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증례 : 순환기 ; 우 관상동맥 기형과 동반된 운동 중 급성 심장사 1예
차민섭 ( Min Seob Cha ),윤세정 ( Se Jung Yoon ),홍석민 ( Seok Min Hong ),곽민섭 ( Min Seob Kwak ),최유리 ( Yu Ri Choi ),정상완 ( Sang Wan Chung ),김진배 ( Jin Bae Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
35세 이하에서 급성 심장사를 일으키는 원인 중 하나인 관상동맥 기형의 진단에 있어 관상동맥 조영술, 심장초음파 등이 이용되어 왔고 최근 MDCT의 도입으로 대혈관과의 관계, 주행 방향 등을 더 정확하게 진단할 수 있게 되었다. 저자들은 운동 후 발생한 급성 심정지를 주소로 내원한 환자를 MDCT를 이용하여 우 관상동맥 기시 이상을 진단하고 수술적 치료를 한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. There are many causes of sudden cardiac arrest. The main cause of sudden cardiac death (SCD) is coronary heart disease. However, the frequency of coronary heart disease is much lower in sudden cardiac arrest occurring below the age of 30-40. Congenital anomalous origin of the coronary arteries is a rare, but well-described, cause of myocardial ischemia and sudden death in young adults. Here, we report the case of a 23-year-old man with sudden cardiac arrest due to ventricular fibrillation associated with an anomalous origin of the right coronary artery. The patient was diagnosed using multi-detector computed tomography and successfully treated with surgical correction. (Korean J Med 2011;80:S178-S182)
최유리 ( Yu Ri Choi ),이찬희 ( Chan Hee Lee ),강이화 ( Ea Wha Kang ),차민섭 ( Min Seob Cha ),김하나 ( Ha Na Kim ),기정혜 ( Jeong Hye Kie ),박수미 ( Su Mi Park ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.2
Systemic lupus erythematosus (SLE) is a multisystem inflammatory disorder mediated by autoantibodies and immune complexes that exhibit a range of symptoms. Although thirty-five to forty percent of patients with SLE show signs or symptoms of gastrointestinal involvement, acute pancreatitis is an uncommon complication of SLE, and SLE presenting with acute pancreatitis is extremely rare. We report a case of a 28-year-old female SLE patient who initially presented with acute abdominal pain and elevated pancreatic enzyme levels. The patient was diagnosed clinically with acute pancreatitis and then with SLE after further investigations. Her condition improved after high dose steroid therapy.
D-penicillamine 투여력이 없는 전신경화증-쇼그렌 증후군 환자에서 발생한 중증근육무력증
이찬희 ( Chan Hee Lee ),최유리 ( Yu Ri Choi ),김선정 ( Sun Jung Kim ),조정희 ( Jeong Hee Cho ),차민섭 ( Min Seob Cha ),곽민섭 ( Min Seob Kwak ),최일생 ( Il Saeng Choi ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.4
Systemic sclerosis is an autoimmune disease characterized by progressive fibrosis of the skin and visceral organs. Myasthenia gravis is also an autoimmune disease characterized by weakness and fatigue of skeletal muscles. The symptoms of systemic sclerosis and myasthenia gravis overlap clinically, so the recognition of disease co-occurrence may be delayed. Co-occurrence of myasthenia gravis and systemic sclerosis is very uncommon and usually diagnosed after use of D-penicillamine for treating the systemic sclerosis. We report a case of a 49-year-old female patient who complained of general weakness and was diagnosed with myasthenia gravis. Four months earlier she was diagnosed with systemic sclerosis with Sjogren`s syndrome and her medications did not include D-penicillamine.
혈소판감소증이 동반된 전신홍반루푸스 환자에서 비장절제술 후 발생한 정맥혈전증
김정호 ( Jeong Ho Kim ),이찬희 ( Chan Hee Lee ),최유리 ( Yu Ri Choi ),박수미 ( Su Mi Park ),장명희 ( Myung Hee Chang ),김하나 ( Ha Na Kim ),곽민섭 ( Min Seub Kwac ),차민섭 ( Min Seob Cha ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.4
Systemic lupus erythematosus (SLE) is a multisystemic inflammatory autoimmune disease mediated by autoantibodies and immune complexes. In SLE, a splenectomy to control the thrombocytopenia does not increase the total risk of thrombosis, but tends to increase arterial events. We experienced a patient with lupus- anticoagulant positive SLE who developed a venous thrombosis after a splenectomy for the control of thrombocytopenia, which was a very rare case.