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Cytopagic Histiocytic Panniculitis 1 예
김용태,박원,한창순,송태의,선우인철 대한내과학회 1991 대한내과학회지 Vol.41 No.3
Cytophagic histiocytic panniculitis is a histiocytic proliferative disorder characterized by the presence of fever, pancytopenia, and subcutaneous nodule resulting from the infiltration of fat and dermis by inflammatory cells and histiocytes that contain phagocytized RBC, lymphocyfes, and platelets. A 39 year-old male was admitted to the hospital because of painful subcutanenous nodules on both cheeks and abdominal wall, which had spread to both lower extremities. On the physical exam, the body temperature was 38.5℃ and the pulse was 98/min. There were tender subcutaneous nodules on both cheeks and abdomen and relatively well-defined tender erythematous subcutaneous nodules on both lower extremities. Laboratory findings revealed pancytopenia, prolongation of prothrombin time, and elevation of liver enzymes. Abdominal CT showed increased density and irregular thickening of the subcutaneous fat layer in the entire abdominal trunk. Full thickness skin biopsy of the abdominal wall revealed dense mononuclear cell infiltrate and fat necrosis, These histiocytes showed phagocytic activity including RBC, WBC, and nuclear debris with typical bean bag$quot; appearance. With 6cycles of CHOP$quot; chemotherapy, on improvement of the skin lesions and laboratory and biopsy findings was observed.
이홍순,이학중,박원,한창순,유수웅,주신배,선우인철 대한내과학회 1991 대한내과학회지 Vol.41 No.6
Acute myocardial infarction (AMI) rarely occurs in systemic lupus erythematosus (SLE), but mortality is as high as 50%. Also, AMI is a possible cause of inexplained heart failure in SLE patients. We experienced a case of AMI resulting from coronary vasculitis which was manifested by diffuse sclerotic narrowing of the coronary arteries in coronary angio-graphy in a 36-year-old male lupus patient. Management by prednisolone and post-centrifugal plasma-pheresis decreased systemic symptoms, chest pain, and cardiac enzymes. Follow up coronary angiography also revealed improved sclerotic lesions in the coronary arteries, The patient iss cunently under follow-up tsectment as an out-patient for 20 months with only skin manifestation without heart symtoms.
김진근,박형호,이동윤,정용수,한창순,홍은성,이은진 경남발전연구원 2011 중점정책연구 Vol.2011 No.-
This study has implemented to accomplish three goals that help for Gyeongnam Province’s decision making about the industrial policies in new & renewable energy area. The first goal is to find the promotion conditions through the analysis of global market trends of photovoltaic and wind energy industries. The second goal is to scrutinize the actual situations and to summarize the demand for policies of small and medium-sized business in Gyeongnam Province area. The final goal is to suggest some policy proposals to promote new & renewable energy industries in Gyeongnam province area. In the process of this study Ican find some facts as mentioned below. The global new & renewable energy industries had grown 28.2% annually during resent 5 years. Although the prices of polysillicon and solar cell were falling recently, global photovoltaic market has grown rapidly since 2008. Global wind energy market, like the photovoltaic market, has grown rapidly during 2005-2009 years, but the market size was reduced slightly in 2010. Also I can find that the Gyeongnam province area has many manufacturers in new & renewable energy industry and favorable environments such as the Gyeongnam province government’s policy direction, excellent national institutes (KIMS, KERI) and many universities. However, the results of research on the actual condition show some weaknesses of Gyeongnam province area as outlined below. First of all, almost the whole manufacturers are small-sized. They sales only 1.5 hundred million won on average in 2010, whereas medium-sized manufacturers sales 140 hundred million won on average in 2010. Almost every manufacturer has not exportexperiences and hasslightly ambiguous vision for the future global (and domestic) market, etc. My policy suggestions to promote new & renewable energy industries in Gyeongnam province area are as follows: Planning for photovoltaic industry, to draw up the TRM, to facilitate the construction companies’ subsidiaries in photovoltaic field, to set up technology forum for new & renewable energy industries, to survey the possibilities of marine photovoltaic industry in Gyeongnam province, to build zero-energy town, etc.