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전기정 ( Gi Jung Jeon ),박종하 ( Jong Ha Park ),김민성 ( Min Sung Kim ),유종원 ( Jong Won Yu ),박재현 ( Jae Hyun Park ),김민식 ( Min Sik Kim ) 대한소화기학회 2015 대한소화기학회지 Vol.65 No.6
A 61-year-old male patient was admitted because of unexplained abdominal pain and anemia. His past medical history was unremarkable except for having taken herbal medicine to treat facial palsy two months ago. The result of health examination performed about a month ago showed increased serum aspartate and alanine aminotransferase level, and he was diagnosed with toxic hepatitis by herbal medicine. When the patient presented to the outpatient department three weeks ago, follow-up liver function test results showed improvement but he complained of abdominal pain. Despite extensive blood chemistry tests and computed tomography, the cause of pain could not be found. After much deliberation, serum lead level and herbal medicines analysis was performed based on the fact that he took herbal medicine two months ago, and he could finally be diagnosed with lead poisoning. Since the serum lead level was high enough to be indicated for lead chelating therapy, conservative management was given. When a patient with toxic hepatitis due to herbal medication presents with abdominal pain, the possibility of lead poisoning should always be taken into consideration. (Korean J Gastroenterol 2015;65:375-378)
김태훈 ( Tae Hun Kim ),전기정 ( Gi Jung Jeon ),마봉오 ( Bong Oh Ma ),양혜진 ( Hae Jin Yang ),이제운 ( Jae Un Lee ),윤성민 ( Seong Min Yoon ) 대한내과학회 2012 대한내과학회지 Vol.83 No.2
Hepatocellular carcinoma (HCC) usually metastasizes to the lung, breast, lymph nodes, gastrointestinal tract, bone, kidney, and/or adrenal gland. Metastasis of HCC to the hard palate and tonsils is a rare phenomenon. Thus, we report a case of HCC with metastasis to the hard palate and both tonsils in a 45-year-old man. The patient was admitted to our hospital with a complaint of oral bleeding. Physical examination revealed a bleeding tumor located in the hard palate and histological examination showed metastasis from HCC. The patient died 2 months later due to multiple organ failure, although bleeding was controlled by radiotherapy.
박재현 ( Jae Hyun Park ),박종하 ( Jongha Park ),김민성 ( Min Sung Kim ),유종원 ( Jong Won Yu ),전기정 ( Gi Jung Jeon ),임성남 ( Sung Nam Lim ),김우경 ( Woo Gyeong Kim ) 대한내과학회 2015 대한내과학회지 Vol.89 No.2
An angiosarcoma is a rare soft-tissue neoplasm that develops anywhere in the body, and most commonly presents cutaneously in elderly white males, involving the head and neck, particularly the scalp. The neoplasm occurs only very rarely in the gastrointestinal tract. A patient was initially admitted to our hospital for treatment of dyspnea and hemoptysis. Both lungs contained multiple nodules, and a computed tomography (CT)-guided lung biopsy was performed. Endogastroduodenoscopy used to evaluate the anemia revealed a duodenal polypoid tumor. Microscopic examination showed that the tumor was a primary angiosarcoma of the duodenum with metastasis to the lung. In addition, positron emission tomography/CT revealed metastasis to the femur and the pelvic bone. Thus, we report a case of primary duodenal angiosarcoma with metastases to the lung and bone. (Korean J Med 2015,89:201-205)
김현태 ( Hyun Tae Kim ),김태오 ( Tae Oh Kim ),김형준 ( Hyung Jun Kim ),이순일 ( Soon Il Lee ),전기정 ( Gi Jung Jeon ),이은지 ( Eun Ji Lee ),박승현 ( Seung Hyun Park ),노태훈 ( Tae Hoon No ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.4
Ulcerative colitis (UC) is a chronic idiopathic inflammatory disorder of the colon with a variable clinical course of exacerbation and remission. Extraintestinal manifestations of UC, including hematological disorders, such as the rare immune thrombocytopenic purpura (ITP), may be the presenting symptoms. We encountered the case of a 23-year-old man with UC who showed typical symptoms and endoscopic findings. Despite receiving steroid treatment, the patient developed severe thrombocytopenia. He was diagnosed with ITP, characterized by autoimmunity, a demonstrated low platelet count, normal bone marrow, positivity for autoantibody to platelet membrane antigen, and no splenomegaly. We initiated high dose intravenous immunoglobulin immediately for treatment of his steroid-refractory thrombocytopenia. The patient’s hematochezia and platelet count improved following immunoglobulin treatment. After discharge, the patient’s platelet count was maintained at a stable level and his condition was good. This case suggests that immunoglobulin therapy may be useful for treatment of ITP in UC. (Korean J Gastroenterol 2014;64:234-238)