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저 용량 furosemide를 사용한 환자에서 발생한 신 수질 석회화증
문진창 ( Jin Chang Moon ),정래영 ( Lae Young Jung ),서승영 ( Seung Young Seo ),소민석 ( Min Seok So ),김강 ( Kang Kim ),홍영민 ( Young Min Hong ),오선영 ( Sun Young Oh ),이식 ( Sik Lee ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
신 수질 석회화증은 증상 없이 우연히 발견되어 아무런 문제를 일으키지 않을 수 있지만 반면에 급성 또는 만성 신부전의 원인이 될 수도 있다. 이뇨제는 고혈압 및 심부전, 신장 질환 등에 있어서 광범위한 분야에서 사용되고 있는 약제로 여러 가지 전해질장애는 물론 부득이하게 대사성 문제를 일으킬 수도 있다. 저자들은 만성적으로 루프이뇨제를 저 용량으로 복용해오던 48세 여자 환자에서 우연히 신 수질 석회화증이 발견되어 이를 보고하는 바이다. Nephrocalcinosis is characterized by the deposition of calcium in the kidney parenchyma and tubules. Nephrocalcinosis is caused by multiple different conditions and the renalprognosis is determined by the underlying cause. The use of furosemide is well recognized as a predisposing factor to nephrocalcinosis in infants. We report, here in a case of48-year old female with medullary nephrocalcinosis in furosemide overuse status.
중복 원발암의 증례 1예: 위선암 및 방사선조사후 소장에서 발생한 혈관육종
김강 ( Kang Kim1 ),김선희 ( Sun Hee Kim ),문진창 ( Jin Chang Moon ),박윤지 ( Yoon Ji Park ),박진경 ( Jin Kyung Park ),서승영 ( Seung Young Seo ),정래영 ( Lae Young Jung ),임호영 ( Ho Young Yhim ),곽재용 ( Jae Yong Kwak ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
Angiosarcomas are rare malignant neoplasms, which mainly occur on the skin and superficial tissue. Angiosarcoma in the small intestine after radiation therapy is very rare and there are less than 20 cases of small-intestine angiosarcoma after pelvic irradiation. We report a case of double cancer with gastric adenocarcinoma and postradiation angiosarcoma of the small intestine which has been diagnosed 20 years after pelvic irradiation therapy for uterine cervical cancer.
김선희 ( Sun Hee Kim ),김강 ( Kang Kim ),김승범 ( Seung Bum Kim ),박윤지 ( Yun Ji Park ),문진창 ( Jin Chang Moon ),전소연 ( So Yeon Jeon ),정래영 ( Lae Young Jung ),이식 ( Sik Lee ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
Pheochromocytomas are uncommon catecholamine-releasing tumors. The diversity of its clinical presentation confuses and delays the diagnosis, and results in catastrophic outcomes. We describe a case presenting chest tightness that was initially diagnosed as acute myocardial infarction (AMI). A 62-year-old woman visited our emergency department complaining ongoing chest pain for over 9 hours. Electrocardiogram showed ST-segment depression in leads II, III, aVF, and V5-6. Cardiac biomarkers were slightly elevated: troponin I, 0.517 ng/mL; CK-MB, 8.74 ng/mL. Medical treatment for acute coronary syndrome including parenteral heparin and oral beta blocker is performed. Immediately after admission to coronary care unit, she experienced sudden splitting back pain, headache, palpitation, and sweating with blood pressure rising up to 220/130 mmHg and heart rate up to 100 bpm. Three-dimensional aorta computed tomographic angiography (CTA) was taken to exclude aortic dissection. Unexpectedly, aorta CTA revealed a 4.2 cm-sized left adrenal mass without evidence of aortic dissection. This is a case of pheochrocytoma-related myocardial stunning mimicking AMI that might be linked to either a direct toxic effect of catecholamines or coronary spasm. Therefore the possibility of myocardial ischemia or infarction should be recognized in patients with pheochromocytoma.
