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증례 : 호흡기 ; 공동성 폐결핵에서 발생한 기관지 동맥류 1예
조우희 ( Woo Hee Cho ),권혁찬 ( Hyeok Chan Kwon ),장용호 ( Yong Ho Jang ),장석빈 ( Suk Bin Jang ),김도형 ( Do Hyung Kim ),김윤섭 ( Youn Seup Kim ),박재석 ( Jae Seuk Park ) 대한내과학회 2014 대한내과학회지 Vol.86 No.2
기관지 동맥류는 세계적으로 드문 질환으로 파열될 경우 치명적인 출혈을 발생할 수 있다. 저자들은 공동성 결핵 병변에서 발생한 기관지 동맥류의 파열로 대량 객혈이 발생하여 기관지 동맥 색전술과 외과적 절제술로 치료한 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A bronchial artery (BA) aneurysm is a rare, life-threatening disease when it ruptures. Recently, we experienced a case of massive hemoptysis due to a BA aneurysm rupture in a pulmonary tuberculosis cavity, treated with BA embolization followed by surgical resection of the cavitary lesion. To our knowledge, this is the first case of a BA aneurysm associated with cavitary pulmonary tuberculosis. (Korean J Med 2014;86:228-231)
김경호 ( Kyung Ho Kim ),신재경 ( Jae Kyoung Shin ),김선원 ( Sunwon Kim ),조우희 ( Woo Hee Cho ),김성순 ( Sung Soon Kim ) 대한내과학회 2017 대한내과학회지 Vol.92 No.1
타카야수동맥염의 발병 원인은 확실히 밝혀져 있지 않지만, 염증성 질환의 하나로 판단되며 이에 결핵 항원에 대한 자가면역 반응이 타카야수동맥염의 병인으로 제기되고 있다. 저자들은 타카야수동맥염이 좌측 신동맥을 침범하여 이차성 고혈압이 발생하고 활동성 폐결핵이 동반된 환자를 치료하여 보고하는 바이다. Takayasu`s arteritis (TA) is an inflammatory disease involving large arteries and their branches. The etiology of TA is unknown, but infectious agents and genetic factors play a significant role in its pathogenesis. A relationship between TA and Mycobacterium tuberculosis infection has been suggested, since both diseases have similar chronic inflammatory lesions and the presence of occasional granulomas in arterial walls. Patients with TA have an increased immune response to Mycobacterium tuberculosis antigens, suggesting a role for this organism in the immunopathogenesis of the disease. Herein, we present a case of TA with active pulmonary tuberculosis in a Korean patient. A 21-year-old male presented with hypertension and active pulmonary tuberculosis. TA invading the renal artery was diagnosed while evaluating hypertension. The patient was treated with prednisolone, methotrexate, anti- hypertensive medications, and anti-tuberculosis medications. (Korean J Med 2017;92:66-69)
질산염 정주 중 발생한 관상동맥 연축에 의한 협심증과 동반된 심실 세동
신경황,조우희,이도현,이소라,임성훈 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1
Variant angina pectoris is characterized by chest symptoms at rest and transient ST elevation on the electrocardiography due to coronary artery spasm. Although most patients with coronary spasm respond well to medical treatment with vasodilators such as calcium channel blockers and nitrates, some patients show intractable attack of coronary vasospasm despite standard medical therapy. We experienced 50-year-old woman with intractable chest pain due to coronary artery spasm, who suffered from ventricular fibrillation despite continuous intravenous nitrate therapy.