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윤혜경,이정석,이동윤,이지현,홍수희,류인열,윤성준,신원혁,최의혁,유종훈,김영묵,이준상 대한소화기학회 1997 대한소화기학회지 Vol.30 No.3
Background/Aims: Melanosis coli is browinsh or black pigmentation of the colonic mucosa associated with long-term ingestion of anthraquinone compounds as laxatives. The discoloration of the colonic mucosa is due to accumulation of macrophages containing brown lipofuscin pigment in the lamina propria. The purpose of this study was to investigate the clinical characteristics of melanosis coli. Methods: We reviewed the clinical records of 50 cases of melanosis coli, which were confirmed by colonoscopy and tissue biopsy in Wallace Memorial Baptist Hospital from December 1992 to Jannuary 1997, with regard to age and sex of patients, sites of involvement, ingredients of laxatives used, clinical symptoms, and concurrent colorectal diseases. Results: The average age of the patients included in this study was 46.0 years, the lowest was 20, and the highest 74. The ratio of male to female was 1:2.6, suggesting that melanosis coli occurs more frequently in the female than in the male. Considering the combination of the involved segments, melanosis coli was most frequently distributed from the cecum to the recturn. The most frequently used agents were antraquinone derivative laxatives including aloe(74.0%) and the duration of ingestion was variable from 2 months to 20 years. Abdominal pain(82.0%) and constipation (64.0%) were the most frequent synptoms at examination. Concurrent colorectal diseases were he- morrhoid, polyps, and cancer in the order. Conclusions: Melanosis coli itself may not have any clinical significance and may not be associated with any colonic functional impairrnent. However, it may provide a clue to laxative abuse, Considering that anthraquinone laxatives such as aloe are widely used in Korea and and the use of laxatives by the elderly is increasing melanosis coli will be detected more frequently.
당뇨병성 말기신부전증 환자의 유방에 발생한 원발성 모균증 1예
윤성준,이지현,임종섭,류수현,유대성,류인열,신원혁,재영성 대한신장학회 1997 Kidney Research and Clinical Practice Vol.16 No.2
Mucormycosis, caused by Zygomycetes fungi of the order Mucorales, is a rare opportunistic infection which usually develops in immunosuppressed patients, especially in patients with diabetic acidosis. This infection, associated with the presence of broad, nonseparate hyphae in tissue, originates usually in the perinasal sinuses and nose, orbit, central nervous system, lung, skin, soft tissue, or gastrointestinal tract, but is occasionally disseminated from the primary loeation to other areas. Recently we experienced a case of Mucormycosis found in the breast of a 70-year old woman undergoing hemodialysis for diabetic nephropathy. The patients was very poor in her systemic condition. On physical examination, we found the subcutaneous mass in the left breast. Breast ultrasonography showed a mass with a relatively clear boundary in subcutaneous fatty layer and excisional biopsy confirmed infiltration of breast tissue by fungal hyphae. With improvement of patient's malnutrition via an aggressive hemodialysis, control of blood glucose and total parentral nutrition, the mass was slightly reduced in size and maintained without causing any notable symptom. Since Mucormycosis found in the breast tissue has not been reported in the literature yet, we report its case observed in a hemodialysis patient for diabetic nephropathy with the review of the literatures.
대구경북 지역사회의 PPM사업 시행전후 결핵관리실태의 변화
최혜숙,전영준,차승익,김영성,현대성,김연재,김효석,김명신,신경철,최준혁,박훈표,박정은,신원혁,김성자,서완다,이신엽,최원일 대한결핵 및 호흡기학회 2012 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.114 No.0
목적: 결핵퇴치를 위한 민간공공협력(PPM) 국가결핵관리사업이 시행되고 있다. 이에, PPM사업이 시행되고 있는 대구경북 지역 병원의 결핵관리 실태를 조사하여 지역사회에서의 그 효율성을 알아보고자 하였다. 방법: PPM사업 시행전과 시행 이후의 연간 결핵치료성공률과 중도탈락률, 중도탈락후 재치료률을 비교하였다. 결과: 2010년 PPM사업이 시행된 병원은 4곳이였으며, 2011년은 12개 병원, 2012년은 16개병원에서 PPM사업을 시행하였다. PPM사업이전의 결핵치료 성공률은 67.69%였으며, PPM사업 시행 1년째는 88.96%, PPM사업 시행 2년째는 91.41%의 결핵치료 성공률을 보였다. 결핵치료 중도탈락률은 PPM사업 시행 전에는 9.86%, 시행 1년째는 5.07%, 2년째에는 3.75%이었다. 치료중단 후 재치료률은 PPM사업 시행이전, 시행 1년째, 시행 2년째 각각 5.68%, 41.08%, 77.08%이었다. 결론: PPM 국가결핵관리사업은 지역사회의 결핵치료성공률을 향상시켰으며, 중도탈락환자의 재치료률을 높였다. 적극적이고 지속적인 PPM사업의 확대시행이 필요하겠다.