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Rifampicin 으로 유도된 Addisonian Crisis - 부신 피질 결핵에 의한 Addison 씨 병 환자에서 -
김영재(Young Jae Kim),류영근(Young Geun Ryu),김은화(Eun Wha Kim),유제윤(Jae Yoon Yu),김희종(Hee Jong Kim),한기옥(Kie Oak Han),김귀완(Kwi Wan Kim),김문중(Moon Jung Kim),송은섭(Eun Sup Song) 대한내과학회 1991 대한내과학회지 Vol.41 No.5
Rifampicin is a widely used drug for the treatment of mycobacterium tuberculosis infections. This drug, among others, is a potent inducer of the hepatic mixed oxygenase enzymes involved in drug metabolism. There- fore, the effects of drugs or hormones metabolized by liver enzymes may be influenced by rifampicin administration. Thus, concurrent treatment of rifampicin and the glucocorticoid hormone can lead to decreased bioavailability of the glucocorticoid hormone and to icreased requirement. With a brief review of the literature, we report a case of rifampicin-induced adrenal crisis, in which the patient received a physiologic maintenance dose of prednisolone and rifampicin.
각종 폐질환에 있어서 경기관지 폐생검과 Tru - Cut Needle 을 이용한 경피적 폐생검의 비교
김광중(Kwang Joong Kim),이병철(Byung Chul Lee),유진우(Jin Woo Yu),김동윤(Dong Yun Kim),김귀완(Kwi Wan Kim),김문중(Moon Joong Kim) 대한내과학회 1989 대한내과학회지 Vol.37 No.3
N/A Lung cancer has become one of the most common cancers in Korea. Chest X-rays show solitary or diffuse infiltrative lesions but these arc not confirmed by sputum chtology and bronchoscopic exam. It is extremely necessary to establish a tissue diagnosis. Transbronchial lung biopsy and transthoracic needle lung biopsy were compared with respect to diagnostic accuracy and complications. The age distribution of the patients was from nineteen to seventy-five years and the male to female ratio was about 6:1. The diagnostic yields of the transbronchial lung biopsy and the transthoracic needle lung biopsy were 68% and 86% respectively. Common diseases were primary malignancy, pulmonary tuberculosis and interstitial fibrosis; next in order were pneumonia and lung abscess. Among the nonspecific diagnoses, 7 cases were confirmed as malignant diseases by subsequent diagnostic procedures. Complications of the transthoracic needle lung biopsy were pneumothorax in 5 cases (8%) hemothorax in one case (2%) and hemoptysis in 2 cases (4%) Complications of the transbronchil lung biopsy were hemothorax in one case (2%), and hemoptysis in two cases (4%). We think that the transthoracic needle lung biopsy represents minor, safe, accurate and simple procedure for peripheral lung lesions and the transbronchial lung biopsy is the procedure of choice for central lung lesions.
폐암진단을 위한 객담세포검사 결과 - 16개월간의 전주 예수병원 객담세포검사 결과를 바탕으로 -
이혜경,이광민,정동규,강대송,김귀완,Lee, Hye-Kyung,Lee, Kwang-Min,Chung, Dong-Kyu,Kang, Dae-Song,Kim, Kwi-Wan 대한세포병리학회 1994 대한세포병리학회지 Vol.5 No.2
A prospective survey of sputum cytologic specimen was performed for 16 months from Jan. 1993 to Apr. 1994 in Presbyterian Medical Center. The purpose of this study is to find the positive rate of sputum cytology in the diagnosis of lung cancer and to correlate these results with tumor location and stage. Sputum cytologic specimen were received from 104 patients among 158 patients diagnosed as lung malignancy by histologic examination. Cytologic diagnosis of "suggestive of malignancy" was made in 61 patients (59%) and dysplasia in 9 patients(9%), atypia in 14 patients(13%), benign in 15 patients(14%) and inadequate specimen in 5 patients (5%), respectively. Among 84 patients beyond the cytologic diagnosis of atypia, 51 patients (61%) disclosed a central location, while 33 patients (39%) showed peripheral lesions. All 54 patients diagnosed as suggestive of non-small cell carcinoma were stage III or over, and all 7 patients diagnosed as suggestive of small cell carcinoma were in advanced stage. These results suggest that the cytologic examination of sputum seems to be an important tool in diagnosis of lung cancer.
김상영(Sang Young Kim),오형태(Hyung Tae Oh),이덕수(Doek Suu Lee),한동호(Dong Ho Han),안병이(Byung Yi Ann),김귀완(Kwi Wan Kim) 대한내과학회 1998 대한내과학회지 Vol.54 No.4
Tuberculous menigitis is relatively common disease and delay in treatment is associated with many neurologic sequelae. Of the neurologic disorder, diabets insipidus is extreamly rare. Diabetes insipidus is a syndrome characterized by the excretion of abnormally large volumes of dilute urine. It is divided into central diabets insipidus, nephrogenic diabetes insipidus, primary polydipsia and gestational daibetes insipidus. In this four type of diabetes insipidus, central diabetes insipidus is a polyuric disorder results from a lack of sufficient antidiuretic hormone to effect appropriate concentration of the urine for water conservration. We report a 25-year old male who had prolonged head- ache and subsequently followed by polyuria. He was diagonsed as the tuberculous meningitis by laboratory finding and smear of CSF, and diagnosed central diabetes insipidus by serum osmolality & Na+ & AVP (arginine vasopressin), urine osmolality & specific gravity, administration of vasopressin. He maintained the water balance of body by administration of vasopressin, but without improvement of mental status, sudden cardiac arrest occurs on 20th hospital day
조진웅(Chin Woong Cho),김병구(Byoung Ku Kim),최수영(Su Young Choi),이태헌(Tae Hun Lee),김미애(Mee Ae Kim),강대송(Dae Song Kang),이순형(Sun Hyoung Lee),김귀완(Kwi Wan Kim),이광민(Kwang Min Lee) 대한내과학회 1995 대한내과학회지 Vol.48 No.6
Primary pulmonary amyloidosis is a rare disorder. It can be classified into tracheo-bronchial, diffuse alveolar septal and nodular parenchymal form. Tracheo-bronchial amyloidosis can be further subdivided into submucosal plaques and pseudotumorial mass. We report a case of pseudotumorial tracheo-bronchial amyloidosis in a 61year-old woman confirmed by bronchofiberscopic biopsy. She has suffered from cough and sputum for 3 months, and recently triangular hazy density in right perihilar area was found on chest X-ray with aggravation of symptoms. The chest CT showed a collapse in superior segment of right lower lobe and pleural thickening with multiple calcifications in posterior pleura of left lower chest. The bronchofiberscopic findings showed that the superior segmental bronchus of right lower lobe was completely obstructed and a solitary mass was in the orifice of right intermedius bronchus. The bronchoscopic biopsy revealed amyloid depositions beneath bronchial mucosa. We discuss this case with review of literature.