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사람면역결핍바이러스 감염에 동반된 미만성 침윤성 림프구 증가 증후군
권선옥 ( Sun Ok Kwon ),박원우 ( Won Wo Park ),이현경 ( Hyun Kyung Lee ),이성순 ( Sung Soon Lee ),강윤경 ( Youn Kyung Kang ),이영민 ( Young Min Lee ),이혁표 ( Hyuk Pyo Lee ),김주인 ( Joo In Kim ),최수전 ( Soo Jeon Choi ),염호기 ( H 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.3
Diffuse infiltrative lymphocytosis syndrome is an autoimmune syndrome that is characterized by the oligoclonal expansion of CD8+ T-lymphocytes in response to human immunodeficiency virus (HIV) antigens. The clinical manifestations include bilateral enlargement of the parotid glands, lymphocytic interstitial pneumonitis, lymphocytic hepatitis, neurological involvement and systemic lymphadenopathies. In addition to a positive HIV test, the diagnostic histopathological findings are CD8+ T-lymphocytic infiltrations in the lymphnodes, liver, lung, muscle and the salivary or lacrimal glands without granulomatous or neoplastic involvement. We report a case of pulmonary involvement of diffuse infiltrative lymphocytosis syndrome that was associated with a human immunodeficiency virus infection. (Tuberc Respir Dis 2006; 61: 289-293)
유원상,염호기,김기환,김건,문영수,이광재 대한감염학회 1989 감염 Vol.21 No.4
A case of acute transverse myelitis associated with miliary tuberculosis is presented. A 26-year-old man was admitted to Inju University Paik Hospital because of fever and voiding difficulty. Prior to this 2nd. admission, he was managed under the diagnosis of miliary tuberculosis at our hospital and discharged with improvement. On admission, physical examination revealed normal motor and sensory function, but CSF showed pleocytosis, and managed with anti tbc. durgs under the diagnosis of tbc. meningitis, On 5th hospital day, progressive deterioration of sensory and motor function with decreased DTR on both lower exterimities were observed but CSF study and myelogram were within normal limits. Sensory and motor dysfunction progressively involved to upper spinal cord and finally T5 level was affected. Thereafter, downward recovery of sensory and motor function were observed with voiding control. Upon discharge, he has little voiding difficulty and ambulatory with mild discomfort.
유원상,이동철,김건,염호기,이건주,최석구 인제대학교 1989 仁濟醫學 Vol.10 No.3
보다 간편하고 적은 부담으로 24시간 활동혈압의 평균치를 얻기 위한 노력의 일환으로 시판 반자동 전자혈압계로 4시간마다 정시에 측정한 혈압치의 평균이 SpaceLab사의 휴대용 자동혈압계에 의한 24시간 활동혈압의 평균치의 대표치로 임상적으로 사용할 만하였다. Ambulatory blood pressure obtained with SpaceLab's Model 90202 monitor and timed blood pressure with Omron's semiautomatic electronic sphygmomanometer were evaluated as representative value for 24 hour ABP In normal Korean male (n=10), timed BP-5 (measured at 5 points) revealed a good correlation with average of 24 hour ABP. In hypertensive male patients (n= 15) timed BP·6 (measured at 6 points) was well correlated with average of 24 hour ambulatory blood pressure. In conclusion, the average of timed BP (BP checked with sphygmomanometer every 4 hours occluding 0200 hour value in patients and not for normal) was well tolerated clinical use as representative value of 24 hour ABP.