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흉부 대동맥류에 의한 주기관지 폐쇄로 발생한 무기폐 1예
문가슬 ( Ga Seul Moon ),나수지 ( Su Sie Rah ),이승훈 ( Seug Hun Lee ),차혁환 ( Hyuk Whan Cha ),이다현 ( Da Hyun Lee ),조준성 ( Jun Sung Jo ),전용덕 ( Yong Duk Jeon ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
흉부 대동맥류에 의한 기관지 압박에 의한 증상은 대부분 무증상이나 호흡곤란, 기침, 흉통, 쉰소리 등으로 나타날 수도 있다. 저자들은 고열과 전신 쇠약감을 주소로 내원한 만성신부전 환자에서 폐렴 진단 하에 항생제 치료 후 증상 호전되던 중 갑자기 발생한 흉부대동맥류의 팽창으로 인한 주기관지 폐쇄에 의한 폐쇄성 무기폐 소견이 관찰되었고 흉부 대동맥류 혈관 내 스텐트 그라프트 삽입술을 시행하였지만 흉부대동맥스텐트 삽입 후 발생한 복부대동맥 파열로인한 사망으로 추정되는 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Obstructive atelectasis is the most common type in pulmonary atelectasis and results from reabsorption of gas from the alveoli when communication between the alveoli and the trachea is obstructed. Causes of obstructive atelectasis include foreign body, bronchogenic tumor, and mucous plugging and extrinsic compression of an airway by neoplasm, lymphadenopathy, aortic aneurysm, or cardiac enlargement. We report a 64-year-old female patient who had saccular aneurysmal dilatation of the thoracic descending aorta and bronchial obstruction due to compression of a rapidly expanding thoracic aortic aneurysm, as a result, had been presented atelectasis of left whole lung.
처음 의료기관을 내원하는 노숙 Human immunodeficiency virus 감염인의 질병 진행 정도
차혁환,방지환,이승훈,이다현,문가슬,나수지,양혜진,진범식 대한감염학회 2011 Infection and Chemotherapy Vol.43 No.2
Background: In the Korean healthcare system, medical care for HIV patients was provided by a few university affiliated hospitals. Access to these tertiary hospitals by homeless people living with HIV was difficult due to socioeconomic reasons. Consequently, proper treatment for homeless subjects living with HIV was not delivered in a timely manner. This study compares the degree of disease progression of HIV infection/AIDS between homeless and non-homeless patient groups. Materials and Methods: Out of 605 HIV/AIDS patients who visited the Center for Infectious Disease, National Medical Center, Seoul, Korea from August 2003 to May 2010, 295 subjects were included for this study. Referred cases (n=310) were excluded. The study subjects were further classified into three socioeconomic groups: National Health Insurance beneficiaries, Medical Aids beneficiaries, and the homeless. Status of HIV/AIDS disease progress was evaluated by peripheral blood CD4 cell count and the presence of AIDS defining illnesses at the first visit. Results: There were 220 National Health Insurance beneficiaries (male 94.1%), 45Medical Aids beneficiaries (male 88.9%), and 30 homeless people (male 96.7%). CD4 cell counts of the homeless (median: 119/μL, interquartile range: 44-383/μL)were significantly lower than those of the National Health Insurance beneficiaries (median: 267/μL, interquartile range: 159-397/μL; P =0.024). In addition, the proportion of patients whose CD4 cell counts <200/μL was significantly higher in homeless subjects (53.3%) compared to those in the National Health Insurance beneficiaries (27.3%) and the Medical Aids beneficiaries (28.9%) (P=0.004; P=0.033respectively). Also, the frequency of AIDS defining illnesses was higher in the homeless (73.3%) than for those in other groups (the Health Insurance beneficiaries:24.5%; the Medical Aids beneficiaries: 40.0%) (P<0.001; P<0.005 respectively). Conclusions: Homeless people living with HIV tend to seek medical care in far advanced stage, which may attribute to poor prognoses. More organized and strategic interventions are necessary to find and treat homeless people living with HIV at the early stage.