방사선치료로 완전관해에 이른 Helicobacter pylori 음성인 위의 MALT 림프종
전소연 ( So Yeon Jeon ),김강 ( Kang Kim ),김선희 ( Sun Hee Kim ),김승범 ( Seung Bum Kim ),문진창 ( Jin Chang Moon ),박윤지 ( Yun Ji Park ),정래영 ( Lae Young Jung ),임호영 ( Ho Young Yhim ),곽재용 ( Jae Yong Kwak ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
위에서 발생하는 MALT 림프종은 92% 이상에서 H. pylori 감염과 연관되어 있어 H. pylori의 제균요법이 일차 치료로 추천되고 있다. H. pylori 음성인 위의 MALT 림프종은 빈도가 낮고 병인 또한 밝혀진 바가 없어 아직까지 정립된 표준 치료는 없다. H. pylori 음성인 위의 MALT 림프종 환자 중, 병기 IE와 IIE 에서는 방사선 치료로 완전 관해에 이를 수 있다는 보고가 있다. 저자들 은 H. pylori 음성인 위의 MALT 림프종 환자에서 방사선 단독 치료만으로 11개월째 관해를 유지하고 있는 증례를 보고하는 바 이다. Most gastric MALT (mucosa associated lymphoid tissue) lymphomas are associated with Helicobacter pylori infection. Therefore, H. pylori eradication therapy is generally accepted first-line therapy for H. pylori-positive gastric MALT lymphoma. However, among the gastric MALT lymphoma, 5-10% patients have no evidence of H. pylori infection. There is no standard therapy for H. pylori-negative gastric MALT lymphoma. Currently, radiation therapy is the effective treatment for H. pylori-negative or antibiotic-resistant localized gastric MALT lymphoma. Herein, we describe a 65-year-old man with H. pylori-negative gastric MALT lymphoma who achieved complete remission by radiation monotherapy.
전북지역에서 심각한 합병증이 동반된 급성 A형간염의 임상양상과 위험인자
유선호 ( Sun Ho Yoo ),김인희 ( In Hee Kim ),장지원 ( Ji Won Jang ),최정환 ( Chung Hwan Choi ),문진창 ( Jin Chang Moon ),박진경 ( Jin Kyoung Park ),이상연 ( Sang Youn Lee ),김성훈 ( Seong Hun Kim ),김상욱 ( Sang Wook Kim ),이승옥 ( 대한소화기학회 2014 대한소화기학회지 Vol.63 No.1
Background/Aims: The frequency of symptomatic acute HAV infections in adulthood are increasing in Korea. This study analyzes the clinical severity in patients with acute HAV infection and investigates risk factors associated with three severe complications: prolonged cholestasis, acute kidney injury, and acute liver failure. Methods: We performed a retrospective analysis of 726 patients diagnosed from January 2006 to December 2010 at three tertiary hospitals in Jeonbuk Province, Republic of Korea with acute HAV infection. Results: In the group of 726 patients, the mean age was 30.3 years, 426 (58.6%) were male, and 34 (4.7%) were HBsAg positive. Severe complications from acute HAV infection occurred as follows: prolonged cholestasis in 33 (4.6%), acute kidney injury in 17 (2.3%), and acute liver failure in 16 (2.2%). Through multivariate analysis, age ≥40 years (OR 2.63, p=0.024) and peak PT (INR) ≥1.5 (OR 5.81, p=0.035) were found to be significant risk factors for prolonged cholestasis. Age ≥40 years (OR 5.24, p=0.002) and female gender (OR 3.11, p=0.036) were significant risk factors for acute kidney injury. Age ≥40 years (OR 6.91, p=0.002), HBsAg positivity (OR 5.02, p=0.049), and peak total bilirubin (OR 1.11, p=0.001) were significant risk factors for acute liver failure. Conclusions: Age ≥40 years, female gender, HBsAg positivity, peak PT (INR) ≥1.5, and peak total bilirubin were significant risk factors for severe complications in acute HAV infections. (Korean J Gastroenterol 2014;63:25-31)