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류마티스관절염에 동반된 폐쇄성 세기관지염 -기질화 폐렴(BOOP)
윤호성 ( Ho-Sung Yoon ),윤문희 ( Moon-Hee Youn ),진정연 ( Jung Yeon Chin ),이화정 ( Hwa Jeong Lee ),곽승기 ( Seung Ki Kwok ),주지현 ( Ji Hyeon Ju ),박경수 ( Kyung Su Park ),박성환 ( Sung Hwan Park ),김호연 ( Ho Youn Kim ) 대한류마티스학회 2009 대한류마티스학회지 Vol.16 No.4
Interstitial lung disease (ILD) is one of the common extra-articular manifestations of rheumatoid arthritis (RA). Bronchiolitis obliterans with organizing pneumonia (BOOP) is one type of ILD, and this is characterized by the proliferation of granulation tissue in the bronchioles, alveolar ducts and some alveoli and interstitial infiltration by chronic inflammatory cells. It develops as a manifestation of RA or as a side effect of anti-rheumatic drugs in patients with RA. We experienced a 41-year-old female patient with RA who developed BOOP during the treatment with methotrexate and bucillamine. She presented with cough and sputum for several months and pleuritic chest pain for one week. The chest radiograph showed bilateral multifocal consolidations. She received thoracoscopic biopsy and her pulmonary infiltrations resolved after the treatment with corticosteroid.
증례 : 소화기 ; 골수 전이를 동반한 삼중 조기위암 1예
김혜진 ( Hye Jin Kim ),김범희 ( Beom Hee Kim ),윤범용 ( Beom Yong Yoon ),탁대현 ( Dae Hyun Tak ),문희석 ( Hee Seok Moon ),성재규 ( Jae Kyu Sung ),정현용 ( Hyun Yong Jeong ) 대한내과학회 2013 대한내과학회지 Vol.84 No.1
최근 조기위암의 발견 빈도가 높아지고 치료 성적 또한 향상되어 현재 조기위암의 5년 생존율은 85% 이상으로 보고되고 있다. 그러나 조기위암으로 진단되었어도 림프절전이나 기타 타 장기로의 원격전이 가능성을 반드시 고려하여야 한다. 조기위암에서 원격전이는 대개 복막, 국소 림프절, 그리고 간에 주로 일어나며 골 전이는 매우 드물다. 최근 저자들은 삼중의 조기위암의 형태를 가진 반지세포암이 골수전이를 동반한 50세 남자 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The clinical outcome of early gastric cancer (EGC) has gradually been improving, and the 5-year survival rate for patients with EGC has been reported to exceed 85% in most studies. However, in some rare cases, EGC is associated with distant metastasis. Bone metastases from stomach cancer are usually osteolytic lesions. Although there have been a few reports of EGC with bone marrow metastasis, cases of triple EGC with bone marrow metastasis are rare. We report a 50-year-old male patient who was diagnosed with triple EGC with bone marrow metastasis. This case can be considered to be rare because the patient had no spread of the disease to other organs. (Korean J Med 2013;84:71-75)