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지역사회 관련 메티실린 저항성 포도알균 심내막염 1례와 국내 보고된 증례들의 고찰
차재황 ( Jae Whang Cha ),이지현 ( Ji Hyun Lee ),라상호 ( Sang Ho Ra ),박유미 ( Yu Mi Park ),지용관 ( Yong Gwan Jee ),김경민 ( Kyung Min Kim ),김영근 ( Young Keun Kim ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
국내에 CA-MRSA에 의한 심내막염은 매우 드물게 보고되고 있으나 전세계적으로 점차적으로 증가하고 있다. 본 저자들은 젊은 성인에서 발생한 CA-MRSA 심내막염 1례를 보고하며 국내에 보고된 CA-MRSA에 의한 심내막염 증례들을 고찰하였다. 국내에 보고된 CA-MRSA 심내막염에서 SCCmectype Iva, PVL 음성이 가장 흔한 형이었으며, 모든 증례에서 수술적 치료를 필요로 하였다. Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is becoming an important public health issue worldwide, and being recognized as an emerging pathogen in infective endocarditis. We present a case of CA-MRSA endocarditis in an individual with underlying rheumatic mitral insufficiency and review the CA-MRSA endocarditis cases in Korea.
류마티스관절염과 만성 호산구성 폐렴에 동반된 호산구성 흉막삼출
지용관 ( Yong Gwan Jee ),라상호 ( Sang Ho Ra ),박유미 ( Yu Mi Park ),차재황 ( Jae Whang Cha ),강용석 ( Yong Seok Kang ),박정하 ( Jeong Ha Park ),강태영 ( Tae Young Kang ) 대한류마티스학회 2013 대한류마티스학회지 Vol.20 No.5
We describe a 48-year-old man with family history of rheumatoid arthritis (RA) affected by chronic eosinophilic pneumonia (CEP) with severe peripheral eosinophilia. CEP might develop as a complication of longstanding active RA. The patient with 5 months history of seropositive RA and chronic respiratory symptoms, alveolar and blood eosinophilia, peripheral pulmonary infiltrates and pleural effusion on chest imaging. The lung may be involved as an extraarticular manifestation of RA. However, CEP is not recognized as a typical lung manifestation of RA, and the two diseases rarely coexist. The effusion was an eosinophil predominant exudates and was characterized by low pH, and glucose level and high lactic dehydrogenase. The patient responded rapidly to combination of steroids and disease modifying anti-rheumatic drugs.
자가면역성 갑상선기능저하증과 동반한 1 형 위 유암종의 1 예
지용관 ( Yong Gwan Jee ),라상호 ( Sang Ho Ra ),박유미 ( Yu Mi Park ),차재황 ( Jae Whang Cha ),이지현 ( Ji Hyun Lee ),박홍준 ( Hong Jun Park ),조미연 ( Mee Yon Cho ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
Gastric carcinoid tumors are rare neoplasms that account less than 1% of all gastric cancer. They are classified as three types by pathogenesis. Type I gastric carcinoid tumors are arising from hyperplasia of enterochromaffin-like cells (ECLs) due to secondary hypergastrinema. Type I gastric carcinoid tumors can be associated with autoimmune disease for example type A chronic atrophic gastritis presenting antibodies to parietal cell or intrinsic factor. Some case reports has showed other autoimmune diseases such a sautoimmune thrombocytopenic purpura, autoimmune multi-glandular failure, type I diabetes mellitus, autoimmune hepatitis as well as autoimmune thyroiditis could be related to type Igastric carcinoid tumors. Especially, autoimmune thyroiditis combined with type I gastric carcinoid tumor has not yet been reported on except one case report in the world. We report rare case of autoimmune hypothyroidism due to Hashimoto`s thyroiditis combined with gastric carcinoid along with review of the related literature.