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Single Pass Radionuclide 심혈관 촬영술로 진단된 대동맥류에 의한 상대정맥 증후군
이강욱(Gang Wook Yi),최지영(Ji Young Choi),김기우(Ki Woo Kim),신동진(Dong Jin Shin),목차수(Cha Soo Mok),박소배(So Bae Park),최대섭(Dae Seop Choi) 대한핵의학회 1989 핵의학 분자영상 Vol.23 No.1
Single pass radionuclide cardiac angiography was performed in 67-year old woman due to dyspnea and chest discomfort. The study showed markedly dilated ascending aorta and collateral ciculations from left sudclavian vein, and confirmed aortic aneurysm with partial obstruction of superior vena cava.
99mTc - Methylene Diphosphonate 골신티그램으로 관찰된 유선엽상 낭포육종
이강욱(Gang Wook Yi),최지영(Ji Young Choi),김기우(Ki Woo Kim),신동진(Dong Jin Shin),목차수(Cha Soo Mok),최대섭(Dae Seop Choi),김재평(Jae Pyeong Kim),차경수(Kyung Soo Cha) 대한핵의학회 1989 핵의학 분자영상 Vol.23 No.1
The Tc-99m-phosphate compounds, of which methylene diphosphonate is most widely used, originally introduced as bone scanning agents intended primarily to detect metastatic bone deposit. They may also accumulate in extraskeletal sites including breast. Recently we had the opportunity to observe one case of cystosarcoma phyllodes that was confirmed by tissue biopsy and demonstrated diffuse extraskeletal uptake of Tc-99m-MDP in the breast on Tc-99m-MDP bone scan in the breast on Tc-99m-MDP bone scan. So we present this case with the brief review of literatures.
김기우(Ki Woo Kim),최지영(Ji Young Choi),목차수(Cha Soo Mok),신동진(Dong Jin Shin),최호천(Ho Cheon Choi),김경욱(Gyeong Wook Kim),최대섭(Dae Seop Choi) 대한내과학회 1989 대한내과학회지 Vol.36 No.4
N/A Multiple myeloma is a malignant disease charcterized by an abnormal proliferation of plasma cells. In 1847, Bence Jones first found paraprotein in urine, and Mclntyre described it in 1950. The frequencies of M-protein isotypes were followed by IgG, IgA, IgD, and IgE. Type D-myeloma occurs in less than 1 per cent of patients with multiple myeloma. It is male predominate and 90% of IgD multiple myelomas are type 1mbda and 10% are kappa, with most patients having Bence Jones proteinuria. The authors recently experienced a case of IgD multiple myeloma with lambda light chain which developed in a woman.
급성신우신염에서 99mTc - DMSA 신장스캔의 임상적 의의
이강욱(Gang Wook Yi),신동진(Dong Jin Shin),목차수(Cha Soo Mok),최대섭(Dae Seop Choi),최호천(Ho Cheon Choi),김경욱(Gyeong Wook Kim) 대한핵의학회 1989 핵의학 분자영상 Vol.23 No.2
N/A Patients with acute pyleonephritis may present with a spectrum of clinical symptoms and signs. There are few noninvasive diagnostic studies, however to confirm or exclude this diagnosis. To evaluate the clinical utility of 99mTc-DMSA renal scan in diagnosis of acute pyelonephritis, we performed 99mTc-DMSA renal scan in 37 patients suspected with urinary truct infection. Simultaneously kidney ultrasonography was done in 21 patients diagnosed with acute pyelonephritis, clinically. And we performed the followup scan after treatment in two to six weeks. The results were as follows. 1) 99mTc-DMSA renal scan disclosed single of multiple cortical defects and decreased radiouptake ratio of affected kidney in 23 patients among 25 patients diagnosed with acute pyleonephritis. 2) In the 21 patients with acute pyelonephritis, kidney ultrasonography showed abnormal findings in the 7 patients. And 99mTc-DMSA renal scan disclosed abnormal cortical defects in this 7 patients also. 3) Between the patients with acute pyelonephritis and those with lower urinary tract infection, asymptomatic bacteriuria or pyuria, right-to-left radiouptake ratios (R/L ratio ) were significantly different(p<0.001). 4) In two to six weeks after antibiotic therapy, we performed followup 99mTc-DMSA renal scan for 5 patients among 25 acute pyelonephritis patients. And we have found the improvement of cortical defects and the right-to-left radiouptake ratio. In conclusion, we thought that 99mTc-DMSA renal scan should be useful in diagnosis of acute pyelonephritis and follow up examination.
Diphenylhydantoin 투여중 발생한 Pure Red Cell Aplasia 1예
김경욱,박건택,김승욱,김재명,원종현,박필원,최대섭 대한내과학회 1992 대한내과학회지 Vol.42 No.3
저자들은 diphenylhydantoin 사용중 발생한 약제에 의한 이차적인 PRCA의 1예를 경험하였으며 환자에서 직접 Coombs test 양성으로 관찰되어 PRCA의 발생이 면역기전과 관련된 것으로 의심됨을 문헌고찰과 함께 보고하는 바이다. Pure red cell aplasia involves a selective failure in the production of erythroid elements in the bone marrow. The morphologies of megakaryocytes and granulocytes are not measurably changed, and they are present in normal numbers. A 48 year-old male was admitted to our hospital due to anorexia and dizziness, and he was taking diphenylhydantoin against epileptic features and schizophrenic behavior. The peripheral blood smear and bone marrow examination revealed normocytic normochromic anemia, reticulocytopenia, marked hypoplasia of the erythroid series, but the cellularity of the bone marrow, and megakaryocytic, granulocytic series remained no measurable abnormalities. the direct Coombs test was positive and other combined disease entities were not found. So we found that the diphenylhydatoin-induced pure red cell aplasia was presented and it strongly suggested the involvement of the immunologically mediated. This is the first case of the strongly suggested immune-mechanism cause of the diphenylhydantion-induce pure red cell aplasia, and so we report this case with brief review of the literatures.
박정식,김호정,이창영,김종숙,이향주,천대철,권학중,장석,최대섭,강유미 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.4
In 1861 Rokitanski laid down the law that the pyloric ring served as a barrier to the duodenal spread of gastric cancer. Although this theory was generally accepted, direct spread of gastric carcinoma into the duodenum has been reported. We report a case of gastric cancer spreading into the duodenum that was diagnosed by endoscopic duodenal biopsy and review the literature.