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노인 천식 환자에서 천식 증상 발현 빈도 및 임상적 특징
김기업(Ki Up Kim),주재학(Jae Hak Joo),김재한(Jae Han Kim),기신영(Shin Young Ki),어수택(Soo Taek Uh),김용훈(Young Hoon Kim),박춘식(Choon Sik Park) 대한천식알레르기학회 2000 천식 및 알레르기 Vol.20 No.1
N/A Background: The clinical and physiological aspects of asthma in the elderly are different from children and young adults. Symptoms such as wheezing, coughing, dyspnea are less commonly reported in the elderly compared to younger patients. Objective : 1) To evaluate the difference of symptoms and physiologic aspects between elderly and younger asthmatics. 2) To determine whether the difference of symptoms is related to changes in physiologic parameters or other clinical features. Subject and method: Sixty-four young, fifty-three-middle aged, and twenty-five elderly stable asthmatic subjects were studied. We conducted questionnaire survey and performed pulmonary function test, allergy skin test and methacholine challenge test. Result : Duration of disease was not different in the three groups. Allergy skin test reactivity rate decreased by age. In the elderly patients, the prevalence of symptoms was significantly lower than in younger patients. There was no correlation between the presence of symptoms, sex, smoking history and alteration of pulmonary function. Conclusion : Compared with younger patients, the symptoms such as coughing, wheezing, and dyspnea are obscure in elderly patients. But the appearance of symptoms is not related to the alteration of physiologic functions. This study emphasizes the importance of routinely performing lung function test in elderly patients to diagnose bronchial asthma, even if their symptoms are not typical.
폐색전증에서 나선형 컴퓨터 전산화 단층촬영의 관찰자간의 일치도에 관한 연구
김양기 ( Yang Ki Kim ),이영목 ( Young Mok Lee ),김기업 ( Ki Up Kim ),어수택 ( Soo Taek Uh ),김용훈 ( Yong Hoon Kim ),박춘식 ( Choon Sik Park ),황정화 ( Jung Hwa Hwang ),김동훈 ( Dong Hun Kim ),구동억 ( Dong Erk Goo ),최득린 ( Deuk 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.59 No.5
오동준 ( Dong Jun Oh ),구소미 ( So-my Koo ),김양기 ( Yang Ki Kim ),김기업 ( Ki Up Kim ),어수택 ( Soo-taek Uh ),김현조 ( Hyun Jo Kim ),김동원 ( Dong Won Kim ) 대한내과학회 2016 대한내과학회지 Vol.91 No.1
흡연연관 간질성 섬유증(SRIF)은 콜라젠 침착으로 인한 폐포 중격의 비후가 있고, 호흡세기관지염과 폐기종이 동반되어 있다는 것이 특징이다. 2010년도에 처음으로 SRIF 용어를 사용하기 시작하였으며, 임상, 조직, 영상 소견이 특발성폐섬유증과 구별되는 병리 소견이다. SRIF는 현재까지 국내에서 보고된 적 없으며, 세계적으로도 보고가 드물다. 저자들은 SRIF 3예를 1년간 추적 관찰하여 보고하는 바이다. Smoking-related interstitial fibrosis (SRIF) is characterized by marked alveolar septal fibrosis seen as distinct thick collagen bundles, along with emphysema and respiratory bronchiolitis. In 2010, SRIF was deemed a new entity that differed from idiopathic pulmonary fibrosis (IPF) clinically, pathologically, and radiologically. No case of SRIF has been reported in Korea and it is rare worldwide. Here, we report the 1-year follow-up of three cases of SRIF. (Korean J Med 2016;91:49-56)
양측 가슴벽에 동시에 발생하고 일측의 덩어리는 피부로 진행된 원발성 신경집종
김철 ( Chul Kim ),박상모 ( Sang Mo Park ),박의주 ( Eui Ju Park ),정은정 ( Eun Jung Jung ),장원호 ( Won Ho Jang ),김양기 ( Yang Ki Kim ),이영목 ( Young Mok Lee ),김기업 ( Ki Up Kim ),김현조 ( Hyun Zo Kim ),황정화 ( Jung Hwa Hwang 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.4
Neurilemmomas are benign nerve sheath tumors derived from Schwann cells that rarely occur in the chest wall. Neurilemmomas of the chest wall are usually solitary lesions that bulge toward the pleural cavity. Neurilemmomas are confirmed histologically based on the presence of Verocay bodies, Antoni A and Antoni B tissue patterns and S-100 protein. Bilateral neurilemmomas in the chest wall are extremely rare, as are those that grow in the subcutaneous tissue but not the pleural area. We report here a case of bilateral chest wall neurilemmomas in which the tumors bulged out to the skin and were palpable. (Tuberc Respir Dis 2008;65:318-322)
김종화 ( Jong Hwa Kim ),김양기 ( Yang Ki Kim ),김정현 ( Jung Hyun Kim ),이영목 ( Young Mok Lee ),김기업 ( Ki Up Kim ),어수택 ( Soo Taek Uh ),노형준 ( Hyung Jun Noh ),김현조 ( Hyun Jo Kim ),장원호 ( Won Ho Jang ),김동원 ( Dong Won 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.6
A 29-year-old female patient presented with exertional dyspnea that she had suffered with for 2 months. The chest X-ray displayed right pleural effusion that was diagnosed as chyle, according to the level of cholesterol and triglyceride in the pleural fluid. VATS (video assisted thoracic surgery) of the right lung was performed on the 7th day of hospitalization for obtaining a lung biopsy and to control the of pneumochylothorax. On the 11th hospitalization day, VATS of left lung was also performed to control the recurrent pneumothorax via pleurodesis. The lung biopsy showed moderate amounts of spindle-shaped and rounded cells (so-called LAM cells), which were reactive to actin and HMB45 (on immunohistochemical stains). We report here on a rare case of lymphangioleiomyomatosis combined with chylothorax and bilateral pneumothroraces. (Tuberc Respir Dis 2007; 62: 554-559)