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정형만(H.M. Jung),최정희(J.H. Choi),오현숙(S.H. Oh),위성호(S.H. Wee),임선희(S.H. Lim),김나영(N.Y. Kim),이계희(K.H. Lee),최신은(S.E. Choi) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
The Epstein-Barr virus is a ubiquitous virus associated with a variety of different diseases and disorders. The hepatic manifestations of Epstein-Barr virus-associated disease or disorders are cornmon, among from hepatitis through lymphoproliferstive disorders to maligoancy, but isolated asymptcenatic hepatitis is unusual. Furthennore it has been known that the prognosis would be excellent. We reawtly experieaced 7 patients with variable clinical features of hepatitis associaed with Epstem-Barr virus in the absence of other common features of infectious mononucleosis. Most patients showed similar climcal features with common viral tis with restoration of normal liver function tests within 4 to 6 weeks. Amomg 7 patients, one case of a 37-year-old icteric female patient had extensive n is and msulted in liver cirrhosis. Since the correct identifieation of an Epstein-Barr virus-associated disotders in liver relies heavily upon clinica1 suspicion and ceeful examination, one should keep in mind the possibility of Epstein-Barr virus-associated titis for hepatitis of unknown etiology in our country. When ERV infection is diagnosed, we can not be sure that chronic liver disease will not occur. (Korean J Gastroenterol 1996 29: 533-542)
이정숙(J .S . Lee),최민석(M . S . Choi),성천모(C . M . Sung),이재용(J . Y . Lee),이계희(K . H . Lee),손인(I . Sohn) 대한핵의학회 1989 핵의학 분자영상 Vol.23 No.2
N/A To observe the effect of gastric filling on the images of hepatic scintigraphy, we performed hepatic scintigraphy using ' Tc-tin colloid in twenty patients hoth in the fasting state and after meal, and made the visual comparison of both irnages. We found that gastric filling could cause some of the followillg changes in individual patients. 1) In the anterior view, t.he distance between the liver and the spleen increased and the interlobar notch of the inferior hepatic horder was obliterated, The spleen was displaced downwards, its radioactivity in the upper medial part was reduced, and its upper pole was laterally displaced. 2) In the poosterior view, the left lobe of the liver was separated from the spleen and the distance between the liver and the spleen increased. 3) In the right lateral view, the notch separating the right and the left lobes of the liver was well demarcated. 4) In the left lateral view, the spleen was separated from the liver and the distance between the liver and the spleen dicreased. The shape of the splen was also changed. In case of the follow up study, above changes should make one consider the possibility of the effect of gastric filling.