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산전 진단되지 못한 부갑상선기능항진증에 의한 신생아테타니
심완섭,박희백,차봉수,임승길,이현철,허갑범 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.2
Primary hyperparathyroidism is rarely encountered during pregnancy but its prompt diagnosis and treatment if encountered during pregnancy is important because it can carry considerable morbidity not only for the mother but also for the fetus. It tends to remain undiagnosed because 50∼80% of the patients are asymptomatic. Even if they do demonstrate symptoms, those are often nonspecific. The other reason for non-diagnosis is masking of hypercalcemia due to the change of calcium homeostasis during pregnancy. Neonatal tetany can be a clue for the presence and diagnosis maternal hyperparathyroidism. The asymptomatic patient who is diagnosed postpartum when her newborn is symptomatic should undergo elective parathyroidectomy to avoid future complication. We experienced a woman with undiagnosed primary hyperparathyroidism during pregnancy whose two children suffered neonatal tetany. We report this case along with a review of literature on primary hyperparathyroidism in pregnancy and calcium homeostasis during pregnancy
정지영,최석훈,박윤선,진범식,한상훈,허규연,심완섭,이재혁,정상윤,최한석,최준용,박윤수,조정호,장경희,송영구,이광훈,김준명 대한감염학회 2003 감염과 화학요법 Vol.35 No.5
저자들은 면역 억제 치료를 받은 베체트 증후군 환자에서 발생된 주폐포자층 폐렴을 기관지 폐포 세축술 및 경기관지 폐생검을 통해 진단하고 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Pneumocystis carinii pneumonia (PCP) is one of the most common causes of infection in patients with HIV infection. With the development of effective prophylactic agent, the incidence of PCP in patients with HIV infection has been declining. On the other hand, however, the incidence of PCP has been increasing in immunocompromised hosts without HIV infection, such as rheumatoid arthritis, bone marrow transplantaion and Behcet syndrome. The increased occurrence of PCP in non-HIV-infected subjects has been attributed to several factors, such as use of stronger immunosuppressive regimens, higher awareness of PCP, advanced diagnostic technology and nosocomial spread of P. carinii. The occurrence of PCP in patients who receive immunosuppressive drugs for autoimmune disease has not been well known in Korea. We report a patient with Behcet syndrome who suffered from PCP after immunosuppressive drugs.