http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 남택서(Taik Seo Nam) (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
-
김성민(Seong Min Kim),최윤호(Yoon Ho Choi),남택서(Taik Seo Nam),배현주(Hyun Joo Pai),오명돈(Myoung Don Oh),정문현(Moon Hyoun Chung),송영욱(Yeong Wook Song),최강원(Kang Won Choe) 대한내과학회 1990 대한내과학회지 Vol.39 No.6
N/A Polymyositis is a disorder of unknown etiology characterized by an inflammatory myopathy involving striated skeletal muscle. When characteristic skin lesions accompay the myositis, patients are diagnsed as dermatomyositis. We analyzed clinica1 and laboratory features of 100 patients with dermatomyositis polymyositis who were admitted to the Seoul National University Hospital hom January, 1981 to January, 1989. The observed results were as follows 1) The range of age was from 6 to 74 years, and the most frequent age group WBS the third decade (23.0% of all cases) and the next, the second decade (19.0% of all cases). Male to female ratio was 27:73. 2) Of the 100 patients, 32.0%. was classified as group I, 37.0% as group II, 9.0% as group III, 5.0g as group IV and 17.0% as group V. Among the patients, diagnosis was definite in 52.0% and probable in 48.0%. 3) Proximal muscle weakness was noted in 74%, myalgia 47%, arthralgia 47%, skin rash 52ii, dysphagia 20%, dysphonia 7%, alopecia 22%, Raynaud`s phenomenon 22%, and fever 48% as presenting symptoms at the time of diagnosis. 4) Serum CPK level was elevated in 62.0% SGOT 78.0%, SGPT 61.0%, and LDH 99.0%. 5) The electromyography was done in 95 patients, which revealed small polyphasic motor units (78.9%), fibrillation (63.2%), positive sharp wave (71.6%), in- creased insertion activity (11.6%), increaseed resting potential (3.2%), high frequency bizarre discharge (20.0%). A normal EMG was seen in 12.6%. 6) The muscle biopsy was done in 83 patients, which light microscopic findings were as follow: degeneration (56.6%), regeneration (10.8%), fibrosis (4.8%), necrosis (12.0%), inflammation (53.0%), vasculitis (18.1%), crossseetional diameter variation (30.1%), internalization of nuclei (16.1%). A normal pathology was noted in 8.4% 7) Antinuclear antibody was found in 19.0%, rheumatoid factor 23.8%, LE cell 9.1%, anti-ds-DNA antibody 9.3%, cryoglobulin 34.4%, false positive VDRL 1.1%, and decreased cnmplement level 8.7% ANA was noted in 70.6% of patients of group V, whereas 4.8% in patients of other group. 8) Heart involvement was seen in 36.0%. Congestive heart failure was detected in 4:0%, nonspecific ST-T change 12.0%, bundle branch block 5.0%, low voltage 9. 0%, poor R progression 3.0%, sinus arrythmia 2.0%, atrial fibrillation 2.0%, VPB 5.1%, SVPB 2.0%, and pericarditis 10.0%. Interatitial pulmonary disease was noted in 18.0% on chest X ray. FVC w as abnormal in 74:0% of 50 patients tested, abnormal DLCO was in 73.3% of 15 patients tested, and abnormal FEV1/FVC was in 18.0% of 50 patients tested. 9) Neoplasm were associated in 9 patients, 5 polymyositis and 4 dermatomyositis patients. Sites of neoplasm were stomach cancer (4 cases), colon cancer (1 case), lung cancer (1 case), nasopharyngeal cancer (1 case), lymphoma (1 case), and hepatocellular cancer (1 cancer). Mean age of the group III was 65 years, which was high relative to other group. 10) 17 patients were associated with other connective tissue disease, which were systemic sclerosis (S cases), systemic sclerosis and SLE (1 case), SLE (5 cases), RA (2 cases), hyperthyroidism (1 case), and ITP (1 case). Male to female ratio was 1:16. Polymyositis to dermatomyositis ratio was 10:7. 11) There were 14 patients who were affirmed to die. Cause of death was respiratory failure (4 cases), sepsis (3 cases), CHF (3 cases), asphyxia (1 case), sudden respiratory arrest (1 case), malignancy (1 case), suicide (1 case).
-
김정룡(Chung Yong Kim),이효석(Hyo Suk Lee),김용일(Yong Il Kim),김재준(Jae Jun Kim),최병인(Byung In Choi),윤병철(Byung Chul Yoon),남택서(Taik Seo Nam),백경란(Kyong Ran Pack) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
The primary lymphoma of the liver is a very rare disease. We report a case of primary lymphoma of the liver in 41-year-old male patient who had 7 month-history of right upper quadrant abdominal pain, bulging mass, fever and weight loss. He had been hospitalized twice to local general hospital where metronidazole was give for 10 and 30 days under the impression of amebic liver abscess. On the physical examination, smoothly bulging mass (diameter 15cm) was found on the abdomen, and the liver was palpable about 20 cm below the right subcostal margin. There was no palpable lymph node and splenomegaly. All of laboratory findings including CBC, LFT, alpha-fetoprotein and CEA were within normal range except aikaline phosphatase which was markedly elevated up to 319 U/L. CT -of abdamen showed huge multiloculated solitary mass with necrotic portion in the center. The mass was not enhanced with contrast dye. Both portal veins were displaced by the mass, but not invaded. The characteric findings which gave diagnostic clue were the enhanced intact portal veins inside the mass. Laparotomy disclosed a large mass extended on both lobes. Splenomegaly or lymph iode enlargement was not found. Right lobectomy was done. The pathologic finding was that of malignant 1ymphoma, diffuse large cell type of NCI working formula.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
