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기관지천식 환자에서 말초 혈액 단핵구와 기관지폐포 세척액 세포의 IL - 4 유전자 표현
이상무(Sang Moo Lee),문승혁(Seung Hyuk Moon),김경호(Kyung Ho Kim),임건일(Gune Il Lim),정성환(Seong Whan Jeong),김현태(Hyeon Tae Kim),어수택(Soo Taek Uh),김용훈(Yong Hoon Kim),박춘식(Choon Sik Park) 대한내과학회 1996 대한내과학회지 Vol.50 No.1
Objectives: Type 2 CD4+ lymphocytes are presumed to have an important role in develompent of allergic inflammation. We measured m-RNA expressions of interleukin 4 in peripheral blood mononuclear cells and bronchoalveolar lavage cells to investigate the difference of interleukin 4 gene expression in the patients with atopic and nonatopic bronchial asthma, normal subjects and patients with other lung disease. Methods: Total RNA was obtained from peripheral blood mononuclear cells and bronchoalveolar lavage cells by acid-guanidium thiocyanate-phenol-chloroform method. The presence of interleukin 4 m-RNA was identified by RNA reverse transcription/polymerase chain reaction. Southern blot or DNA dot blot was applied to confirm the interleukin 4 gene products. Results: Interleukin 4 Gene products in peripheral blood mononuclear cells were detected in 90.9% (10/11) of the patients with bronchial asthrna and in 75%(9/12) of non-asthmatic control subjects. Interleukin 4 gene product in bronchoalveolar lavage cells was positive in one case of bronchial asthma. Conclusion: Interleukin 4 m-RNAs were constitutionally expressed in peripheral blood mononuclear cells of normal controls as well as in those of the patients with bronchial asthma
사지마비로 장기 침상안정 환자에서 폐결핵 발생부위 변화
황헌규 ( Hun Gyu Hwang ),정은정 ( Eun Jung Jung ),임건일 ( Gune Il Lim ),양승부 ( Seung Boo Yang ),임한혁 ( Han Hyeok Im ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.1
Pulmonary tuberculosis has intermediate prevalence in Korea. It is known that tuberculosis infection predominantly involves the upper lobes, based on the fact that multiplication of Mycobacterium tuberculosis is favored in areas with decreased pulmonary blood flow, impaired lymphatic drainage, and high oxygen tension. We report this case of a 40-year-old man who was brought to our hospital with hemoptysis and dyspnea. Prior to admission, the patient had been in a bedridden state for 15 years due to an injury of the cervical spine 4~5. A 3-Dimensional computed tomography showed predominantly longitudinal distribution of centrilobular nodules along the anterior chest wall, in the left lung. MTB-PCR and AFB culture of bronchial washing fluid revealed pulmonary tuberculosis. This case shows that long-standing supine posture and decreased motion of the anterior chest wall may change the distribution of preferential infection site of Mycobacterium tuberculosis in the lung, resulting in a ventral predominance of tuberculosis infection in the quadriplegic patient.
김혜진 ( Hye Jin Kim ),김명신 ( Myung Shin Kim ),임건일 ( Gune Il Lim ),박윤선 ( Youn Sun Park ),임한혁 ( Han Hyeok Im ),황헌규 ( Hun Gyu Hwang ) 대한내과학회 2013 대한내과학회지 Vol.85 No.3
Achalasia is a primary esophageal motility disorder characterized by functional obstruction of the distal esophagus and subsequent dilation of the proximal esophagus. The most common symptoms in children and adolescents are vomiting, progressive dysphagia, weight loss, recurrent pneumonia, nocturnal cough, and chest pain. A girl who had been diagnosed with asthma poorly responsive to inhaled steroids until age 17, presented at the hospital with cough, sputum, and fever. Finally, she was diagnosed with achalasia and underwent esophageal balloon dilatation, which relieved her GI and pulmonary symptoms. We report this case with a literature review. (Korean J Med 2013;85:308-312)
간장 ( 肝臟 ) 및 담도 ( 膽道 ) : 담관낭종의 15예에 대한 임상적 고찰
김선주(Sun Joo Kim),정재삼(Jae Sam Chung),조무식(Moo Sik Cho),조주영(Joo Young Cho),김대수(Dae Soo Kim),황성규(Seong Gyu Hwang),이문호(Moon Ho Lee),임건일(Gune Il Lim),구영무(Young Moo Koo),김창호(Chang Ho Kim),송옥평(Ok Pyeong Song) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A Congenital diatation of the common bile duct is an uncommon condition. More than 190 cases have been reported in the Korean literature up to date including the present series. We reviewed 15 cases of choledochal cyst treated surgically at the Chun-an Hospital, Soonchunhyang University, between January 1984 and July 1990. The results were as follows. 1) Age ranged from 1 year to 64 years and 7 of 15 cases were above 30 years. The ratio of men to women was 1: 6.5. 2) The durations of symtoms varied widely from 3 days to 13 years. 3) The frequency of the triad of symptoms and signs were in order of abdominal pain 14 cases (93%), jaundice 8 cases (53%) and abdominal mass 7 cases (47%), The classical triad of mass, pain and jaundice was present in 6 cases (40%). 4) Ultrasonography was useful as the initial diagnostic tool in all cases As next diagnostic studies, abdominal CT was performed in 6 cases, ERCP in 4 cases and PTC in 3 cases. 5) According to the classification of Todani, 13 cases (87%) were type I and two cases (13%) were type II. 6) The associated disease were cholecystitis in 8 cases, stone in common bile duct in 4 cases, cancers in 2 cases, GB empyema in 1 case and bile peritonitis in 1 case 7) Preoperative diagnosis was made in 13 (87%) of 15 cases 8) Surgical procedure used were principally choledochocystoduodenostomy in 3 cases, choledo-chocystojejunostomy in 8 cases, cyst excision in 2 cases, T tube choledochostomy in 1 case, and T tube choledochostomy with delayed cyst excision in 1 case.
