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최경석 ( Kyung Suck Cheoi ),이원익 ( Won Yik Lee ),음영욱 ( Young Ook Eum ),김희성 ( Hee Sung Kim ),이옥준 ( Ok Jun Lee ),이기형 ( Ki Hyeong Lee ),김승택 ( Seung Taik Kim ) 대한내과학회 2006 대한내과학회지 Vol.71 No.5
유방암의 위전이는 폐, 골, 림프절, 골 전이보다 그 빈도가 매우 드물다. 본 증례는 4년 전 유방암을 앓은 과거 병력을 가진 56세 여자가 상복부 불편감으로 내원하여 상부위장관 내시경과 조직학적상 원발 위암이 아닌 유방암의 위전이가 확인되어 보고하는 바이다. Metastatic cancer from breast cancer is not uncommon and it often involves multiple organs. Gastric metastasis from breast cancer is much rarer than lung, bone and lymph node metastasis. Most of the symptoms are nonspecific, so it is not easy to differentiate primary gastric cancer from gastric metastasis from the breast. In particular, gastric and breast cancers are the two most common cancers among Korean women, so efforts should be made to distinguish primary gastric cancer from gastric metastasis because treatment and prognosis are very different between two. A few cases have been reported in Korea concerning gastric metastasis from breast cancer. We report here a case of gastric metastasis from infiltrating duct carcinoma of the breast.(Korean J Med 71:567-572, 2006)
Ethylene Bis-stearamide에 의한 직업성 천식 및 비염
김미경 ( Mi Kyeong Kim ),최경석 ( Kyung Suck Cheoi ) 대한천식알레르기학회 2010 천식 및 알레르기 Vol.30 No.2
Occupational asthma is defined as asthma caused by the repeated inhalation of agents generated at the work place. Even though numerous new agents causing occupational asthma have been reported continuously until now, there have been few reports of ethylene bis-stearamide-induced occupational asthma. Here, we report a case of occupational asthma induced by ethylene bis-stearamide that was confirmed by the bronchial provocation test in a worker at wax-manufacturing factory. (Korean J Asthma Allergy Clin Immunol 2010;30:144-148)
음영욱 ( Young Ook Eum ),김현 ( Hyun Kim ),정희석 ( Hui Seok Jung ),최경석 ( Kyung Suck Cheoi ),이미연 ( Mi Yun Lee ),이원익 ( Won Yik Lee ),손준성 ( Jun Seong Son ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.6
Mercury is one of the heavy metals that cause intoxications. Mercury can cause muscular tremor, psychic irritability, renal toxicity and so on. Mercury intoxications usually occur chrough chronic respiratory ingestion. We describe a case in that a woman had applicated inorganic mercury to her whole body and developed mercury intoxications which can be characterized by the whole body skin rash, fever, acute renal failure and the hepatotoxicity appeared. We managed the patient with diuretics, antibiotics and continuous veno-venous hemodiafiltration. On the 6th hospital day, serum creatinine was normalized. Since then, the skin rash and hepatotoxicity were gradually alleviated. (Korean J Nephrol 2006;25(6):1019-1023)
무산소 운동 없이 발생한 Patchy Renal Vasoconstriction 2예
김희성 ( Hee Sung Kim ),윤수인 ( Su In Yoon ),최경석 ( Kyung Suck Cheoi ),정기옥 ( Ki Ok Joung ),권순길 ( Soon Kil Kwon ),김혜영 ( Hye Young Kim ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.5
Patchy renal vasoconstriction is one of the reversible renal vasoconstrictions, which usually occur in healthy young men following strenuous anaerobic exercise. Analgesics, viral infection, dehydration were known to be the causes of patchy renal vasoconstriction. We experienced two cases of patchy renal vasoconstriction without antecedent anaerobic exercise. The first case is a 54-year-old woman admitted to a hospital with severe loin pain. On admission, serum creatinine was elevated to 2.2 ㎎/dL. Patchy areas of delayed contrast enhancement in both kidneys were observed on immediate post-contrast CT and 14 hours delayed image. This severe loin pain was initiated without anaerobic exercise. On the 4th day, her loin pain was relieved and on the 12th day of her illness, serum creatinine was normalized with supportive care. The second case is an 18-year-old man presented with pain in the both flanks. Five days earlier, operation had been performed for treatment of gynecomastia. There had been no preceding anaerobic exercise before the flank pain occurred. On admission to the hospital, laboratory studies revealed a serum creatinine 2.3 ㎎/dL. Computed tomography showed multiple patchy areas of enhancement in the renal parenchyma. On 12 hours delayed image, there were delayed contrast enhancement. On the sixth day, serum creatinine decreased to 1.4 ㎎/dl and the loin pain was subsided. Patchy renal vasoconstriction can occur without exercise, and we suggest that patchy renal vasoconstriction should be suspected in the patients suffering from acute renal failure with severe loin pain even without strenuous exercise. (Korean J Nephrol 2006;25(5):841-846)