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저나트륨증을 동반한 Wernicke`s encephalopathy
안선호(Seon Ho Ahn),이재홍(Jae Hong Lee),이명수(Myeung Su Lee),송주홍(Ju Hung Song),이성근(Seong Keun Lee),박병현(Byoung Hyun Park),구기선(Ki Seon Gu) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.1
Thiamine deficiency is known to lead to certain neurologic sequales including Wernicke-Korsakoff syndrome. Wernicke's encephalapathy is charac-terized by ataxia, ophthalmoplegia, nystagmus, and mental change. Although classically associated with chronic alcoholism, a number of other predisposing conditions exist such as hyperemesis gravidarum, thyrotoxicosis, starvation, anorexia nervosa, prolonged total parenteral nutrition, gastric plication and renal dialysis. We have experienced a case of Wernicke's encephalopathy associated with prolonged starvation which was misdiagnosed by hyponatremic ence-phalopathy at first, and which seemed to be developed by thiamine-free dextrose infusion in 39-year-old male patient. We report the case with review of the literature and emphasize the need for thiamine supplementation with slow correction of hyponatremia before the infusion of dextrose solution in the prolonged starved hyponatremic patient.
안선호(Ahn Seon-Ho),홍승재(Hong Seung-Jai) 대한건축학회 2011 대한건축학회논문집 Vol.27 No.1
This Study is the research with regard to the Wonmyo Architecture in Palace that contains the character of Royal's private Ancestral Shrine. As the Wonmyo in Palace of our Country, there were Gyeongryeongjeon of Goryeo Dynasty Age, Moonsojeon in the early stage of Joseon Dynasty, and Seonwonjeon in the latter part of the Joseon Dynasty. An excavating investigation has been conducted recently about Gyeongryeongjeon, and in cases of Moonsojeon and Seonwonjeon since its each picture and drawing had ever been handed down to now, it is possible to grasp the architectural form and the space composition to some degree. Based on the above materials, by means of synthetical comparison, analysis on the ritual ceremony, historical literature materials, this Study intended to investigate the construction background of Wonmyo in Palace during the Times of Goryeo Dynasty and Joseon Dynasty, the changing aspect by Times, the architectural formality and its characteristics in accordance with the grave-memorial service.
안선호(Seon Ho Ahn),이재홍(Jae Hong Lee),이명수(Myeung Su Lee),송주홍(Ju Hung Song),이성근(Seong Keun Lee) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.2
Microscopic polyangiitis is a systemic small vessel vasculitis, which, although primarily associated with necrotizing and crescentic glomerulonephritis and pulmonary capillaritis, often has cutaneous and muscul-oskelectal features. Microscopic polyangiitis is strong]y associated with antineutrophil cytoplamic autoantibody that are a useful diagnostic serologic marker for the most common form of necrotizing vasculitis, and that have two patterns(C-ANCA and P-ANCA). We have experienced a case of microscopic polyangiitis with purpurae on both lower extrimities, C-ANCA positive and cresent formation on renal biopsy, which had no history of asthma and no pathologic evidence of granuloma. In our case, deterioration of renal function was recovered after steroid pulse therapy.
황호근(Ho Geun Hwang),김제형(Je Hyung Kim),양세훈(Sei Hoon Yang),안선호(Seon Ho Ahn),서검석(Geom Seog Seo),최석채(Suck Chei Choi),김학철(Haak Chul Kim),나용호(Yong Ho Nah) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.5
Hepatic granuloma is an uncommon entity, occurring in various conditions; infectious disease, sarcoidosis, primary biliary cirrhosis, drug reactions, and unknown etiology. It represents the hosts immunologic response. Granulomas are most frequent near the portal tracts, are sharply defined and do not disturb the normal pattern of the liver. The histopathologic findings consist of pale-staining, epithelioid cells with surrounding lymphocytes, giant cells, and central caseation nec.rosis. Older lesions may be surrounded by a fibrous capsule, and hyaline change. We experienced hepatic granuloma of unknown etiology diagnosed by its clinical features, laboratory findings and liver biopsy and this case underwent surgical excision of the mass, subsidence of his symptoms. We report this case with review of the related literature. (Korean J Gastroenterol 1997;29:683-686)
혈청 항중성구세포질항체 (ANCA) 양성으로 발현한 아급성 심내막염
최준호 ( Jun Ho Choi ),정덕은 ( Duk Eun Jung ),류한승 ( Han Seung Ryu ),김현정 ( Hyeon Jeong Kim ),이유민 ( Yu Min Lee ),이재훈 ( Jae Hun Lee ),이지은 ( Ji Eun Lee ),신진호 ( Jin Ho Shin ),송주흥 ( Ju Hung Song ),안선호 ( Seon Ho 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.4
Antineutrophil cytoplasmic antibodies (ANCA) directed against either proteinase-3 or myeloperoxidase are associated with a limited group of small vessel vasculitic syndromes. C-ANCA is regarded as highly specific for idiopathic ANCA-associated vasculitis (AAV). However, C-ANCA is not specific for Wegeners granulomatosis and has been reported in the course of a variety of infectious conditions. Sub-acute bacterial endocarditis is a notable concern because it may be associated with C-ANCA. The misdiagnosis of bacterial endocarditis as AAV and the administration of immunosuppressive treatment could aggravate the infection. We describe a patient with sub-acute bacterial endocarditis who presented with features mimicking vasculitis and positive C-ANCA by indirect immunofluorescence and for anti-PR3 antibodies by antigen-specific ELISA.
