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젊은 여자에서 당뇨병과 여포성 갑상선암이 동반된 궤양성 대장염
양진수 ( Jin Su Yang ),박영숙 ( Young Sook Park ),김시민 ( Si Min Kim ),박준섭 ( Jun Sup Park ),이현석 ( Hyun Seok Lee ),전재석 ( Jae Seok Jeon ),김은경 ( Eun Kyung Kim ) 대한소화기학회 2003 대한소화기학회지 Vol.41 No.1
Ulcerative colitis is a chronic intestinal mucosal inflammatory disease of unknown etiology. Recent epidemiological and molecular studies have provided strong evidence that the inherited predisposition is important in the pathogenesis of chronic inflammatory bowel disease. The model consistent with the epidemiological data suggests that ulcerative colitis is related to polygenic diseases. We exprienced a 27-year-old woman with ulcerative colitis combined with follicular thyroid cancer and gestational diabetes mellitus. These diseases were developed consecutively within one and half year. She has a family history of thyroid disease and diabetes mellitus. We report this case with a review of literature. (Korean J Gastroenterol 2003;41:70-73)
라상욱,양진수,이은모,노태홍,정해준,Ra, Sang-Uk,Yang, Jin-Su,Lee, Eun-Mo,Nho, Tae-Hong,Jung, Hae-Joon 배재대학교 자연과학연구소 1992 自然科學論文集 Vol.5 No.2
토감 재배에 의한 토마토 및 감자의 동시 생산성을 검토하고자 감자 '대지' 품종을 대목으로, 방울 토마토 '페페' 품종을 접수로 하여 1991년 10월 3일 부터 1992년 3월 16일 까지 FRP하우스 재배를 하였다. 토감의 접목 활착율은 100%였고, 혼경 수량성은 2, 178kg/10a로서 무접목 감자재배에 비하여 월등히 높았으며, 방울토마토 수량성은 4, 512kg/10a으로 무접목 방울토마토 재배에 비하여 7%로 다소 감소되었으나, 당도는 2.2도 높아, 토마토와 감자의 접목 재배에 의한 신소득 작물의 창출과 감자의 토마토의 동시 생산이 가능하였다. This experiment was carried out to investigate the possiblity of harvest of the fruits of tomato and the tubers of potato by the graft cultivation in winter, simultaneously. One hundred percentage of the grafted explant between tomato and potato were survived. The yield of tuber was 2.178kg/10a in the grafted explant an d 687 kg/10a in potato. And the yield of fruits was 4,512kg/10a in grafted explant and 4,840 kg/10a in tomato and was decreased by 7% in grafted explant compared with common tomato, whereas brix of fruits was higer in the former than the latter.
서유승,최재웅,송창섭,조용범,양진수,박준섭,정인수 대한내과학회 2003 대한내과학회지 Vol.65 No.2
관상동맥 동정맥루 기형은 매우 드문 질환으로 치료가 불필요한 경우가 대부분이나 coronary steal 현상으로 인해 증상이 발생하거나 합병증이 발생한 환자에 대해선 치료를 요한다. 최근에는 시술에 적합한 누공을 가진 선택된 환자군을 대상으로 카테터를 이용한 중재적 시술이 시행되어 수술적 치료와 유사한 결과를 얻고 있다. 저자들은 젊은 남자에서 관상동맥 동정맥루 기형과 동반된 급성 심근 경색증을 진단하여 비 수술적 방법인 카테타 코일 색전술로 성공적 치료 후 증상 및 심근 재관류에 호전을 보인 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. We report a case of coronary fistula between the left anterior descending and main pulmonary artery complicating acute non-Q wave myocardial infarction. A 27-year-old man visited emergency department because of severe chest pain lasting two hours. The electrocardiogram showed ST segment elevation in precordial leads V3~6. Cardiac enzymes were as follows;CK-MB:36.44 IU/L T-T:0.489 ng/mL, CPK:542 IU/L, and LDH:475 IU/L. The thallium-201 dipyridamole stress perfusion scan showed perfusion defect and reversed redistribution in the anteroseptal wall. The coronary angiogram revealed coronary artery fistula between the proximal left anterior descending artery and main pulmonary artery without significant stenoses of coronary arteries. The result of ergonovine test was negative. After micro-coil embolization to the coronary fistula, symptoms were improved. Follow-up thallium-201 scan showed normalized blood flow in the left anteroseptal wall.
