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신농양을 동반한 급성 신우신염에 병발된 신정맥 혈전증 1 예
최명주(Myeong Ju Choi),김태훈(Tae Hun Kim),이정돈(Jung Don Lee),조용범(Yong Bum Cho),이현석(Hyun Suk Lee),전재석(Jae Suk Jeon),민현조(Hyun Jo Min),이중건(Jung Geon Lee),송창섭(Chang Sub Song) 대한내과학회 2000 대한내과학회지 Vol.59 No.3
A 57-year-old woman who had a history of diabetes was admitted due to fever and left flank pain. Acute pyelonephritis was diagnosed by clinical findings including left costovertebral area tenderness, positive urine and blood cultures. Subsequent abdominal computed tomography demonstrated multiple abscess pockets in the left renal parenchyme and ipsilateral renal vein thrombosis. She was fully recovered after treatment with antibiotics, low-molecular weight heparin and low-dose aspirin for six weeks. Our case emphasizes that renal vein thrombosis could be complicated in acute pyelonephritis, especially in patients with diabetes. It is reasonable to speculate that factors such as hemoconcentration caused by fever and osmotic diuresis and compression of renal vascular pedicle by renal abscess might have had a role in inciting the renal vein thrombosis.(Korean J Med 59:339-342, 2000)
갑상선 기능 항진증에 동반된 자가 면역성 용혈성 빈혈 1예
민현조,박석영,홍임작,이경생,이인생,서상렬,송창섭,마경란 대한내과학회 1992 대한내과학회지 Vol.42 No.1
저자들은 자가면역질환의 일부인 갑상선기능항진증이 있는 19세의 여자환자에서 갑상선중독발증과 자가면역성용혈성 빈혈이 동시에 발병하였다가 갑상선기능의 호전과 더불어 용혈성빈혈도 회복된 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Autoimmune hemolytic anemia(AIHA) is a disease characterized by shortened red cell surivival and evidence of immune response directed toward autologous red cells, most frequently demonstrated by a positive direct antiglobulin reaction. The etiology of AIHA, as with other autoimmune disease, is unknown, In many patients with idiopathic AIHA, erythrocyte autoantibodies are the only recognizable evidence of immunologic aberration. AIHA may be classified by idiopathic and secondary on the basis of presence of underlying disorder, and on the other hand, classified by warm induced and cold induced AIHA on the basis of serologic characteristics of involved autoimmune process. Whereas the majority of AIHA are mediated by warm-induced autoantibodies, a smaller portion by cold-induced autoantibodies. Warm-induced AIHA is developed usually by IgG, and cold-induced by IgM. AIHA associated with hyperthyroidism are very rare, but a few cases have reported in the world. We experienced one case of AIHA associated simultaneously with hyperthyroidism in a 19 year-old female patient. The direct and indirect Coombs' test and thyroglobulin antibody were positive. It was demonstrated that hemolysis was induced by IgG antibody. The patient was resolved by antithyroidal drug and prednisone. But hemolytic anemia and hyperthyroidism recurred a few month after discontinuing the drugs. After thyroidectomy, hemolytic anemia was not recurred.