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김준완 ( Joon Wan Kim ),송란 ( Ran Song ),임철현 ( Churl Hyun Im ),김진현 ( Jin Hyun Kim ),이은영 ( Eun Young Lee ),이은봉 ( Eun Bong Lee ),송영욱 ( Yeong Wook Song ) 대한내과학회 2011 대한내과학회지 Vol.80 No.4
The salient features of Sweet syndrome, also known as acute febrile neutrophilic dermatosis, are pyrexia, elevated neutrophil count, painful red papules, nodules, plaques, and an infiltrate that consists mainly of mature neutrophils diffusely distributed in the upper dermis. In addition to idiopathic forms of the syndrome, malignancies, inflammatory bowel disease, infections, pregnancy, and drugs have been associated with Sweet syndrome. Disseminated gonococcal infection (DGI) results from bacteremic dissemination of Neisseria gonorrhoeae. The most common presentation of DGI is arthritis-dermatitis syndrome. About 75% of DGI patients display a characteristic dermatitis consisting of discrete papules and pustules, often with a hemorrhagic component. We report a case of DGI presenting as Sweet syndrome. (Korean J Med 2011;80:486-489)
Amphetamine 중독에 의한 횡문근 융해 급성신부전
조윤숙(Yun Sook Cho),김태형(Tae Hyung Kim),김형완(Hyoung Wan Kim),김봉룡(Bong Ryong Kim),김준완(Joon Wan Kim),박정진(Jeong Jin Park),손인(In Sohn) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.3
Amphetamine toxicity is well known in western countries since several decades ago. Taken in excessive amount, amphetamine causes systemic symptoms such as hyperpyrexia, tachycardia, hyperkinesia, delirium, seizure and circulatory collapse. Acute renal failure following amphetamine ingestion is caused by the direct toxicity of the drug, circulatory collapse, coagulopathy, retroperitoneal hematoma or tubular ob-struction by rhabdomyolysis. This is a case of a am-phetamine intoxicated 41-year male patient presenting with features of acute renal failure, which is not accompanied by circulatory collapse, nor by coagulo-pathy. Muscle enzymes and bone scan findings were compatible with nontraumatic muscle injuries, and the renal pathology was tubular necrosis with specific myoglobin casts. Therefore a drug induced rhabdo-myolysis causing myoglobinuric tubular injury is highly suspected. The fact that the outcome of the renal disease itself was good despite fatal dosage of this drug is also compatible with myoglobinuric renal failures reported by foreign authors. This is probably the first reported case of acute renal failure caused by amphetamine associated rhabdomyolysis in Korea.
박정진(Jeong Jin Park),임선희(Seon Hee Lim),김봉룡(Bong Ryong Kim),김형완(Hyoung Wan Kim),김준완(Joon Wan Kim),김태형(Tae Hyong Kim),장유현(Yoo hyun Jang),이계희(Kyu Heui Lee),양대현(Dae Hyun Yang) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.1
Idiopathic portal hypertension (IPH) is a rare disease characterized by overt splenomegaly and portal hypertension in the absence of cirrhosis or vascular obstruction. The most common cause of death in IPH patients is known to be variceal bleeding, which is usually treated with surgical method. Recently, interventional radiologic methods such as transjugular intrahepatic portocaval shunt, ballon-occluded retrograde transvenous obliteration, or partial splenic embolization (PSE), have been tried to control portal hypertension. A 24-year-old man presented with repeated gastrointestinal bleeding due to rupture of esophageal varices, but his liver function tests were completely normal and any possible etiologies of his portal hypertension couldn’t be demonstrated. He was diagnosed as IPH by laparoscopic liver biopsy after PSE, which could control portal hypertension as well. For twelve months after PSE, he hasn’t experienced bleeding again. We report the case of PSE to control portal hypertension in a patient with IPH who presented with variceal bleeding. (Korean J Gastroenterol 2001;38:48-52)
성인형 스틸병과 유사한 임상양상을 보인 다발성 골 결핵 1예
조진경 ( Jin Kyeong Cho ),김민성 ( Min Sung Kim ),신진호 ( Jin Ho Shin ),정연상 ( Yeon Sang Jeong ),김준완 ( Joon Wan Kim ),최재필 ( Jae Phil Choi ),최병용 ( Byoong Yong Choi ) 대한내과학회 2014 대한내과학회지 Vol.86 No.6
A 46-year-old man was admitted to our hospital because of a fever of unknown origin. The patient had a skin rash, arthralgia, and hepatosplenomegaly. Laboratory tests showed leukemoid leukocytosis, a high serum ferritin level (31,200 ng/mL), and abnormal liver function tests. He was initially diagnosed with adult-onset Still`s disease (AOSD). However, imaging studies incidentally detected a cold abscess involving the 11th thoracic vertebra. A biopsy of the abscess revealed histologically granulomatous caseous necrosis, positive for M. tuberculosis by polymerase chain reaction. We present a patient with musculoskeletal tuberculosis (TB) that clinically mimicked AOSD. In TB-endemic countries, extrapulmonary TB should be included in the differential diagnosis of AOSD. (Korean J Med 2014;86:785-790)
김태형,임선희,장유현,김형완,김준완,김봉룡,박정진,이계희,최신은 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.1
The prevalence of intestinal tuberculosis has been markedly decreased with the development of antituberculoug chemotherapy, improved economic conditions, preventive medicine and early detection and treatment of pulmonary tuberculosis. An even more impressive resurgence of pulmonary and extrapulmonary tuber culosis has been seen in recent years among persons infected with the human immunodeficiency virus. The most common signs of infeshna1 tuberculosis is the ileocecal region, and duodenum is a rare site. Symptoms and signs of duodenal tuberculosis are nonspecific. The gross pathologic appearance of the duodeznal tuberculous lesions has to its traditional categoriration into three farms. 1) ulcerative, 2) hypertrophic, and 3) ulcerohypertrophic (mixed). Hypertrophic lesions of the duodenal tuberculosis should be differentiated from duodenal adenocarcinoma and lymphoma. We herein report a case of duodenal tuberculosis presenting as intraluminal protruding mass in gastroduodenoscopy and multiple intraabdomina1 lymphadenopathy on abdominal CT. We have confirmed the duodena1 tuberculosis by endoscopic biopsy, and review the current literatures.
임병철,김태형,임선희,장유현,김형완,김준완,김봉룡,박정진,이계희 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.1
Impaction of an ingesfed foreigm body in the colon is uncommon but surgical or endoscopic intervention is occasionally needed when serious complicafions such as perforation, obstruction or hemorrhage occur. Several factors may predispose a patient to ingestion and subsequent impaction of lower intestinal foreign body. It is more common in the elderly who wear dentures, in the mentally infirm, in chronic alcoholics or rapid eating. The majority of impaction occurs at narrowing and angulation such as ileocecal valve or rectosigmoid junction. The diagnosis of lower intestinal foreign body should be considered, among more common conditions, in the differential diagnosis of elderly patients who present with altered bowel habits. We report the case with a literature review that successfully endoscopically removed the fish bones impacted in the rectosigmoid colon complicated by rectal bleeding.