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인슐린비의존성 당뇨병환자에서 혈청 4 형 Collagen - 7S 의 의의
김영태(Young Tae Kim),한영찬(Young Chan Han),이정해(Jeong Hae Lee),김진곤(Jin Gon Kim),장태종(Tai Jong Jang),김윤권(Youn Kwon Kim),김소연(So Yon Kim),이권전(Gwon Jun Lee) 대한내과학회 1995 대한내과학회지 Vol.48 No.6
Objectives: Thickening of basement membrane in capillaries and small vessels is a characteristic change in diabetic microangiopathy. It is improtant to observe dynamics of basement membrane metabolism in progression of this complication. Recently the component of basement membrane, collagen type IV-7S, can be detected in human sera by radioimmunoassays, Serum concentrations of collagen type IV was increased in diabetic patients and streptozotocin-induced diabetic rats. For the assessment of diabetic complication, we measured serum collagen type IV levels in non-insulin-dependent diabetic patients, comparing them with complications and durations of diabets mellitus. Methods: We measured serum collagen type IV levels in 94 non-insulin-dependent diabetic patients with or without clinical signs of retinopathy, nephropathy and in 32 healthy subjects without any serologic abnormality. We compared serum collagen type IV levels with degrees of complications and durations of diabets mellitus, Results: Serum concentrations of collagen type IV were significantly higher in diabetic patients than in healthy subjects. Serum collagen type IV levels were increased in patients with proteinuria, especially higher in patients with microproteinuria than in patiens without microproteinuria. Serum collagen type IV levels in patients with macroproteuinuria were significantly higher than in patients with microproteinuria. In patients with diabetic retinopathy, serum collagen type IV levels were significantly increased. Patients with proliferative retinopathy showed significant high levels of serum collagen type IV. Serum concentrations of collagen type IV were increased proportionately to the length of duration of diabetes mellitus. Conclusion: Serum collagen type N seems to be a useful, nonivasive, reproducible marker for assessment of the activity or progression of diabetic microangiopathy.
조민구(Min Koo Cho),김영중(Young Jung Kim),김진욱(Jin Wook Kim),서대원(Dae Won Seo),김홍남(Hong Nam Kim),장태종(Tae Jong Jang),반금진(Geum Jin Ban),김윤권(Youn Gwon Kim) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.1
Since Rokitansky described the hamartoma of the spleen first in 1861, it has been a rare benign tumor composed of abnonnal rnixtures of normal splenic elements. Clinically it is asymptomatic in most patients but left upper quadrant mass, abnormal hetnatologic findings, frequent infection, fever, generalized weakness, and loss of appetite may be present in some cases. Although it can be diagnosed by roentgenologic examinations and aspiration biopsy, no one has been certain preoperatively. A case of splenic hamartoma in 35 years old male diagnosed postoperatively is presented. (Korean J Gastroenterol 1997;30:131 - 135)
당뇨병 환자에서 Tc - 99m - DISIDA Scintigraphy 를 이용한 담낭의 기능분석
황인섭(In shup Hwang),류광현(Kwang Hyun Rhu),김홍남(Hong Nam Kim),노영호(Young Ho Rho),한신(Sin Han),김윤권(Youn Kwon Kim),김소연(So Yon Kim),조민구(Min Koo Cho),이권전(Gwon Jun Lee) 대한내과학회 1998 대한내과학회지 Vol.54 No.4
Objectives : Diabetic autonomic neuropathy is a common complication of long standing diabetes mellitus and is well known to induce the motor dysfunction of cardiovascular system, genitourinary system and digestive system. Although many studies have done to evaluate the diabetic autonomic neuropathy, gallbladder motor function and biliary dynamic study to evaluate the change of gallbladder function in diabetic patients is relatively rare. This study was performed to measure the gallbladder ejection fraction using Tc- 99m-DISIDA with fatty meal in order to evaluate the gallbladder motor function in diabetic patients and to examine the usefulness of it in analyzing diabetic autonomic neuropathy. Methods : 51 diabetic patients(males 31, females 18, mean age 57yr(36-77yr)) and 1H control subjects(males 14, females 4, mean aged 47yr(31-70yr)) without gallstone and impaired liver function were enrolled in our study. Also the diabetic patients were categorized by age, disease duration, body weight and diabetic complications such as retinopathy, peripheral neuropathy and cardiovascular autonomic neuropathy accompanying with or not. Results : 1) Median value and interquartile range of gallbladder ejection fraction(%) were 66%(48-79%) in diabetic patients group and 75%(64-80%) in control subjects. There was no statistically significant difference between the two groups, but the mean value of diabetic patients was slightly lower than that of control subjects. 2) There was no significant difference between the two groups in mean value of gallbladder ejection fraction in every age group(P>0.05). 3) Median value of gallbladder ejection fraction in diabetic groups with less than 10 years of duration (both under 5 years and 5 to 10 years groups) was similar to that of control subjects. However in patients whose diabetic conditions last more than 10 years, the median range of gallbladder ejection fraction was significantly lower than that of control subjects(P<0.05). 4) Median range of gallbladder ejection fraction in obese diabetic patients group was significant lower than those of control subjects and non- obese diabetic patients(p<O.C6). 5) Median value of gallbadder was lower in diabetic patients group with complications like retinopathy, peripheral neuropathy or cardiovascular autonomic neuropathy (p<0.05) in comparison with those of control subjects and diabetic patients group without diabetic complication (p>0.05). Also seven diabetic patients whose gallhladder ejection fraction was reduced under,35% have had at least two diabetic complications. Conclusion : We observed that gallbladder ejection fraction of diabetic patients was reduced compared with that of control subjects. This is due to the reduced gallbladder muscle contractility resulting from diabetic autonomic dysfunction. These results suggest that the assessment of gallbladder ejection fraction using 99m- Tc-DISIDA would be useful to diagnose diabetic autonomic neropathy.
김영중,차주영,윤수진,조민구,김소연,이권전,김윤권,시석,전종구,오형모,장원규,박병익 대한소화기학회 2000 대한소화기학회지 Vol.36 No.4
The chylous ascites is a rare disease characterized by accumulation of chylomicron in the ascitic fluid. The chylous ascites developed naturally in liver cirrhosis accounts for approximately 0.5 % of liver cirrhosis with ascites and shows poor prognosis. This report presents a case of chylous ascites accompanied by liver cirrhosis.
신이식에 합병된 Rhinocerebral Mucormycosis 1 예
한진석,이정상,김성권,지제근,이상구,김순배,이근후,김윤권 대한내과학회 1987 대한내과학회지 Vol.32 No.2
We reported a case of 29year old kidney transplant recipient male who was diagnosed as rhinocerebral mucormycosis confirmed by nasal turbinate biopsy and brain CT. He complained of right eyeball pain, right facial swelling, diplopia, right facial palsy developed after immunosuppressive therapy which was done under the impression of rejection. Physical examination revealed pale, hypertrophic nasal mucosa and blood clot on ulceration and bone exposure on the anterior portion of right middle turbinate. Filamentous mycelia, consisting of distinctively broad, thin walled, non-septate, rather irregular hypae which tend to branch at righf angle, was found on the nasal biopsy. Brain CT revealed thickening of right maxillary sinus mucosa with right side turbinate hypertrophy and right exophthalmos, but definite retrobulbar mass or evidence of cavernous sinus thrombosis was not found. His symptom except right facial palsy was relieved with the treatment of amphotericin B and flucytosine.