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제2형 당뇨병 환자에서 심혈관계 자율신경병증의 진단에 있어 Colour Change Plaster (NeuroCheck(R)) 검사의 유용성에 관한 연구
김현정 ( Hyun Jung Kim ),임윤혁 ( Yeun Hyuk Lim ),오효정 ( Hyo Jung Oh ),김병수 ( Byung Soo Kim ),김하영 ( Ha Young Kim ),박병현 ( Byoung Hyun Park ),조정구 ( Chung Gu Cho ) 대한내과학회 2006 대한내과학회지 Vol.71 No.2
Background: Recently, the colour change plaster (NeuroCheck(R)) has been introduced, which measures sweat production on the basis of a colour change from blue to pink. This new test was useful to detect of diabetic peripheral neuropathy. The aim of this study was to evaluate the usefulness of the colour change plaster (NeuroCheck(R)) for the diagnosis of cardiac autonomic neuropathy in type 2 diabetic patients. Methods: This study include 35 type 2 diabetic patients (10 male, 25 female) with a mean age of 55±14.9 years and a mean diabetes duration of 11.8±8.8 years. Cardiac autonomic neuropathy was diagnosed by means of Ewing`s method. Peripheral autonomic neuropathy (Sudomotor function abnormality) was assessed by means of time (more than 600 seconds) until complete colour change in the indicator test. Results: Peripheral autonomic neuropathy was diagnosed in 23 patients (65.7%). Time until starting colour change of plaster in normal and abnormal sudomotor patients were 38.3±33.7 sec and 367.1±470.3 sec (p<0.05). Time until completing colour change of plaster in normal and abnormal sudomotor patients were 372.5±198.8 sec and 1677.4±711.9 sec (p<0.05). The autonomic score of two groups were 2.4±2.3, 4.6±2.2 (p<0.05). Sudomotor abnormal group was older than normal (59.2±11.7 yrs, vs 47±17.4 yrs). Presence of retinopathy was related with sudomotor abnormality. Peripheral autonomic neuropathy was related with parasympathetic cardiac autonomic neuropathy. Sudomotor function abnormality was related with definite cardiac autonomic neuropathy, but it was not related with early cardiac autonomic neuropathy. The sensitivity, specificity, positive predictive value and negative predictive value of colour change plaster in the diagnosis of definitive cardiovascular autonomic neuropathy was 86.7%, 62.5%, 68.4% and 83.3%, respectively. Conclusions: The colour change plaster (NeuroCheck(R)) is not useful for the early diagnosis of cardiac autonomic neuropathy in type 2 diabetic neuropathy, but it may be possible for the screening test of definite cardiac autonomic neuropathy.(Korean J Med 71:166-172, 2006)
증례 : 내분비-대사 ; 전교통 동맥류 결찰술 후 발생한 무갈증을 동반한 중추성 요붕증 1예
박종빈 ( Jong Bin Park ),진애령 ( Ae Ryung Jin ),유태양 ( Tae Yang Yu ),노혜정 ( Hye Jung Noh ),이문영 ( Moon Young Lee ),박병현 ( Byoung Hyun Park ),조정구 ( Chung Gu Cho ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
뇌 병변 및 신경외과적 수술 후 발생하는 중추성 요붕증은 드물며, 갈증 중추인 삼투수용체에 병변이 동반될 경우 전형적인 요붕증의 증상이 구갈, 다음 증상의 발현이 없어 진단이 부적절해지거나 늦어질 수 있다. 저자들은 전교통 동맥류 결찰술을 시행받은 환자에서 무갈증이 동반된 중추성 요붕증 환자를 경험하여 두 가지 질환이 동시에 발생할 수 있음을 염두에 두고 빠른 진단 및 데스모프레신과 적절한 수분공급 등의 치료에 특별한 주의가 필요함을 강조하고자 문헌고찰과 함께 보고하는 바이다. Central diabetes insipidus and adipsic disorders are often accompanied by abnormalities such as hypothalamic lesion. The development of hypothalamic diabetes insipidus with adipsia after clipping of an anterior communicating artery aneurysm has rarely been reported. Recently, we experienced a 52-year-old woman who presented with adipsia, polyuria, and hypernatremia after clipping of a ruptured aneurysm in the anterior communicating artery. She was diagnosed with hypothalamic diabetes insipidus and adipsic disorder and treated with intranasal desmopressin and regular water intake. This is the 11th case of adipsic diabetes insipidus associated with an anterior communicating artery aneurysm in the world, and the first reported case in Korea. (Korean J Med 77:S1217-S1221, 2009)
