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당뇨병성 만성 신질환 환자에서 발생한 양측성 기종성 신우염 2예
강건우 ( Gun Woo Kang ),이인희 ( In Hee Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.4
Emphysematous pyelitis (EP) is an acute bacterial renal infection characterized by the presence of gas localized to the renal collecting system, sparing the renal parenchyma. It is seen more commonly in women, often associated with underlying diabetes mellitus or obstructing stone disease. To our knowledge, EP has not been frequently reported in the Korean literature. We report here two cases of bilateral EP due to Escherichia coli in 55-year-old female and 44-year-old female patients with diabetic chronic kidney disease, were successfully treated with medical management including intravenous administration of antibiotics. Early diagnosis by means of abdominal computed tomography along with prompt antibiotic therapy may be effective in patients with bilateral EP.
강건우 ( Gun Woo Kang ),박관규 ( Kwan Kyu Park ),이인희 ( In Hee Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.3
Renal cortical necrosis (RCN) is a rare cause of acute renal failure in which there is a complete or partial destruction of the renal cortex with sparing of the medulla. We report here a case of acute bilateral RCN associated with intra-abdominal operation. A 70-year-old female patient was admitted to our hospital because of abdominal pain secondary to perforated diverticulits in sigmoid colon. A segmental resection of the sigmoid colon and end-to-end anastomosis was performed on the third hospital day. Two days later, she suddenly developed oligo-anuria and she was treated with hemodialysis. A contrast-enhanced abdominal computed tomography scan showed lack of enhancement of the renal cortex with enhancement of the renal medulla. On the 21th hospital day, renal biopsy was done and microscopic examination of the specimen revealed RCN. Since then, she has been on regular hemodialysis for over six months with no signs of renal recovery. Occult sepsis associated with peritonitis and intra-abdominal operation seems to be the most possible etiologic factor of RCN in our patient.
p-ANCA가 동시에 검출된 항사구체 기저막 항체 질환 2예
강건우 ( Gun Woo Kang ),황은아 ( Eun Ah Hwang ),한승엽 ( Seung Yeup Han ),박성배 ( Sung Bae Park ),김현철 ( Hyun Chul Kim ),최미선 ( Mi Sun Choe ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4
Anti-glomerular basement membrane antibody (anti-GBM Ab) disease is characterized by circulating antibodies to the glomerular basement membrane and the deposition of IgG or, rarely, IgA along the glomerular basement membrane. This disease accounts for 10-20% of crescentic glomerulonephritis. We report two patients with anti-GBM Ab disease who were positive for perinuclear-anti-neutrophil cytoplasmic antibody (p-ANCA). Percutaneous renal biopsies showed many crescent formations and linear deposits of IgG along the glomerular basement membrane. Serologic tests for p-ANCA were positive. They were treated with steroid pulse and cyclophosphamide and one patient also underwent plasma exchange therapy. Despite immunosuppressive therapy, their renal functions did not improve and both required regular hemodialysis. (Korean J Med 2012;83:514-519)
중증 저칼륨혈증에 의해 발생한 횡문근 융해증이 합병된 급성 대장 가성 폐쇄증
이우현 ( Woo Hyun Lee ),이다영 ( Da Young Lee ),서지호 ( Ji Ho Seo ),강건우 ( Gun Woo Kang ),권중구 ( Joong Goo Kwon ),이인희 ( In Hee Lee ) 대한내과학회 2013 대한내과학회지 Vol.84 No.4
Acute colonic pseudo-obstruction (ACPO) or Ogilvie`s syndrome is a rare disorder of intestinal motility characterized by massive colonic dilatation without mechanical obstruction. We report a case of ACPO combined with rhabdomyolysis induced by severe hypokalemia. A 78-year-old male with a 10-year history of hypertension presented with abdominal pain and distension for 2 days. The laboratory findings showed hypokalemia with markedly elevated serum creatine phosphokinase and myoglobin levels. A plain abdominal x-ray revealed a markedly distended ascending and transverse colon with a cut-off sign at the descending colon. Mechanical obstruction of the intestine was excluded by computed tomography and colonoscopy. He was initially treated with supportive therapy, including insertion of a rectal tube and intravenous fluids with potassium replacement. However, the ACPO persisted, and neostigmine was administered in two separate 2.0-mg intravenous injections, 24 hours apart. Subsequently, the abdominal pain and colonic distension were relieved. (Korean J Med 2013;84:591-596)
홍창우 ( Chang Woo Hong ),노신영 ( Sin Young Nho ),이인희 ( In Hee Lee ),안기성 ( Ki Sung Ahn ),박관규 ( Kwan Kyu Park ),강건우 ( Gun Woo Kang ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
Ethambutol is commonly used as a first-line drug for the treatment of tuberculosis. The most serious adverse effect of ethambutol therapy is optic neuropathy. However, ethambutol-induced acute kidney injury is extremely rare. We report herein a case of acute kidney injury secondary to ethambutol-associated acute interstitial nephritis. A 65-year-old man with pulmonary tuberculosis presented with a > 7-day history of nausea and vomiting. He had begun antituberculosis medications including ethambutol 3 weeks previously. His laboratory findings showed elevated blood urea nitrogen and serum creatinine levels (32.6 and 3.6 mg/dL, respectively). Examination of percutaneous renal biopsy specimens showed diffuse interstitial mononuclear cell infiltration with mild interstitial edema. The patient was treated by cessation of ethambutol and supportive care. His renal function completely recovered (creatinine, 1.1 mg/dL) and his clinical symptoms improved. (Korean J Med 2014;87:352-356)
만성 신질환을 가진 다운 증후군 환자에서 발생한 노르웨이 옴 1예
이인희 ( In Hee Lee ),강건우 ( Gun Woo Kang ),김병규 ( Byong Kyu Kim ),홍효림 ( Hyo Lim Hong ),정기훈 ( Ki Hun Chung ),정현 ( Hyun Chung ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.6
Purpose: Norwegian or crusted scabies is a rare, highly contagious atypical form of scabies caused by the mite Sarcoptes scabiei var. homonis. It is usually associated with advanced age, immunosuppression, physical debility, and developmental disabilities. We report here a case of Norwegian scabies in an institutionalized patient with chronic kidney disease (CKD) and Down syndrome. A 56-year-old male presented at our department with pruritic rash and general weakness of 2 months` duration. Examination showed hyperkeratotic, scaly, crusted erythematous plaques on the hands, trunk, and back of the patient. The microscopic examination of the skin scales with potassium hydroxide demonstrated numerous scabies mites. The patient was treated with hemodialysis and repeated applications of 1% lindane lotion for 2 weeks. He reported significant relief of pruritus and resolution of the skin lesions after the treatment. In addition to uremic pruritus, infectious skin diseases such as Norwegian scabies should be considered in the institutionalized patients with advanced CKD and resistant pruritus.