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배순철(Soon Chul Bae),고영민(Young Min Koh),문석준(Seok Jun Moon),백인석(In Seok Baek),조영중(Young Jung Cho),김장원(Jang Won Kim),문도호(Do Ho Moon),김학산(Hak San Kim) 대한내과학회 1997 대한내과학회지 Vol.53 No.5
Xanthogranulomatous cholecystitis is an extremely rare benign inflammatory disease of the gall bladder characterized by yellowish focal nodular appearance with tissue necrosis and lipid-containing histiocyte (xanthomacell). Recently, we experienced a case of xanthogranulomatous cholecystitis. A 71-year old woman was admitted with the complaints of RUQ pain for 1 month. On abdominal ultrasound examination, there were diffuse gallbladder wall thickening, echogenic nodule with acoustic shadow, the calculous cholecystiti and the gall badder cancer were strongly suspected and the operation was performed. At operation the gall bladder was marked enlarged and wall thickening with two brownish, oval shaped, smooth surfaced stones. The specimen was revealed a xanthogranulomatous cholecystitis by the pathology.
이창원(Chang Won Lee),장덕환(Duk Whan Jang),백인석(In Seok Baek),김장원(Jang Won Kim),배순철(Soon Chul Bae),김철우(Cheol Woo Kim),권재구(Jae Koo Kweon),최락경(Rak Kyeong Choi),이무용(Moo Yong Rhee),이홍순(Hong Soon Lee),유수웅(Soo Wo 대한내과학회 1997 대한내과학회지 Vol.52 No.4
Objectives: Signal-averaged electrocardiography (SAECG) has been found to be a useful noninvasive technique for identifying patients at risk for life-threatening ventricular tachycardia. Delayed and fragmented activation of abnormal myocardial tissues causes the occurrence of high frequency low amplitude (HFLA) electocardiographic signals or late potentials. Generally, there are two methods in analyzing signal-averaged electrocardiography. Late potentials in the time domain analysis do not provide sufficient diagnostic power with regard to life-threatening Ventricular tachycardia. Buckingham et al. (1989) reported a time-domain sensitivity of 62%, a specificity of 75%. Spectral turbulence analysis (STA) of the signal-averaged ECG is the most recent frequency domain technique to improve the time domain sensitivity and specificity. So, We designed the study to compare the efficacy of Time Domain Analysis and Spectral Turbulence Analysis among five groups (Normal control, QRS widening, Postmyocardial infarction, Frequent VPC's with group beats, Nonsustained ventricular tachycardia). Methods: 88 patients were selected from the patients who had been admitted between January 1994 and October l994, at National Medical Center. Patients were divided into five groups, which were respectively, Group A: Normal control group (n=33), Group B: QRS widening group (n=14), Group C: Postmyocardial infarction group (n=10), Group D: Frequent VPC's with group beats (n=22), Group E: Nonsustained VT group (n=9). We compared Spectral Turbulence Analysis and Time Domain Analysis of Signal-Averaged Electrocardiogram by 24 hours-Holter monitoring. Results: 1) In normal control group(Group A), 9.1%(3 patients) were positive by Time Domain Analysis, but, all were negative by Spectral Turbulence An- alysis. 2) In QRS widening group (Group B), 71.4%(10 patients) were positive by Time Domain Analysis, but, all were negative by Spectral Turbulence Analysis. 3) In postmyocardial infarction group (Group C), 309o were positive by Time Domain Analysis, and 10% were positive by Spectral Turbulence Analysis. 4) In frequent VPC's group (Group D), 22.7% (5 patients) were positive by Time Domain Analysis, and, 4.5%(1 patient) was positive by Spectral Tur-bulence Analysis. 5) In Nonsustained VT group (Group E), 33.3% (3 patients) were positive by Time Domain Analysis, and 11.1% (1 patient) was positive by Spectral Turbulence Analysis. Conclusions: In Time Domain Analysis, abnormal results were presented at Group R (QRS widening group) by 71.4%, which was markedly higher than other groups. But, in Spectral Turbulence Analysis, abnormal results were not presented at Group A and Group B. In Group A and Group B, Spectral Turbulence Analysis shows less false positive results than Time Domain Analysis.
70 세 이상 당뇨병 환자의 임상적 특성 및 베타 세포 인슐린 분비능에 관한 연구
김동준(Dong Jun Kim),김승용(Seung Yong Kim),윤윤보(Yoon Bo Yoon),원경숙(Kyoung Sook Won),배순철(Soon Chul Bae),민경완(Kyoung Wan Min),최상전(Sang Jeon Choi),유형준(Hyung Joon Yoo) 대한내과학회 1995 대한내과학회지 Vol.49 No.3
Objectives: We anticipated that elderly diabetic patients showed different clinical features to that of adult diabetic patients. So, we investigated clinical features and beta cell insulin secretory characteristics of elderly diabetic patients compared to that of adult diabetic patients. Methods: Study population were 160 NIDDM patients who were admitted at National Medical Center from March, 1989 to February, 1991. We investigated clinical features of each group and performed 100g oral glucose loading test and measured blood glucose, insulin, C-peptide for 2 hours at 30 miniute intervals after glucose loading. Results: In each group, there was no significant difference in sex ratio, BMI (body mass index), WHR (waist-hip ratio) and lipid profile. The rates of diabetic macrovascular complications were significantly higher in elderly patients than those in adult patients. In comparison of signs and symptoms on admission, main symptom were polyuria, polydipsia, generalized weakness in adult group but chest pain and change of consciousness were main causes in elderly group. After 100 g oral glucose loading, the response of insulin and C-peptide were delayed in elderly group compared to adult group. Conclusion: We observed that elderly diabetic patients showed different symptoms on admission compared to adult patients. And after 100g oral glucose loading, the response of insulin and C-peptide were delayed in elderly group, despite no significant difference in BMI and WHR.
췌두부종양으로 오인된 매독에 의한 육아종성 췌장염 1 예
최원규(Won Gyu Choi),이창원(Chang Won Lee),박홍준(Hong Joon Park),백인석(In Seok Baek),김장원(Jang Won Kim),장덕환(Duk Whan Jang),우승일(Seung Il Woo),배순철(Soon Chul Bae),백재중(Jae Joong Baik),김학산(Hak San Kim) 대한내과학회 1997 대한내과학회지 Vol.52 No.5
Granulomatous pancreatitis is a granulomatous inflammatory disease of the pancreas and can he described only in infectious granulomas and pancreatic involvement by systemic granulomatosis. Sarcoidosis, isolated pancreatic involvement without systemic granulomatosis or a manifestation of systemic sarcoidosis, is more common cause of granulo-mataus pancreatitis than infectious granuloma. There has been some reports show a characteristic histological finding of the pancreatic involvement of sarcoidasis. Noncaseating granuloma is thought to be the characteristic finding of pancreatic sarcoidosis. But granulomatous pancreatitis caused by syphilis in a syrnptomatic patient is a very rare disease and, till now, to our knowledge, only a case was reported in 1987, Germany. We experienced a 55-year-old female patient with granulomatous pancreatitis caused by tertiary syphilis who presented as a recent onset jaundice, diarrhea, fatigue and vague epigastric discomfort. Radical pancreaticoduo-denectomy was performed, which showed noncaseating granulomatous pancratitis with vasculitis. To our knowledge, this is the first case of granu-lomatous pancreatitis caused by syphilis in Korea. We hereby report a case of granulomatous pancreatitis caused by syphilis with a brief review of literature,