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장피부 누공을 동반한 베체트 장염 환자를 Adalimumab으로 치료한 1예
오일환 ( Il Hwan Oh ),김진옥 ( Jin Ok Kim ),변영재 ( Young Jae Byun ),성윤경 ( Yoon Kyoung Sung ),최찬범 ( Chan Bum Choi ),김태환 ( Tae Hwan Kim ),전재범 ( Jae Bum Jun ),엄완식 ( Wan Sik Uhm ) 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.3
Behcet`s disease (BD) is a multisystemic disorder, which is characterized by recurrent oral aphthous ulcers, genital ulcers, uveitis, and skin lesion. Although intestinal involvement is an uncommon manifestation of the BD, it leads to a poor prognosis, as a result of a high complication, such as intestinal perforation, fistula formation, and massive hemorrhage. Intestinal BD has the tendency for the resistance to conventional medical treatment, and it often requires a surgical intervention because of severe complication. Although the causes of intestinal BD are unknown, some studies show that tumor necrosis factor Alpha (TNF-α) plays a key role in the pathogenesis of BD. Therefore, anti- TNF-α monoclonal antibody, such as adalimumab, is one of the useful treatment for refractory and relapsed intestinal BD. We describe a patient who had intestinal BD complicated enterocutanous fistula with a good response to adalimumab.
이은춘(Eun-chun Lee),김태호(Tae-Ho Kim),변일환(Il-Hwan Byun),이은웅(Eun-Woong Lee) 대한전기학회 2006 대한전기학회 학술대회 논문집 Vol.2006 No.7
Since the starting reactor used for reducing inrush current of high voltage induction motor applies an electric current only when it is at the stage of transition, it gets lots of electrical or mechanical stress. In this aspect, the reliability on the starting reactor is very important because the reactor-relating-accident takes 80% of all the accident concerned with high voltage motor starting panel. In this study, we conducted an insulation test of starting reactor of high voltage induction motor of intake pumping station to the Seoul area And the result from this study was used as data for determining whether it's still usable or not.
이형묵(Lee Hyoung-Mook),김기원(kim ki-won),변일환(Byun il-hwan),홍정조(Hong Jeong Jo),이은웅(Lee Eun-Woong) 대한전기학회 2006 대한전기학회 학술대회 논문집 Vol.2006 No.7
Recently the development of small hydropower generation with using water pipes is revitalized by the water works facilities. However, when the tubine generator is in case of emergency stop by the internal and external accidents, it causes water hammer in water pipes and suspension of water supply. To prevent these problems of small hydropower generator, we has analyzed water supply patterns, installation position and water pipe systems.
최희정,박정은,손희정,김금미,변정란,고영엽,김도영,문일환 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.3
