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김평남 ( Pyoung Nam Kim ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),전재범 ( Jae Bum Jun ),한동수 ( Dong Soo Han ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),주경빈 ( 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Primary biliary cirrhosis is a chronic, progressive liver disease characterized by inflammatory destruction of septal and intralobular bile ducts which results in intrahepatic cholestasis. Although the cause remains obscure, it is frequently associated with a variety of disorders presumed to be autoimmune in nature. We report a case of early primary biliary cirrhosis which was anteceded by rheumatoid arthritis. The patient was a 54-year-old female who was admitted due to arthralgia and joint deformity. She had been diagnosed as having rheumatoid arthritis 10 years before. On admission, she had elevated serum ALT, AST, alkaline phosphatase, gamma-GTP and positive serum antimitochondrial antibody test. Microscopic findings of the liver were consistent with the early stage of primary biliary cirrhosis.
류마티스 관절염 환자에 동반된 림프부종(Lymphedma)
김평남 ( Pyoung Nam Kim ),김동욱 ( Dong Yook Kim ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),전재범 ( Jae Bum Jun ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현,주경빈 ( Kyung Bin Joo ) 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Objective: To investigate the clinical manifestations and causes of upper limb edema in 8 patients with rheumatoid arthritis. Methods: Eight patients with upper limb edema in association with rheumatoid arthritis were investigated for their clinical manifestations and assessment of lymphatic function with lymphoscintigrphy. In lymphoscintigraphy, (99m)Tc-Human serum albumin (<0.3ml, 1.0mci) was injected subcutaneously into the second web space of each hand. Images were obtained over injetion site and both axillary regions at Ohr and 2hr post-injection. The visualization of axillary lymph node and the percentage uptake of isotope in the axillary regions were evaluated. Results: All patients except one have unilateral upper limb edema and showed no relation between lymphedema and either activity or duration of arthritis. Six of eight cases were found to have impaired lymph drainage and two cases showed normal lymphatic function. Conclusion: This study describes lymphedema in patients with rheumatoid arthritis due to impaired lymphatic function and a relatively rapid production of interstitial fluid.
김승영 ( Seung Young Kim ),김태환 ( Tae Hwan Kim ),김평남 ( Pyoung Nam Kim ),전재범 ( Jae Bum Jun ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),김성윤 ( Seong Yoon Kim ) 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Polymyositis can develop infrequently as one of the autoimmune complications of D-penicillamine treatment, but its exact pathogenesis remains unclear. Suspicion of D-penicillamine induced polymyositis should be followed by immediate drug withdrawal and confirmation of diagnosis by determination of muscle enzymes, EMG and biopsy. Most patients recover from polymyositis completely within 6 months after drug withdrawal, even though steroid may be used in severe conditions. Suspicion of pre-existing low-grade myopathy or myositis should possibly be regarded as a relative contraindication to Dpenicillamine treatment and analysis of muscle enzymes should be followed regularly. We experienced a case of rheumatoid arthritis who developed polymyositis after treatment of D-penicillamine for about 5 weeks (total dosage 3500mg) in a 47-year-old female and report this with a review of literature.
위장관 ( 胃腸管 ) : 정상인에서 호기내 수소농도 측정법을 이용한 유당불내성률
김만우(Man Woo Kim),김평남(Pyoung Nam Kim),나한식(Han Sik Na),오재선(Jae Sun Oh),이승일(Seung Il Lee),박찬국(Chan Guk Park) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A In order to detect lactose intolerance in study groups, we have performed the lactose breath test, lactulose breath test, and oral lactose tolerance test. The 50 cases (28 men, 22 women) of this study were selected from healty adults without known disease and free from gastrointestinal symptoms. 1) In 50 subjects, there were 32 subjects who had the intolerant symptoms such as abdominal pain, flatulence and diarrhea. 2) All subjects with intolerant symptoms were more than 20 ppm in breath hydrogen. 3) In two subjects among 11 cases with less than 20 ppm in breath hydrogen by lactose breath test have not increased by lactulose breath test (<10ppm). 4) The prevalence of lactose intolerance in healthy adults was 82 percent. From the above results, it is concluded that lactose breath test offers an attractive, noninvasive way of diagnosing lactose intolerance.