김형준,이우미,안선호,송주흥,김재민,김성완,이상열,Kim, Hyoung-Jun,Lee, Woo-Mi,Ahn, Seon-Ho,Song, Ju-Heung,Kim, Jae-Min,Kim, Sung-Wan,Lee, Sang-Yeol 대한불안의학회 2006 대한불안의학회지 Vol.2 No.2
Objective : In this study, we investigated the prevalence of depression and its impact on the healthrelated Quality of life (HRQoL) of the patients with End-Stage Renal Disease (ESRD) on Hemodialysis. Method : The Quality of life (QOL) of patients was evaluated by HRQoL Questionnaire, "Medical Outcome Survey 36-Item Short Form Health Survey Korean Version (SF-36-K)". The patients on Hemodialysis in ESRD, were chosen from the hemodialytic room at Wonkwang University and Jeongeup-Asan Hospital. The number of patients was 95 (64 from Wonkwang University Hospital and 31 from Jeongeup-Asan Hospital) and all of them were above 19 years old. We performed various investigations to find a statistical correlations between HRQoL and physical & psychosocial factors such as the demographic characteristics, clinical characteristics (hemoglobin level and albumin level etc), and the score of Beck's depressive inventory (BDI). Results : The HRQoL value of patients on hemodialysis in ESRD is far poorer than the HRQoL reference value of Koreans and Americans, who are in normal healthly. The prevalence of depressive symptoms by BDI of the ESRD patients on hemodialysis is 68.6%, and age and depression have negative correlations with HRQoL of the patients. However, education level, serum albumin level, and social support have positive correlations with HRQoL. The patient group with depression has significantly poorer HRQoL than the group without depression. Conclusion : The HRQoL of ESRD patients on hemodialysis is not good in both physical and mental aspects. The prevalence of depression is very high and depression has negative impact of HRQoL of patients. Based on our study, it is essential to accompany with therapeutic Strategy to improve the HRQoL of ESRD patients on hemodialysis.
만성 신부전증 환자에서 미토콘드리아 활성과 청력손실과의 연관성
김은숙 ( Eun Sook Kim ),안선호 ( Seon Ho Ahn ),김신무 ( Shin Moo Kim ),소홍섭 ( Hong Seob So ),박래길 ( Rae Kil Park ) 대한임상검사과학회 2006 대한임상검사과학회지(KJCLS) Vol.38 No.3
Sensorineural hearing loss is frequently found in patients with chronic renal failure (CRF). There have been many efforts to elucidate the etiologic factors of hearing loss in patients with CRF. However, there was not any clear identified cause of hearing loss. This study was undertaken to evaluate the activity of mitochondrial respiratory chain (MRC) in CRF patients with hearing impairment. To determine MRC activity, peripheral blood cells were obtained from CRF patients with hearing impairment receiving dialysis and normal subjects without any hearing problems. MRC activity of complex I and complex III was measured by the Trounces method. In MRC activities between the normal subjects group and CRF patients with hearing problems, the complex I and III activities of CRF patients with hearing problems were 63% and 85% compared with normal subjects (p<0.01). These results suggest that the activity of MRC may be implicated in the underlying mechanism of the hearing impairment in CRF patients, through mitochondrial DNA mutations at MRC complex I region with a decrement of MRC activity.