A Case Report of Intradural Ruptured Lumbar Disc
Yang, Jin Su,Lee, Seung-Min,Yang, Jae Young,Choi, Chun Sik,Ju, Mun Bae 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.5
척추 경막내로 돌출된 디스크는 비교적 희귀한 질환으로서 전체 척추 디스크 중 0.13%의 빈도로 보고되고 있다. 90% 정도에서 요추부에 발생하는 것으로 알려져 있으며 자각 및 타각 증상도 일반적인 경막외 디스크에 비하여 매우 심한 소견을 보인다. 척추 경막내 디스크는 척추강내 종양과 감별을 요하며 자기 공명 촬영상 몇가지 특징적인 소견을 나타냈다. 서자들은 최근 46세 여자에서 수술로 확인된 요추부 척추 경막내 디스크 1예를 경험하였다. 이 환자의 자기 공명 촬영 소견과 수술 소견을 기술하고 상기 질환의 병리 기전, 자기 공명 촬영소견상 감별 진단을 요하는 척추 종양과 또한 자기 공명 촬영상 척추강내 디스크이 소견을 보였으나 수술로 확인된 경막외 디스크에 대하여 문헌 고찰과 함께 보고한다. Intradural ruptured discs are very rare occurrences and the incidence is reported to be 0.13% among total herniated discs. 90% of intradural ruptured discs are known to occur in the lumbar area. The symtoms and signs of the intradural disc are much more severe than those of the usual extradural herniated disc, MR imagings of the intradural disc demonstrate several typical findings. but intradural tumors must be ruled out. The authors present a case of intradural ruptured lumbar disc at L4-L5 leyel in a 46-year-old female. Characteristic MR and operative findings of this case are reported. Pathogenetic mechanisms and differential diagnoses with certain intradural tumors and the extradural ruptured disc with similar MR findings are discussed. The rupture of interverebral disc material into the the-cal sac is thought to be a rare occurrence, and so far just a few more than 50 cases have been reported. About 90% of those cases are reported in the lumbar spine, most at the L4- L5 interspace. There are some remarkable findings on MR imagings of intradural disc, which are mixed intensity on T2-weighted image, poor visualization on unenhanced T1-weighted image and marked ring enhancement after administration of gadolinium DTPA. But certain intradural tumors and especially extradural free disc fragments must be ruled out. Recently we treated a 46-year-old female who was verified to have intradural disc at L4-L5 interspace by surgery. Her medical records including MR and surgical findings are presented. Possible pathogenetic mechanisms and differential diagnoses based on MR findings are considered with a review of the literature.
동맥혈 칼슘 자극 검사로 진단된 국소성 췌도 세포 증식증 1예
윤진훈,안규정,주영실,김병준,김성훈,권계형,정명아,양진수,정인수,김충현,조성범,이태석,김은경 대한내분비학회 2001 Endocrinology and metabolism Vol.16 No.4
We report a 40-year-old female patient with clinical findings suggestive of insulinoma. Although imaging studies did not reveal any tumors in the pancreas, a selective arterial calcium stimulation test (SACI), procedurally simpler and more effective than transhepatic pancreatic venous sampling, was performed. And then near total pancreatectomy was carried out because the possibility of small insulinoma could not be completely excluded. Grossly, the surgically removed pancreas did not reveal any tumors. However, the pancreas exhibited islets cell hyperplasia. To our knowledge, this is the first reported authentic case in a Korean adult of islet-cell hyperplasia diagnosed by selective arterial calcium stimulation test