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- 저자 : 진준 ( Joon Jin ) (검색결과 2 건)
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증례 : 내분비-대사 ; 알도스테론 분비 부신샘종과 동측의 신장동맥혈관협착이 동반된 1예
진준 ( Joon Jin ),임철환 ( Chur Hoan Lim ),정진욱 ( Jin Ook Chung ),조동혁 ( Dong Hyeok Cho ),정동진 ( Dong Jin Chung ),정민영 ( Min Young Chung ),최유덕 ( Yoo Duk Choi ) 대한내과학회 2015 대한내과학회지 Vol.89 No.1
알도스테론 분비 부신샘종과 신장동맥협착을 동시에 보이는 예는 극히 드물다. 저자들은 약물로 조절되지 않은 고혈압을 주소로 내원한 52세 여자에게서 고알도스테론증을 시사하는 검사 소견이 있어 알도스테론 분비 부신샘종을 진단하였고 복강경하 좌측 부신절제술을 시행하였다. 수술로 제거하였음에도 불구하고 지속된 고혈압에 대해 평가하던 중 신장 동맥혈관조영술로 좌측 신장동맥협착을 진단하였고 풍선혈 관성형술을 시행하였다. 그 후 혈압은 항고혈압제 요구량이 감소하면서 조절된 양상을 보였다. 본 증례는 고알도스테론증을 보이는 환자를 평가하는 데 있어 신장동맥협착 동반 여부에 대한 평가가 필요함을 강조한다. The simultaneous occurrence of renovascular hypertension and an aldosterone-producing adrenal adenoma is a rare entity. Here, we report the case of a 52-year-old female who had a coexisting aldosterone-producing adrenal adenoma and ipsilateral renal artery stenosis. She was diagnosed with the aldosterone-producing adrenal adenoma and then underwent a laparoscopic left adrenalectomy. Her blood pressure was uncontrolled after the adrenalectomy. Selective renal angiography showed left renal artery stenosis; thus, she underwent balloon angioplasty at the same sitting. Subsequently, her blood pressure returned to normal after administration of a single antihypertensive drug. This case suggests that it is important to recognize the possible coexistence of renal artery stenosis in a patient with an aldosterone-producing adrenal adenoma. (Korean J Med 2015;89:97-101)
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한국어 번역본 Assessment of SpondyloArthritis International Society-Health Index에 대한 임상적 유효성 평가
최정호 ( Jung Ho Choi ),정현주 ( Hyun Ju Jung ),오태렴 ( Tae Ryom Oh ),이승헌 ( Seung Hun Lee ),진준 ( Joon Jin ),이정원 ( Jeong Won Lee ),이경은 ( Kyung Eun Lee ),박동진 ( Dong Jin Park ),박용욱 ( Yong Wook Park ),이신석 ( Shin 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.4
Objective. To evaluate the validity of the Korean version of ASAS-HI in patients with spondyloarthritis in Korea. Methods. A total of 91 patients were enrolled. We evaluated the validity by calculating the correlation coefficients between the Korean version of ASAS-HI and other clinical parameters, including patient global assessment (PGA), spinal back pain score, Bath ankylosing spondylitis disease activity index (BASDAI), Bath ankylosing spondylitis functional index (BASFI), ankylosing spondylitis disease activity score (AS-DAS), work productivity and activity impairment (WPAI) number 5 and number 6, hospital Anxiety and Depression Scale (HADS), health Survey Short-Form 36 (SF-36), and EuroQol visual analogue scale (EQ-5D VAS). Using a Pearson correlation coefficient, the validity was assessed by making a comparison between the correlation of the ASAS HI and clinical parameters in all patients. Results. The Korean version of ASAS-HI score was correlated with PGA, spinal back pain score, BASDAI, BASFI, AS-DAS, WPAI number 5, WPAI number 6, HADS, and EQ-5D (r=0.331, 0.403, 0.638, 0.500, 0.595, 0.480, 0.573, 0.626, .0.497, p=0.002, <0.001, <0.001, <0.001, <0.001, <0.001, <0.001, and <0.001, respectively). Conclusion. In this study, the clinical effectiveness of the Korean version of ASAS-HI was proved by calculating the correlation with other clinical parameters. The Korean version of ASAS-HI can be used in clinical practice and research to assess the healthy state of spondyloarthritis patients in Korea.
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