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신봉철 ( Bong Chul Shin ),허내윤 ( Nae Yun Heo ),강미선 ( Mi Seon Kang ),이주원 ( Ju Won Lee ),박승현 ( Seung Hyun Park ),진규복 ( Kyu Bok Jin ),강준 ( Jun Kang ) 대한내과학회 2013 대한내과학회지 Vol.84 No.6
Hepatobiliary involvement is a rare manifestation of Henoch-Schonlein purpura (HSP). HSP cases related to hepatitis A, B or C virus have been reported but little is known about HSP cases complicated by cholestatic hepatitis without underlying hepatobiliary disease. Here, we report a case of Henoch-Schonlein purpura presenting with cholestatic hepatitis. The patient presented with upper abdominal pain and cholestasis that developed characteristic purpura. The patient was treated conservatively by therapeutic fasting and nutritional support, and liver function recovered 7 weeks after admission. (Korean J Med 2013;84:831-835)
조영직,전훈재,박동규,김윤배,고동욱,정록선,송치욱,엄순호,김창덕,류호상,현진해,신봉경,김인선 대한내과학회 2002 대한내과학회지 Vol.62 No.5
Dedifferentiated liposarcoma occurs in less than 10% of all liposarcomas and is found most often in the retroperitoneum and extremities. Although cases of the primary dedifferentiated liposarcoma have been sporadically reported internationally, only one case with 8×4.5×4 ㎝ size originated from spermatic cord and one case with 10×7×5 ㎝ size in right gluteal region have been reported in Korea, but not in retroperitoneum. We report one case of the primary giant dedifferentiated liposarcoma occurred in retroperitoneum with 32×22×20 ㎝ size and 4,250 g weight. A 56-year old man was admitted due to the weight loss and diffuse abdominal pain. The abdominal computed tomography showed that a round huge mass was pressing the surrounding structures and showed delayed enhancement. Surgical excision was carried out. Histologically the tumor was composed of well differentiated liposarcomatous area and malignant fibrous histiocytoma-like dedifferentiated area. The patient refused further treatment and now he is undergoing the follow-up.