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권영석 ( Young Seok Kwon ),문성훈 ( Sung Hoon Moon ),강호석 ( Ho Suk Kang ),임현 ( Hyun Lim ),최난영 ( Nan Young Choi ),김순영 ( Soon Young Kim ),강동훈 ( Dong Hun Kang ),김종혁 ( Jong Hyeok Kim ) 대한췌담도학회 2015 대한췌담도학회지 Vol.20 No.2
자가면역췌장염과 췌장암의 감별진단은 유사한 임상증상들과 영상검사소견을 보일 수 있기 때문에 종종 어렵다. 혈청 IgG4는 자가면역췌장염과 췌장암의 감별에 중요한 인자이다. 췌장암 환자에서도 약 10%에서는 혈청 IgG4가 상승할 수 있으나, 대부분 정상 상한의 2배 이내이다. 그래서 저자들은 자가면역췌장염과 감별이 어려웠던 혈청 IgG4가 정상 상한의 6배 이상으로 상승된 췌장암 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Differential diagnosis between autoimmune pancreatitis (AIP) and pancreatic cancer is often difficult due to similar clinical manifestations and radiological findings. Serum immunoglobulin G4 (IgG4) is a marker to differentiate AIP from pancreatic cancer. Although serum IgG4 can be elevated in 10% of patients with pancreatic cancer, most of serum IgG4 elevation in pancreatic cancer is limited within two times of upper normal limit. Herein, we report a case of pancreatic cancer with markedly elevated serum IgG4 over six times of upper normal limit that needed steroid trial to differentiate from AIP. Korean J Pancreatobiliary 2015;20(2):78-82
증례보고 : 근육위축가쪽경화증 환자에서의 경막외마취 관리
권영석 ( Young Suk Kwon ),임윤희 ( Yun Hee Lim ),우승훈 ( Seung Hoon Woo ),연준흠 ( Jun Heum Yon ),김계민 ( Kye Min Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.3
Amyotrophic lateral sclerosis (ALS) is a degenerative disease of motor ganglia in the anterior horn of spinal cord and spinal pyramidal tracts. The impairments of respiratory function and weakened upper airway muscle affect anesthetic management. General anesthesia may cause respiratory problem. Regional anesthesia such as spinal and epidural anesthesia is also relative contraindication for patients with a motor neuron disease, including ALS, for the fear of exacerbating the disease. Therefore patients with ALS are needed careful management during perioperative period. We report a case of epidural anesthesia for transurethral ureteroscopic lithotripsy in a patient with ALS. The patient recovered from anesthesia without exacerbating the disease. (Korean J Anesthesiol 2009;57:361∼3)