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증례 : 신장 ; 단백질 C와 S 결핍증 환자에서 발생한 자발성 신동맥 박리 1예
임예지 ( Ye Jee Lim ),이래석 ( Rae Seok Lee ),유현아 ( Hyun Ah Yu ),장경윤 ( Kyung Yoon Chang ),서재현 ( Jae Hyun Seo ),이관현 ( Kwan Hyun Lee ),황대연 ( Dae Yeon Hwang ) 대한내과학회 2013 대한내과학회지 Vol.84 No.1
일반적으로 임상에서 신동맥 박리는 대동맥 박리와 연관되어 발생하지만, 외상이나 기저질환이 없이 저절로 발생하는 자발성 신동맥 박리의 경우 알려진 다른 원인이 없거나 반복적인 동정맥 혈전증의 병력이 있을 경우 단백질 C, 단백질 S 등 혈액학적 이상을 확인할 필요가 있겠다. 이에 저자들은 자발성 신동맥 박리와 단백질 C와 S 결핍증이 동반되어 있는 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Spontaneous renal artery dissection without aortic dissection in normotensive patients is rarely reported. Spontaneous renal artery dissection is also an uncommon cause of renal infarction that occurs, though rarely, in patients with hypercoagulable states such as protein C and S deficiency. We report here a case of spontaneous renal artery dissection and renal infarction associated with protein C and S deficiency. (Korean J Med 2013;84:116-119)
혈액관류요법에 의하여 성공적으로 치료한 중증 clozapine 중독 1예
김화종 ( Hwa Jong Kim ),김수지 ( Su Ji Kim ),이관현 ( Kwan Hyun Lee ),길효욱 ( Hyo Wook Gil ),양종오 ( Jong Oh Yang ),이은영 ( Eun Young Lee ),홍세용 ( Sae Yong Hong ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.6
Clozapine, a psychotropic drug commonly used in the treatment of schizophrenia or schizophrenic affective disorders may show side effects such as agranulocytosis, cardiomyositis, cognitive and motor depression in therapeutic doses and central nervous system depression, respiratory depression, arrhythmia, seizures, and even death in case of severe intoxication, warranting an aggressive treatment. We hereby report a case of clozapine overdose patient who ingested a potentially fatal dose of 3 grams and showed stuporous mental state, who was treated successfully by hemoperfusion without any sequelae.
증례 : 신장 ; 중심정맥 도관 제거 후 발생한 일측성 공기머리증 1예
김대원 ( Dae Won Kim ),윤유선 ( Yu Seon Yun ),이혜연 ( Hye Yeon Lee ),최현호 ( Hyun Ho Choi ),최승화 ( Seung Hwa Choi ),이관현 ( Kwan Hyun Lee ),황대연 ( Dae Yeon Hwang ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
저자들은 중심정맥 도관 제거 후 일측성으로 발생한 공기 머리증 환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The presence of pneumocephalus associated with insertion, maintenance, and removal of intravenous catheters is a rare radiographic finding, but may be clinically relevant. Various pathways have been proposed to explain the development of pneumocephalus, but none are well understood. We present a patient with hemicranial pneumocephalus secondary to removal of a central venous catheter as determined by computed tomography, and we propose a possible mechanism of the pneumocephalus. (Korean J Med 2011;80:S249-S252)
박무용,김세형,박정훈,이관현,이완복,전진석,김태형 대한감염학회 2004 감염과 화학요법 Vol.36 No.4
Actinomycosis is a chronic suppurative and granulomatous disease caused by Actinomyces species, which normally colonize the mouth, colon, and vagina. Actinomycosis affects any organ and it is histologically characterized by sulfur granule. Most of abdominal actinomycosis develop following appendicitis, diverticulitis or perforated viscus. Abdominal actinomycosis is commonly misdiagnosed as other diseases of intestine because the clinical presentation is non-specific and the radiologic findings mimic tumor. We report a case of abdominal actinomycosis, which initially presented as hydronephrosis and finally diagnosed after laparotomy. Histological findings showed sulfur granules, chronic granulomatous inflammation, and acute inflammatory cells. In our knowledge, this is the first report in Korea of the abdominal actinomycosis associated with appendicitis and complicated with hydronephrosis.