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종양과 연관되어 발생한 근병증 2예 요약제목: 종양관련 근병증 2예
이효덕 ( Hyo Deok Lee ),김미진 ( Mee Jin Kim ),서의근 ( Eui Geun Seo ),채희복 ( Hee Bok Chae ),한정호 ( Joung Ho Han ),윤순만 ( Soon Man Yoon ),박선미 ( Seon Mee Park ),윤세진 ( Sei Jin Youn ),김대곤 ( Dae Ghon Kim ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.1
저자들은 근병증 2예와 병발한 악성 종양을 경험하였으며, 향후 원인 미상의 간 효소 수치 상승을 가진 환자가 피부 병변과 근력 약화를 호소하는 경우 꼭 근육염 가능성을 염두에 두어야 한다는 교훈을 얻을 수 있었다. 아울러 이러한 환자에서 근육염 확진을 위한 근육 생검, 근염 특이 자가 항체 검사 등을 통해서 IIM으로 진단될 경우 종양의 동반유무를 찾기 위한 종양표지자 및 영상 검사와 함께 PET 등의 첨단 검사도 이용될 필요가 있다는 것을 저자들은 본 2예의 증 례보고를 통해서 주장하는 바이다. 감사의 글 본 증례 환자들의 치료 과정을 함께 해 주시고, 원고를 검토해주신 류마티스 내과 강귀영 교수님께 진심으로 감사 드립니다. It is assumed that malignancy is a part of a clinical course in patients with idiopathic inflammatory myopathy (IIM), as the cancer occurrence in the group have been frequently reported. This paper discusses two cases of IIM associated with cancer either simultaneously or sequentially. The first patient who had diagnosed with colon cancer two weeks prior to the admission presented with polymyositis (PM). The second patient with breast cancer presented dermatomyositis (DM). Both patients were admitted to the hepatology unit because their initial presentation was abnormal liver enzyme levels with muscle weakness. IIM patients can be misdiagnosed as acute hepatitis because of the initial feature. This paper reports two cases of IIM with malignancy.
4행정 단기통 가솔린 엔진의 배기관에 따른 압력 변동 특성
이효덕(Hyo Deok Lee),최석천(Seuk Cheun Choi),김세현(Se Hyun Kim),이철재(Cheol Jae Lee),정효민(Hyo Min Jeong),정한식(Han Shik Chung) 한국자동차공학회 2004 한국자동차공학회 지부 학술대회 논문집 Vol.- No.-
In this study, a experimental method has been introduced for the various exhaust pipe geometry of 4-stroke single cylinder engine. The main experimental parameters are the variation of exhaust pipe diameters and lengths, to measuring the pulsating flow when the intake and exhaust valves are working. As the results of experimental test, the various exhaust geometry were influenced strongly on the exhaust pressure. As the exhaust pipe diameter was decreased, the amplitude and the number of compression wave in exhaust pressure was increased. According to decreasing pipe diameter, the number of compression wave in exhaust pressure was decreased. When the pipe diameter was increase, the second amplitude was increased.
이효덕(Hyo Deok Lee),최석천(Seuk Cheun Choi),이상철(Sang Chul Lee),이광영(Kwang Young Lee),정효민(Hyo Min Jeong),정한식(Han Shik Chung) 대한기계학회 2004 대한기계학회 춘추학술대회 Vol.2004 No.4
In this study, a experimental method has been introduced for the various exhaust pipe geometry of 4-stroke single cylinder engine. The main experimental parameters are the variation of exhaust pipe diameters and lengths, to measuring the pulsating flow when the intake and exhaust valves are working. As the results of experimental test, the various exhaust geometry were influenced strongly on the exhaust pressure. As the exhaust pipe diameter was decreased, the amplitude and the number of compresson wave in exhaust pressure was increased. According to decreasing pipe diameter the number of compresson wave in exhaust pressure was increase, the second amplitude was incresed.
완치 판정 후 8개월째 제1상 IgM항체 역가가 감소하지 않았던 급성 Q열 증례
정지원 ( Ji Won Jeong ),강은석 ( Eun Seok Kang ),오영민 ( Young Min Oh ),이효덕 ( Hyo Deok Lee ),김민 ( Min Kim ),홍용주 ( Yong Joo Hong ),정혜원 ( Hye Won Jeong ),채희복 ( Hee Bok Chae ),성노현 ( No Hyun Sung ),황선도 ( Seon Do 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.1
Acute hepatitis associated with Q fever is rare. Clinician awareness is key for early diagnosis. It can be treated well with macrolides, and symptoms and antibody titers decrease in weeks or months according to the treatment regimen. Successful therapy is accompanied by reduced erythrocyte sedimentation rate, correction of anemia, and resolution of hyperglobulinemia. The risk of chronic Q fever is high if symptoms and antibody titers persist during long-time follow-up testing. Here we report a case of a 54-year-old male with acute Q fever and hepatitis. He complained of fever and headaches and presented with elevated ALT levels around 400 IU/L at admission. Liver biopsy revealed compact fibrin-ring granulomas. He recovered from the acute hepatitis after one week of ciprofloxacin therapy. However, although the patient remained asymptomatic 8 months after completing treatment, his phase 1 and 2 antibody titers remained high. We are unable to determine the disease stage; that is, whether the acute stage was completely resolved due to high titer of antibody.