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D - Penicillamine에 의한 담즙 정체성 황달
이준상(Joon Sang Lee),백옥지(Ok Ji Paik),김한성(Han Sung Kim),박성수(Sung Su Park),한경근(Kyung Keun Han),박양훈(Yang Hun Park),제영성(Yeong Sung Jae),박욱화(Wook Hwa Park) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.4
Since 1966, D-Penicillamine has been used in the management of scleroderma. However, its therapeutic usefulness has been limited by a high incidence of a variety of adverse reactions. Cholestatic jaundice secondary to D-Penicillamine administratiori has been reported infrequently. We have experierced a case of acute chotestatic jaundice in a patient with scleroderma treated with D- Fenicillamine. We have encountered a patients who recovered from this complication whn D Penicillamine therapy was withdrawn. Literature was re!iewed briefly.
이준상(Joon Sang Lee),강종식(Jong Sik Kang),신윤원(Youn Won Shin),문중갑(Joong Kab Moon),이형룡(Heung Ryeong Lee),백옥지(Ok Ji Paik) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
A 68-year-old womam, adrnitted with hemoperitoneum due to leiomyoma rupture of the ileum, required emergency operation. After a successful resection for the tumor, the patient was discharged with normal blood values and she has remained we]l. We should consider small bowel tumors in the evidence of chronic or repeated bouts of acute intestinal bleeding in the face of negative conventional X-rays and freedom from symtoms except those due to bleeding. The rarity of this case is emphasized and the literature reviewed.
악성화및 간전이를 동반한 Peutz-Jeghers 증후군
서보정(Bo Jeong Seo),이복근(Bok Geun Lee),박양훈(Yang Hun Park),권기호(Ki Ho Kwon),김영묵(Young Mook Kim),이충원(Choong Won Lee),이동윤(dong Yoon Lee),이준상(Joon Sang Lee),백옥지(Ok Ji Paik) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
The Peutz-Jeghers syndrome, characterized by pigmentation of the skin and mucous membranes and gastrointestinal polyposis of harmatomatous variety, has been well docu- mented, there have been conflicting view, however, as to frequency with which malignant change occurs in the polyp. There are insufficient data to establish this syndrome as a precancerous condition but documented cases of gastrointestinal cancer arising in this syndrome have been reported with an incidence of 2 3%. This report is concerned with our experience with a case of Peutz Jeghers syndrome with adenocarcinoma as arising in colonic polyps, which metastasized to omentum and regional lymph nodes and liver. Histologically the polyps were mostly harmatomatous and one was transformed into adenocarcinoma and liver showsed adenocarcinoma in the metastatic sites.(Korea J Gastro- enterol 1994;26:363-368)
김경환,이준상,김종현,황순철,서보정,백옥지,이복근 대한소화기학회 1992 대한소화기학회지 Vol.24 No.6
Biliary cystadenoma and cystadenocarcinoma are rare neoplasm of the biliary ductal system. Clinical symptom is not marked, so these tumors are found accidentally. The ultrasonogram, abdomnal CT scan, angiography and aspiration cytology are valuable dignostic methods. The typical ultrasonographic appearance is a large intrahepatic globular or ovoid cystic mass which often contains multiple septa and solid portion. The characteristic CT finding of these are multiloculated cystic mass, thick septa with papillary projection and solid portion. Because biliary cystadenocarcinoma is believed to arise from benign cystadenoma, complete surgical resection of cystadenoma is warranted to avoid malignant change of this tumor. We report one case of biliary cystadenocarcinoma which arised from cystadenoma and a brief review of literature was made.
김재하,이준상,강종식,황순철,최호정,백옥지,전건웅,신윤원,오용식 대한내과학회 1988 대한내과학회지 Vol.35 No.2
A 32-year-old sailor was studied who had a history of sexual intercourse with multiple heterosexual partners in foreign countries including Africa. We suspected that he had been infected by the Human Immunodeficiency Virus 2 years prior to our study. His wife tested positive and his two children tested negative for the Human T-cell Lymphotropic Virus type III antibody. We experienced the first Korean patient who was classified by the Center for Disease Control as having AIDS stage IV, and had candidal esophagitis, Kaposi`s sarcoma and bilateral retinitis but no generalized lymphadenopathy. We report this case with a review of the literature.