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후천성 면역 결핍증 환자에서 뇌졸중으로 발생한 신경매독 1예
서재현 ( Jae Hyun Seo ),이상록 ( Sang Rok Lee ),김세영 ( Se Young Kim ),이준섭 ( Joune Seup Lee ),이경은 ( Kyoung Eun Lee ),이해림 ( Hae Lim Lee ),이연수 ( Yeon Su Lee ) 대한내과학회 2013 대한내과학회지 Vol.84 No.6
While the neurologic manifestations of syphilis are diverse, stroke is a rare initial manifestation. We report a human immunodeficiency virus (HIV)-positive patient whose neurosyphilis presented as a stroke. A 42-year-old male visited the emergency room due to decreased mental functioning. Brain magnetic resonance imaging showed acute infarct on the left frontal, temporal, and parietal lobes. A serum Venereal Disease Research Laboratory (VDRL) test was positive. ELISA for HIV antibody and Western blot assays revealed he was infected with HIV. The cerebrospinal fluid (CSF) VDRL test was positive and protein was increased. The patient was treated with heparization and penicillin G for 14 days. His mental status improved with treatment, and CSF protein and VDRL titers were also decreased 3 months after treatment. (Korean J Med 2013;84:864-867)
손덕승 ( Der Sheng Sun ),이혜원 ( Hye Won Lee ),이준섭 ( Joune Seup Lee ),양여리 ( Yeo Ree Yang ),김치홍 ( Chi Hong Kim ),심병용 ( Byoung Young Shim ),김훈교 ( Hoon Kyo Kim ) 대한내과학회 2013 대한내과학회지 Vol.85 No.2
본 증례에서 저자들은 맹장 전이로 인해 장중첩증을 동반한 확장기 소세포폐암 환자에 대해 표준 항암화학치료를 통하여 합병증 없이 부분 반응을 보인 사례를 국내에서 경험하였기에 문헌고찰과 함께 보고하는 바이다. Large bowel metastasis from a primary lung cancer is rare and is hard to be asymptomatic. We report a case of intussusception without any symptoms caused by cecal metastasis of primary small cell lung cancer. A 70-year-old woman was admitted to hospital with cough and sputum of 3 weeks` duration. She was diagnosed with small cell lung cancer based on percutaneous needle biopsy of a lung mass identified by chest CT. In abdominal CT, multiple metastatic lesions were detected in the left adrenal gland and cecum with intussusception. After further colonoscopy and biopsy evaluations, the pathology results showed metastatic cancer originating from small cell cancer of the lung. (Korean J Med 2013,85:218-222)
백승호 ( Seung-ho Baek ),이승수 ( Seung Soo Lee ),김지훈 ( Ji Hoon Kim ),김소현 ( So Hyun Kim ),임지혜 ( Jihye Lim ),이준섭 ( Joune Seup Lee ),김명환 ( Myung-hwan Kim ) 대한내과학회 2020 대한내과학회지 Vol.95 No.1
Pancreatic cancer is one of the most lethal malignancies worldwide. The risk of developing pancreatic cancer increases with age. Pancreatic cancer is seen mostly in the elderly; patients under the age of 30 years are rare. Known risk factors for pancreatic cancer include genetic mutations, smoking, chronic pancreatitis, and diabetes mellitus. We report a case of pancreatic cancer in a 27-year-old man without the PRSS1 mutation. Chronic pancreatitis and smoking may have contributed to the development of pancreatic cancer in this patient. We also conducted a literature review on early onset pancreatic cancer. (Korean J Med 2020;95:50-55)
전이성 췌장암 환자에서 병발한 급성 담낭염의 내시경 경유두 담낭 내 스텐트 삽입술 치료
남소혜 ( So Hye Nam ),백승호 ( Seung-ho Baek ),유동열 ( Dong Ryeol Yoo ),최수진 ( Su Jin Choi ),이준섭 ( Joune Seup Lee ),오동욱 ( Dongwook Oh ),김명환 ( Myung-hwan Kim ) 대한내과학회 2020 대한내과학회지 Vol.95 No.1
Percutaneous transhepatic gallbladder drainage is an effective treatment for acute cholecystitis in poor surgical candidates. Endoscopic gallbladder drainage procedures, such as endoscopic ultrasound-guided gallbladder drainage, endoscopic gallbladder stenting, and endoscopic naso-gallbladder drainage, have been used as alternative treatments for acute cholecystitis. These procedures are associated with increased patient comfort and physiologic drainage. We report a case of endoscopic gallbladder stenting for acute cholecystitis in a 62-year-old male undergoing chemotherapy for metastatic pancreatic cancer. After endoscopic gallbladder stenting, the patient’s acute cholecystitis resolved and he was able to undergo scheduled chemotherapy. The inserted double- pigtail plastic stent will be left in situ permanently. The choice of drainage modality for acute cholecystitis will generally be based on resources, patient preferences, local expertise, and clinical context. (Korean J Med 2020;95:43-49)