http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
주경빈 한양대학교 의과대학 1998 한양의대 학술지 Vol.18 No.1
Rheumatoid arthritis is a common articular disorder with a characteristic radiographic picture. A symmetric polyarticular disease of the synovial joints of the appendicular skeleton is apparent, with prominent abnormalities of the proximal interphalangeal and metacarpophalangeal articulations of the hand, the wrist, the metatarsophalangel joints of the foot, the posterior and plantar aspects of the calcaneus. the knee, the elbow, the glenohumeral and acromioclavicular joints, the ankle and the hip; these abnormalities are commonly combined with changes in the cervical spine. This distribution of synovial joint involvement is sufficiently common to allow accurate diagnosis, especially when the involvement is characterized by fusiform soft tissue swelling, periarticular osteoporosis, marginal and central osseous erosions and cyst, and diffuse loss of interosseous space. Occasionally a rheumatoid arthritis patient will have a coexistent articular disorder and in these cases, careful analysis of the radiographic changes usually provides some clue indicating the presence of a second disease.
이경주,박동우,이승로,함창곡,주경빈 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2
The Chiari IV malformation is a very rare condition which is characterized by severe cerebellar hypoplasia or aplasia. Morphologic findings include aplastic or severely hypoplastic cerebellum, small brainstem and relatively large cerebrospinal fluid space in the posterior cranial fossa. We recently experienced Chiari IV malformation and report radiologic findings of the case.
국내 6개 지역 종합병원에 내원한 소아 알레르기 환자에서의 혈청 Immunoglobulin E 농도에 관한 연구
김주화 ( Joo Hwa Kim ),최경빈 ( Kyung Bin Choi ),문진화 ( Jin Hwa Moon ),이하백 ( Ha Baik Lee ),김성원 ( Sung Won Kim ),국명희 ( Myung Hee Kook ),김자경 ( Ja Kyung Kim ),김우경 ( Woo Kyung Kim ),박용민 ( Yong Min Park ),이소연 ( S 대한소아알레르기호흡기학회 2012 소아알레르기 및 호흡기학회지 Vol.22 No.1
Purpose: We investigated the change in serum total immunoglobulin E (IgE) and allergen-specific IgE according to allergic diseases and age. Methods: Allergic markers of children under 18 years of age with allergic diseases for the last 5 years were collected from 12 hospitals nationwide. The total data was 9,710. Data about levels of serum total IgE and allergen-specific IgE to 15 common allergens were collected. Results: In children with asthma, serum total IgE was higher in older age than in younger age until age 7 to 12 years, at which time the level was highest (paper radioimmunosorbent test, 526.7 IU/mL; UniCAP, 339.9 IU/mL). The level was lower in older age than that during younger age. This change was similar to that in children with allergic rhinitis and atopic dermatitis. The level was highest at ages 7 to 12 years in children with allergic rhinitis, and at age 10 to 12 years in children with atopic dermatitis. In children with both asthma and allergic rhinitis, as well as in children with all three diseases, the change in serum total IgE was similar to that of children with an isolated disease. The highest level in children with all three diseases was higher than that in children with an isolated disease. The analysis of allergen-specific IgE positivity showed that food allergens were dominant before the age of 2 years, and that aeroallergens such as house dust mites were dominant. Conclusion: Serum total IgE in Korean children with allergic diseases was higher in older age than in younger age until the ages of 7 to 12 years, and then the change in total IgE by age was the opposite.
( Young Bin Joo ),( Soyoung Bang ),( Seung Hun Lee ),( Kyung Bin Joo ),( Tae Hwan Kim ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Nearly 25 genetic loci associated with susceptibility to ankylosing spondylitis (AS) have been identified by several large studies. However, there have been limited studies to identify the genes associated with radiographic severity of thedisease. Thus we investigated which genes involved in bone formation pathways might be associated with radiographic severity in AS. Methods: A total of 417 Korean AS patients were classifi ed into two groups based on the radiographic severity as defi ned by the modifi ed Stoke` Ankylosing Spondylitis Spinal Score (mSASSS) system. Severe AS was defi ned by the presence of syndesmophytes and/or fusion in the lumbar or cervical spine (n=195). Mild AS was defi ned by the absence of any syndesmophyte or fusion (n=170). A total of 251 single nucleotide polymorphisms (SNPs) within 52 genes related to bone formation were selected and genotyped. Odds ratios (OR) and 95% confi dence interval (95% CI) were analysed by multivariate logistic regression controlling for age at onset of symptoms, sex, disease duration, and smoking status as covariates. Results: We identifi ed new loci of bone morphogenetic protein 6 (BMP6) associated with radiographic severity in patients with AS that passed false discovery rate threshold. Two SNPs in BMP6 were signifi cantly associated with radiologic severity [rs270378 (OR 1. 97, p = 6. 74 x 10-4) and rs1235192 [OR 1. 92, p = 1. 17 x 10-3]) adjusted by covariates. Conclusions: This is the first study to demonstrate that BMP6 is associated with radiographic severity in AS, supporting the role wingless-type like/BMP pathway on radiographic progression in AS.
