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Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
( Subin Hwang ),( Jun Soo Ham ),( Keum Bit Hwang ),( Suk Hyeon Jeong ),( Sung Hae Ha ),( Eun Hee Koo ),( Ghee Young Kwon ),( Young Soo Do ),( Hye Ryoun Jang ) 대한신장학회 2016 Kidney Research and Clinical Practice Vol.35 No.2
Renal artery stenosis (RAS) is commonly presented with hypertension and chronic kidney disease. We report a rare case of RAS occurring in a 78-year-old man who presented with nephrotic-range proteinuria. Renal biopsy on the left side was performed, and results showed mesangiopathic glomerulonephritis, which was not compatible with the cause of nephrotic-range proteinuria. Proteinuria was decreased by angiotensin receptor blocker, but azotemia was aggravated. Therefore, angiotensin receptor blocker was discontinued inevitably and thorough evaluation for the possibility of RAS was performed. Computed tomography angiography revealed significant RAS on the left side and a renal artery stent was inserted. After stenting, aortic dissection developed and progressed despite tight control of blood pressure. After inserting another stent graft through the true lumen of the left renal artery, the patient``s renal function and proteinuria improved markedly.
혈액종양 : 다발성 전이를 동반한 설암 환자의 골격근전이와 β-HCG 상승 1예
함준수 ( Jun Soo Ham ),황금빛 ( Keum Bit Hwang ),황수빈 ( Subin Hwang ),정숙현 ( Suk Hyeon Jeong ),이지윤 ( Ji Yun Lee ),이세훈 ( Se Hoon Lee ),박근칠 ( Keunchil Park ) 대한내과학회 2015 대한내과학회지 Vol.89 No.6
Metastases to skeletal muscle and paraneoplastic syndromes involving β-human chorionic gonadotropin (HCG) production are an extremely rare manifestation of head and neck squamous cell carcinoma. We report a patient with a β-HCG-secreting squamous cell carcinoma of the tongue with diffuse metastases involving skeletal muscle. A 47 year old female, who was being treated heavily with palliative chemotherapy for metastatic tongue cancer, was admitted with a palpable thigh mass and pain. A magnetic resonance image showed an intramuscular metastasis in the thigh. Ultrasound-guided biopsy of the thigh mass confirmed metastatic squamous cell carcinoma. She was scheduled for enrollment into a clinical trial; however, a positive serum β-HCG test was noticed. There was no evidence of pregnancy or a trophoblastic or non-trophoblastic tumor secreting β-HCG. Finally, she was revealed to have a paraneoplastic syndrome with diffuse metastases and was ultimately referred for palliative care. We review the literature of previously reported cases of an increase of β-HCG in patients with head and neck cancer. (Korean J Med 2015;89:719-722)
( Suk Hyeon Jeong ),( Su Young Kim ),( Hyun Lee ),( Jun Soo Ham ),( Keum Bit Hwang ),( Subin Hwang ),( Sun Hye Shin ),( Myung Jin Chung ),( Seung Heon Lee ),( Sung Jae Shin ),( Won Jung Koh ) 대한결핵 및 호흡기학회 2015 Tuberculosis and Respiratory Diseases Vol.78 No.4
This is a report of the first South Korean case of a lung disease caused by Mycobacterium simiae. The patient was a previously healthy 52-year-old female. All serial isolates were identified as M. simiae by multi-locus sequencing analysis, based on hsp65, rpoB, 16S-23S rRNA internal transcribed spacer, and 16S rRNA fragments. A chest radiography revealed deterioration, and the follow-up sputum cultures were persistently positive, despite combination antibiotic treatment, including azithromycin, ethambutol, and rifampin. To the best of our knowledge, this is the first confirmed case of a lung disease caused by M. simiae in South Korea.
Jeong, Suk Hyeon,Kim, Su-Young,Lee, Hyun,Ham, Jun Soo,Hwang, Keum Bit,Hwang, Subin,Shin, Sun Hye,Chung, Myung Jin,Lee, Seung Heon,Shin, Sung Jae,Koh, Won-Jung The Korean Academy of Tuberculosis and Respiratory 2015 Tuberculosis and Respiratory Diseases Vol.78 No.4
This is a report of the first South Korean case of a lung disease caused by Mycobacterium simiae. The patient was a previously healthy 52-year-old female. All serial isolates were identified as M. simiae by multi-locus sequencing analysis, based on hsp65, rpoB, 16S-23S rRNA internal transcribed spacer, and 16S rRNA fragments. A chest radiography revealed deterioration, and the follow-up sputum cultures were persistently positive, despite combination antibiotic treatment, including azithromycin, ethambutol, and rifampin. To the best of our knowledge, this is the first confirmed case of a lung disease caused by M. simiae in South Korea.