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조양동 ( Yang Tong Cho ),김웅지 ( Woong Ji Kim ),김희정 ( Hui Jung Kim ),박상배 ( Sang Bae Park ),김성훈 ( Sung Hun Kim ),이수택 ( Soo Teik Lee ) 전북대학교 의과학연구소 2007 全北醫大論文集 Vol.31 No.2
Crohn`s disease is a disease involving the whole gastrointestinal tract from the mouth to the anus. Psoas abscess complicating Crohn`s disease is a rare condition. We present one case of recurrence psoas abscess and abdominal wall abscess in Crohn`s disease. A diagnosis of right psoas abscess was subsequently made by abdominal computed tomography(CT). Following the administration of antibiotics and ultrasound sono-guided percutaneous drainage of the abscess, the patient`s symptoms improved. The patient`s drainage tube removed; however, 1 weeks later, the abscess was found on psoas muscle and the abscess cavity have extended around abdominal wall. We performed surgical drainage of the abscess cavity and ileocecal resection were performed. A case of abdominal wall and psoas muscle abscess treated with ileocecectomy in Crohn`s disease is presented, followed by a review of the literature
症例(증례) : 류마티스 곤절염과 동반된 IgA 신병증 1례
고강석 ( Kang Suk Ko ),조양동 ( Yang Tong Cho ),김희정 ( Hui Jung Kim ),이원석 ( Won Seok Lee ),김형일 ( Hyoung Il Kim ),송민주 ( Min Ju Song ),손지연 ( Ji Youn Sohn ),류완희 ( Wan Hee Yoo ),강경표 ( Kyung Pyo Kang ),강명재 ( Myun 전북대학교 의과학연구소 2007 全北醫大論文集 Vol.31 No.2
IgA nephropathy is a common primary glomerulonephritis characterized by the deposition of IgA in glomerular mesangium. At clinical presentation the disorder may be macroscopic hematuria, often recurring in association with viral upper respiratory illness or with microscopic hematuria or proteinuria. Although the cause of primary IgA nephropathy is unknown, IgA nephropathy can be associated with systemic diseases, such as ankylosing spondylitis, Reiters`s syndrome, liver disease, and Sicca syndrome. We report a case of IgA nephropathy associated with rheumatoid arthritis. A 49-year-old woman, who has complaint of multiple joint swelling and pain, was presented with microscopic hematuria and proteinuria. Light microscopy showed mesangial and segmental endocapillary proliferative glomerulonephritis and immunofluorescence microscopy demonstrated segmental positive mesangial stainings for IgA and C3, consistent with IgA nephropathy. Treatment with anti-rheumatic medications and angiotensin converting enzyme inhibitor resulted in gradual disappearance of microscopic hematuria and proteinuria. Therefore, we suggest that IgA nephropathy may be associated with rheumatoid arthritis.
김성훈 ( Seong Hun Kim ),조양동 ( Yang Tong Cho ),권혁진 ( Hyeok Jin Kwon ),안철민 ( Chul Min An ),김인희 ( In Hee Kim ),김상욱 ( Sang Wook Kim ),이수택 ( Soo Teik Lee ),이승옥 ( Seung Ok Lee ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.4
Solid-psudopapillary tumor is an uncommon pancreatic neoplasm of low malignant potential that most frequently affect young woman. Solid-psudopapillary tumor are histologically, clinically, and prognostically quite distinct from the more common ductal adenocarcinoma. Recently, we experienced a 36-year-old male who was suspected to have extrapancreatic tumor based on atypical radiologic imaging study, young age, and male sex, and finally diagnosed as solid-psudopapillary tumor on immunohistochemical stain examination. We report this case with review of the relevant literatures. (Korean J Gastroenterol 2009;54:252-256)
症例(증례) : 원발병소가 없느 폐암의 흉막전이를 PET-CT로 확인한 1예
김이식 ( Yi Shik Kim ),고강석 ( Kang Suk Ko ),조양동 ( Yang Tong Cho ),김웅지 ( Woong Ji Kim ),이가영 ( Ka Young Lee ),이흥범 ( Heung Bum Lee ),이용철 ( Yong Chul Lee ),이양근 ( Yang Keum Rhee ),박성주 ( Seoung Ju Park ) 전북대학교 의과학연구소 2008 全北醫大論文集 Vol.32 No.1
The discovery of malignant cells in pleural fluid and/or parietal pleura indicates a disseminated or advanced disease in the patients with various malignancies. For 5-10% of patients with these malignant pleural effusions, the site of origin cannot be identified even though extensive work-up. Recently, 18F fluorodeoxyglucose positron emission tomography (FDG PET) has been shown to be a highly reliable and accurate test for detection and staging of lung cancer. We report here a case of histopathologically diagnosed metastatic bronchogenic adenocarcinoma of pleura without detection of primary lung cancer which was evaluated by PET, and review the diagnostic work-up and the role of PET in the malignant pleural effusion.
증예(症例) : 동종골수이식을 시행받은 환자에서 발생한 Pneumocystis Jitoveci 폐렴에 합병한 자발성 약측성 기흉
이석 ( Seok Lee ),강선미 ( Seon Mi Kang ),최정환 ( Chung Hwan Choi ),김이식 ( Yi Shik Kim ),한효진 ( Hyo Jin Han ),조양동 ( Yang Tong Cho ),이나리 ( Na Ri Lee ),송은기 ( Eun Kee Song ),곽재용 ( Jae Yong Kwak ),임창열 ( Chang Yeol 전북대학교 의과학연구소 2006 全北醫大論文集 Vol.30 No.2
Pneumocystis jiroveci (이전의 carinii) 폐렴은 면역력이 저하되어 있는 환자에게 심각하고 잠재적으로는 생명을 위협할 수 있는 감염으로, 조혈모세포 이식을 시행받은 환자에게서 주요한 감염원이 되고 있다. 중요한 위험 인자로는 광범위 이식 편대 숙주병, 지속적인 코티코 스테로이드의 사용, 악성 질환의 재발 등이 있다. 기흉은 에이즈와 연관된 Pneumocystis jiroveci 의 합병증으로 알려져 있음에도 불구하고, 조혈 모세포 이식을 시행받은 환자에게서는 좀처럼 보고된 자가 없다. 이에 본 저자들은 동종 조혈 모세포 이식후에 합병증으로 발생한 Pneumocystis jiroveci 폐렴에 속발하여, 양측의 난치성 자발성 기흉을 보인 27세 남자 환자의 증례를 보고하는 바이다.