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면역글로불린 M 의 증가가 동반된 면역글로불린 결핍증 1 예
임종섭(Jong Seob Lim),류수현(Su Heon Ryu),유대성(Dae Seong Yu),류인열(In Yeol Ryu),윤성준(Seng Joon Yun),이지현(Ji Hyun Lee),신원혁(Won Hyeog Sin),황순철(Soon Chul Hwang) 대한내과학회 1997 대한내과학회지 Vol.52 No.1
N/A Immunoglobulin deficiency with increased IgM, as defined by World Health Organization classification of primary immunodeficiency, is characterized by normal or increased concentrations of serum IgM and, in some cases, IgD, but decreased or absent IgG, IgA, and IgE. Patients with these disorders have a high incidence of recurrent pyogenic infections, including otitis media, pneumonia, and septisemia. We recently experienced a case of immunoglobulin deficiency with increased IgM in a 25-year old man. He had been suffered from recurrent pyogenic infections-pneumonia, otitis media-since about 6 months of his age. He was admitted due to pneumonia, and Haemophilus influenza was isolated from the sputum culture. Also chest X-ray showed bronchiectasis. His serum immunoglobulin levels revealed increased concentration of IgM and decreased IgG and IgA. He was successfully treated with antibiotics, and now he is being followed-up. So we present this case with the review of literature.
최정숙(Jeong Sug Choi),류수현(Su Heon Ryu),유대성(Dae Seong Yu),오정열(Jeong Yeol Oh),김영묵(Young Mook Kim),이충원(Choong Won Lee),제영성(Yeong Sung Jae),이준상(Joon Sang Lee) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.3
Hepatosplenic tuberculosis is manifested commonly as miliary form, but the isolated form of hepatosplenic tuberculosisis is extremity rare. The local form of hepatosplenic tuberculosis is trans- ported to liver from intestine through portal vein. Basic pathology is granuloma. We described a patient with tuberculous abscess of liver and spleen proved by computed tomography and microbial identification. Liver specimen obtained by CT-guided fine needle aspiration showed Mycobacterium tuberculosis. After one month of antituberculous medication, the patients condition has been improved. Thus, the local form of hepatic tuberculosis must be differentiated from similar diseases, because it can be cured dramatically by antituberculous medication. (Korean J Gastroenterol 1995;27:363 - 368)
최정숙(Jeong Sug Choi),류수현(Su Heon Ryu),오정열(Jeong Yeol Oh),이충원(Choong Won Lee),김영묵(Young Mook Kim),임종섭(Jong Sub Lim),제영성(Young Sung Jae),유방현(Band Hyun Liu) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.3
Skull metastases of primary hepatocellular carcinoma are very rare, even in the Orient and the Africa where this carcinoma is one of the common rnalignancies. However, although these skull tnetastases are rare, this diagnosis must be considered when an skull tutnor has a metastatic appearance, especially in cirrhotic patients or heavy alcoholics. This lesion is extremely hypervas- cular, and precautions for hemorrhage must be taken before any procedure, even a biopsy is done. The prognosis remains lethal and average survival time after the time of diagnosis is under 6 months, but appropriate local surgical resection to the skull region and systemic control with chemotheraphy and radiotheraphy can result in improved survival. The patient reported here may be valuable in presenting an unusual occurance of primary hepatocellular carcinoma with metastases to the skull. (Korean J Gastroenterol 1996; 28:415 - 420)