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항이뇨 호르몬 부적절분비증을 동반한 급성 간헐성 포르피리아증 1례
홍세용,김선주,송병상 순천향대학교 1985 논문집 Vol.8 No.2
A case of acute intermittent porphyria(AIP) with syndrome of inappropriate secretion of antidiuretic hormone(SIADH) is presented. A 28-year-old woman was admitted because of abdominal pain and mental confusion. Discoloration of urine in light was found. AIP was diagnosed with Watson-Schwartz test and quantitative assay of δ-aminolevulinic acid and porphobilinogen on 24 hours collected urine. SIADH was made by hyponatremia, high urinary sodium excretion and higher urinary osmolality than that of plasma. Despite of proper treatment, intermittent mental confusion was continued and on the 5th hospital day respiratory paralysis was developed and then progressed. The patient died on the 13th hospital day.
송병상,현창옥 순천향대학교 1986 논문집 Vol.9 No.3
The diagnosis of cerebellar hemorrhage is very difficult to establish on a clinical basis alone. Fortunately, the development of computed tomography made the rapid diagnostic assessment and prognostic evaluation. Cerebellar hemorrhage is one of the most fatal diseases and surgical treatment is recommended immediately even in mild case. There are some papers that benign cerebellar hemorrhage less than 3cm in diameter can be treated without any operative procedure. We experienced three cases of acute hypertensive cerebellar hemorrhage larger than 3cm in diameter which was responded with midical therapy. The possibility of medical therapy for cerebellar hemorrhage must be considered.
충남지역에서 발생한 렙토스피라병 18예에 대한 임상적 고찰
김정목,송병상,현창옥,홍세용,유혜경,김선주,박승철 대한감염학회 1987 감염 Vol.19 No.1
Leptospirosis is an acute generalized infections disease characterized by extensive vasculitis, caused by spirochetes of the genus Leptospira. In Korea, yet only few confirmed cases have been reported. We experienced the 18 patients who were diagnosed as leptospirosis clinically and serologically and described the clinical and laboratory findings. Fever was the most common symptom followed by chill, myalgia, headache, cough and sputum. Conjunctival injection, rash, hypotension were observed in 44.4%, 27.8%, 22.2% of the patients, respectively. Anemia was noted in 38.9%, leukocytosis in 22.2%, thrombocytopenia in 38.9%, Urinalysis findings were hematuria(11%), pyuria(17%), proteinuria(28%), and azotemia was found in 3(17%). 12 patients(66.7%) had elevated transaminase, while jaundice was found in 2(11%).