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이유홍,양형모,탁승제,홍유선,박진선,서경우,최용우,노충균 대한심장학회 2015 Korean Circulation Journal Vol.45 No.1
Antiphospholipid syndrome (APS), the most common acquired hypercoagulable condition, is diagnosed by persistent presence of antiphospholipidantibodies and episodes of vascular thrombosis. It may be an important predisposing factor for stent thrombosis, resultingin poor outcomes. Also, anti-platelet therapy non-responsiveness is associated with stent thrombosis. We report a case of a 39-year-oldman who after undergoing successful percutaneous coronary intervention for significant coronary artery disease suffered repeated stentthrombosis events leading to ST-segment elevation myocardial infarction. Eventually, he underwent coronary artery bypass surgery becauseof uncontrolled thrombosis and was diagnosed as having APS and dual antiplatelet therapy non-responsiveness.
이유홍,박태진,김혜진,김대중,이관우,김명욱,김장희,이태희,정윤석 대한내분비학회 2008 Endocrinology and metabolism Vol.23 No.1
Primary aldosteronism is a syndrome characterized by hypokalemic alkalosis and hypertension. Aldosterone- producing adenomas and bilateral adrenal hyperplasia are common causes of this syndrome. An aldosterone- producing adrenocortical carcinoma is a very rare cause of primary aldosteronism. Recently we experienced a case of an aldosterone-producing adrenocortical carcinoma.A 41-year-old female was admitted for evaluation of a retroperitoneal mass. Because of hypokalemia and a history of hypertension, we evaluated the patient for primary aldosteronism. The high ratio of plasma aldosterone to renin activity suggested the possibility of the presence of primary aldosteronism. We performed adrenal vein sampling for differential diagnosis of an aldosterone-producing tumor from a retroperitoneal mass. The adrenal vein sampling showed that the primary aldosteronism was due to an aldosterone-producing tumor from the left adrenal gland. Surgical findings indicated that the retroperitoneal mass originated from the left adrenal gland and the pathological diagnosis for the mass was an adrenocortical carcinoma. In conclusion, the results from the adrenal vein sampling, as well as the surgical and pathological findings demonstrate that this case was an aldosterone-producing adrenocortical carcinoma. (J Kor Endocr Soc 23:56~61, 2008)
임병국 ( Byoung Kook Im ),이유홍 ( You Hong Lee ),박지은 ( Ji Eun Park ),김미정 ( Mi Jeong Kim ),정혁준 ( Hyuck Joon Chung ),김흥수 ( Heung Soo Kim ),신규태 ( Gyu Tae Shin ) 대한내과학회 2007 대한내과학회지 Vol.73 No.6
본 논문에서 저자는 국내에서는 거의 발생하지 않는 유미뇨 1예를 보고하는 바이다. 10일 동안 쌀뜨물 색깔의 혼탁한 소변을 주소로 내원한 43세 여자 환자에서 요 지질 분석으로 통해 유미뇨를 확인하고, 종괴나 사상충 감염 등 유미뇨의 이차성 원인에 대한 검사와, 요로-림프계 사이의 누공에 대한 검사를 통해 특이 소견 관찰되지 않아 특발성 유미뇨로 진단하였다. 이후 환자에게 고단백 저지방 식이 및 중쇄 중성지방 보충 식이를 처방하고 외래 추적관찰 중이다. In this report, we present a case of chyluria that is a very rare urine abnormality in Korea. A 43-year-old woman was referred to our clinic with intermittent turbid and creamy-colored urine for 10 days. The urine tests, including a urine lipid profile, indicated a diagnosis of chyluria. There was no evidence of secondary causes of chyluria such as a tumor and filariasis, and a urinary-lymphatic fistula was not found. The patient was instructed to begin a high protein diet with low fat content and medium chain triglyceride oil supplementation. To the best of our knowledge, this is the first report describing a patient that presented with chyluria in Korea. (Korean J Med 73:647-650, 2007)
Lupus Myocarditis Presenting as Acute Congestive Heart Failure: A Case Report
우성일,황교승,강수진,박진선,박세준,이윤석,이유홍,탁승재 대한의학회 2009 Journal of Korean medical science Vol.24 No.1
A young woman who had a delivery history 3 months previously presented with dyspnea and orthopnea. Initial findings of physical examination, chest radiography, and echocardiogram showed typical congestive heart failure with severe left ventricular (LV) dysfunction. At first, we considered peripartum cardiomyopathy because she had given birth to a baby 3 months previously. However, even though we massively tried conventional drug therapy for 10 days, the patient still remained with refractory heart failure. We performed additional laboratory studies such as complement level and autoantibodies, of which the results supported systemic lupus erythematosus. We could make the diagnosis of acute lupus myocarditis and treated her with corticosteroid. The symptoms were dramatically disappeared and LV function also improved.
