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증례 : 혈액종양 ; T 세포 림프종 환자에서 발생한 신경림프종증 1예
박석영 ( Suk Young Park ),박지찬 ( Ji Chan Park ),이연수 ( Yeon Su Lee ),성필수 ( Pil Soo Sung ),정모은 ( Mo Eun Jung ),전병연 ( Byoung Yun Jun ),박하욱 ( Ha Wook Park ) 대한내과학회 2010 대한내과학회지 Vol.79 No.6
신경림프종증은 림프종 세포가 뇌신경을 포함한 말초 신경계를 침범하는 드문 질환이다. 신경림프종증은 최근 영상의학적인 방법을 통하여 진단율이 높아지고는 있으나, 진단이 지연되는 경우가 흔하다. 저자들은 T 세포 림프종 치료도중 수근 하수 증상이 나타난 신경림프종증 환자의 증례를 문헌고찰과 함께 보고하는 바이다. Neurolymphomatosis, defined as a selective infiltration of lymphoma cells into cranial nerves, peripheral nerves and nerve roots, is a rarely recognized manifestation of lymphoma. Its characteristic symptoms are often overlooked or mistaken for other conditions, such as a peripheral polyneuropathy, due to chemotherapeutic agents or clinical findings of metastatic lesions in the central nervous system. Recently, neurolymphomatosis has been increasingly recognized using magnetic resonance imaging and positron emission tomography-computed tomography. We present a case of neurolymphomatosis manifesting as peripheral mononeuropathy in a patient with T-cell non-Hodgkin`s lymphoma. (Korean J Med 79:714-719, 2010)
충청지역에서 발생한 Rickettsia 감염 40 예에 대한 임상적고찰
이종민(Jong Min Lee),강진형(Jin Hyoung Kang),박석영(Suk Young Park),김석영(Suk Young Kim),박준철(Jun Chul Park),임계순(Kae Soon Im),백남종(Nam Jong Baeg),김영우(Young Woo Kim),정희영(Hee Young Chung),주용구(Young Kyu Chu),이호왕(Ho W 대한내과학회 1988 대한내과학회지 Vol.34 No.5
N/A In Korea, there has been an increasing concern on rickettsiosis as a possible cause of unknown febrile illness since Tsutsugamushi disease among Koreans were first reported m 1986. We experienced 40cases of rickettsiosis occuring in Choong-chung-do area during the period October-November, 1986. 30cases were confirmed as Tsutsugmushi disease by indirect immunofluorescent antibody test. 10cases were positive to Weil-Felix test but negative to indirect immunofluorescent antibody test. The clinical illness was chracferized by abrupt onset of fever, chill and skin rash. Lymphadenopathy, headache and myalgia were not uncommon. Eschar was also detected in several cases and intersitial pneumonitis, pulmonary edema were appeared in 3cases, In our study, Tsutsugamushi disease was an mild to moderate febrile illness of 2 to 3 weeks duration.
Virata 평가보드 장착용 VOVIDA SIP UA 코드 분석 및 제안
최숙영(Sook-young Choi),박석영(Suk-young Park),문승진(Seung-Jin Moon) 한국정보과학회 2002 한국정보과학회 학술발표논문집 Vol.29 No.2Ⅲ
VoIP기술은 기존의 음성서비스를 인터넷을 통하여 제공하고자 하는 기술로 기본적인 인터넷 전화 서비스에서부터 화상회의, 원격교육, 인터넷 콜 센터 등 최근 다양한 응용분야로 그 기술이 확대되어 가고 있다. 본 논문에서는 이러한 VoIP 기술의 적용을 위해 현재 MGCP를 사용하고 있는 Virata 평가보드를 SIP UA(User Agent)로 사용하여 간단한 인터넷 전화를 구현하는데 필요한 SIP 스택분석 및 효과적인 활용방안에 관해 논하였다. 이를 위해 VOVIDA사의 VOCAL(Vovida Open Communication Application Library) 오픈 프로젝트 중 SIP UA 부분을 분석하였으며, 이를 기반으로 분석된 소스를 평가보드에 효과적으로 탑재하고 활용하는 방안을 제안하였다.
Megestrol Acetate와 관련된 이차성 부신기능저하증의 폐암
박지찬 ( Ji Chan Park ),박석영 ( Suk Young Park ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.1
Loss of appetite is an important factor in the quality of life for advanced cancer patients. Megestrol acetate is used to stimulate appetite, but it can cause suppression of the pituitary adrenal axis due to the affinity of the glucocorticoid receptor. Adrenal insufficiency is a life threatening disorder if left, untreated, but the initial clinical symptoms of the patients are vague. Awareness of the glucocorticoid-like activity of megestrol acetate and its side effects are important for the diagnosis of adrenal insufficiency. We present a case of secondary adrenal insufficiency associated with megestrol acetate in a patient with lung cancer.