증례 : 호흡기 ; Teflon 흡입으로 인해 발생한 화학성 폐렴
이지연 ( Ji Yeon Lee ),김민정 ( Min Jung Kim ),유진영 ( Jin Yong Yoo ),안병규 ( Byung Kyu Ahn ),황헌규 ( Hun Gyu Hwang ),임건일 ( Gune Il Lim ),임한혁 ( Han Hyeok Im ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
테프론 흡입에 의한 발열, 오한, 기침 등의 임상증상은 ``중합체 연기발열``이라 하며 노출된 양상과 정도에 따라 다양한 임상양상을 보인다. 저자들은 44세 남성에서 테프론에 젖은 담배를 5분간 흡입하고 나서 발생하였고, 산소 치료 및 스테로이드 사용으로 합병증 없이 회복된 화학성 폐렴 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Chemical pneumonitis is defined as lung irritation caused by inhalation of substances toxic to the lungs. Acute chemical pneumonitis causes swelling of the lung tissue, movement of fluid into the air spaces in the lung, and a decreased ability to absorb oxygen and eliminate carbon dioxide. Teflon (polytetrafluoroethylene) is a commonly used synthetic fiber or insulator. To our knowledge, chemical pneumonitis and acute respiratory failure induced by Teflon inhalation has not been previously reported in Korea. We experienced a 44-year-old patient who had a cough and dyspnea that were aggravated 10 h after smoking tobacco wet by Teflon for 5 min at his workplace. Upon arrival at the emergency room, his blood pressure was low and his arterial blood gas analysis revealed hypoxemia. A chest radiograph showed diffuse haziness on both mid- to-lower lung fields. Following treatment by conservative therapy, including oxygen supply and steroid use, his condition was relatively good and his chest radiograph normalized. (Korean J Med 2011;80:S194-S198)
임건일,박춘식 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1
Background: Idiopathic interstitial pneumonia(IIP) is histologically divided into usual interstitial pneumonia(UIP), desquamative interstitial pneumonia(DIP), acute interstitial pneumonia(AIP), and nonspecific interstitial pneumonia/fibrosis(NSIP). An alveolitis and a derangement of alveolar wall are prebably followed by fibrosis. In this process, interleukin-6(IL-6), one of proinflammatory cytokines, is presumed to decrease fibrotic reaction. In IIP, NSIP has a better prognosis and a lesser fibrosis than UIP. The purpose of the study was to compare concontrations of IL-6 between UIP and NSIP and define the source of IL-6 synthesis. Method: Six patients with NSIP and 13 patients with UIP were confirmed by open lung biopsy. Bioactivity of IL-6 in bronchoalveolar lavage fluid(BALF) was measured by an bioassay using B9 cell proliferation Spontaneous and lipopolysaccaride(LPS)-stimulated production of IL-6 by BAL cells were compared between two groups. Biopsy specimens from patients with NSIP were freezed and cryosectioned. The tissue slides were fixed in acetone. They were reacted with primary antibodies including anti-IL-6, secondary antibody, and tertiary antibody, in order. The slides stained by immunohistochemistry were obseved by light microscope. Results: 1)Mean concentration of IL-6 of BAL fluid of NSIP group was significantly higher than that of UIP. 2)Spontaneous production of IL-6 by BAL cells of NSIP was significantly higher than that of UIP. 3) Ratio of spontaneous to LPS stimulation in IL-6 production by BAL cells was higher in NSIP than UIP. 4) By immunohistochemistry, IL-6 was strongly stained on interstitial monocytes, interstitial lymphocytes and alveolar epithelial cells, but weakly stained in intraalveolar macrophages. Conclusion; IL-6 production in NSIP was enhanced more than that in UIP. The origin of IL-6 seems to be interstitial cells and the alveolar epithelium and not to be cells present in BALF.