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후두부 양측 천막경유 접근법/대뇌 겸상막경유 접근법을 통한 겸천막수막종 수술 후 발생한 일시적 양측 전맹 -증 례 보 고-
이한일 ( Han Il Lee ),이병훈 ( Byoung Hun Lee ),권정택 ( Jeong Taik Kwon ) 대한뇌종양학회 대한신경종양학회 2014 Brain Tumor Research and Treatment Vol.2 No.1
Falcotentorial meningiomas are rare. The infratentorial supracerebellar and the occipital transtentorial approaches are frequently used to reach the tumor. A 56-year-old female was admitted to the hospital because of headache. Magnetic resonance imaging (MRI) of her brain showed a 35×38×20 mm-sized tumor, suspected as a meningioma, with heterogeneous signal intensity in the pineal region. The patient was operated using the occipital bi-transtentorial/transfalcine approach. The observed tumor was a fibrotic mass with calcification and was not pulled to one side after internal decompression. It was totally removed through the bilateral approach. Immediately after surgery, however, the patient complained of total blindness. Following steroid therapy, the patient showed remarkable improvement. The occipital bi-transtentorial/transfalcine approach provides a well-exposed operation field and an optimized visibility of anatomical structures. However, the potential visual cortex injury should be considered due to undue, prolonged retraction.
이한을 ( Han Eul Lee ),조홍기 ( Hong Ki Cho ),이성열 ( Sung Yul Lee ),이종석 ( Jong Suk Lee ),박영립 ( Young Lip Park ),황규왕 ( Kyu Uang Whang ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.12
Washboard nail is a dystrophy that presents as a series of ridges that extends across the nail. It is often accompanied by a central depression that extends from the cuticle to the free edge. Washboard nail is often a result of frequently repeated trauma, but sometimes predisposing factors cannot be found. When habitual tic is the cause of the lesions, restraining the habit is the most important treatment. Here, we report a case of a 6-year-old male with washboard nails on both thumbnails and was treated with topical 0.1% tacrolimus ointment. Significant improvement was observed after 4 months of application. This case suggests that topical tacrolimus can be considered as a primary therapy in the treatment of washboard nails in the absence of trauma. (Korean J Dermatol 2012;50(12):1054∼1056)
증 례 : 범발성 장염 소견으로 진단된 전신 홍반 루푸스
이한아 ( Han Ah Lee ),심혜기 ( Hye Gi Shim ),서영호 ( Young Ho Seo ),최성재 ( Sung Jae Choi ),이범재 ( Beom Jae Lee ),이영호 ( Young Ho Lee ),지종대 ( Jong Dae Ji ),김재훈 ( Jae Hoon Kim ),송관규 ( Gwan Gyu Song ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.2
Lupus enteritis is a rare, severe complication of systemic lupus erythematosus (SLE), needing prompt diagnosis and proper management. However, SLE rarely presents as lupus enteritis at the time of initial diagnosis. Thus, delayed diagnosis and misdiagnosis are common. We report a case of a 25-year-old woman with lupus panenteritis. The patient had multiple hospitalizations for abdominal pain, nausea, and diarrhea, initially without any other symptoms suggestive of SLE, but was later observed to have malar rash and oral ulcers. Laboratory investigations were compatible with SLE, including positive antinuclear antibody (1:320) with speckled pattern. CT revealed diffuse hypodense submucosal thickening of the stomach, the entire small bowel, colon, appendix, and rectum. Treatment with high-dose corticosteroids followed by maintenance therapy with mycophenolate mofetil, hydroxychloroquine, and azathioprine resulted in clinical improvement. Diagnosis of lupus enteritis requires a high index of suspicion given the low incidence and nonspecific clinical findings.
알레르기접촉피부염 환자의 첩포검사에서(T.R.U.E. TEST^(R)) 판독일에 따른 결과 고찰
이한을 ( Han Eul Lee ),이종석 ( Jong Suk Lee ),이성열 ( Sung Yul Lee ) 대한피부과학회 2013 大韓皮膚科學會誌 Vol.51 No.2
Background: The patch test is widely used for diagnosis of allergic contact dermatitis. However, nearly half of positive reactions can be observed only on day 2 or day 4 and it is difficult to interpret these reactions. Objective: The purpose of this study is to assess the frequency of transient and delayed reactions in TRUE-test and detect common antigens that provoke these reactions. Methods: A total of 311 patients with allergic contact dermatitis were evaluated by TRUE-test between Jan 2007 and December 2011. Records of patch test results of day 2 and day 4 were reviewed and analyzed. Results: A total 311 cases of T.R.U.E. TEST^(R) records (male 79, female 232) were analyzed. Persistent reactions were observed in 80.1% patients tested, transient reactions were observed in 18.3%, and delayed reaction in 5%. Frequent allergens which showed transient reactions were cobalt dichloride (2.9%), nickel sulfate (2.2%), thiomersal (1.9%), and carba mix (1.6%), in order of frequency. Allergens which showed delayed reactions were nickel sulfate (0.3%), fragrance mix (0.3%), p-tert-butylphenol formaldehyde resin (0.43). Conclusion: Our results showed a relatively high frequency of transient reaction in T.R.U.E. TEST^(R). This suggests that additional reading at day 4 in the patch test would be of value. (Korean J Dermatol 2013;51(2):87∼93)
이한도 ( Han Do Lee ),김혜림 ( Hye Rim Kim ),김현정 ( Hyun Jung Kim ),최은화 ( Eun Hwa Choi ),손병기 ( Byeong Gi Son ),박정보 ( Jung Bo Park ),박주열 ( Ju Youl Park ),김태호 ( Tae Ho Kim ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.4
PURPOSE: The purpose of this study was to investigate the effects using pressure biofeedback and teaching abdominal hollowing exercise on pelvic stabilization during the active straight leg raising test. METHOD: The subjects were divided into 3 groups who were fourty eight healthy participants, aged 20~25 years recruited for this study. First group wad control group. This group didn`t any education. Second group was teaching them for a week. And last group was teaching abdominal hollowing exercise. The rotation angles of pelvic were measured by the motion anayalyser on flat surface and on form roll for the active leg raising. RESULT: Using pressure biofeedback and teaching abdominal hollowing exercise groups were significantly effective than control group in rotation angles of pelvis. And using pressure biofeedback group was more effective than teaching core stability muscles contraction group. CONCLUSION: This study suggested that patients with low back pain and pelvic instability can improve pelvic stabilization through pressure biofeedback and teaching abdominal hollowing exercise.