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신 이식 후 Parvovirus B19 감염에 의한 적혈구무형성증 1 예
이정익(Jeong Ik Lee),강태영(Tae Young Kang),조한표(Han Pyo Cho),윤창옥(Chang Ok Yoon),정청일(Chung Il Jung),이숙진(Sook Jin Lee),강문수(Mun Su Kang),이창화(Chang Hwa Lee),강경원(Kyoung Won Kahng),박찬현(Chan Hyun Park),강종명(Chong M 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4
Parvovirus B19 infection is known to cause chronic anemia in immunocompromised hosts, including organ transplant recipients. We report a case of pure red cell aplasia caused by parvovirus B19 in renal transplants. The patient was 16-year-old male who was diagnosed as chronic renal failure 7 years ago and had been on hemodialysis twice a week. He got renal transplantation in June 1999. But anemia was not improved in first postoperative period. On admission hemoglobin was 43.0 g/L, hematocrit was 12.7%. The bone marrow biopsy revealed severe erythroid hypoplasia with giant pronormoblasts. The pronormoblasts showed prominent intranuclear inclusions, characteristic of parvovirus B19 infection. The parvovirus H19 PCR and anti-parvovirus B19 IgM were positive. The patient was treated with intravenous immunoglobulin and then reticulocyte count was in- creased 5 days later. Hemoglobin level restored to 104 g/L two months later.
해설(解說) : Tail Strike 사례 및 안전방안에 대한 연구
신대원 ( Dai Won Shin ),이정익 ( Jung Ik Lee ) 한국항공운항학회 2009 한국항공운항학회지 Vol.17 No.2
In this paper, we presented the cases of tail strike of KAIRS, which is useful to establish the methods to decrease a risk, aircraft operation viewpoint.
급성 상기도 감염 후 발생한 전신성 모세혈관 누출 증후군
김유미 ( Yu Mi Kim ),석현정 ( Hyun Jung Seok ),김상현 ( Sang Hyun Kim ),권순길 ( Soon Kil Kwon ),이정익 ( Jeong Ik Lee ),서장원 ( Jang Won Seo ),박수길 ( Su Kil Park ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.2
Systemic capillary leak syndrome is a rare condition characterized by recurrent episodes of generalized edema and severe hypotension associated with paraproteinaemia. We experienced a case of recurrent systemic capillary leak syndrome. A 30-year-old woman hd flu-like syndrome with fever, chill, and sore throat. Two days later, she presented progressive generalized edema and weight gain of 4 kg. Biological examination showed hemoconcentration, leukocytosis, and hypoalbuminemia without proteinuria. A radiograph of the chest showed pleural effusion. She had no evidence of heart failuer, renal failure, or a protein losing enteropathy, and no abnormalities of liver function. Anti-neuclear antibody and antibodies to ds-DNA were negative. C3 and C4 were decreased. Serum protein electrophoresis showed oligoclonal banding consisting of IgG Λ bands. Bone marrow biopsy was normal and there was no Bence-Jones protein in urine. She experienced a progressive reduction in her weight and a resolution of the peripheral edema without specific treatment. Five months later, she was readmitted with severe episode of shock. After a total of 10 L of fluid was administered intravenously, pulmonary edema developed. Intravenous steroid and theophylline were given which resulted in clinical improvement, accompanied by diuresis. Oral theophylline has been administered for prevention of this crisis up to the present time.
윤창옥 ( Chang Ok Yoon ),김태환 ( Tae Hwan Kim ),강문수 ( Mun Su Kang ),이정익 ( Jeong Ik Lee ),강태영 ( Tae Young Kang ),김기찬 ( Ki Chan Kim ),이인홍 ( In Hong Lee ),전용철 ( Young Cheol Jun ),정성수 ( Sung Soo Jung ),박용욱 ( Y 대한류마티스학회 2001 대한류마티스학회지 Vol.8 No.1
Systemic lupus erythematosus (SLE) is a multisystemic disease that can affect most organ system, although gastrointestinal (GI) manifestations are relatively uncommon. Protein losing enteropathy (PLE) is associated with several clinical disorders, but it is an unusual manifestation of SLE. Of over 20 reported cases of PLE associated with SLE, the pathogenesis of lupus associated PLE remains unclear. We describe a patient with edema, diarrhea, abdomianl pain, and hypoalbuminemia who had been diagnosed SLE. PLE was diagnosed by the method of alpha1-antitrypsin clearance in stool.
재탈구된 시멘트형 이극성 고관절 반치환술의 도수 정복 중 발생한 Polished Tapered 대퇴 주대의 이탈
윤호현(Ho Hyun Yun),안길영(Gil Yeong Ahn),남일현(Il Hyun Nam),문기혁(Gi Huk Moon),이정익(Jung Ik Lee) 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.5
이극성 고관절 반치환술의 재탈구는 단순한 합병증이 아니다. 이극성 고관절 반치환술의 재탈구 시 관혈적 정복 술은 반드시 고려해야 한다. 탈구된 시멘트형 인공 관절 치환술의 정복과정에서 발생할 수 있는 원하지 않은 견인력으로 인한 대퇴 주대의 이탈이 polished tapered 대퇴 주대를 사용한 경우에 합병증으로 발생할 수 있다. 본 저자는 polished tapered 대퇴 주대를 사용한 시멘트형 이극성 고관절 반치환술 환자에서 재탈구 후 도수 정복 중 대퇴 주대의 이탈을 경험하고, 재탈구된 이극성 고관절 반치환술 환자를 치료 시 현재 상태에 대한 충분한 분석을 통한 도수 정복 및 관혈적 정복 술에 대한 사전 고려가 필요하며 특히 polished tapered 대퇴 주대를 사용한 시멘트형 인공 고관절 치환술에서 대퇴 주대 이탈이 정복과정 중 발생할 수 있으므로 예방 및 치료 방법에 대한 주의가 요한다고 여겨진다. Redislocation of bipolar hemiarthroplasty is not a simple complication. When redislocation of bipolar hemiarthroplasty occurs, open reduction must be considered. Displacement of the polished tapered femoral stem could occur through the unwanted traction force during the reduction of the dislocated cemented hip arthroplasty as a complication. We experienced displacement of the polished tapered femoral stem during closed reduction of a redislocated cemented bipolar hemiarthroplasty. We suggest that preoperative analysis for the cause and status of the dislocation is essential and open reduction should be considered if closed reduction is not thought to be suitable for a polished femoral stem.