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- 저자 : 강명수 ( Myong Su Kang ) (검색결과 3 건)
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증례 : 신부전과 빈혈로 발현된 이소성 부갑상선암 1예
강명수 ( Myong Su Kang ),이호연 ( Ho Yun Lee ),서평주 ( Pyong Ju Seo ),김희진 ( Hee Jin Kim ),윤성철 ( Sung Chul Yun ),서필원 ( Phil Won Seo ),권미선 ( Mi Seon Kwon ) 대한내과학회 2006 대한내과학회지 Vol.71 No.4
저자들은 일차성 부갑상선기능항진증으로 인한 고칼슘혈증, 급성신부전, 대사성 골질환 및 심한 빈혈을 보인 환자에서 이소성 종격동 부갑상선암을 절제한 후 고칼슘혈증 뿐 아니라 골수섬유증에 의한 빈혈과 급성신부전도 호전된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Parathyroid carcinoma is an uncommon cause of PTH-related hypercalcemia with a reported incidence of 0.4% to 5% of all cases of primary hyperparathyroidism. Even though the clinical manifestations of hyperparathyroidism are more severe in patients with parathyroid carcinoma than in those with parathyroid adenoma, it is difficult to differentiate carcinoma from adenoma preoperatively. Parathyroid carcinomas are usually larger and firmer than parathyroid adenomas and patients with parathyroid carcinoma have a higher incidence of renal dysfunction, bone disease and gastrointestinal symptoms. Anemia is an uncommon clinical feature of parathyroid carcinoma. There have been no prior cases of ectopic parathyroid carcinomas reported to date. In this article, we report the case of a 26-year-old man who developed severe anemia and acute renal failure due to an ectopic parathyroid tumor and was diagnosed with parathyroid carcinoma postoperatively. His serum calcium levels returned to normal and the anemia resolved postoperatively.(Korean J Med 71:435-441, 2006)
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강명수 ( Myong Su Kang ),김성규 ( Seong Kyu Kim ),이원애 ( Won Ae Lee ),장현규 ( Hyun Kyu Chang ) 대한류마티스학회 2005 대한류마티스학회지 Vol.12 No.3
Behcet`s Disease (BD) is a chronic inflammatory disorder characterized by vasculitis of unknown cause, involving multiple organs. In the past years, renal involvement has not been regarded as a feature of BD. However, renal lesions in BD, although uncommon, have increasingly been recognized in recent years. Five categories of renal lesions associated with BD have been identified, including glomerulonephritis, amyloidosis, renal vascular involvement, interstitial nephritis, and other problems, such as complications of drug therapy or abnormalities of the genitourinary tract. On the other hand, regional differences in the disease expression of BD are well appreciated. Renal lesions accompanied by BD have rarely been reported in Korea, although it have been described occasionally in the Middle Eastern countries. Hereby, we described a 46-year-old female patient who had BD with persistent hematuria and proteinuria, whose renal biopsy specimens were consistent with thin glomerular basement membrane disease. Interestingly, some portions of her glomerular capillary walls were filled with fuchsinophilic fibrin-like materials.
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증례보고 : 전자간증과 갑상샘기능저하증을 가진 환자에서 응급제왕절개술 후 발생한 호흡부전
김성수 ( Seong Su Kim ),강명수 ( Myong Soo Kang ),정화성 ( Hwa Sung Jung ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.3
Anesthesia and surgery in a patients with undiagnosed or untreated hypothyroidism can carries the risk of potential complications such as prolonged unconsciousness, respiratory insufficiency, hypotension, hyponatremia, congestive heart failure, and even coma. A 33-year-old gravida was admitted at 36 weeks gestation with hypertension, proteinuria, generalized edema, and intrauterine fetal growth retardation. She had thyroidectomy for thyroid mass six years ago. Because of doubt of uterine abruption, emergency cesarean section was performed without result of thyroid function test. Preeclamsia and mild hypothyroidism show similar symptoms and it can make difficult to diagnose hypothyroidism. We experienced delayed recovery and respiratory insufficiency in a patient with preeclamsia and undetected hypothyroidism during emergence from general anesthesia. She was fully recovered after ventilatory care in intensive care unit. (Korean J Anesthesiol 2009;57:398∼402)
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