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- 저자 : 한 호 (검색결과 2 건)
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한 호,안명주,최정혜,이창범,이영열,최일영,김인순,이웅수 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2
Pernicious anemia is the most common cause of vitamin B12 deficiency and is caused by autoimmune destruction of parietal cell containing gastric mucosa region. This disease is significantly associated with autoimmune endocrinopathies and anti-receptor autoimmune disease. We report here a case of 26-year old man who was diagnosed pernicious anemia with high level of autoantibody titer (antithyroglobulin antibody 1:25,600 and antimicromosomal antibody 1:6,400) indicating subclinical Hashimoto's thyroiditis. Since other autoimmune diseases are frequently associated with pernicious anemia even without evidence of clinical symptoms, screening test for the presence of autoimmune disease should be evaluated in these patients.
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조한표,이숙진,신대희,최성일,한 호,이 상,김순길,김경수,임헌길,김정현,이방헌,이정균 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2
Left ventricular pseudoaneurysm is defined as a rupture of the myocardium that is contained by pericardial adhesion or the epicardial wall. The etiology of pseudoaneurysm are mainly transmural myocardial infarction, various type of cardiac surgery, blunt or penetrating chest trauma, infection (endocarditis, myocarditis, tuberculosis, syphilis). Although LV pseudoaneurysm is clinically uncommon, diagnosis is difficult and rupture often leads to death. Therefore, a surgical repair is necessary in most cases of left ventricular pseudoaneurysm. It is important to have a high clinical index of suspicion, because the symptoms, signs, electrocardiographic abnormalities and radiographic findings seen in LV psuedoaneurysm can be indistinguishable from those in patients with coronary disease alone. We report a case of 64-year-old male with coronary artery disease of 3 vessel and symptomatic left ventricular pseudoaneurysm after myocardial infarction.
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