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임경리 ( Kyoung Ree Kim ),강명호 ( Myung Ho Kang ),김태석 ( Tae Suk Kim ),문기원 ( Ki Won Moon ),류동열 ( Dong Ryeol Ryu ),이희영 ( Hui Young Lee ),한선숙 ( Seon Sook Han ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.1
A 37 year old female presented with epigastric pain and weight loss over a period of 3 months. Her abdominal CT finding showed a 4.5 cm size hepatic mass and 4.3 cm size pancreatic head mass with multiple macronodules in the liver. At the same time, her chest CT revealed a 5 cm size necrotic mass in the left lower lobe of the lung with multiple bilateral pulmonary nodules. We diagnosed these lesions as tuberculosis through multiple biopsies. She was treated with anti-tuberculous medication. After taking the medications, her symptoms were improved. Twelve months later, imaging studies indicated an improvement in the patient`s health. Here we report a case report of multi-organ macronodular tuberculosis in lung, liver and pancreas.
증례 : 신장 ; 급성 신부전이 합병된 전신다한증 1예
김태석 ( Tae Suk Kim ),강명호 ( Myung Ho Kang ),임경리 ( Kyoung Ree Lim ),이상훈 ( Sang Hoon Lee ),이원호 ( Won Ho Lee ),허정원 ( Jeong Won Heo ),오원섭 ( Won Sup Oh ) 대한내과학회 2012 대한내과학회지 Vol.82 No.4
Hyperhidrosis is a disorder characterized by perspiration in excess of the physiologic amount necessary to maintain thermal homeostasis. It is categorized as either a primary condition or a condition occurring secondary to a number of diseases and the use of prescribed drugs and is further classified according to anatomical distribution as being focal, regional, or generalized. Severe generalized hyperhidrosis is extremely rare but significantly inhibits social activities in those affected. A 48-year-old female with oliguria was admitted to our hospital. Both a physical examination and a starch-iodine test showed generalized hyperhidrosis, suggesting that excessive loss of body fluid via sweating had led to prerenal acute renal failure (ARF). To our knowledge, severe cases of generalized hyperhidrosis causing ARF have not previously been reported. The present case is reported with a review of the literature on the etiology and management of generalized hyperhidrosis. (Korean J Med 2012;82:497-502)
직업 및 교육수준에 따른 사망원인별 비례사망비의 연도별 추이: 1993-2004년 우리나라 사망등록자료의 분석
김기혜,이경학,이상민,이승연,이예승,임경리,장지은,조상원,최은혜,정성태,진은정,손미아,Kim, Ki-Hye,Lee, Kyung-Hak,Lee, Sang-Min,Lee, Seung-Yeon,Lee, Ye-Seung,Lim, Kyoung-Ree,Chang, Jee-Eun,Cho, Sang-Won,Choi, Eun-Hye,Chung, Sung-Tae,Jin, E 대한예방의학회 2007 예방의학회지 Vol.40 No.1
Objectives : This study investigated the relationship of occupational class and educational background with proportional mortality ratios in Korea. Methods : Mortality was investigated using the entire registered death data from 1993 to 2004, obtained from the Korean National Statistics Office. Proportional mortality ratios (PMRs) for specific diseases were calculated according to the occupational class and educational background of men aged 20-64. Results : Manual workers were found to have higher PMRs for liver disease and traffic accidents, as did the lower educated group. Especially, this study showed trends of an increasing of the wide gap between lower and higher socioeconomic stati for liver disease, traffic accidents, diabetes mellitus and cerebral vascular disease. The mortality for cerebrovascular disease, diabetes mellitus, heart disease, traffic accident and liver disease showed increasing trends according to the calendar year for the lower than the higher social class. Conclusions : The specific conditions that had higher PMRs in the Korean lower social class were liver disease and traffic accidents. Especially, there was an increasing trend for a widening of the gap between manual and non-manual groups in relation to mortality from liver disease, diabetes mellitus and traffic accidents.