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호흡기 알레르기 환자에서 수용성 Interleukin 2 수용체에 관한 연구
박춘식(Choon Sik Park),김육(Yook Kim),김현태(Hyeon Tae Kim),어수택(Soo Taek Uh),정연태(Yeon Tae Chung),김용훈(Yong Hun Kim) 대한내과학회 1991 대한내과학회지 Vol.41 No.3
Interleukin 2receptor (IL2R) is a cell surface antigen absolutely required for the activation of T lymphocytes. Activated T cells are induced to secrete 1L2 and express specific membrane receptor for IL2. The role of soluble IL2R (SIL2R) is still not known in T cell activation, but the level of soluble IL2R was reported to correlate with the magnitude of T cell immune response in patients with allograft rejection, malignancies, and HIV-infection. The fact that the expression of IL2R increases in the peripheral blood lymphocytes of patients with bronchial asthma during an acute attack suggests that T cell activation might have a major role in the pathogenesis of allergic bronchial asthma, In order to evaluate the extent and change of T cell immune response before and after immunotherapy in allergic bronchial asthma and rhinitis, we measured the blood concentration of soluble IL2R in 42patients with allergic bronchial asthma and rhinitis, 18with non allergic bronchial asthma and 17as normal controls. In 26 allergic patients,.SIL2R concentration was measured sequentially till 12months after immunotherapy at the interval of 3months. 1) Allergic patients had significantly higher levels of soluble IL2R when compared with those of nonallergic bronchial athma (718.7±69.2 vs 328.8±57.7 U/ml, p<0, 05) and the control group (718.7±69.2 vs 254.9±57.0 U/ml, p<0.05). 2) There was no difference in SIL2R concentrations between intrinsic and extrinsic type of allergic patients. 3) SIL2R concentration correlated well with the level of specific IgE (r=0.48, p<0.005), but not with the total IgE and wheal size of immediate skin response to antigens. 4) SIL2R concentration decreased significantly 6months after immunotherapy compared to those before immunotherapy. In conclusion, T cell-mediated immune response was enhanced in allergic patients, and this enhanced T cell respones might be restored to normal after immunotherapy.
초음파 내시경 유도하 세침 흡인술을 이용하여 진단된 췌장의 림프 상피성 낭종
오영민 ( Youngmin Oh ),최용혁 ( Yonghyeok Choi ),손승명 ( Seung-myoung Son ),이지선 ( Jisun Lee ),김육 ( Yook Kim ),한정호 ( Joung-ho Han ),박선미 ( Seon Mee Park ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.4
Although lymphoepithelial cysts (LECs) of the pancreas are benign lesions, most of them have been treated with surgical resection due to diagnostic difficulty. We report a 66-year-old woman diagnosed with pancreatic LECs. Abdominal ultrasound revealed two masses in the pancreas, which were not visible on the abdominal computed tomography. In an abdominal magnetic resonance imaging, pancreas lesions showed solid tumors, which revealed a low signal intensity on T1-, moderate high signal intensity on T2 weighted images, and homogeneous delayed enhancement in the portal venous phase. Endosonography (EUS) revealed two hypoechoic round masses measuring 1.5 cm and 4.5 cm in the body and tail of the pancreas, respectively. EUS-guided fine needle aspiration (FNA) revealed squamous cells, amorphous keratinous debris, and lymphocytes. The patient was diagnosed with LECs of the pancreas. For the duration of the follow-up period of two years, imaging studies were unchanged. EUS-FNA is useful in making a definite diagnosis and avoiding unnecessary surgery. This is the first case of pancreatic LECs diagnosed with EUS-FNA in Korea. (Korean J Gastroenterol 2017;69:253-258)
신병준,김철현,김대호,이광호,우준희,김 육 대한감염학회 1990 감염 Vol.22 No.1
Acute bacterial spinal epidural abscess is a rare disease in adults and children. Infection usually reaches the epidural space by hematogenous route, from an infected skin or urinary tract. The most common etiologic agent is Staphylococcus aureus. Left untreated, the natural course leads to paraplegia and death. Thus many authorities have recognized that early diagnosis and prompt management is critical. And the availability of highly sensitive, noninvasive methods such as magnetic resonance imaging of the spine and epidural space has made it possible to treat promptly spinal epidural abscess with antibiotics alone. We recently encountered a 30-year-old Korean male who was managed with flucloxacillin under the diagnosis of acute spinal epidural abscess, and showed characteristic MRI.