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박유민 ( Yoo Min Park ),최인주 ( In Zoo Choi ),심재준 ( Jae-jun Shim ),김병호 ( Byung-ho Kim ) 대한간암학회 2018 대한간암학회지 Vol.18 No.2
As the mean life expectancy increases, the incidence of hepatocellular carcinoma (HCC) in superelderly patients (>85 years old) is expected to increase in Korea. However, their clinical features, treatments, and treatment outcomes are unclear. Herein, we present a case of a large single HCC and its natural course in an 86-year-old man who refused any treatment following histologic diagnosis. (J Liver Cancer 2018;18:146-150)
과립구집락자극인자 투여로 치료한 범혈구감소증과 피부 박리를 보인 붉은사슴뿔버섯 중독 1례
김중석 ( Jung Seok Kim ),김규원 ( Gyu Won Kim ),정재일 ( Jae Il Chung ),심명기 ( Myoung Ki Sim ),윤기철 ( Ki Chul Yoon ),최용훈 ( Yong Hoon Choi ),이하람 ( Ha Ram Yi ),최인주 ( In Zoo Choi ),심찬섭 ( Chan Sup Shim ),한정호 ( Joung 대한임상독성학회 2015 대한임상독성학회지 Vol.13 No.1
Podostroma cornu-damae is a rare species of fungus belonging to the Hyocreaceae family. Its fruit body is highly toxic, as it contains trichothecene mycotoxins. The morphology is similar to that of immature Ganoderma lucidum, making identification difficult for non-experts. We experienced such a case of a 56- year-old male who picked and consumed podostroma cornu-damae, and consumed. Later that day, he developed digestive system symptoms, including nausea, vomiting, and abdominal pain. He presented to the emergency room (ER), there were no abnormal physical findings, symptoms improved after gastric lavage, and the patient voluntarily discharged himself on the same day. The following day, as the symptoms gradually deteriorated, he was admitted via the ER. He was presented with severe pancytopenia, alopecia, desquamation of skin, and acute renal failure. He recovered without any complications after conservative care, antibiotics therapy, and granulocyte colony stimulating factor administration. The most commonly reported complications of podostroma cornu-damae intoxication were reported pancytopenia, infection, disseminated intravascular coagulation, acute renal failure, etc. since Prevention is especially important because its toxicity can be lethal and there is no particular treatment to date, prevention is especially important. Promotion and education for the public are needed.