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측두동맥염을 동반한 당뇨병 환자에서 부신피질 호르몬제 투여중 발생한 Kaposi 씨 육종 1 예
임상욱(Sang Uk Lim),박왕견,김경래(Kyung Rae Kim),이현철(Hyun Chul Lee),허갑범(Kap Bum Huh),김동건(Dong Kun Kim),정현주(Hyun Joo Chung) 대한내과학회 1991 대한내과학회지 Vol.40 No.1
The authors observed a case of Kaposi`s sarcoma in a diabetic female patient who had taken oral prednisolone for 3 months under the diagnosis of temporal arteritis. Varous sized purplish macules, papules, and nodules were noted on the neck, trunk, left wrist, right arm and foot. The lesion on the left wrist was the largest measuring 2.5×0.5㎝. Tapering the prednisolone and strict control of the blood glucose level were followed by regression of the skin lesions. Clinically, the patient was in an immune-compromised state due to long-standing elevated blood sugar and steroid therapy. So the authors review the etiopathogenesis of Kaposi`s sarcoma in relation to the role of disregulation of the immune system and other possible causes, including diabetes mellitus.
동맥 협착증을 동반하는 CREST syndrome 1 예
김동수(Dong Soo Kim),임상욱(Sang Uk Lim),김현승(Hyun Seung Kim),김상진(Sang Jin Kim),이광길(Kwang Gill Lee) 대한내과학회 1991 대한내과학회지 Vol.40 No.1
Systemic sclerosis is a very rare disorder of the connective tissue. Its etiology is unknown, but some consider its pathogenesis to be due to vascular-micro vascular injury, fauety immune mechanism, connective tissue deposition, or disturbances in the microvascular-interstitial continuum. Clinical manifestations and system involvement may be wide and extensive. For an accurate diagnosis, we should focus on four aspects: early systemic involvement, serological study, changes in the microvascular flow, and direct vascular injury. Immunologically, anti-nuclear antibodies and anti-centromere antibodies are important diagnostic tools. Recently, widefield nailfold capillaroscopy has been instrumental in making early diagnoses. Since the etiology is unknown, there is no choice of treatment. Symptomatic and supportive treatment consist of vasodilators, anti-inflammatory agents, drugs that affect the collagen metabolism, and plasmapheresis. We present a case of systemic sclerosis in a 48-year-old female combined with CREST syndrome (calcinosis, Raynaud`s phenomenon, esophageal dysfunction, scierodactyly, telangiectasia) and stenosis of the arteries. The patient, treated with nifedipine, acetsalycilic acid, the and dipyridamole, showed a relatively good response in pain relief and healing of ulcerative lesions.
김현승(Hyun Seung Kim),권혁문(Hyuck Moon Kwon),장양수(Yang Soo Jang),임상욱(Sang Uk Lim),남문석(Moon Suk Nam) 대한내과학회 1991 대한내과학회지 Vol.41 No.3
201 Thallium chloride has been described by Cox, Salvatore, Tonami as a positive indicator for lung neoplasm 201 Thallium scintiscan was performed in 10 patients with lung cancer and in 21 patients with benign lung diseases. Early scan demonstrated abnormal accumulation in 9 of 10 lung cancer and in 8 of,.,1 benign conditions(P=0.0066) and revealed strong positive uptake in all of 4 adenocarcinoma. Eight of twenty one benign conditions (4 in 8 active or cavitary pulmonary tuberculosis, 1 in 5 inactive pulmonary tuberculosis and 3 in 8 pneumonia or lung abscess) showed abnormal accumulation of 201Tl. And the fading apperance of radioactivity on some delayed scans was noted in benign conditions compared with persistent high radioactivity in lung cancer. 201Thallium scintiscan is useful in the differentiation of a pulmonary lesion whether is benign or malignant.