http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
환축추 골강직과 류마티스 관절염양 수부변형을 동반한 연소형 강직성 척추염
장효식 ( Hyo Shick Chang ),신기철 ( Ki Chul Sin ),김재덕 ( Jae Duk Kim ),박영아 ( Young Ah Park ),기명주 ( Myung Ju Ki ),장현규 ( Hyun Kyu Chang ),이지영 ( Jee Young Lee ) 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.2
Ankylosing spondylitis (AS) is a heterogeneous and systemic rheumatic disorder of unknown cause that is characterized by inflammation of the spine and sacroiliac joints. It is more common in young men. The disease is frequently associated with peripheral arthritis, enthesitis, anterior uveitis and high prevalence of HLA-B27. In some patients with AS, peripheral arthritis can occurs earlier than spinal symptom and more commonly affects the lower extremities than the upper extremities. Unlike men, women appear to have milder or atypical AS, especially at juvenile onset. However, involvement of the hands is extremely rare. Juvenile AS, defined as onset of disease prior to the age of 16 years, is considered a pediatric form of AS. On the other hand, although the atlantoaxial subluxation has been infrequently observed in patients with ankylosing spondylitis, atlantoaxial bony ankylosis has not been described in the literature. We describe a 23-year-old woman with juvenile AS who developed the atlantoaxial bony ankylosis and the hand involvement mimicking rheumatoid arthritis. Besides the rheumatoid-like hands and atlantoaxial bony ankylosis, she has shown the typical features of spondyloarthrpathy such as bilateral sacroiliitis, inflammatory spinal pain, enthesitis, severe arthritis of both hip joints, and positive HLA-B27 test.
만성 알코올성 췌장염이 의심되는 환자에서 내시경초음파의 진단적 가치
남승우,신기철,이재현,노임환,이만용,허재형,신현덕,장효식 대한소화기학회 2002 대한소화기학회지 Vol.39 No.2
Background/Aims: This study was to evaluate the usefulness of endoscopic ultrasonography (EUS) in diagnosing suspected chronic alcoholic pancreatitis. Methods: EUS was performed on 48 patients who underwent endoscopic retrograde pancreatography (ERP) for recurrent episodes of alcohol induced pancreatitis. According to the ERP findings, the patients were divided into two groups: the group I showing normal pancreatogram (n=18) and the group II showing abnormal dilatated pancreatogram of Cambridge classification II or higher (n=30). EUS evaluated parenchymal changes (inhomogeneity, interlobular septae, echogenic foci, pseudocyst) and ductal changes (dilatation, tortuosity, thickened wall, stone or calcification, and side branch ectasia). Results: Group I showed one or more abnormal parenchymal features were found in 17 patients (94.4%), two or more in 11 patients (61.1%), and three or more in 6 patients (33.3%). However, no abnormal ductal features were found in the Group I. In the group II, all patients had three or more abnormal EUS features. Conclusions: EUS shows definite parenchymal changes in patients suspected of having chronic alcoholic pancreatitis. Therefore, EUS can be an useful diagnostic tool in the early stage of chronic alcoholic pancreatitis.