저자들은 1983년 1월부터 1993년 2월까지 이화여대 부속병원을 내원하여 궤양성 대장염으로 진단받은 환자 36예에 대하여 후향적 방법으로 분석하여 다음과 같은 결과를 얻었다. 1) 발병연령은 20대에서 가장 호발하였으며 남녀비는 1:1.7로 여자에서 더 많았다. 2) 병력기간은 6개월이내가 전체의 63.9%로 대다수를 차지했다. 3) 임상증상은 혈변이 31예(86.1%)로 가장 많았으며 다음으로 복통 27예 (75.0%), 설사 26예(72.2%), 발열 11예(30.6%), 체중감소 10예(27.8%)의순이 었다. 4) 경중도(severity)를 나누어보면 중등도가 52.8%로 가장 많았고 중증이 33.3%, 경증이 13.9%의순이었다. 5) 해부학적 위치에 따른 병변은 pancolitis 36.1%, 직장과 S자상결장이 16.6% , 좌측결장과 직장만침범된 경우가 각각 13.8%, 횡행결장까지가 8.3%,backwash ileitis가 동반된 경우가 11.1%였다. 6) 혈액학적 검사소견은 비특이적이나 빈혈, 백혈구다증, 적혈구 침강속도 상승, 저알부민혈증,전해질장애, 혈청 transaminase 및 alkaline phosphatase상승등을 보였다. 7) 내시경 소견은 점막궤양을 보이는 경우가 27예(77.1%)로 가장 많았고 충혈이 18예(51.4%), 출혈15예(42.5%), 점막의 friability 8예(22.9%), 가성폴립 8예(22.9%), 과립상 7예(20.2%) 등의 소견을보였다. 8) 바륨대장 조영술 소견은 과립상이 18예(62.1%)로 가장 많았고 대장 팽찰부 소실 16예(53.2%), 내강협소 10예(34.5%), 연통모양의 강직 4예(13.8%), 가성폴립 1예(3.4%) 등을 보였고, 정상소견도3예(10.3%)에서 있었다. 9) 조직생검의 병리학적 소견은 염증소견이 30예(83.3%)로 가장 많았고, cryptitis가 20예(55.6%),궤양이 18예(50%), goblet cell 고갈 7예(19.4%),가성폴립 7예(19.4%), 괴상 5예(13.9%), 과립상 3예(8.3%) 등을 보였다. 10) 내과적 치료로 70.8%에서 호전되었고 17.7%에서 재발되었다. 수술은 내과적 치료에 실패한4예를 포함한 6예(16.7%)에서 실시되었으며 장천공 2예의 응급수술이 있었고 4예는 선택적 수술이 었다. Objects : Ulcerative colitis is an waxing and waning inflammatory bowel disease characterizedby rectal bleeding and diarrhea, affecting principally the mucosa of the rectum and colon.Its incidience is being higher in Europe and America and it also seems to be rising increasinglyin our country because diagnostic methods are much developed and Korean life styles arewesternized. So, we investigated its clinical characteristics. Mothods : We analyzed 36 cases of ulcerative colitis which had been treated in the Hospitalof Ewha Womans' University from Jan. 1983 to Feb. 1993. retrospectively. Results : 1) The most prevalent age group was 3rd decade and male to female ratio was 1:1.77. 2) The duration of symptoms was less than 6 months in 63.9%. 3) The most common clinical manifestation was hematochezia(86.1%). abdominal pain(75.0%). diarrhea(72.2%). fever(30.6%), weight loss(27.8%) in the order of frequency. 4) According to the severity. moderate type was shown in 52.8%, severe in 33.3% and mildin 13.9%. 5) According to the anatomical distribution of the lesion pancolitis was shown in 36.1%,the involvement of the rectum and sigmoid colon in 16.6%, the left-sided colon in 13.8%.rectum only in 13.8%, transverse colon in 8.3% and backwash ileitis in 11.1%, respectively. 6) The hematologic laboratory finding was non-specific including anemia. leukocytosis. increased erythrocyte sedimentation rate, bypoalburninemia, electrolyte imbalance, increased serumtransaminase and alkaline phosphatase. 7) Colonoscopy revealed ulceration(77.1%) commonly, including hyperemia(51.4%). bleeding(42.5%), mucosal friability(22.9%), pseudopolyp(22.9%). granularity(20.2%). 8) The Barium enema showed granularity commonly and loss of haustral marking(55.2%),luminal narrowing(34.5%), lead pipe rigidity(13.8%), pseudopolyp(3.4%). Also, normal finding was shown in 10.3%. 9) The most common histopathologic finding was inflammation(83.3%) and ryptitis(55.6%), ulceration(50%), goblet cell depletion(19.4%), pseudopolyp(19.4%). necrosis(13.9%), granolarity(8,3%) were also noted. 10) With the medical treatment 76.5% of the cases showed initial improvement of the symptom, but the recurrence developed in 17.7%. The surgery was performed in 6 cases of patients(16.7%). Emergency operation was performed in 2 cases due to bowel perforation and electiveoperation in 4 cases.