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지속외래복막투석 환자에서 발생한 methicillin내성 Staphylococcus auricularis 복막염
최종욱 ( Jong Wook Choi ),김배근 ( Bae Keun Kim ),황규식 ( Kyu Sig Hwang ),박준성 ( Joon Sung Park ),이창화 ( Chang Hwa Lee ),강종명 ( Chong Myung Kang ),김근호 ( Gheun Ho Kim ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.5
Although coagulase-negative staphyloccus is the most common organism causing peritonitis in perito-neal dialysis (PD) patients, only one case of PD peritonitis due to Staphylococcus auricularis, the normal flora of external auditory meatus, has been reported over the world. Here we add a case of PD peritonitis caused by methicillin-resistant Staphylococcus auricularis, which was successfully treated with vancomycin. A 79-year-old male PD patient was admitted because of abdominal pain and cloudy peritoneal fluid. At admission, the exit site was clear, and no rebound tenderness was noted although the abdominal wall was diffusely tender. Gram stain of the peritoneal fluid did not reveal any organism, but white blood cell count was 1,210/mm3, with 80% polymorphonuclear cells and 10% lymphocytes. Empirical antibiotic therapy was started with intraperitoneal cefazolin and ceftazidime. Over the next few days, however, the peritoneal fluid was still turbid and showed an elevated cell count. Then, the result of peritoneal fluid culture identified that the organism was oxacillin-resistant Staphylococcus auricularis. Thus the antibiotics were switched into vancomycin, and intraperitoneal vancomycin 1 gm was administered three times at 5 days` intervals to achieve completely clear peritoneal fluid. Staphylococcus auricularisshould be considered as a new potential skin organism causing PD peritonitis.
윤재희 ( Jae Hee Yun ),강종명 ( Jong Myung Kang ),김경수 ( Kyung Soo Kim ),김승현 ( Seung Hyun Kim ),김태환 ( Tae Hwan Kim ),박용욱 ( Yong wook Park ),성윤경 ( Yoon Kyoung Sung ),손주현 ( Joo Hyun Sohn ),송병주 ( Byung Joo Song 대한류마티스학회 2004 대한류마티스학회지 Vol.11 No.3
Objective: Few studies have examined the impact of chronic diseases on populations using a comprehensive health-related quality of life (HRQOL) in Korea. We assessed HRQOL of patients with 16 common chronic diseases. Methods: We interviewed patients with chronic diseases (n=980) and healthy control (n=288) using two HRQOL measurements: Korean Medical Outcome Study Short Form-36 (KSF-36) and Korean EuroQol-5 Dimensions (KEQ-5D), and questions on sociodemographic and clinical characteristics. Results: Each illness had a distinctive profile. Among disease groups, the KSF-36 global health score was highest in DM and lowest in fibromyalgia. The KSF-36 physical component summary score was highest in DM and lowest in osteoarthritis. The KSF-36 mental component summary score was highest in hypertension and lowest in fibromyalgia. The KEQ-5D utility score was highest in DM and lowest in fibromyalgia. The KEQ-5D visual analog score was highest in DM and lowest in liver cirrhosis. In correlation analysis, the KSF-36 physical component summary, mental component summary and five domains in KEQ-5D were well correlated with each others. Conclusion: Health related quality of life in Korean patients with chronic disease is lower than healthy control. Patients with hypertension and DM registered the two highest scores in global health but patients with fibromyalgia reported the worst health experience in global health. We can compare the profiles of the groups and determine the relative impact on the patients of the various diseases and these data will provide a baseline of the current health related quality of life of individuals suffering from a variety of conditions.
정성수(Sung Soo Jung),심종걸(Jong Geol Shim),한동수(Dong Soo Han),오기영(Ki Young Oh),김성윤(Seong Yoon Kim),김인순(In Soon Kim),박찬현(Chan Hyun Park),강종명(Chong Myung Kang),박한철(Han Chul Park),곽진영(Jin Young Kwack) 대한내과학회 1989 대한내과학회지 Vol.37 No.1
N/A Cyclosporine treated renal transplants are known to develop hyperuricemis more frequently than azathioprine treated patients. We examined the outpatient records of all patients transplanted between April 1978 and June 1988, in whom the allograft functioned for at least one year. We did this study to determine the frequency of hyperuricemia in the renal transplants and predisposing factors. The results were as follows: 1) The serum uric acid concentration in patients in the cyclosporine treated group (8.53±2.26 mg/dl; n=33) was significantly higher than that of the azathioprine treated group (6.74±1.43mg/dl; n=24) (p<0.005). 2) The serum uric acid concentration in patients using diuretics (7.83±1.50mg/dl; n=8) was significantly higher than in those not using diuretics (6.19±1.05 mg/ dl; n=16) in the azathioprine treated group (p<0.01). 3) The serum uric acid concentration in patients using diuretics (9.95±1.74mg/dl; n=12) was significantly higher than in those without diuretics (7.59±1.97 mg/dl; n=21) in the cyclosporine treated group (p<0.005). 4) The serum uric acid concentration in patients using diuretics and azathioprine was significantly lower than that in those using diuretics and cyclosporine (p<0.05). 5) Among the patients not taking diuretics, the serum uric acid level was significantly higher in the cyclosporine treated group than in the azathioprine treated group. We conclude that there is an increased incidence of hyperuricemia in renal transplants treated with cyclosporine. This effect is thought to be due to tubular toxicity by cyclosporine. It is recommended that routine measurement of the uric acid level be done in renal transplants using cyclosporine and that diuretics be avoided in patients taking cyclosporine.
