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이재호(Jae Ho Lee),현인규(In Gyu Hyun),최동철(Dong Chul Choi),유철규(Chul Gyu Yu),송재훈(Jae Hoon Song),정기석(Ki Suck Jung),김영환(Young Whan Kim),한성구(Sung Ku Han),심영수(Young Soo Shim),김건열(Keun Yeol Kim),한용철(Yong Chul Han 대한내과학회 1991 대한내과학회지 Vol.40 No.3
Radiation pneumonitis is one of the most important early complication of radiation therapy. In order to examine whether or not the increasing in patients suffering from concurrent COPD and Lung Ca, and to study clinical features of radiation pneumonitis, the writers conducted a retrospective study on 60 patients with proven lung cancer who underwent radiation therapy during the period from 1985 to 1988 and had their PFT performed before the radiation and obtained the following results; 1) Non productive cough was the most frequent clinical symptom of radiation pneumonitis and dyspnea, whitish sputum, chest tightness, mild fever was also present. The clinical symptom was not related to radiation dose, initial time of pneumonitis, PFT, age but was more serious in the patients with FEV1/FVC more than 70%. 2) Radiation pneumonitis occurred most frequently between the period of 4 weeks and 12 weeks and onset time of radiation pneumonitis was not related to the radiation dose, PFT, age, 3) Chest X-ray showed alveolar, alveolar-interstitial mixed, interstitial pattern, fibrosis confined to radiation field and changed with time. 4) There was no significant difference between FEV1, FVC, FEV1/FVC and incidence of radiation pneumonitis but in patents with FEV1/FVC more then 70%, there was significantly higher incidence of radiation pneumonitis. 5) The incidence of radiation pneumonitis was increased as radiation dose was increased.
이재호(Jae Ho Lee),최동철(Dong Chul Choi),송재훈(Jae Hoon Song),정기석(Ki Suck Jung),김영환(Young Whan Kim),한성구(Sung Koo Han),심영수(Young Soo Shim),김건열(Keun Youl Kim),한용철(Yong Chol Han),정기호(Ki Ho Jeong),정만표(Man Pyo Je 대한내과학회 1991 대한내과학회지 Vol.40 No.4
A clinical evaluation was made in 14 cases of sleepapnea syndrome diagnosed by polysomnography in the Department of Internal Medicine, Seoul National University Hospital during the period from August, 1989 to April, 1990. The results obtained were as follow : 1) The ratio of male to female was 6:1. The age of peak incidence was 6th decade in 35.7%, and 5th decade in 28.6%, 7th and 4th decade in 14.3% respectively in order. 2) The most frequent nocturnal symptom was snoring observed in 14 cases (100%) and apnea during sleep noticed by sleep partner in 13 cases (92.9%). Of daytime symptoms, the most frequent one was daytime sleepiness which was observed in 13 cases (92.9%) followed by morning headache, 6 cases (42.9%). 3) On gross examination, characteristic features of thick, dull appearance with mouth open and plethora on cheek was found only in 5 cases (35.7%). Overweight was observed in 8 cases (57.2%). 4) Hypertension was accompanied in 7 cases (50%) and angina in 2 cases (14.3%). Hypothyroidism and chronic obstructive lung disease were observed in 1 case respectively. 5) 13 cases (92.9%) was obstructive sleep-apnea and 1 case(7.1%) was mixed type but none was central type. 6) On throat examination, palatine tonsilar hypertrophy was found in 10 cases (71.4%), redundant pharyngeal mucosa or redundant soft palate respectively in 6 cases (42.9%). 7) On polysomnographic examination, apnea index of 5~10 and 31~40 were most frequent (4 cases respectively; 28.6%) and apnea index of 41~50 was 3 cases(21.4%). 8) The longest apnea duration of 41~50 seconds was most frequent (4 cases; 28.6%) and apnea duration of 61~70 seconds was next with 3 cases (21.4%). 9) The minimum arerial oxygen saturation of SO~89% was most frequent (7 cases; 50%) and arterial oxygen saturation of 70~79% and 40~49% was 2 cases respectively.
