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박지현 ( Park Ji Hyeon ),서호석 ( Seo Ho Seog ),서광원 ( Seo Gwang Won ),정인두 ( Jeong In Du ),정현철 ( Jeong Hyeon Cheol ),이종수 ( Lee Jong Su ),최승원 ( Choe Seung Won ) 대한내과학회 2003 대한내과학회지 증례 특집호 65-5 부록3 Vol.0 No.-
We describe two cases of SAPHO syndrome with history of palmoplantar pustulosis and pain on the anterior chest wall and lower back area. The acronym SAPHO (synovitis, acne, pustulosis, hyperostosis and osteitis) syndrome includes a group of disorders char
김형훈 ( Kim Hyeong Hun ),이득표 ( Lee Deug Pyo ),서호석 ( Seo Ho Seog ),이미우 ( Lee Mi U ),최지호 ( Choe Ji Ho ),문기찬 ( Mun Gi Chan ),고재경 ( Go Jae Gyeong ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.10
The lesions of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands clinically resembled those of Sweet`s syndrome and showed similar histologic evidence of a dense dermal neutrophilic infiltrate. We, herein, present a case of neutrophilic dermatosis of the dorsal hands in a 70-year-old woman with bacterial endocarditis. The patient presented with hemorrhagic pustular blisters on the dorsal hands. Histopathologic findings were pseudoepitheliomatous hyperplasia, intraepidermal pustules, histiocytic infiltration and a few perivascular neutrophilic infiltrations. The skin lesion improved spontaneously.(Korean J Dermaton 2003;41(10) : 1351~1353)
정영일 ( Jeong Yeong Il ),이해웅 ( Lee Hae Ung ),장성은 ( Jang Seong Eun ),이미우 ( Lee Mi U ),최지호 ( Choe Ji Ho ),문기찬 ( Mun Gi Chan ),고재경 ( Go Jae Gyeong ),서호석 ( Seo Ho Seog ) 대한피부과학회 2004 대한피부과학회지 Vol.42 No.2
Prurigo pigmentosa is a rare inflammatory dermatosis of unknown etiology characterized by recurrent, pruritic, erythematous papules with gross reticulate hyperpigmentation. The cause of prurigo pigmentosa is unknown. Exogenous factors, fasting, dieting, ketosis, diabetes mellitus and pregnancy have been reported to be associated with prurigo pigmentosa. We now present two cases of prurigo pigmentosa associated with dieting. These findings suggest that the ketosis produced by dieting may well contribute to the pathogenesis of prurigo pigmentosa. (Korean J Dermatol 2004;42(2):177~180)
홍진화 ( Hong Jin Hwa ),송승훈 ( Song Seung Hun ),이재관 ( Lee Jae Gwan ),오민정 ( O Min Jeong ),서호석 ( Seo Ho Seog ),박용균 ( Park Yong Gyun ),허준용 ( Heo Jun Yong ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.3
목적 : 증상을 동반하는 자궁 근종의 치료로서 자궁 동맥 색전술의 치료 효과에 대해 알아보고자 한다. 연구 방법 : 2000년 1월부터 2002년 3월까지 자궁 근종으로 진단 받은 40명의 환자들을 대상으로 본 시술을 시행하였다. 시술 후 1개월, 2개월, 3개월, 6개월, 12개월마다 외래 추적 검사를 실시하였다. 추적 검사 기간 중에 자궁 근종의 용적, 혈청 헤모글로빈 수치, 월경 지수 등을 측정하였다. 결과 : 환자들의 주 증상은 월경 과다(85%), 월경통 (35%), 골반통 (10%)이었고, 대부분의 환자들은 시술 3개월 후에 증상의 호전을 보고하였다. 또한 혈청 헤모글로빈의 수치와 생리 지수의 변화는 환자의 증상의 호전과 유의한 상관관계를 나타내었다. 그리고 자궁 근종의 용적도 1개월 후 40%, 3개월 후 56%, 6개월 후 71%, 12개월 후 72%의 감소를 보였다. 결론 : 자궁 근종의 치료 방법으로서 자궁 동맥 색전술은 최소 침습적이면서도 효과적인 치료법이라고 생각된다. Objective : To evaluate the role of uterine artery embolization as treatment for symptomatic uterine leiomyoma. Methods : From January 2000 to March 2002, 40 consecutive patients (mean age, 42.5 years; range, 27-53 years) underwent uterine artery embolization for the treatment of uterine leiomyomas. After a nonselective pelvic arteriogram was obtained, bilateral embolization was performed in each case. After discharge from the hospital, the patients were followed up at regular intervals (at 1st, 2nd, 3rd months, at 6th months, at 12 months and annually thereafter). The mean duration of follow-up was 11.5 months (range; 2-30 months). During the follow-up period, consecutive myoma volume, serum hemoglobin, menstrual index (MI) were checked. All patients were contacted by telephone to confirm any change in their symptoms after the embolization and were questioned regarding their satisfaction with the procedure. Results : A total of 40 patients were treated successfully. Initially, the presenting symptoms of the participants were menorrhagia (34.40, 85%), dysmenorrhea (14/40, 35%) and bulk symptoms (4/40, 10%). Most patients had improvement in symptoms by 3 months after the procedure and patient satisfaction paralleled the symptom change. Of 34 patients who initially presented menorrhagia, 28 patients checked their own serum hemoglobin levels and recorded MI regularly. The patterns of change of serum hemoglobin levels and MI during follow-up period were statistically correlated with their symptom changes. And the mean dominant myoma volume was reduced by 40% after 1 month, by 56% after 3 months, by 71% after 6 months and by 72% after 12 months (ANOVA, SAS 8.0, p<.0007). Conclusion : We conclude that uterine artery embolization for leiomyoma is minimally invasive and effective method of treatment. Most patients report improved symptoms and satisfaction with the outcome from treatment.