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상염색체 우성 다낭신 ( ADPKD ) 환자에서 발생한 기종성 신낭종감염 1 예
하형근(Hyung Keun Ha),최원욱(Won Wook Choi),권성호(Sung Ho Kwon),정인수(In Su Jung),김용일(Yong Il Kim),이준승(Jun Seung Lee),송창섭(Chang Sub Song),오윤규(Yoon Kyu Oh),이중건(Jung Geon Lee),조성범(Sung Bum Cho) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.5
Emphysematous pyelonephritis is an uncommon and potentially life-threatening infectious disease. Although there is still controversy about optimal treatment of emphysematous pyelonephritis, published results indicate that the mortality rate in the patients treated with radical nephrectomy is equivalent to that in patients given more conservative treatment. Emphysematous pyelonephritis with autosomal dominant polycystic kidney disease is extremely rare and its clinical course is not revealed clearly. Hearin, we report an emphysematous pyelonephritis in a 64year-old female patient with autosomal dominant polycystic kidney disease, successfully treated by antibiotics and percutaneous cyst drainage.
권성호 ( Sung Ho Kwon ),박영숙 ( Young Sook Park ),서유승 ( Yu Seoung Seo ),하형근 ( Hyung Keun Ha ),이은규 ( Eun Gyn Lee ),최원옥 ( Won Wook Choi ),조성수 ( Jeong Soo Cho ),문영수 ( Young Su Moon ),최일주 ( Il Ju Choi ),조성범 ( 대한소화기학회 2003 대한소화기학회지 Vol.41 No.2
Hemophilia A is a severe bleeding disorder resulting from the lack of functional blood coagulation factor VIIL Clinically the disease is characterized by frequent spontaneous bleeding into the weight bearing joints, soft tissue and muscle. Intramural gast
척추 골관절염 환자에서의 골밀도와 골다공증성 척추골절의 빈도와의 관계
박준섭 ( Jun Sup Park ),주영실 ( Yeong Shil Joo ),최윤선 ( Yun Sun Choi ),정명아 ( Myeong A Cheong ),하형근 ( Hyung Keun Ha ),정인수 ( In Su Jung ),김시민 ( Si Min Kim ),김병준 ( Byoung Joon Kim ),안규정 ( Kyu Jeung Ahn ),최영길 ( 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.1
Objective: To investigate the association between bone mineral density (BMD) and osteoporotic compression fractures in radiographic spinal osteoarthritis (OA) patients. Methods: Subjects were 382 female patients (ages 45 to 85) from outpatient clinic for osteoporosis and rheumatic diseases. BMD was measured at lumbar spine and hip by dual X-ray absorptiometry (Hologic QDR 2000). The standard anteroposterior and lateral plain radiographs of thoracic and lumbar spine were taken to define spinal OA and vertebral compression fractures. Radiographic spinal OA was defined by grade of disc degeneration and facet joint degeneration. Frequency of vertebral fractures was compared between spinal OA and control patients in relation to their BMD, age, weight, body mass index (BMI) and years post menopause. Results: Higher proportion of fracture cases were observed in spinal OA patients than non-spinal OA patients (34.1%, 44/129 vs. 18.2%, 46/253, p<0.001) despite comparable mean BMD (0.836±0.152 vs. 0.834±0.185, p=0.89) and older mean age (65.8±8.5 vs. 57.8±10.3, p<0.001). In subjects of ages from 65 to 74, spinal OA patients showed significantly higher BMD than non-spinal OA patients (0.784±0.125 vs. 0.719±0.119, p=0.007), but the frequency of fractures seems to be higher than that of non-spinal OA patients (44.9%, 22/50 patients vs. 34%, 19/55 patients, p=0.58). When all study subjects were stratified according to their spine BMD (normal, osteopenia, and osteoporosis), significantly higher proportion of vertebral compression fractures was noted in spinal OA than non-spinal OA patients in osteopenia group (38.5% vs. 13.5%, p<0.001). Conclusion: Higher BMD does not seem to be translated directly into decreased risk of osteoporotic compression fractures in spinal OA patients. Careful assessment of risk factors for osteoporotic fractures and newer methods for assessing bone strength in this group of patients are needed.