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이상문(Sang Moon Lee),김인기(In Ki Kim),김대현(Dae Hyun Kim),서화령(Hwa Ryoung Suh),백효종(Hyo Jong Baek),이중기(Choong Ki Lee),김학근(Hak Geum Kim),이동환(Dong Hwan Lee) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.3
Eosinophilic gastroenteritis is uncommon and characterized by infiltration of gut wall with eosinophiis, peripheral blood eosirephilia, abnormal symptoms or signs following ingestion of specific foods. The pathogenesis of this disease is not clearly understood, but several studies support allergic or immunologic etiology. The typical clinical features consist of abdominal cramps, diarrhea, nausea and vomiting either as a single subacute episode or with an intermittent history for months or years. Recently we experienced a case of eosinophilic colitis with periumbilical pain and peri 1 blood eosinophilia. On barium enema examination, there was an irregular luminal narrowing in the distal ascending colon. Colonoscopic findings revealed smooth and hyperemic circumferential linear wall thickening in the distal ascending colon. These symptoms and signs were all eleared up within 3 weeks without any specific therapy. (Korean J Gastroenterol 1997; 29: 394 - 398)
이주형(Ju Hyung Lee),이호영(Ho Young Lee),김현수(Hyeon Su Kim),김인기(In Ki Kim),이중기(Choong Ki Lee),손경락(Kyung Rak Sohj),문세광(Sac Kwang Moon) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
Multiple lymphomatous polyposis(MLP) of the gastrointestinal tract is a rare form of gastrointes- tinal lymphoma. Clinical, histopathologic, and immunohistochemical findings are somewhat different from those of primary gastrointestinal lymphoma. Therefore, it is important to recognize this rare form of gastrointestinal lymphoma for its prognostic and therapeutic implications. We report a case of MLP of descending colon, sigmoid colon and rectum in 56 years old man who has a soft tissue mass in right middle abdomen with a review of literature. He was treated with 6 cycles of CHOP regimen resulting in good clinical remission. (Korean J Gastroenterol 1996; 28:118 - 123)
정기제(Gih Jeh Jeong),김인기(In Ki Kim),윤혜정(Hye Jeong Yoon),김학근(Hak Geun Kim),이동환(Dong Hwan Lee),서화령(Hwa Ryoung Suh),김대현(Dae Hyun Kim),이병기(Byung Ki Lee),이중기(Choong Ki Lee),차승익(Seoung Ick Cha),박재용(Jae Yong P 대한내과학회 1997 대한내과학회지 Vol.52 No.1
N/A Objectives : The respiratory compensation threshold(RCT) is thought to be one of parameters by some for the evaluation of physical performance despite its controversial status. The purpose of this investigation is to establish the reference values of the RCT in healthy Korean adults, and to examine the usefulness of this parameter in evaluating physical performance. Methods: Symptom-limited maximal exercise test by Bruce protocol was carried out, and RCT and AT were determined by the aid of the computerized V-slope method, along with the VO2 max, in 441 healthy Korean adults consisting of 284 men and 157 women aged from 20`s to 60`s. In addition, correlation between RCT and AT was observed, and regression equations of the RCT were also derived. Results : The RCT VO2 was tended to decrease with age in men, but not in women and the RCT VO2 of women was 26-30% less than that of men. The ratio of RCT VO2 to VO2 max (RCT VO2/VO2 max) was tended to increase with age and the RCT V was significantly correlated with AT VC4 and VO2 max in both sexes. Conclusion: Our study reveals that the RCT is another useful submaximal index along with the AT in evaluating physical performance. The regression equation of the RCT was RCT VO2(L/min)=1.4232 - 0.0102 A(age in year)+0.0204 W(weight in kg) - 0.4889 S (sex, coded O for males and 1 for females).
답차 및 자전거 Ergometer 운동부하검사의 비교관찰
김경호(Kyung Ho Kim),황중하(Joong Hwa Hwang),이주형(Joo Hyung Lee),배현혜(Hyun Hae Bae),이호영(Ho Young Lee),김용민(Yong Min Kim),김현수(Hyeon Su Kim),이순규(Soon Gyu Lee),이병기(Byung Ki Lee),이중기(Choong Ki Lee),박희명(Hi Myung Pa 대한내과학회 1995 대한내과학회지 Vol.49 No.4
N/A Objectives: For the evaluation of cardiopulmonary endurance, treadmill (TM) and bicycle ergometer (EG) are the most commonly used modes of exercise testing, and the results obtained by these two modes are known to be different. However, it is still controversial that which parameters are how much different. The purpose of our study is to compare two modes of testing in healthy subjects. Methods: Sixty-nine healthy subjects consisting of 34 males and 35 females participated in the study. All the subjects underwent symptom-limited maximal exercise tests by both TM and EG modes at an interval of less than seven days. The TM tests were done by Bruce protocol in both genders, and in the EG tests, work load was increased by 25 watts once every minute for males and 15 watts for females. Results: The maximal heart rate, oxygen uptake and oxygen pulse (HR max, VO2 max & O2 pulse max) by the TM mode of testing were significantly greater than those by the EG mode in both genders, particularly in females. The differences in HR max were approximately 7% and 9% in males and females, respectively, whereas those in VO2 max and O2 pulse max were 11-25%. The VO2, max by TM and EG modes showed highly significant correlation. At maximal exercise, the minute ventilation was significantly different between the two modes, and VE by the TM mode was approximately 15% and 22% greater than by the EG mode in males ad females, respectively. Among variables reflecting ventilatory reserves at maximal exercise, the ratio of VE. max to maximal voluntary ventilotion (MVV) in ;he TM mode was approximately 15% and 22% greater in males and females, repectively. The breathing reserve (MVV-VE max) in the EG mode was approximately 79% and 147% greater in males and females, repectively. The results of these two variables, VE max/MVV and MUV-VE max, are explained by the more marked increase in VE max by the TM mode and denote that the ventilatory reserve capacity at maximal exercise is greater in the EG mode. Conclusion: Our study reveals that the TM mode of maximal exercise testing induces more pronounced cardiopulmonary responses than the EG mode, particularly in females. And this is well manifested by the facts that VO2 max, O2. pulse max and VE- max obtained by the TM mode of testings are 10% or more than those by the EG mode. The HR max by the TM mode was also greater than that by the EG mode in both genders, but its difference was less than 10%.
