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Tuberculin PPD RT23 2 TU를 이용한 투베르쿨린 피부반응 검사의 의의
양종욱 ( Yang Jong Ug ),전만조 ( Jeon Man Jo ),김성중 ( Kim Seong Jung ),이향림 ( Lee Hyang Lim ),이승준 ( Lee Seung Jun ),이명구 ( Lee Myeong Gu ),김동규 ( Kim Dong Gyu ),박명재 ( Park Myeong Jae ),강민종 ( Kang Min Jong ),현인규 대한결핵 및 호흡기학회 2002 Tuberculosis and Respiratory Diseases Vol.53 No.4
김수호 ( Kim Su Ho ),전만조 ( Jeon Man Jo ),김근숙 ( Kim Geun Sug ),정기석 ( Jeong Gi Seog ),이명구 ( Lee Myeong Gu ),최경찬 ( Choe Gyeong Chan ),이승준 ( Lee Seung Jun ) 대한내과학회 2003 대한내과학회지 증례 특집호 65-5 부록3 Vol.0 No.-
Actinomycosis is an indolent, slowly progressive infection caused by anaerobic bacteria, primarily of the genus Actinomyces, that colonize the mouth, colon, and vagina. A vital step in the development of actinomycosis is disruption of the mucosal barrier.
성인 재발성 폐렴에 대한 임상적 고찰 -한림대학교 의료원 내원 환자를 대상으로-
엄광석 ( Kwang Seok Eom ),전강 ( Gang Jeon ),신태림 ( Tae Rim Shin ),장승훈 ( Seung Hun Jang ),반준우 ( Joon Woo Bahn ),이재영 ( Jae Young Lee ),박용범 ( Yong Bum Park ),김철홍 ( Cheol Hong Kim ),전만조 ( Man Jo Jeon ),박상면 ( S 대한결핵 및 호흡기학회 2004 Tuberculosis and Respiratory Diseases Vol.57 No.1
Cytochrome P450 2E1 유전자의 다형성이 알코올성 간경변증 환자의 간손상에 미치는 영향
고문수(Moon Soo Koh),이정열(Jeong Yeol Lee),주민하(Min Ha Joo),전만조(Man Jo Jeon),노희종(Hee Jong Noh),김진봉(Jin Bong Kim),김동준(Dong Jun Kim),김정아(Jung A Kim),정영화(Young Hwa Chung) 대한내과학회 2001 대한내과학회지 Vol.60 No.3
Background : There is an individual variation in the hepatic injuries following alcohol abuse, which may be partly caused by the diverse activities of enzymes participating in the degradation of alcohol. Polymorphism of cytochrome P450 2E1 (CYP2E1) gene has been reported to affect the degradating activity of the enzyme, which may be eventually associated with the severity of alcoholic liver disease. In this study we were to evaluate the effects of genetic polymorphism of CYP2E1 on hepatocellular injury or fibrosis. Methods : We analyzed the relationship of CYP2E1 genotypes to the biochemical and clinical characteristics as well as TGFβ1 expressions in a total of 33 patients (M:F=32:1) with advanced alcoholic liver cirrhosis. CYP2E1 genotypes were determined by RFLP using RsaI and PstI. The amounts of serum TGFβ1 were measured by ELISA (TGFβ1 ELISA system, Promega, USA). Results : Out of 33, 23 (70%) had the CYP2E1 of genotype A and all of the remaining 10 (30%) were type B; there was no one who had type C. The serum albumin levels of patients with type A of CYP2E1 gene were lower than those with type B (p=0.01); the Child-Pugh scores were also higher in patients with type A than B (p=0.03). However, there was no difference between the two groups in the serum AST, ALT, γ-GTP and bilirubin levels. The patients expressed similar amount of serum TGFβ1 regardless of their CYP2E1 genotypes. Conclusion : