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신혈관성 고혈압의 진단에 있어서 캅토프릴 신스캔의 의의
김성권(Suhng Gwon Kim),이정상(Jung Sang Lee),고창순(Chang Soon Koh),이명철(Myung Chul Lee),정준기(June Key Chung),이동수(Dong Soo Lee),최창운(Chang Woon Choi),배상균(Sang Kyun Bae),양형인(Hyung In Yang),김승철(Sung Chul Kim) 대한핵의학회 1992 핵의학 분자영상 Vol.26 No.2
N/A To evaluate the sensitivity and specificity of captopril renal scan for renovascular hypertension, we employed the captopril renal scan in conjunction with renal angiography in 81 patients, 159 kidneys, who were referred to evaluate the cause of hypertension. We defined the renovascular hypertension by the criteria of demonstration of renal artery stenosis by angiography, and improvement or cure of hypertension by revascularization. Visual and quantitative evaluation of Tc-99m-DTPA renal scan was performed pre and post captopril administration. The prevalence rate of renovascular hypertension was 40% in comparing with renal angiography, and 70% in confirmed cases. The causes of renovascular hypertension in 81 patients were Takayasu's arteritis, fibromuscular dysplasia, atherosclerosis, essential hypertension, chronic pyelonephritis etc. The sensitivity and specificity of captopril renal scan in comparing with renal angiography were 80%, 86.5%, respectively and also 84.2%, 72.6% in confirmed cases of renovascular hypertension, respectively. The causes of false negative cases were nonfunctioning kidney due to complete obstruction or long duration of disease in basal scan, segmental branch artery stenosis, unknown causes, and suspicious true negative cases without confirmation. The false positive cases were abdominal aortic stenosis or aneurysm, dehydration, unknown causes, and suspicious true positive cases. We conclude that captopril renal scintigraphy is highly sensitive, reasonably specific diagnostic method and comparable to other techniques very favorably.
김성권 ( Suhng Gwon Kim ),박재윤 ( Jae Yoon Park ),이성우 ( Seong Woo Lee ),안신영 ( Shin Young Ahn ),정종철 ( Jong Cheol Jeong ),( Sung Hae Chang ),이태원 ( Tae Woo Lee ),오국환 ( Kook Hwan Oh ),진호준 ( Ho Jun Chin ),주권욱 ( 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.6
Purpose: This report examines a patient with pulmonary adenocarcinoma that developed on a previous lesion from microscopic polyangiitis. A 59-year-old woman had been diagnosed with microscopic polyangiitis in October of 1988 based on her clinical symptoms and serological tests, which were positive for anti- neutrophil cytoplasmic antibodies. Her glomerulonephritis had been well controlled with low-dose prednisolone. She presented in October of 2005 with vague chest discomfort and dyspnea on exertion. Physical examination was unremarkable. A non-contrast computed tomography (CT) scan of the chest showed patch ground-glass opacity at the right lower lobe of the lung. Because we did not believe the lesion to be a definite malignancy, we decided to follow up with chest images over a short interval. During the 18 months following the images, the lesion did not change. However, the opacity of the lesion increased slightly over the last two months, and a non-contrast CT scan of the chest was therefore performed. A CT scan showed persistent ground-glass opacity with a slightly solid portion. To diagnose the previous finding and possibly to provide treatment, a right lower lobectomy of the lung via video-assisted thoracoscopic surgery was performed. The pathologic review of the resected lung revealed an adenocarcinoma, stage pT1N0. After one year, fluorodeoxyglucose positron emission tomography was performed, and no evidence of a recurrent malignancy was found.