FK506 처리 흰쥐에서 신장 및 혈관 조직 산화질소 함량 감소
정권(Kwon Jung),김수완(Soo Wan Kim),이종은(Jong Un Lee),백윤웅(Yun Woong Paek),염충호(Chung Ho Yeum),나명윤(Myong Yun Nah),김남호(Nam Ho Kim),강종명(Chong Myung Kang),최기철(Ki Chul Choi) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.1
N/A The present study was aimed at investigating whether FK506 alters the regulation of nitric oxide(NO) system. Male Sprague-Dawley rats were treated with FK506(1 mg/kg/day, i.m.) for 3 weeks. Control group was without treatment of FK506. Plasma levels and urinary excretion of NO metabolites(nitrite/nitrate, NOx) were measured. The protein expression of NO synthases(NOS) and tissue contents of NOx were determined in the kidney and thoracic aorta. The aorta was also examined of its changes in isometric tension in responses to acetylcholine and sodium nitroprusside. The arterial pressure did not significantly differ between FK506-treated and control groups. Plasma NOx levels remained unaltered, while urinary NOx excretion was significantly decreased in FK 506-treated group. Tissue contents of NOx were significantly decreased, although the expression of ecNOS and iNOS proteins was significantly altered neither in the kidney nor in the aorta. Acetylcholine-induced relaxation of the isolated aortic ring was significantly attenuated, whereas sodium nitroprusside-induced relaxation was not significantly affected. These results suggest that FK506 decreases the tissue contents of NO, without significantly affecting the expression of NOS.
혈액투석에서 투석액 칼슘농도와 칼시트리올이 골대사에 미치는 영향
염지연 ( Ji Youn Youm ),김현철 ( Hyun Chul Kim ),이영철 ( Young Chul Lee ),최종욱 ( Jong Wook Choi ),박준성 ( Joon Sung Park ),이창화 ( Chang Hwa Lee ),강종명 ( Chong Myung Kang ),김근호 ( Gheun Ho Kim ) 대한내과학회 2011 대한내과학회지 Vol.81 No.6
Background/Aims: Whereas higher dialysate calcium (Ca) levels may pose a risk of hypercalcemia, lower levels may induce a negative Ca balance. We evaluated the effect of lowering dialysate Ca levels from 1.75 to 1.5 mmol/L and explored the appropriate use of calcitriol to regulate bone metabolism in hemodialysis patients. Methods: The dialysate Ca levels of 36 patients were reduced from 1.75 to 1.5 mmol/L. They were divided into three groups according to basal intact parathyroid hormone (iPTH) level (group 1, iPTH<150 pg/mL, n=21; group 2, iPTH 150-300 pg/mL, n=7; group 3, iPTH>300 pg/mL, n=8). Data were collected at 3-month intervals for 1 year. Results: Throughout the study period, no significant difference in phosphate binders, serum Ca, phosphorus (P), or Ca × P products was observed among groups. However, iPTH, alkaline phosphatase (AP), and calcitriol dosage patterns differed among groups. In group 1, iPTH and AP increased significantly over 12 months (p=0.01). In group 2, iPTH and AP showed no significant changes. In group 3, iPTH and AP declined significantly over 12 months (p=0.02). Calcitriol dosage did not change in groups 1 and 2, but increased significantly in group 3 (p=0.001). Conclusions: After converting hemodialysate Ca levels from 1.75 to 1.5 mmol/L, the initially different iPTH concentrations converged to a modestly elevated level. The use of 1.5 mmol/L hemodialysate Ca may thus be appropriate for both high- and low-turnover bone disease if phosphate binders and calcitriol are combined appropriately. (Korean J Med 2011;81:751-758)
Rituximab으로 치료한 신이식 환자에서 발생한 이식 후 림프구 증식성 질환
박의순 ( Ui Soon Park ),최찬범 ( Chan Bum Choi ),김인순 ( In Soon Kim ),최일영 ( Il Young Choi ),강종명 ( Jong Myung Kang ),박찬금 ( Chan Kum Park ),안명주 ( Myung Ju Ahn ) 대한내과학회 2004 대한내과학회지 Vol.67 No.1
Posttransplant lymphoproliferative disorder (PTLD) are among the most serious and potentially fatal complications of chronic immunosuppression in organ transplant recipient and also the most common malignancies, accounting for 21 percent of all malignanci
이형접합제 PiMZ 및 α1 - Antitrypsin 결핍을 보인 간경변증