곽주희 ( Joo Hee Kwak ),이주현 ( Joo Hyun Lee ),김상헌 ( Sang Heon Kim ),주경빈 ( Kyung Bin Joo ),전재범 ( Jae Bum Jun ),성윤경 ( Yoon Kyoung Sung ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
A 30 year-old female visited our out-patient clinic with painful joint swelling in both hands and feet. Because she had tested positive for rheumatoid factor, and her inflammatory markers were elevated, the case was initially classified as rheumatoid arthritis RA), according to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria. However, radiographic examinations, including simple radiography and MRI, revealed that her peripheral bone lesions were compatible with bone tuberculosis. The patient also exhibited pulmonary tuberculosis (TB) on chest X-ray and CT examinations. She was treated with isoniazid (INH), rifampicin (RFP), ethambutol (EMB), and pyrazinamide (PZA), and exhibited a good response to these medications. The patient was diagnosed as having bone TB, and her peripheral bone lesions were resolved using anti-TB treatment. This was an uncommon case of bone TB mimicking RA. (Korean J Med 2014;87:373-378)
Arterial stiffness and left ventricular diastolic dysfunction in Korean older people
( Kyung-Taek Park ),( Hack-Lyoung Kim ),( Woo-Hyun Lim ),( Jae-Bin Seo ),( Woo-Young Chung ),( Sang-Hyun Kim ),( Myung-A Kim ),( Joo-Hee Zo ) 대한내과학회 2015 대한내과학회 추계학술발표논문집 Vol.2015 No.1
Background: The impact of arterial stiffness on left ventricular (LV) diastolic function has not been well characterized among Koreans. This study is aimed to investigate whether arterial stiffness plays a role in progression of diastolic dysfunction in Korean older people. Methods: A total of 359 healthy subjects without known cardiovascular disease older than 50 years (mean age 57.3 ±6.3 years, 69.8% men) who underwent both transthoracic echocardiography and brachial-ankle pulse wave velocity (baPWV) at the same day for their routine check-up was analyzed. Subjects with septal annular peak velocity (e’) <8 cm/s and left atrial volume index (LAVI) ≥ 34 mL/m2 were considered as having diastolic dysfunction. Results: One hundred and sixty-nine subjects (63.3%) had diastolic dysfunction. Subjects with diastolic dysfunction were older and more frequently had obesity than those without.baPWV was significantly higher in subjects with diastolic dysfunction compared to those without (1,440 ± 223 cm/s vs 1,345 ± 174 cm/s, p<0.001). Reciever-operating characteristic curve analysis showed that baPWV of 1,314 cm/s was the best cut-off value discriminating diastolic dysfunction. Multiple logistic-regression analyses demonstrated that older age, high body mass index, and high baPWV (≥ 1,314 cm/s) were independent factors determining diastolic dysfunction even after controlling potential confounders including age and other factors. Conclusions: In subjects over 50 years, in addition to older age and more obesity, high baPWV was independent determinant of diastolic dysfunction. baPWV can be a useful in the assessment of diastolic function, and reducing arterial stiffness may be a potential therapeutic target in preventing diastolic dysfunction in this older people.
Human adjuvant disease12예의 임상적 고찰
주경빈,김성윤,김신규,유대현,배상철,최봉근,이인홍,최희윤 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.2
Human adjuvant disease(HAD)means the autoimmune disease of autoimmune disease like syndrome developed after plastic surgery using foreign body implantation. After 1st report of HAD by Miyoshi at 1964, a number of cases have been reported especially from Japan. However, there has been no report regarding HAD in Korea. Therefore authors report 12 cases of HAD which were experienced recently from January, 1988 to September, 1991 12 patients who represented autoimmune disease or autoimmune disease-like syndrome after plastic surgery using foreign body implantation were evaluated clinically and results were as follow : 1) The mean interval from plastic surgery to onset of HAD was 14.9years. 2) Eight of tweleve patients had undergone rhinoplasty and paraffin was presumed most frequently injected. 3) Seven of patients were given the diagnosis of rheumatoid arthritis and the others were unclassified HAD. 4) Five patients underwent the operation to remove forign material. Only one improved markedly and the others had mild improvement. But more long-term follow-up will be necessary. In Korea, there has been done a number of plastic surgery using paraffin or silicone fluid injected. So we have to concern about HAD after plastic surgery using foreign body implantation.