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염주옥 ( Ju Ok Yeom ),윤승배 ( Seung Bae Yoon ),김재경 ( Jae Gyung Kim ),오정환 ( Jung Hwan Oh ),전은정 ( Eun Jung Jeon ),정정조 ( Jeong Jo Jeong ),최상욱 ( Sang Wook Choi ),이성 ( Seong Lee ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.6
Hepatocellular calcinoma (HCC) is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide. It is important to diagnose HCC exactly before management is attempted. But, the clinical presentations and radiologic findings of liver abscess, HCC, and metastatic tumor to the liver may be quite similar, and procedures such as serum tumor marker assay, computerized tomography, and ultrasonography of the liver cannot make a specific diagnosis. We report a case of HCC successfully diagnosed by surgery which was misconceived as liver abscess and not improved by medical treatment. (Korean J Gastroenterol 2009;53:378-382)
증례 : 류마티스 ; 건강한 18세 여자에서 유방 농양으로 오인된 유방 결핵 1예
김선영 ( Sun Young Kim ),신주영 ( Ju Young Shin ),염주옥 ( Ju Ok Yeom ),조홍성 ( Hong Sung Chough ),김현숙 ( Hyun Sook Kim ) 대한내과학회 2010 대한내과학회지 Vol.79 No.1
최근 인간 면역 결핍 바이러스 감염에 의한 면역 저하자가 늘면서 폐외 결핵의 유병률이 높아지는 것으로 알려져 있으나 유방 결핵은 발생 빈도가 낮고, 면역기능에 이상이 없는 건강한 사람에게서의 발생은 더욱 드물다. 저자들은 인간 면역 결핍 바이러스 감염과 같은 면역 저하없이 양측 하지에 오른쪽 유방에서 누공이 있는 농양과 지속적인 결절 홍반을 보인 18세 환자를 유방 결핵으로 진단하고 성공적으로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Breast tuberculosis is a rare form of tuberculosis (TB). In healthy individuals in developed countries, the incidence is <0.1% of breast lesions examined histologically. The significance of breast TB is due to its rare occurrence and mistaken identity with breast cancer or pyogenic breast abscess. We report the case of an 18-year-old healthy woman diagnosed with breast TB that mimicked breast abscess. She was admitted for multiple erythema nodosum (EN) of the lower extremities of 6 weeks duration. She also noticed a painful oral ulcer and a palpable nodule with fistula on the right breast for 8 weeks. Our patient had the characteristic radiological and histopathological features of breast TB. Breast abscess and EN improved after antitubercular medication, including isoniazid, rifampin, ethambutol and pyrazinamide. (Korean J Med 79:87-91, 2010)
정의성 ( Eui Sung Chung ),김정호 ( Jeong Ho Kim ),정진환 ( Jin Hwan Jung ),신주영 ( Ju Young Shin ),염주옥 ( Ju Ok Yeom ),강지영 ( Ji Young Kang ),윤형규 ( Hyoung Kyu Yoon ),송정섭 ( Jeong Sup Song ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.5
Crohn`s disease, a major form of inflammatory bowel disease (IBD), is a chronic inflammatory condition that is characterized by microvascular and macrovascular involvement. Some extraintestinal complications can occur due to chronic systemic inflammation in IBD. Among them, a pulmonary thromboembolism is a rare manifestation of IBD but is associated with a high morbidity and mortality. To our best of knowledge, there is only one case report of a pulmonary thromboembolism as a complication of Crohn`s disease in Korea. We present another rare case of pulmonary thromboembolism as complication in a 25-year-old man with underlying Crohn`s disease.