이다현 ( Da Hyen Lee ),전용덕 ( Young Deok Jeon ),이승훈 ( Seung Hun Lee ),문가슬 ( Ga Seul Mun ),나수지 ( Su Sie Na ),차혁환 ( Huk Hwan Cha ) 대한내과학회 2011 대한내과학회지 Vol.81 No.3
Background/Aims: Primary thyroid disease is prevalent in chronic renal disease, especially in patients requiring chronic dialysis. However, the relationship between kidney function and the prevalence of primary thyroid disease has not been studied in Korea, a nation where the dietary iodine intake is excessive. Methods: Retrospective data from 2201 consecutive adult patients who visited a health promotion center over the last 5 years were analyzed; specifically, 54 patients with chronic kidney disease not requiring hemodialysis and 64 adults treated with hemodialysis. The glomerular filtration rate (GFR) was estimated using the abbreviated Modification of Diet in Renal Disease equation. Multivariable logistic regression was used to evaluate the independent association between the prevalence of primary hypothyroidism and estimated GFR. Results: The prevalence of overt hypothyroidism increased from 0.5% at an estimated GFR > 90 mL/min/1.73 m² to 6.3% in end-stage renal disease requiring chronic dialysis (p < 0.001 for trend). Compared with participants with an estimated GFR > 60 mL/min/1.73 m², those with an estimated GFR < 60 mL/min per 1.73 m² had an increased odds of overt hypothyroidism after adjusting for age, gender, fasting blood glucose (FBS), and the total cholesterol (TC) and triglyceride (TG) concentrations. Conclusions: These findings suggest that overt primary hypothyroidism is relatively common (6.3%) among persons with chronic kidney disease requiring chronic dialysis, and it is independently associated with a progressively lower estimated GFR. (Korean J Med 2011;81:334-339)
이승훈 ( Seung Hun Lee ),이다현 ( Da Hyun Lee ),문가슬 ( Ga Seul Moon ),나수지 ( Su Sie Rah ),김상용 ( Sang Yong Kim ),조한나 ( Han Na Cho ),조준성 ( Joon Sung Joh ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
Tuberculosis accompanied by idiopathic thrombocytopenic purpura is uncommon worldwide. A 77-year-old woman who presented with hemorrhage was diagnosed with idiopathic thrombocytopenic purpura and tuberculosis. The patient was unresponsive to steroid and high dose IV γ-globulin, however both diseases improved with anti-tuberculosis medication. Although the correlation between the two diseases is not clear, an immunological mechanism is thought to be involved. A patient diagnosed with idiopathic thrombocytopenic purpura in an area with a high prevalence of tuberculosis may also require an evaluation for tuberculosis.
악성위궤양으로 오인된 거대세포바이러스 위염: AIDS 진단으로 이어진 초기 발현양상으로서의 증례 1예
나수지 ( Su Sie Rah ),권혁춘 ( Hyeok Choon Kwon ),최승준 ( Sung Jun Choi ),남승우 ( Seong Woo Nam ),박상민 ( Sang Min Park ),최한섭 ( Han Seop Choi ),문가슬 ( Ga Seul Moon ),이승훈 ( Seung Hun Lee ),박성균 ( Sung Kyun Park ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
CMV 감염은 주로 면역기능이 저하된 환 자에서 흔한 기회감염으로 상부 위장관에서 의 내시경 소견은 경미한 발적에서부터 궤 양까지 다양하다. 저자들은 흑색변을 주소로 내원한 환자에서 내시경적으로는 악성궤양 의 소견을 보였으나 궤양부위 조직검사상 거대세포바이러스 봉입체를 관찰하여 CMV 감염에 의한 궤양으로 진단되었고 면역억제 의 원인을 추적하여 HIV 감염을 확인한 증례가 있어 보고하는 바이다. Cytomegalovirus (CMV) causes a wide spectrum of disorders in immunocompetent and immunocompromised patients, however it is more frequent and raises more clinical concerns in immunocompromised patients due to its severity. Moreover, suspicion or recognition of gastrointestinal CMV infection by routine laboratory tests and endoscopy with biopsy is difficult since blood tests and pathology do not always reveal the clues for immune deficiency such as leukopenia or inclusion bodies-the hallmark of CMV infection and also due to the lack of specific endoscopic findings. We report a case of an HIV infection without leukopenia whose initial presentation was a solitary CMV gastric ulcer, which initially was suspected as an advanced gastric cancer with melena.