기춘석(Choon Suhk Kee),박경남(Kyung Nam Park),이민호(Min Ho Lee),안명주(Myung Ju Ahn),고윤석(Youn Suck Koh),함준수(Joon Soo Ham),이종철(Song Chul Lee),강종명(Jong Myung Kang) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
In 1969, Sharp described the first cases of aplhai-antitrypsin deficiency disease in children with juvenile liver cirrhosis. Since then, this inborn error has been recognized as one of the more common factors in cirrhosis of infancy and childhood, especially in Caucasians of Northern Europeans. PiZZ phenotype is the only one associated with liver disease, there have been a few rescent reports of cirrhosis in heterozygous patients. We experienced a case of 24-year-old male patient who was diagnosed as liver cirrhosis by biopsy but had no defintie causes of liver cirrhosis. The laboratory findings were compatible with liver cirrhosis. By biopsy, the liver is composed of variable sized, micro and macronodules. Dense fibrous tissue encase these nodules. The hepatocytes are strongly positive granules and diastase resistant. Pi phenotype was Pi MIZ by IEF (immunoelectric Focusing) method and the plasma alphai- antitrypsin level is lower than normal.
혈장교환술과 면역억제제 치료로 호전된 항사구체기저막 항체질환
김지현 ( Jee Hyun Kim ),유선진 ( Sun Jin You ),박준성 ( Jun Sung Park ),이창화 ( Chang Hwa Lee ),김근호 ( Gheun Ho Kim ),강종명 ( Chong Myung Kang ),임소덕 ( So Dug Lim ),이종호 ( Jong Ho Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.3
Anti-glomerular basement membrane disease is a rare autoimmune disease characterized by rapidly progressive renal failure and/or pulmonary hemorrhage. The presence of severe crescentic glomerular inflammation with linear deposition of immunoglobulin G along the glomerular basement membrane is pathognomonic. Because renal function is rapidly and often irretrievably destroyed, many patients require hemodialysis all through their lifetime. We report a case of 33 year(s)-old man who was diagnosed as anti-glomerular basement membrane disease without pulmonary hemorrhage. The patient was treated with pulse methylprednisolone and plasmapheresis followed by oral corticosteroid and cyclophosphamide. His renal function was successfully recovered with early diagnosis and aggressive treatment.
부갑상선 절제술 후 골밀도의 증가를 보인 만성 신부전증에 병발된 신성 골 이영양증 1 예
채현기(Hyun Ki Chae),장대국(Dae Kuk Chang),강경원(Kyoung Won Kahng),안유헌(You Hern Ahn),김호중(Ho Jung Kim),박찬현(Chan Hyun Park),강종명(Chong Myung Kang),박한철(Han Chul Park),정파종(Pa Jong Jung),박문향(Moon Hyang Park) 대한내과학회 1995 대한내과학회지 Vol.48 No.4
Renal osteodystrophy, a term introduced over 51 years ago, is still used to describe any bone disease occuring in a patient with renal disease. In actually, a very wide spectrum of bone disease can occur in renal failure patients, ranging from states of makedly impaired bone formation and mineralization (such as low-turnover bone disease, osteomalacia) to states of markedly increased bone turnover (hyperparathyroidism). We had experienced one case of renal osteodystrophy and secondary hyperaparathyroidism, especially combined with advanced renal failure, who was admitted to Hayang University Hospital due to severe bone pain on both lowe extremites. Skull X-ray showed decreased bone density with so called salt and pepper appearance. Subperiosteal bone resorptions along the ribs and the proximal medial tibial metaphysis were noted on chest PA and both knee X-rays. Serum calcium level was 8.9mg/ dl, serum phosphorous level was 5.6mg/dl, serum alkaline phosphatase was 1872IU/L, serum parathyroid hormone level was 6.54ng/dl(normal; 0.22-0.66ng/dl). Dual photon bone densitometry showed marked decreased total body bone density. Renal osteodystrophy(osteitis fibrosa) was confirmed by bone biopsy stained with Haematoxylin & Eosin and double tetracycline labelling, and secondary hyperparathyroidism was confirmed by parathroid gland biopsies. She was treated with CaCO3, Al(OH)3, Cholecalcitriol after parathyroidectomy.