이종명(Jong Myung Lee),황윤근(Youn Keun Hwang),윤종수(Jong Soo Yun),강천일(Cheon Il Kang),서영익(Young Ik Seo),김능수(Nung Soo Kim),구성모(Seong Mo Koo),조봉기(Bong Kee Cho),강영모(Young Mo Kang),이중기(Choong Ki Lee) 대한내과학회 1997 대한내과학회지 Vol.52 No.1
N/A The number of persons with HIV infection in Korea have increased steadily, total number of HIV infection in Korea were 478 on August, 1995. To investigate the clinicoimmunologic manifestation of AIDS in Korea, we reviewed complete blood counts (CBC), CD4 counts, serum β2-microglobulin level, opportunistic infections and cause of death for 19 AIDS patients who had been admitted or visited at Pusan national university hospital during the period of January, 1990 to August, 1995. 1) The predominant mode of HIV transmission was heterosexual contact(18), other modes of transmission were homosexual contact(1). Clues of diagnosis of HIV infection were routine occupational health examination(14), and opportunistic infection symptoms such as fever, coughing(4). 2) Mean CD4 cell counts(/mm3) were 53±72 totally, 22±27 for 8 dead patients at mean 2 month before, 91±87 for 7 living patients. There were not significant difference(p>0.05). 3) Serum β2-microglobulin(MG;ug/ml) was measured at 12 patients, mean serum β2-MG level was4.8±7.3 totally, 7.1±10.3 for 6 dead patients at mean 1.3 month before, 2.5±0.4 for 6 living patients. There were not significant(p>0.05). 4) At CBC examination, WBC(/mm3) was 5,932±2,899 totally, 5,452±3,436 for 10 dead patients, 6,500 ±2,221 for 9 living patients(p>0.05). Hb(g/dl) was 11,4±2.8 totally, 9.4±1.8 for dead patients, 13.6±1.8 for living patients(p<0.05). Lymphocyte count(/mm) was 1,255±800 totally, 731±424 for dead patients, 1,838716 for living patients(p<0.05). ESR(mm/h) was 72±47 totally, 97±33 for dead patients, 47±47 for living patients(p<0.05). 5) Opportunistic infections had developed at 14 patients, candidiasis 7, pneumocystis carinii pneumonia 5, tuberculosis 3, cytomegalovirus infection 2, herpes zoster 3, toxoplasmosis 1, cryptococcal infection 2, bacterial pneumonia 5, and herpes simplex l. Malignant lymphoma had developed in 1 patient. 6) Mean survival interval from diagnosis of HIV infection to death was 32.8±19.1 months, and the most common cause of death was pneumocystis carinii pneumonia, and other causes of death were meningitis, bacterial pneumonia and AIDS-wasting syndrome. Based on these results, We concluded that CD4 counts, serum β2-microglobulin level, Hb, total lymphocyte count and ESR in AIDS patients are specific laboratory markers of progression and prognosis of AIDS, the most common opportunistic infection was candidiasis, and the most common cause of death in AIDS patients was pneumocystis carinii pneumonia.
급성하벽심근경색 환자에서 흉부유도 ST 절하강의 임상적 의의
이성구(Sung Ku Lee),백효종(Hyo Jong Baek),서상문(Sang Moon Suh),천병도(Byung Do Chun),이중기(Choong Ki Lee),김신우(Shin Woo Kim),우언조(Eon Jo Woo),강승완(Seung Wan Kang),채성철(Shung Chull Chae),전재은(Jae Eun Jun),박의현(Wee Hyun P 대한내과학회 1992 대한내과학회지 Vol.43 No.4
N/A The prognostic significance of precordial ST segment depression during early stages of acute inferior myocardial infarction is controversial. To examine this problem, electrocardiographic findings on admission were compared with the clinical variables in 50 patients with a first transmural inferior infarction. Patients were classified according to the admission ECG obtained an average of 7.0hours after the onset of chest pain. Twenty-five patients (group I) had≥1.0mm ST depression in at least one of leads V1 to V6 and 25 (group II) did not. There were no significant differences between the two groups in peak creatinine kinase activity, prevalence of in-hospital complications (i, e., congestive heart failure, hypotension, arrhythmias requiring treatment and death), and maximal ST elevation in inferior lead. A weak correlation existed between the quantities (mV) of inferior ST segment elevation and precordial ST depression (r=0.43, p<0.05). Thus, precordial ST depression during acute inferior infarction is not a reliable marker of the extent of myocardial damage or an adverse hospital course. Precordial ST segment depression might represent a benign electrical phenomenon.