제2형 당뇨병 환자에서 아스피린 저항성 빈도와 연관인자에 관한 연구
임윤혁 ( Yun Hyek Lim ),박병현 ( Byoung Hyun Park ),조정구 ( Chung Gu Cho ) 대한내과학회 2009 대한내과학회지 Vol.76 No.3
Background/Aims: The risk of cardiovascular morbidity and mortality is high in patients with diabetes. Since studies suggest that aspirin is less effective in diabetic patients, this study evaluated the prevalence of aspirin resistance and related factors in Korean type-2 diabetics. Methods: All patients taking aspirin 100 mg/day for at least 4 weeks and no other anti-platelet agents were enrolled. The compliance of aspirin intake was determined from patient interviews and using the pill-count method. All other medications were continued during the study, including oral hypoglycemics, antihypertensives, and lipid-lowering agents. The effect of aspirin was assessed using the Ultegra Rapid Platelet Function Assay-ASA (VerifyNow-Aspirin, Accumetrics, San Diego, CA) and aspirin resistance was defined as >550 aspirin reaction units (ARU). Results: The prevalence of aspirin resistance in Korean type-2 diabetics was 14.8%, and was more prevalent in males than in females (28.1% vs. 7.1%). Aspirin resistance was correlated with male sex, smoking, high hemoglobin levels, a high estimated glomerular filtration rate (GFR), and low fibrinogen levels. After controlling for sex, aspirin resistance was related to the estimated GFR (r=0.247, p=0.029), hemoglobin (r=0.23, p=0.043), and fibrinogen (r=0.304, p=0.007) levels. Conclusion: The prevalence of aspirin resistance in Korean type-2 diabetics was 14.8%. Therefore, a laboratory test for aspirin resistance should be considered in diabetic patients taking aspirin to prevent cardiovascular complications. (Korean J Med 76:321-328, 2009)
최준호 ( Jun Ho Choi ),박병현 ( Byoung Hyun Park ),조정구 ( Chung Gu Jo ) 대한내과학회 2008 대한내과학회지 Vol.75 No.5
Isolated adrenocorticotropic hormone (ACTH) deficiency is an uncommon disorder for which the pathogenetic mechanism has not yet been identified. It has been reported that isolated ACTH deficiency (ICD) may be accompanied by deficiencies in other pituitary hormones; impaired growth hormone (GH) secretion was noted in 20 to 30% of ICD patients. Here, we describe a female patient with isolated ACTH deficiency accompanied by empty sella syndrome presenting as hypoglycemia, which was confirmed via various endocrine tests and magnetic resonance imaging (MRI) of the sella turcica. The patient`s symptoms improved rapidly with prednisolone therapy and, during follow-up, her previously impaired GH response to provocative stimuli and high TSH levels were corrected by glucocorticoid replacement alone. However, treatment failed to normalize plasma IGF-1 levels, suggesting that physiological cortisol levels are necessary for a normal plasma GH response to provocative stimuli. (Korean J Med 75:597-601, 2008)
정형철 ( Hyeong Cheol Cheong ),노혜정 ( Hye Jung Noh ),박병현 ( Byoung Hyun Park ),조정구 ( Chung Gu Cho ) 대한내과학회 2011 대한내과학회지 Vol.80 No.5
Subacute thyroiditis is a spontaneously resolving inflammatory disease of the tyroid gland, which is usually associated with a viral infection and genetic factors. In some cases of this disorder, thyroid autoantibodies can appear, probably due to the inflammatory release of thyroid antigens, althoughtheir pathophysiological role in the course of this disease is not yet fully understood. The occurrence of Graves` disease after subacute thyroiditis is extremely rare, and only a few cases have been reported. Here, we report a case of a middle-aged woman who developed Graves` disease after subacute thyroiditis.