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자가면역 췌장염의 동반증상 없이 발생한 IgG4 연관 경화성 담관염
천송욱 ( Song Wook Chun ),최자성 ( Ja Sung Choi ),강버들 ( Beo Deul Kang ),김유진 ( Yu Jin Kim ),한기준 ( Ki Jun Han ),조현근 ( Hyeon Geun Cho ),오화은 ( Hwa Eun Oh1 ),조재희 ( Jae Hee Cho ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.1
IgG4-related systemic diseases are characterized by a diffuse or mass forming inflammatory reaction rich in lymphocytes and IgG4-positive plasma cells (lymphoplasmacytic infiltration), fibrosclerosis of variable organs and obliterative phlebitis. They usually involve various organs including the pancreas, bile duct, gallbladder, salivary gland, retroperitoneum, kidney, lung, and prostate. However, most of them are accompanied by autoimmune pancreatitis, and good response to steroid treatment is one of the hallmarks of this disease. We report a case of an 67-year-old man with IgG4 associated sclerosing cholangitis, who was diagnosed by endoscopic retrograde cholangiopancreatography and successfully treated with steroid therapy. (Korean J Gastroenterol 2013; 62:69-74)
내과적 치료로 회복된 급성 췌장염에 병발된 간문맥 내 가스
동시헌 ( Shi Heon Dong ),조현근 ( Hyeon Geun Cho ),백정훈 ( Jeong Hoon Baek ),강버들 ( Beo Deul Kang ),김미성 ( Mi Sung Kim ),조재희 ( Jae Hee Cho ),이정훈 ( Jeong Hoon Lee ),천송욱 ( Song Wook Chun ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.3
Hepatic portal venous gas (HPVG) has been considered a rare entity associated with a poor prognosis. Portal vein gas is most commonly caused by mesenteric ischemia but may have a variety other causes. HPVG can be associated with ischemic bowel disease, inflammatory bowel disease, intra-abdominal abscess, small bowel obstruction, acute pancreatitis, and gastric ulcer. Because of high mortality rate, most HPVG requires emergent surgical interventions and intensive medical management. We experienced a case of hepatic portal venous gas caused by acute pancreatitis and successfully treated with medical management. (Korean J Gastroenterol 2013;61:170-173)
정병하,천송욱,황성하,권혁상,윤건호,차봉연,손호영 대한내과학회 2004 대한내과학회지 Vol.66 No.6
횡문근융해증의 원인으로 알려진 대사성 질환에는 전해질 불균형과 당뇨병성 케톤산증, 고삼투성 혼수, 점액 부종 등 여러 가지가 알려져 있고, 갑상선 중독위기에서 동반되어 발생하는 경우도 드물게 보고 되고 있다. 저자들은 갑상선 중독위기에 동반된 횡문근융해증을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Rhabdomyolysis is defined as skeletal muscle injury with release of muscle cell constituents into the plasma. Trauma and drugs are important causes of rhabdomyolysis and not rarely it is associated with metabolic disorders such as diabetic coma, severe electrolyte disturbances and myxedema coma. There are a few reports about rhabdomyolysis developed in patient with thyroid storm. which is defined as a sudden, life threatening exacerbation of thyrotoxicosis. In this report, we described the case of thyroid storm complicated by rhabdomyolysis.