : 신장 ; 관상동맥 성형술 시행한 환자에서 Clopidogrel과 관련된 용혈성 요독증후군
박시형 ( Si Hyung Park ),박진한 ( Jin Han Park ),박상율 ( Sang Yool Park ),이은지 ( Eun Ji Lee ),전현수 ( Hyun Soo Jun ),김영훈 ( Yeong Hoon Kim ),김양욱 ( Yang Wook Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
Clopidogrel은 항혈소판제로 여러 임상영역에서 사용된다. 기존의 약제보다 부작용도 적어 안전하게 널리 쓸 수 있는 이 약제가 드물게는 이와 같은 심각한 합병증을 유발할 수 있다. 이에 우리는 이러한 합병증을 이해하고 주의 해야 한다. 저자들은 급성 관상동맥 증후군이 있었던 47세 남자 환자에서 이와 같은 합병증을 경험하였고, 약물 중단 및 치료적 혈장분리술 등으로 호전되었던 증례를 1예 경험하였기에 문헌고찰과 함께 보고하는 바이다. Thienopyridines are antiplatelet agents used in post-percutaneous coronary angioplasty patients and patients with acute coronary syndrome, stroke, and peripheral arterial disease. Ticlopidine has been shown to reduce the incidence of stent thrombosis, but it may also cause serious hematological side effects. Among the thienopyridines, clopidogrel is considered to be a safe alternative to ticlopidine because of its decreased incidence of hematological adverse effects. However, some hematological side effects can occur and may be fatal. In this case, a 47-year-old man complained of dyspnea and generalized edema. He had been taking clopidogrel after coronary angioplasty. His laboratory findings showed acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia, which were consistent with hemolytic uremic syndrome (HUS). After discontinuing clopidogrel and undergoing plasma exchange, he recovered fully. To our knowledge, this is the first reported case of clopidogrel-induced HUS in Korea. (Korean J Med 2011;80:S253-S257)
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증례 : 순환기 ; 자연 판막에서 발생한 Staphylococcus Lugdunensis에 의한 감염성 심내막염 1예
조환진 ( Hwan Jin Cho ),설상훈 ( Sang Hoon Seol ),박상율 ( Sang Yool Park ),전현수 ( Hyun Soo Jun ),김동기 ( Dong Kie Kim ),김두일 ( Doo Il Kim ),김동수 ( Dong Soo Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2
S. lugdunensis 감염성 심내막염은 국내에서 거의 보고가 없었고, 매우 드물지만 심한 합병증 및 높은 사망률을 보이는 질환이다. 저자들은 항생제 및 수술적 치료로 완치된 자연 판막에서 발생한 S. lugdunensis 감염성 심내막염 1예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. A 37-year-old woman presented to our hospital with a 1-month history of fever. She also complained of lower leg pain. Transthoracic echocardiography showed large vegetations on the mitral valve leaflets. Staphylococcus lugdunensis was isolated from blood cultures. She was diagnosed with infectious endocarditis due to S. lugdunensis and was treated with antibiotics and surgery. Infective endocarditis caused by S. lugdunensis can be invasive and often resembles endocarditis due to Staphylococcus aureus. Thus, whenever this organism is found in patients with endocarditis, early surgical treatment of the infected valve should be considered. (Korean J Med 2011;80:212-215)
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박상율,김현주,김모세,박진한,이영진,이순희 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-
Superior mesenteric artery (SMA) syndrome is a rare entity characterized by external compression of the third portion of the duodenum by the SMA, resulting in proximal duodenal obstruction. SMA syndrome is manifesting with nausea, anorexia, epigastric pain, bilious vomiting, and postprandial discomfort severe weight loss in catabolic states, external and intra-abdominal compression, mesenteric tension or postoperative states can lead to SMA syndrome. A 36-year-old man developed sudden-onset epigastric pain, bilious vomiting. He was diagnosed with hyperthyroidism 8 months ago and he was treated with antithyroid drugs for 6 months, but he stopped taking the medicine 2 months ago. Abdominal computed tomography revealed typical findings of SMA syndrome. His symptoms subsided shortly after treatment of hyperthyroidism including antithyroid drugs, beta blocker therapy. Then he took radio-iodine treatment. He has taken synthyroid as hypothyroidism after radio-iodine therapy and maintained euthyroid state.
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