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원발성 담즙성 간경변증에 병발된 전신성 홍반성 루푸스의 임상소견을 갖는 쇼그렌 증후군
이장교 ( Chang Gyo Lee ),장현규 ( Hyun Kyu Chang ),김승용 ( Seung Yong Kim ),강호형 ( Ho Hyung Kang ),김덕재 ( Duk Jae Kim ),장진근 ( Chin Kun Chang ),맹주희 ( Ju Hi Maeng ),이희섭 ( Hui Sup Lee ),박배근 ( Pae Gun Park ),정재걸 ( 대한류마티스학회 2001 대한류마티스학회지 Vol.8 No.1
Primary biliary cirrhosis (PBC) is a chronic inflammatory disease characterized by fibrous obliteration of intrahepatic bile ductules. Although the etiopathogenesis of PBC remains unclear, several studies suggest that a disordered immune response may be involved. This disease is commonly associated with various autoimmune diseases, such as Sjogren`s syndrome, scleroderma, rheumatoid arthritis, Hashimoto`s thyroiditis, polymyositis, and pernicious anemia. More than 80% of cases with PBC are accompanied by at least one autoimmune disorder, and 40% by two or more. Sjogren`s syndrome, defined by dry eyes and xerostomia, may be found in 69 to 81% of PBC patients. However, concurrent coexistence of PBC and systemic lupus erythematosus (SLE) has been rarely described in the literature. We report a 46-year-old female with PBC and Sjogren`s syndrome who also satisfied a classification criteria of SLE.
23 오심 및 구토의 발생으로 Azathioprine투여를 중단했던 크론병 환자에서 6-Mercaptopurine의 사용
이현주 ( Hyun Ju Lee ),양석균 ( Suk Kyun Yang ),명승재 ( Seung Jae Myung ),이장교 ( Chang Gyo Lee ),김태훈 ( Tae Hun Kim ),이진혁 ( Gin Hyug Lee ),정훈용 ( Hwoon Yong Jung ),홍원선 ( Weon Seon Hong ),김진호 ( Jin Ho Kim ),민영일 ( 대한소화기학회 2002 대한소화기학회 추계학술대회 Vol.2002 No.-
박성제(Seong Je Park),강호형(Ho Hyung Kang),박일권(Il Gwon Park),서동대(Dong Dae Seo),송혜경(Hye Kyoung Song),이장교(Chang Gyo Lee),고은희(Eun Hee Ko),박주상(Ju Sang Park),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan K 대한소화기학회 2001 대한소화기학회지 Vol.38 No.4
Afferent loop syndrome (ALS) accompanying acute pancreatitis is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate ALS from other causes of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing ALS. We experienced two cases of ALS accompanying acute pancreatitis. The laboratory findings of the patients showed elevation of serum amylase and they were initially diagnosed as only acute pancreatitis. However, the diagnosis were modified as ALS with the aid of computed tomography. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. In conclusion, ALS should be considered as a cause of acute pancreatitis in patients who have the elevated level of serum amylase and a history of gastrectomy. (Korean J Gastroenterol 2001;38:296 -299)
부췌관에서 발생한 Intraductal Papillary Mucinous Tumor (IPMT) 1예
이영미,김명환,유은실,김태경,이성구,박성제,서동완,민영일,송희곤,강재명,주연호,박경하,강호형,이장교,김순종,나비석,서일우 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.2
Mucin-producing tumors of the pancreas were first reported by Ohhashi and Takagi in 1980. Since then, many cases of intraductal papillary mucinous tumor (IPMT) of the pancreas, which is almost homonymous to mucin-producing tumors of the pancreas, have been reported. IPMTs are generally regarded as tumors with a favorable prognosis. Some IPMTs have invasiveness and this is always associated with a poor prognosis. Most IPMTs arise from the main pancreatic duct and IPMTs arising from the accessory pancreatic duct are relatively rare, Only 6 cases have been reported in the literature so far. Our patient was a 43-year old man who was admitted to the hospital due to recurrent pancreatitis. An endoscopic retrograde pancreatography revealed a patulous minor papilla orifice extruding mucin and a cystic lesion in a branch of the accessory duct. A pancreaticoduodenectomy was performed and a pathologic examination of the resected specimen showed intraductal papaillary mucinous neoplasm, low grade malignancy, in the accessory pancreatic duct and its branch. We herein report this interesting case with a review of the literature.