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권오종,박근용,송홍석,서승연,전동석,권석룡 대한내과학회 1987 대한내과학회지 Vol.33 No.6
A 66-year-old farmer was admitted with dizziness and dyspnea on exertion. The peripheral blood showed hematocrit of 8.4 gm/dl with microcytic hypochromic anemia, serum iron of 26 ㎍/dl, total iron binding capac- ity of 316 ㎍/dl, and ferritin of 1.64 ng/ml. The bone marrow smear revealed normal cellularity with 4:1 of myeloid/erythroid ratio, 2.9% of plasmacytosis with normal morphology, and no stainable iron. Protein electrophoresis revealed prominent monoclonal gam-mopathy in gamma-fraction and arc of IgM-kappa type in both serum and urine. After observation of 1 year with iron supplementation, M-component of serum and urine is increased 33% and 71% from initial value. This case is 1st case of idiopathic IgM monoclonal gammopathy in korea which associated with iron deficiency anemia, and regular examination is needed whether the disorder is progression to the lymphoproliferative malignancy.
송홍석,김용송,권석룡,천종욱,여인석 대한내과학회 1988 대한내과학회지 Vol.34 No.5
Herein we wish to report a case of PRCA occurred after treatment with partial removal of an invasive thymoma and irradiation, followed by pancytopenia. Seven years ago, this male patient was accidentally found mediastinal mass on public health screening athis age of 37. Four years later, he received open thoracotomy and was found invasive thymoma which infiltrated pericarardium and pleura, and compressing superior vena cava and aorta. There after, he received 5, 000 rads of radiation. Since one month before admission, he complained of aggravated general weakness and dyspnea on exertion, Bone marrow smear revealed complete absence of erythroid and normal granulocytic and megakaryocytic series. With treatment of prednisolone and cyclophosphamide for 2 months, no significant response was obtained. After 5 months, peripheral blood disclosed pancytopenia; hematocrit of 5.5 gm/dl, WBC of 4,100/㎣, and platelet of 40,000/㎣.
이상숙,윤덕구,박영관,김경목,박승국,이경민,권석룡,조원현 대한감염학회 1988 감염 Vol.20 No.3
Actinomycosis is chronic suppurative and granulomatous disease caused by Actinomyces specises and characterized by sulfur granule formation which frequently discharged via draining sinus. Actinomyces can affect cervicofacial, pulmonary, abdominal and pelvic area. Most of abdominal actinomycosis is developed after abdominal operation, trauma or inflammatory bowel disease and it must be differentiated from colon cancer, amaeboma, chronic appendicitis or intestinal tuberculosis. Recently we experienced one case of abdominal actinomycosis developed after peptic ulcer perforation. In this case we noted large secondary and tertiary abscess formation after surgical repairment of primary disese, afterward the abscess was proved as actinomycosis. Herein we presenting our experience and reviewed the literature.