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증예(症例) : 베체트병에서 발생한 신장 아밀로이드증 1예
김상균 ( Sang Kyoon Kim ),이가영 ( Ka Yeoung Lee ),정수진 ( Su Jin Jung ),장용범 ( Yong Bum Jang ),이상일 ( Sang Il Lee ),이승옥 ( Seung Ok Lee ),이식 ( Sik Lee ),김원 ( Won Kim ),임창열 ( Chang Yeol Yim ),장규윤 ( Kyu Yun Jang 전북대학교 의과학연구소 2003 全北醫大論文集 Vol.27 No.2
아밀로이드증은 만성 염증성 질환에서 주로 나타난다. 베체트병은 호전과 악화를 반복하는 만성 염증성 질환의 하나이다. 그러나 베체트병이 신장을 침범하는 경우는 드물며, 특히 신장 아밀로이드증을 일으키는 일은 매우 드물다. 외국에서는 이러한 예가 보고되었으나 국내 보고는 아직 없다. 따라서 저자들은 베케트병에서 신장 아밀로이드증에 의한 급성 신부전의 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Amyloidosis is a well-recognized complication in patients with chronic inflammatory disorders (rheumatoid arthritis and ankylosing spondylitis etc.), but it occurs only rarely, however, with other rheumatologic diseases 1.2). A 56 year-old man with Behcets disease developed nephritic syndrome and acute renal failure. The renal biopsy confirmed renal amyloidosis. To our knowledge, this is the first report of Behcets disease with renal amyloidosis and acute renal failure in South Korea. We report a rare case of renal amyloidosis in Behcets disease.
症例(증례) : 간헐적으로 육안적 혈뇨를 동반한 Nutcracker Syndrome 1예
김성식 ( Sung Sik Kim ),임호영 ( Ho Young Yhim ),정수진 ( Su Jin Jeong ),이상연 ( Sang Youn Lee ),김성국 ( Sung Kuk Kim ),이가영 ( Ka Yeoung Yi ),이선화 ( Sun Hwa Lee ),유창우 ( Chang Woo Rheu ),강경표 ( Gyung Pyo Kang ),이식 ( S 전북대학교 의과학연구소 2004 全北醫大論文集 Vol.28 No.1
Nutcracker syndrome (renal vein entrapment syndrome) refers to compression of left renal vein between aorta and superior mesenteric artery that results in elevation of pressure in left renal vein and development of collateral veins. This syndrome occurs in relatively young and previously healthy patients and is characterized by intermittent gross hematuria due to left renal vein hypertension, at times associated with flank pain, abdominal pain or varicocele. We report a 22 year ole male patient with this syndrome presented with intermittent gross hematuria, proteinuria for 2 months. Urinalysis revealed protein (3+), blood (++), and RBC (many/HPF). Excretory urography in resting state and cystoscopy showed no remarkable finding. Renal venography showed the pressure gradient between left renal vein and inferior vena cava was 6 mmHg. The nutcracker syndrome should be considered as one of the causes of nonglomerular hematuria. All patients with unexplained severe left flank or abdominal pain, or unilateral hematuria from the left on cytoscopy, should be studied by selective renal venography and pressure measurement in inferior vena cava and renal veins. The paitent with this nutcracker syndrome could be treated with conservative treatment.