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황선혁 ( Sun Hyuk Hwang ),박선영 ( Sun Young Park ),김기찬 ( Ki Chan Kim ),박주한 ( Joo Han Park ),김시연 ( Si Yeon Kim ),송가원 ( Ga Won Song ),정숙희 ( Jun Goo Kang ),임선교 ( Sook Hee Chung ),이기명 ( Sun Gyo Lim ),이광재 ( Kwa 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.2
Cavernous hemangioma of the colon is a rare disease. It mostly affects young patients with recurrent painless rectal bleeding. Complete surgical excision with a sphincter saving procedure is the best therapeutic option. A 25-year-old man referred to our hospital because of a chronic anemia and recurrent painless rectal bleeding. In esophagogastroduodenoscopy, there was gastric erosion. In colonoscopy, there were multiple submucosal vessel dilatations on whole colon. Prominent submucosal vessel was noted on cecum and rectum suspicious for cavernous hemangioma. Biopsy was not performed because of the risk of bleeding. Abdomen computer tomography (CT) showed bowel wall thickening in rectum and colon. Multiple small aggregated cystic lesions in omentum and mesentery were seen. Multiple calcifications in the rectum were noted, a finding compatible with phleboliths. We recommended surgery but patient refused and now he is followed up in our outpainet clinic without complication. Cavernous hemangioma is a rare disease but clinicians should be cautious about the occurrence of this malformation in young patients with recurrent rectal bleeding. Suspicion and knowledge of this disease would reduce the misdiagnosis and mismanagement.
증례 : 혈액종양; Sclerosing Angiomatoid Nodular Transformation of Spleen 1예: 스포크 휠(Spoke Wheel) 모양의 조영증강
박주한 ( Joo Han Park ),황선혁 ( Sun Hyuk Hwang ),김기찬 ( Ki Chan Kim ),김시연 ( Si Yeon Kim ),송가원 ( Ga Won Song ),한재호 ( Jae Ho Han ),박준성 ( Joon Seong Park ) 대한내과학회 2014 대한내과학회지 Vol.86 No.3
Sclerosing angiomatoid nodular transformation (SANT) is a rare, benign vascular neoplasm. Most patients have no clinical symptoms, and the tumors are usually discovered incidentally on abdominal computed tomography or ultrasonography. Some studies have reported the clinical features and imaging findings of SANT, but the diagnosis is based on histopathologic examination of a tissue specimen obtained at splenectomy. We report herein an incidentally discovered case of SANT and review the related literature.
혈청양성 류마티스관절염 환자에서 급성 신부전을 동반한 다발성 골수종
이승경 ( Seung Kyung Lee ),황선혁 ( Sun Hyuk Hwang ),박주한 ( Joo Han Park ),송가원 ( Ga Won Song ),박선영 ( Sun Young Park ),김세란 ( Sei Rhan Kim ),정주양 ( Ju Yang Jung ),배창범 ( Chang Bum Bae ),김현아 ( Hyoun Ah Kim ),정성현 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.5
It is known that rheumatoid arthritis (RA) patients show increased incidence of multiple myeloma (MM), despite its rarity. Only one case of MM with seronegative RA was reported in Korea, thus far. We report a case of MM with seropositive RA. The patient was a 66 year old female who had been diagnosed with seropositive RA 4 years ago. Over the last 1 month, the patient experienced general weakness and weight loss of 10 kg. It was found that her serum creatinine had increased and her urine analysis showed proteinuria. To evaluate renal failure and proteinuria, renal biopsy, bone marrow biopsy and electrophoresis were carried out. A diagnosis of myeloma cast nephropathy was made. We report this rare case of MM represented as acute renal failure during the treatment for RA, and include a review of the literature.