조수헌,강대희,김성권,김익상,홍성태,주영수,Cho, Soo-Hun,Kang, Dae-Hee,Kim, Suhng-Gwon,Kim, Ik-Sang,Hong, Sung-Tae,Ju, Young-Su 대한예방의학회 1999 Journal of Preventive Medicine and Public Health Vol.32 No.3
Background : In April 6, 1990, a male researcher who has worked at a research unit at the Basic Research Building of Seoul National University(SNU) College of Medicine admitted to SNU Hospital due to persistent fever. He was diagnosed serologically as hemorrhagic fever with renal syndrome(HFRS). Another female researcher in the same unit was also diagnosed as HFRS at the same hospital several days later. Epidemic investigation of HFRS was conducted to determine the magnitude of the problems since these two cases were strongly suspected to have laboratory-acquired infections of HFRS. Methods : All researchers and employees working at the Basic Research Building(BRB) of SNU College of Medicine as of April 1, 1996 were recruited for the study, information on symptoms of HFRS and history of contact to experimental animals were collected by self-administered questionnaires and serological tests among study subjects were also conducted by indirect immunofluorescent antibody(IFA) to hantavirus. The experimental animals were also serologically tested for infection with hantavirus by IFA. Results : Among 218 surveyed, six researchers and an animal caretaker had hantavirus antibodies above 1:20 in IFA titer. Five of seven sero-positive subjects had antibodies above 1:640 in IFA titer and had shown clinical symptoms compatible to HFRS during Jan. 1 to Apr, 20, 1996. The sero-positive persons had handled animals more frequently than sero-negative persons (OR, 19,68; 95% Cl, 1.11-350.40) and handling animals at the animal quarter at School of Public Health(SPH) had shown consistently higher risk to get infected with hantavirus irrespective of types of animals handled (OR, 4.90-6.37). Sero-positivity of rats of the aniamal quarter at BRB was 30-60%, whereas 80% of rats at SPH tested were shown sero-positivity. Conclusion: There was a epidemic of HFRS in research units of a medical school during the period from Jan. through Apr, Further investigation is needed to determine the extent and the mode of transmission of the laboratory-acquired infection with hantavirus in other research facilities.
특집-만성 콩팥병, 적극적 치료가 필요하다 : 우리나라의 만성 콩팥병
진호준 ( Ho Jun Chin ),김성권 ( Suhng Gwon Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.5
Chronic kidney disease (CKD) is an important problem worldwide. CKD is defined as either a glomerular filtration rate (GFR) of less than 60 mL/min/1.73 m2 body surface area (BSA) or the presence of kidney damage, most commonly assessed by the presence of albuminuria for at least three consecutive months. In Korea, the reported overall prevalence of CKD is 13.7%, and the prevalence of CKD according to stage is 2.0, 6.7, 4.8, 0.2, and 0.0% for stages 1 to 5, respectively. This review emphasizes the importance of awareness, making an early diagnosis, and an appropriate management strategy for CKD. (Korean J Med 76:511-514, 2009)
한경희,이현경,이성하,조희연,정해일,최용,배현미,김성권,하일수,Han, Kyoung-Hee,Lee, Hyun-Kyung,Lee, Sung-Ha,Cho, Hee-Yeon,Cheong, Hae-Il,Choi, Yong,Bae, Hyun-Mi,Kim, Suhng-Gwon,Ha, Il-Soo 대한소아신장학회 2006 Childhood kidney diseases Vol.10 No.2
Diarrhea-associated hemolytic uremic syndrome(D+ HUS) is induced by enterohemorrhagic Escherichia coli(EHEC) and is characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. The disease is usually transmitted by meat and water contaminated by excreta of domestic animals. We report a son and his mother with diarrhea-associated hemolytic uremic syndrome that spread within the family.
신침범의 임상증상이 없는 낭창성 신염의 임상 및 병리소견 분석
박수길(Soo Kil Park),이종호(Jong Ho Lee),한진석(Jin Suk Han),김성권(Suhng Gwon Kim),최성재(Sung Jae Choi),이정상(Jung Sang Lee),이현순(Hyun Soon Lee),김용일(Yong Il Kim) 대한내과학회 1988 대한내과학회지 Vol.34 No.5
N/A Because of the limited validity of serologic tests, there has been interest in alternative ways of assessing prognosis and disease severity in systemic lupus erythematosus(SLE), espec ally in direct histopathologic evaluation of affected tissue. Since the renal disease is still a major cause of morbidity and mortality in SLE and the kidney is the most accessible organ by biopsy, the role of renal biopsy in the management of SLE has been discussed frequently. It is known that despite of the absence of clinical abnormalities of urine, histological examination of renal tissue has been shown variable morphological changes including diffuse proliferative type that has the worst prognosis in lupus nephritis. To investigate the usefullness of renal biopsy and the treatment modalities we performed the analysis of clinical and pathological findings in lupus nephritis without clinical renal involvement. Among the 95 patients of SLE, the number of silent lupus nephritis was 23, who were less hypertensive and clinically more favorable. The decrease of C3 and C4 was more marked in the patients who had the renal symptoms clinically. The severity of extrarenal symptoms was not correlated with whether the patient had the renal symptoms or not. The pathologic classification in silent lupus nephritis was as followings; WHO class IIa;8, IIb;7, class IIl;4, class IV;3, class V;1 respectively. Thus we concluded that the diffuse lupus glomer-ulonephritis could be clinically silent and the type of morphologic lesion in lupus nephritis cannot be deduced from the clinical criteria alone. It may be necessary to perform the biopsy in any SLE patient, regardless of the clinical renal involvement.