당뇨 환자에서 혈청 빌리루빈 농도와 관상동맥 미세혈관 기능과의 연관성
최운정,윤명호,최소연,임홍석,우성일,황정원,강수진,최병주,황교승,신준한,박진선,박세준,이유홍,이윤석,탁승제,양형모 대한심장학회 2008 Korean Circulation Journal Vol.38 No.8
Background and Objectives: Bilirubin has a protective role in suppressing atherosclerosis and coronary artery disease by its potent physiological antioxidant properties. There has been no comparative study on the relation between the bilirubin level and the coronary microvascular function in diabetic patients. This study investigated whether the bilirubin level correlates with the coronary microvascular integrity in diabetes by assessing the coronary flow velocities after successful percutaneous coronary intervention (PCI). Subjects and Methods: Fifty patients (31 males and 19 females, mean age 60±11) with angina and who received elective PCI were studied. Using an intracoronary Doppler wire, the coronary flow velocity reserve (CFR), the hyperemic microvascular resistance index and the phasic coronary flow velocity patterns were measured after PCI. Results: The mean value of the fasting blood glucose was 211±88 mg/dL, the man value of glycated hemoglobin A1c (HbA1c) was 8.1±1.6% and the mean serum total bilirubin level was 0.59±0.21 mg/dL. CFR was significantly correlated with the serum bilirubin level (r=0.485, p<0.001), HbA1c (r=-0.432, p=0.003) and the fasting blood glucose (r=-0.361, p=0.011). On multivariate analysis, HbA1c, bilirubin and left ventricular hypertrophy showed independent relationships with coronary microvascular dysfunction (p=0.003, p=0.004, p=0.033, respectively). Conclusion: These results suggest that glycemic control and elevated serum bilirubin may protect diabetic patients from coronary microvascular dysfunction. Background and Objectives: Bilirubin has a protective role in suppressing atherosclerosis and coronary artery disease by its potent physiological antioxidant properties. There has been no comparative study on the relation between the bilirubin level and the coronary microvascular function in diabetic patients. This study investigated whether the bilirubin level correlates with the coronary microvascular integrity in diabetes by assessing the coronary flow velocities after successful percutaneous coronary intervention (PCI). Subjects and Methods: Fifty patients (31 males and 19 females, mean age 60±11) with angina and who received elective PCI were studied. Using an intracoronary Doppler wire, the coronary flow velocity reserve (CFR), the hyperemic microvascular resistance index and the phasic coronary flow velocity patterns were measured after PCI. Results: The mean value of the fasting blood glucose was 211±88 mg/dL, the man value of glycated hemoglobin A1c (HbA1c) was 8.1±1.6% and the mean serum total bilirubin level was 0.59±0.21 mg/dL. CFR was significantly correlated with the serum bilirubin level (r=0.485, p<0.001), HbA1c (r=-0.432, p=0.003) and the fasting blood glucose (r=-0.361, p=0.011). On multivariate analysis, HbA1c, bilirubin and left ventricular hypertrophy showed independent relationships with coronary microvascular dysfunction (p=0.003, p=0.004, p=0.033, respectively). Conclusion: These results suggest that glycemic control and elevated serum bilirubin may protect diabetic patients from coronary microvascular dysfunction.
조영필(Young Pill Cho),김학원(Hak Won Kim),이유홍(You Hong Lee) 대한악안면성형재건외과학회 1982 Maxillofacial Plastic Reconstructive Surgery Vol.4 No.1
N/A Authors examined 26 patients, aged up to 13 years, who were admitted to the department of oral surgery, hospital of dentistry, Chosun university by various causes of mandibular fractures and reached the following conclusions: 1. Mandibular fracture was most frequentry occured among the age group ranging from 7 to 9, and it tended to be slightly higher among males. 2. The biggest cause of mandibular fractures among children, was falling followed by traffic accidents. 3. Mandibular fracture among children, was frequentry occured in the order of symphysis, condyle and body area. 4. Mandibular fracture cawed by falling was most frequently occured in symphysis and condyle.
김수관(Su Kwan Kim),박인수(In Soo Park),여환호(Hwan Ho Yeo),이효빈(Hyo Bin Lee),이유홍(You Hong Lee) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.1
We experienced one patient who died of the adult respiratory distress syndrome(ARDS) following odontogenic infection. This syndrome is a common life-threatening process with myriad causes and occurs from a variety of diffuse pulmonary injuries which are either direct or indirect attacks on the lung parenchyma. Once lung damage occurs, occurs, exudation of fluid and loss of surfactant activity lead to impaired gas exchange and reduced pulmonary compliance. The syndrome presents clinically nonspecific. Principles of management include adequate support of oxygen transport, ventilation and circulation employing volume respirators with positive end-expiratory pressure(PEEP). For successful management, high index of suspicion and early examination of arterial blood gases are essential.
김수관(Su Kwan Kim),박인수(In Soo Park),김영균(Yong Gyun Kim),조세인(Se In Cho),이유홍(You Hong Lee),설인택(In Taek Seol) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.2
There were 6 deaths in the last 4 years in our dental clinic. The patients died form squamous cell carcinoma, odontogenic infection, adult respiratory distress syndrome(ARDS), and general anesthesia. Each case is analysed and presented, for this subject is rarely dealt in the literature and have relation with a complex medicolegal problem.