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위에서 발생한 암육종(gastric carcinosarcoma) 1례
박승국,안성훈,황재석,허정욱,강영우,신원승 啓明大學校 醫科大學 1999 계명의대학술지 Vol.18 No.3
Carcinosarcomas are rare malignant tumors most commonly occurring in the female reproductive organs, lower urinary tract, head and neck, and respiratory tract. This uncommon tumor is characterized by mixture of malignant epithelial and spindle cell components. Their final diagnosis is achived based on its distinct histological features combinded with thorough inmmunohistochemical characterizaion. Development of immunohistochemistry and electronic microscope make it possible to demonstrate these two components. In the gatrointesinal tract, the esophagus is the most common site, but the stomach is very rare. We report a carcinosarcoma aring in the stomach, with literature review.
한승묵,신원승,김민수,김정희,김성종,정재진,이동욱,이동욱,곽동협 啓明大學校 醫科大學 1998 계명의대학술지 Vol.17 No.3
호산구성 위자염은 툭발성으로 위장관 벽의 호산구 침윤과 말초 혈액내 호산구증다증을 동반하고 다양한 위장관 증상을 나타내는 질환으로 복수가 동반된 경우는 매우 드문 것으로 알려져 있다. 이에 저자들은 최근에 말초 혈액에 호산구증다증과 장점막의 호산구 침윤뿐만 아니라 소산구성 복수가 동반되고 스테로이드 요법으로 잘 치료된 호산구성 위장염 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Eosinophilic gastroenteritis is an uncommon disease of uncertain etiology characterized by eosinophilia in the peripheral blood and eosinophilic infiltrates in the bowel wall. Clinical features vary depending on which layers or regions of the gastrointestinal tract are mainly affected. Mucosal involvement causes malabsorption. protein-losing enteropathy and diarrhea. Infiltration of the muscle layer manifests gastric outlet or small bowel obstruction. Serosal involvement causes an exudative ascites rich in eosinophils. Eosinophilic gastroenteritis with ascites is a rare from of eosinophilic gastroenteritis. In this paper, we present a case of eosinophilic gastroenteritis with ascites demonstrating eosinophilia in the peripheral blood and eosinophilic infiltrates in the mucosal wall. The patient was successfully treated with steroid therapy. In addition to this case report, the several literatures on eosinophilic gastroentritis are reviewed.
당뇨병성 신증환자에서 혈청 크레아티난치와 적혈구의 Malondialdehyde(MDA) 및 항산화효소의 상관 관계에 관한 연구
박성배,김현철,박근용,강미정,곽춘식,문교철,장종억,신원승 대한신장학회 1997 Kidney Research and Clinical Practice Vol.16 No.3
Oxygen free radical activity is elevated in diabetes mellitus and has been implicated in the etiology of vascular complications and diabetic nephropathy is a serious microvascular complication in patients with IDDM. Despite intensive investigation, the pathophysiology of diabetic renal disease has not been fully elucidated. However, several clinical and experimental studies have suggested that endothelial dysfunction and changes of peritubular microcir culation might deteriorate renal function in patients with IDDM. We performed this study to examine the oxidative sss and correlation between levels of serum creatinine and erythrocytic MDA, SOD, catalase, GPX in IDDM patients with diabetic nephropathy. Twenty one patients with IDDM(diabetic duration $gt;5 years) and persistent albuminuria(albumin excretion$gt;1000mg/day) and 15 normal healthy controls were investigated prospectively for erythrocytic MDA(thiobarbituric acid assay) and antioxidant enzymes[SOD(Hyland et al.), catalase(Nelson and Kiesow), GPX(Palgia and Valentine)] and correlation to serum creatinine levels. Levels of erythrocytic MDA were significantly higher in patients with diabetic nephropathy than in normal healthy controls(p$lt;0.05) and levels of erythrocytic antioxidant enzymes were significantly lower in patients with diabetic nephropathy than in normal healthy controls(p$lt;0.05). There was no significant correlation between serum levels of creatinine and erythrocytic MDA in group 1(r=0.12, p$gt;0.05) and group 2(r=0.12,p$gt;0.05) but there was significant correlation between serum levels of creatine and erythrocytic MDA in group 3(r=0.96, p$lt;0.05). There was no significant correlation between serum levels of creatinine and erythrocytic antioxidant enzymes in all patients with diabetic nephropathy groups(group 1, group 2, and group 3; p$gt;0.05). We concluded that increased oxidative stress and decreased antioxidative defense mechanism might be factors in the initiation of diabetic nephropathy and the oxidative stress correlated with higher serum levels of creatinine(more than 5mg/dL)(p$lt;0.05).