추상호(Chu, Sang-Ho),조완기(Jo, Wan-Gi),이향숙(Lee, Hyang-Suk),송재훈(Song, Jae-Hun) 대한교통학회 2007 대한교통학회 학술대회지 Vol.56 No.-
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증례 / 간이식 환자에게서 발생한 이식 후 림프세포 증식성 질환 2예
백경란(Kyong Ran Peck),박정호(Jung Ho Park),박상종(Sang Jong Park),김춘관(Chun Kwan Kim),이혁(Hyuck Lee),김성민(Sung Min Kim),송재훈(Jae Hoon Song),김성주(Sung Joo Kim),조재원(Jae Won Joh),이석구(Suk Koo Lee),고영혜(Young Hyeh Ko) 대한내과학회 1999 대한내과학회지 Vol.56 No.3
The posttransplantation lymphoproliferative disorders (PTLD) are not rare complications of solid organ transplants. The incidence varies with the type of transplantation and the nature and intensity of the immunosuppressive regimens. PTLDs are unique in that they have a predilection for extranodal sites, a strong and probably causal association with Ebstein-Barr virus infection, and a poor response to the cytolytic chemotherapeutic or irradiation regimens used for treatment of malignant lymphoma. The outcomes of treatment have been disappointing, with mortality from PTLD or related complications of over 50% of patients. We experienced two cases of PTLDs in liver transplant recipients presenting with liver mass and intraabdominal lymphadenopathy. PTLDs were diagnosed by autopsy and a liver biopsy. In the case diagnosed by a liver biopsy, EBV was detected by in situ hybridization. Despite reduction of immunosuppression and conservative management, both patients died.
미만성 간질성 폐질환의 경과에 따른 운동생리학적 지표의 변화
현인규(In Gyu Hyun),이재호(Jae Ho Lee),최동철(Dong Chul Choi),송재훈(Jae Hoon Song),정기석(Ki Suck Jung),김영환(Young Whan Kim),한성구(Sung Koo Han),심영수(Young Soo Shim),김건열(Keun Youl Kim),한용철(Yong Chol Han) 대한내과학회 1991 대한내과학회지 Vol.40 No.3
To evaluate the physiologic derangement in patient's with diffuse interstitial lung disease, chest X-ray, spirometry including forced vital capacity and diffusing capacity and arterial blood gas analysis are used generally. But it is known that these parameters do not correlate well with the degree of pulmonary fibrosis or changes of clinical course. Although the diffusing capacity is most widely used in evaluating the changes of physiologic derangement as the disease progresses, the changes of physiologic parameters during exercise and the availability of these parameters in clinical follow-up are not well known, Chest X-ray, spirometry with forced vital capacity and diffusing capacity and incremental exercise test with arterial blood gas analysis at rest and maximal exercise were performed in 13 clinically improved patients with diffuse interstitial lung disease before and 3 months after treatment with corticosteroid. The changes of resting and exercise physiologic parameters were evaluated and the correlation of mean percent changes between each parameters was analyzed. 1) Radiologic score manifesting pulmonary involvement in chest X-ray after 3 months' treatment showed significant improvement in comparison with that of pre-treatment(p < 0. 01). 2) Among the parameters in resting state, FVC, FEV f and DLco/VA, showed significant increase (p<0.01), and DLco/VA, showed largest change. 3) In incremental exercise test, work duration, maximal minute ventilation, maximal oxygen uptake and the difference in oxygen uptake between rest and maximal exercise showed significant increase (p<0.05), but maximal work load, maximal breathing frequency, breathing reserve and heart rate reserve showed no significant difference. 4) PaO₂at rest and maximal exercise were increased significantly (p<0.05), but PaCO₂, at rest and maximal exercise showed no significant change. 5) VD/VT,, P(A-a), O₂and P(a.ET) CO₂at rest and maximal exercise were decreased, but there was no significant difference (p>0.05). The changes of PaO₂/ changes of oxygen uptake and the changes of P(A-a)O₂/ changes of oxygen uptake between rest and maximal exercise also showed no significant difference. 6) The changes of DLco/VA, correlated with that of resting PaO₂, and exercise PaO₂(p<0.01), and that of maximal oxygen uptake correlated with that of exercise PaO₂and exercise P(A-a)O₂(p<0,01). From the above findings, it seems that DLco/VA, is a most useful parameter at rest in evaluating the changes of physiologic derangement in patients with diffuse interstitial lung disease after treatment, and reflects the changes of PaO₂, at rest and maximal exercise, and the changes of exercise parameters failed to show any superiority to resting parameters in this study.