문두섭 ( Doo Seop Moon ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),김평남 ( Pyoung Nam Kim ),전재범 ( Jae Bun Jun ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),최웅환 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Possible association between systemic lupus erythematosus and disorders of thymus has been shown in several reposrts. But the association is clearly not common as judged by fewer than 20 case reports in the world literature. One case of systemic lupus erythematosus in a patient with thymic hyperplasia is described. The woman had been suffered from purpura, dry mouth and dry eyes and complained of chest discomfort. In this case, thymectomy did not modify the course of systemic oupus erythematosus. Systemic lupus erythematosus with thymic disorder is very rare so we report this case with a review of literatures.
류마티스 관절염의 질병활성도 지표로써 모발의 미세원소 농도
전재범 ( Jae Bum Jun ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),김평남 ( Pyoung Nam Kim ),정성수 ( Sung Soo Jung ),이인흥 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),주경빈 ( Kyung Bin Joo ),김성윤 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Objective: Zinc and copper are the second and third most abundant trace elements following iron in the human body. Zinc and copper have important effects on humoral and cell-mediated immunity. In patients with rheumatoid arthritis, it has been reported that serum zinc level is decreased and seurm copper level increased. But no reports are available for the trace element level of hair in patients with rheumatoid arthritis. We studied to investigate the significance of trace element level of hair in rheumatoid arthritis patients, particularly its relation to disease activity. Methods: The trace element level of hair was estimated in 50 patients with rheumatoid arthritis and 22 osteoarthritis patients by inductively coupled plasma atomic emission spectrometry and was investigate the correlation to various disease activity indices of rheumatoid arthritis. Results: The results were as follows: 1) There was no significant difference in either the zinc or copper level in hair between patients with rheumatoid arthritis and osteoarthritis. 2) No correlation was observed between the zinc or copper level in hair and age or disease duration for rheumatoid arthritis patients. 3) Zinc and copper levels of hair did not correlate with various indices of disease activity in rheumatoid arthritis patients. Conclusions: Zinc and copper levels of hair in rheumatoid arthritis patients were not different from those of osteoarthritis and did not correlate with disease activity indices. Studies on the effect of antirheumatic drug therapy on trace element level of hair are necessary.
류마티스 관절염 환자에서 Bucillamine이 모발 미세원소 농도에 미치는 영향
전재범 ( Jae Bum Jun ),김동욱 ( Dong Yook Kim ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),김평남 ( Pyoung Nam Kim ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),김순길 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.2
Objectives: We investigated the changes of trace element levels in hair of patients with rheumatoid arthritis after bucillamine treatment. Methods: We performed inductively coupled plasma atomic emission spectrometry in determination of trace element levels in hair of patients with rheumatoid arthritis. Results: The results were as follows: 1) There was a significant increase of copper concentration, but no change in zinc level after bucillamine treatment. 2) There were no significant changes in copper and zinc concentrations between the proximal and distal portions of hair after long-term bucillamine treatment. Conclusions: Our results showed the significant increase of copper level and no significant change of zinc level in hair after bucillamine treatment, but, although statistically not significant, copper and zinc levels were decreased on experiment with divided hair. So, our findings do not permit any conclusion on the influence of bucillamine on trace element levels in hair. Further studies in large samples and comparison with the effect of D-penicillamine will be necessary to clarify the association of trace element levels in hair of rheumatoid arthritis patients and bucillamine treatment.
류마티스 관절염 환자의 활막 세포와 T세포의 유착에서 ICAM-1의 역할
전재범 ( Jae Bum Jun ),김동욱 ( Dong Yook Kim ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),김평남 ( Pyoung Nam Kim ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),김순길 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.2
Objective: It has previously been shown that cellular interaction between infiltrating mononuclear cells and synoviocyte are important in the initiation and perpetuation of autoimmune processes in the synovial tissue of patients with rheuamtoid arthritis. Thus, we have investigated the molecular basis of T cell-synovial cell interaction in the cultured synoviocytes from patients with rheumatoid arthritis. Methods: Using an immunohistochemical staining technique and inhibition study with monoclonal antibody, we studied the expression and the function of intercellular adhesion molecule l (ICAM-l) in T cell-synovial cell interaction in the cultured synoviocytes. Results: Expression of ICAM-l was diffusely observed in most components of rheumatoid synovium and readily up-regulated by IL-1. T cell-synovial cell interaction was inhibited by monoclonal antibody aganinst ICAM-1. Conclusion: These results showed that ICAM-l was involed in the cellular interaction between T lymphocytes and synovial cells in patients with rheumatoid arthritis.