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GnRH agonist의 점진적 증량에 따른 내분비학적 변화
김수경 ( Su Kyoung Kim ),김효정 ( Hyo Jung Kim ),이진용 ( Jin Yong Lee ),홍서유 ( Seo Yoo Hong ),신정환 ( Jung Hwan Shin ),박철홍 ( Cheol Hong Park ),박은주 ( Eun Joo Park ),서용수 ( Yong Soo Seo ),박원일 ( Won Il Park ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.11
Objective: The purpose of this study was to evaluate the endocrine response to step -up microdose GnRH agonist. Methods: Administration of triptorelin acetate was initiated from 2 mg and gradually increased to 50 mg during 6-day period to five normal menstruating women. Serum FSH, LH, and estradiol levels were serially measured for 6 days. The same set of experiment was duplicated after taking oral contraceptive for 3 weeks. Serum testosterone and progesterone levels were measured on day 1 and day 5 of experiment. Results: The flare of gonadotropin continued for 6 days. When subjects were pretreated with oral contraceptive, serum FSH levels 4 hrs after GnRH agonist injection were 17.35±7.88 mIU/mL, 11.26±4.81 mIU/mL, and 9.60±4.08 mIU/mL for day 1, 2, and 3 respectively. The FSH levels were not statistically different when pretreatment with oral contraceptive was not applied. The level of serum LH was significantly lower in the cycle, which was pretreated by oral contraceptive (32.13±9.61 mIU/mL vs. 14.12±5.63 mIU/mL for day 1, 28.95±3.09 mIU/mL vs. 15.76±9.92 mIU/mL for day 2, and 24.45±2.52 mIU/mL vs. 16.86±8.56 mIU/mL for day 3). The sign of corpus luteum rescue was found in 2 out of 5 subjects only in non-treated cycle. Conclusion: Step-up microdose GnRH agonist protocol could induce persistent gonadotropin flare for 6 days and this regimen could be applied in controlled ovarian hyperstimulation especially for poor responders. The pretreatment with oral contraceptive is necessary to prevent supraphysiologic LH elevation and corpus luteum rescue.
김수경 ( Su Kyoung Kim ),신정환 ( Jung Hwan Shin ),서용수 ( Yong Soo Seo ),양재석 ( Jae Suck Yang ),박철홍 ( Cheol Hong Park ),홍서유 ( Seo Yoo Hong ),박은주 ( Eun Joo Park ),신종승 ( Sung Seung Shin ),박원일 ( Won Il Park ),이진 대한주산의학회 2005 Perinatology Vol.16 No.3
임신과 동반된 속립성 결핵은 매우 드문 질환이다. 이는 종종 산모의 약물 중독, 종양, 알콜 중독, 그리고 인 면역결핍 바이러스 감염과 관련되어 있고, 임신과 동반되어 결핵의 진단이 어려울 수 있다. 임신이 결핵의 경과에 해로운 영향을 미친다는 결정적인 증거는 없고, 따라서 결핵이 동반된 임신일 경우 일반적으로 치료적 유산은 필요하지 않다. 결핵이 조기에 진단되고 적절한 항결핵제를 사용한다면, 결핵에 동반된 임신의 예후는 양호하다. 저자들은 최근 임신 20주에 결핵 감염에 대한 다른 위험인자가 없는 상태에서 속립성 결핵으로 진단된 경우를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다. Although miliary tuberculosis is uncommon during pregnancy. it is often associated with a maternal history of intravenous drug abuse, malignancy, alcoholism, or human immunodeficiency virus infection, and it is difficult to diagnose when associated with pregnancy. There is no solid evidence that pregnancy has an adverse effect on tuberculosis, thus routine therapeutic abortion is not indicated. If the early diagnosis and promptly adequate chemotherapy was done, the outcome of pregnancy in a women with miliary tuberculosis is likely to be good. Recently we have experienced a case of miliary tuberculosis at 20 weeks gestation without any risk factors of tuberculosis. So we report this case with a brief review of literature.
박성제(Seong Je Park),강호형(Ho Hyung Kang),박일권(Il Gwon Park),서동대(Dong Dae Seo),송혜경(Hye Kyoung Song),이장교(Chang Gyo Lee),고은희(Eun Hee Ko),박주상(Ju Sang Park),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan K 대한소화기학회 2001 대한소화기학회지 Vol.38 No.4
Afferent loop syndrome (ALS) accompanying acute pancreatitis is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate ALS from other causes of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing ALS. We experienced two cases of ALS accompanying acute pancreatitis. The laboratory findings of the patients showed elevation of serum amylase and they were initially diagnosed as only acute pancreatitis. However, the diagnosis were modified as ALS with the aid of computed tomography. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. In conclusion, ALS should be considered as a cause of acute pancreatitis in patients who have the elevated level of serum amylase and a history of gastrectomy. (Korean J Gastroenterol 2001;38:296 -299)