증례 : 혈액종양 ; 정신분열병 환자에서 암치료 후 발생한 베르니케 코르사코프 뇌병증 1예
박지찬 ( Ji Chan Park ),박석영 ( Suk Young Park ),김대원 ( Dae Won Kim ),김석환 ( Seok Hwan Kim ),김은혜 ( Eun Hye Kim ),이성진 ( Sung Jin Lee ),장수선 ( Su Sun Chang ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
지속적인 구토와 불균형 비경구 영양공급으로 인한 베르니케 코르사코프 뇌병증 환자가 전형적인 증상을 나타내었지만 정신병력과 암치료 병력 때문에 치료가 지연된 증례로, 이런 기왕력의 환자에게서 베르니케 뇌병증의 유발인자 어떤 것이라도 확인되면 베르니케 뇌병증을 반드시 의심하여 감별에 필요한 검사 등을 시행하고 약제를 미리 투여해 보는 것이 필요하다. We present a case of Wernicke-Korsak off encephalopathy due to prolonged vomiting and unbalanced nutrition in a patient with schizophrenia and esophageal and gastric cancer. The patient`s psychiatric illness and cancer treatment led to either psychiatric deterioration or brain metastasis, which delayed thiamine treatment. Owing to its high mortality and morbidity, Wernicke encephalopathy should be considered in any patient with confusion, gait disturbance, and nystagmus, especially if associated with malnutrition. This is particularly important in a patient with psychiatric illness or cancer in which the clinical history and symptoms may be similar and treatment may be delayed. (Korean J Med 77:S1289-S1292, 2009)
김부성(Boo Sung Kim),박석영(Suk Young Park),임계순(Kae Soon Im),김영우(Young Woo Kim),백남종(Nam Jong Baeg),박준철(Jun Chul Park),신호균(Ho Kyun shin),김석영(Suk Yong Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Adenomatous polyps of the stomach have a well-defined risk for malignancy. As lesions become increasingly seesile and of increasing size, the risk of cancer increases. Recently most peduncleated or small sessile polyps can be removed with an electrocautery snare during gastroscopy. But endos- copic removal of larger sessile polyps or those with abroad pedicle may cause severe bleeding, so such lesions should be removed surgically. We experienced a flat carpet type adenomatous polyp of the stomach. A'e did endoscopic Nd-YAG laser therapy without complications.
김부성(Boo Sung Kim),박석영(Suk Young Park),임계순(Kae Soon Im),김영우(Young Woo Kim),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),김석영(Suk Young Kim),박준철(Jun Chul Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
A palliative treatment technique for esophageal carcinoma using endoscopic Nd - YAG laser therapy is described in 10 patients for whom no curative therapy is possible. Tumors ranged in length frorn 5 to 9 cm with a mean 7.2 cm and luminal diameter ranged from 1 to 5 mm with a mean of 2 mm. The mean number of treatments required to remove obstruction was 5.9 (range 3-12) and the time required to archieve successful luminal opening ranged from 6 to 28 days (mean 13.1 days). The mean total energy required was 33601 Joules. In 10 of 11 cases of treatment, clinical, endoscopic, radiographic improvement was noted. One relapse of dyspnea was successfully managed by the same procedure. Tracheoesophageal fistula occurred in 1 of 11 cases of endoscopic laser therapy. The overall results show that the endoscopic laser therapy relieve dysphagia, the most frequent symptom, rapidly and effectively. Endoscopic laser therapy will be an important palliative treatment of esophageal carcinoma.
양종규,김성욱,백승철,김정원,박석영 ( Jong Kyu Yang,Sung Wook Kim,Seung Churl paik,Chung Won Kim,Suk Young Park ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.4
Angiocentric T-cell lymphoma is a subtype of peripheral T-cell lymphoma and histologically characterized by angiocentric and angioinvasive infiltration of lymphoid cells with varying degrees of cytological atypia, leading to angiodestruction. This disease represents the malignant end in the histological spectrum of angiocentric immunproliferative lesions. This malignancy is commonly a disease with considerable morbidity and is often fatal. However, primary cutaneous angiocentric T-cell lymphoma has a tendency to give a favorable prognosis. Epstein-Barr virus can be identified in involved tissue by immunostaining or by in situ hybridization and it is considered significant in the prognosis. We report a case of cutaneous angiocentric T-cell lymphoma, where the Epstein-Barr virus was identified within neoplastic cells. CVP(cyclophosphamide, vincristine, prednisone) chemotherapy was instigated and an initial complete remission was achieved. (Kor J Dermatol 1997;35(4): 772-777)