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알코올성 간경변 환자에서 다량의 복수로 발현된 막증식성 사구체신염의 양상을 동반한 IgA 신병증
송선옥 ( Sun Ok Song ),이승원 ( Seung Won Lee ),이희우 ( Hee Woo Lee ),강버들 ( Beo Deul Kang ),동시헌 ( Shi Heon Dong ),최자성 ( Ja Sung Choi ),송지선 ( Ji Sun Dong ),윤수영 ( Soo Young Yoon ),이상철 ( Sang Choel Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.2
IgA nephropathy can occur commonly in alcoholic liver cirrhosis and is the most common form of secondary IgA nephropathy. Defective clearance of IgA-containing complexes by liver is thought to contribute to the development of IgA nephropathy in alcoholic cirrhosis. Although IgA deposition is found up to 64% in autopsy cases of alcoholic cirrhosis, most patients have mild clinical symptoms, and nephrotic range proteinuria occurs rarely in these patients. We report a case of IgA nephropathy with a membranoproliferative pattern that is detected with unusual massive ascites in a patient with alcoholic liver disease. A 60-year-old male patient was referred to our hospital for evaluation and management of abdominal distension. Abdominal ultrasonographic findings were compatible with diffuse liver cirrhosis with splenomegaly and large amount of ascites. He had nephrotic range proteinuria, azotemia, hyperlipidemia, and hematuria in dipstick. Renal biopsy performed under the impression of acute nephritis revealed mesangial and endocapillary proliferative glomerulonephritis with double contour of capillary loop. Immunofluorescence findings showed mesangial IgA and C3 deposit, compatible with IgA nephropathy. He was treated with high dose steroid, and steroid was tapered during 2 months. Steroid treatment induced complete remission state, and ascites was resolved.
고양순(Yang Soon Ko),홍민(Min Hong),차동수(Dong Soo Cha),한혁동(Hyuck Dong Han),이영심(Young Sim Lee),김영주(Young Ju Kim),송지선(Ji Sun Song),정순희(Soon Hee Jung) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
Uterine myomas are the most common benign tumor of the female genitalia tract. Traditional therapy for symptomatic fibroids has been either myomectomy or hysterectomy, depending on whether further fertility is desired. Myomectomy is a surgical alternative, it is associated with greater morbidity and a higher blood transfusion rate. Arterial embolization of myomas is non surgical treatment option, is cheaper than myomectomy, permits preservation of reproductive potential, may be associated with less morbidity than myomectomy, and may not cause adhesions which could compromise fertility. A promised new alternative therapy-embolization of the uterine arteries is now available. A 26 year-old woman was diagnosed as submucosal uterine fibroid by ultrasonogram. We have recognized uterine arterial embolization is an effective therapy in the management of symptomatic myomas. Now we report vaginal passing of uterine fibroid after uterine arterial embolization.
자궁근종의 경피적 혈관색전술 후 경험한 자궁근종괴사 1 예
홍민(Min Hong),김일한(Ill Han Kim),한혁동(Hyuck Dong Han),김영주(Young Ju Kim),송지선(Ji Sun Song),조미연(Mee Yon Cho) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.2
Uterine fibroids are the most common benign tumor of the female genital tract. Traditional therapy for symptomatic fibroids has been either myomectomy or hysterectony, depending on whether futhur fertility is desire. A promised new altermative therapy-embolization of the uterine arteries- is now available. A 29 year-old woman was diagnosed of uterine fibroid by ultrasonogram and other techniques. We have experienced one case of uterine fibroid necrosis after transarterial embolization. Now we report a case of uterine artery embolization for treattement of uterine fibriods with a brief review.