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류마티스관절염 환자에서 레플루노마이드 사용 중 발생한 크립토코쿠스 폐렴 1예
변창규,임상우,박준용,노미숙,이성원,정원태,이상엽 대한노인병학회 2014 Annals of geriatric medicine and research Vol.18 No.4
Leflunomide, a disease-modifying antirheumatic drug, is effective for rheumatoid arthritis as monotherapy or combination therapy with methotrexate. The most common adverse effects are diarrhea, dyspepsia, nausea, abdominal pain, oral ulcer, hepatotoxicity, skin rash, hypertension, weight loss, and interstitial lung disease. The occurrence of pulmonary cryptococcosis in leflunomide treatment has not been reported in Korea. A 74-year-old woman was admitted to hospital due to asymptomatic pulmonary nodule. She was diagnosed rheumatoid arthritis and treated with leflunomide 5 months ago due to treatment failure with methotrexate, hydroxychloroquine, and sulfasalazine. Chest radiograph and computed tomography showed solitary pulmonary nodule in her right lower lung. Pulmonary cryptococcosis was confirmed by needle biopsy of lung stained with Gomori methenamine silver and mucicarmine. The lesion was improved after antifungal therapy for 3 months.
변창규 한국분석과학회 2016 분석과학 Vol.29 No.5
The chemical engrafting of polymers on particle surface, plays an important role on selective partitioning of micro/nano-particles in the separated layers of liquid media, such as aqueous two phase systems (ATPSs). Three polymers, dextran, poly (ethylene glycol) and albumin were chosen and chemically conjugated to the polystyrene (PS) magnetic microparticle surface. The attachment of long-chained polymer chains which may switch the partition behavior, can be simply performed by SN2 substitution of various polymers having primary amine functional groups, with p-toluenesulfonyl (tosyl)-activated polystyrene magnetic micro-particles. The surface modification of microparticle was probed by infrared microscopy. The distinctive peak represents N-H stretching vibration mode for microparticles after the reaction and it is common for all three polymers examined. The locations of main peaks are similar for all micro-particles but different and distinguishable in fingerprint region.
Comparative Study of the Clinical Features and Treatment for Right and Left Colonic Diverticulitis
김석훈,변창규,차진우,최석호,고영택,서동엽 대한대장항문학회 2010 Annals of Coloproctolgy Vol.26 No.6
Purpose: Colonic diverticulitis is an uncommon disease in Korea, but the incidence of the disease is increasing. The right colon is the more preferred site for diverticulitis in Korea, but the incidence of left diverticulitis is increasing. Therefore,comparing the clinical features and treatments for right diverticulitis with those for left diverticulitis may help us to treat the disease more properly. Methods: This study was performed retrospectively by reviewing the medical records of 96 patients with colonic diverticulitis,in whom either conservative or operative treatments were performed. Results: Eighty-six patients had right diverticulitis (RD), and 10 patients had left diverticulitis (LD). The mean age of the patients was older for LD. Sixteen patients (18.6%) with RD had complications, and 7 patients (8.1%) underwent operations. On the other hand, 4 patients (40%) with LD had complications, and 3 patients (30%) underwent operations. The rates of complications and operations among old-aged patients were higher. The operations for 7 patients with RD who underwent surgery were 6 ileocecectomies and 1 diverticulectomy. On the other hand, the operations for the 3 patients with LD who underwent surgery were 2 resections and anastomoses and 1 diverticulectomy. The reasons for the operations were abscess formation, recurrence, perforation, and development of generalized peritonitis without response to conservative treatment. Conclusion: The incidence of LD is lower than that of RD in Korea, but the rate of complications and operations seems higher in LD. Therefore, patients who complain of left lower abdominal pain need to be thoroughly examined for LD.