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고명범 ( Go Myeong Beom ),채현석 ( Chae Hyeon Seog ),오유경 ( O Yu Gyeong ),이병오 ( Lee Byeong O ),허원행 ( Heo Won Haeng ),정지현 ( Jeong Ji Hyeon ),유찬란 ( Yu Chan Lan ),조영석 ( Jo Yeong Seog ),김성수 ( Kim Seong Su ),한석원 대한소화기학회 2003 대한소화기학회지 Vol.42 No.2
Inflammatory pseudotumor is a benign disease, which is histologically composed of the?inflammatory cells such as mature lymphocytes, plasma cells, and histiocytes. It usually occurs in the respiratory system, liver, central nervous system, and gastrointestinal tracts. However, inflammatory pseudotumor rarely occurs in the spleen. Pathologic diagnosis is essential for the definitive diagnosis because of the difficulty in distinguishing pseudotumor from lymphoproliferative disorders of the spleen. We report a case of inflammatory pseudotumor of the spleen. A 35-year-old woman complained of the intermittent epigastric pain for several months. Physical examination and laboratory findings were normal. Ultrasonography and abdominal computerized tomography showed a low attenuation splenic mass suggesting lymphoma. However, the pathologic findings of the resected spleen were consistent with those of the inflammatory pseudotumor. The spleen weighed 230 g containing a 6×5×5 cm-sized, well-circumscribed gray mass. The microscopic findings indicated the inflammatory cell infiltrations. (Korean J Gastroenterol 2003;42:168-171)
신기능 저하 환자에서 Pyrazinamide 복용으로 발현된 급성 통풍성 관절염
허기훈 ( Heo Gi Hun ),윤선애 ( Yun Seon Ae ),김영옥 ( Kim Yeong Og ),이강우 ( Lee Gang U ),정지현 ( Jeong Ji Hyeon ),유찬란 ( Yu Chan Lan ),송선화 ( Song Seon Hwa ),박경수 ( Park Gyeong Su ),김관형 ( Kim Gwan Hyeong ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.5
Although arthralgia with or without hyperuricemia commonly occurs in a patient receiving antituberculous treatment including pyrazinamide, acute gouty arthritis is rarely reported. Here we report a case of acute gouty arthritis presented after antituberculous treatment in a patient with asymptomatic hyperuricemia and mild renal insufficiency. A 76-year-old woman complained sudden onset of painful swelling in both first metatarsophalangeal joints 9 weeks after antituberculous treatment. She had hypertensive nephropathy with mild renal insufficiency and asymptomatic hyperuricemia for 8 years. Needle aspiration of the joint fluid demonstrated needle-shaped strongly negative birefringent monosodium urate crystal. The painful swelling improved with steroid and colchicine.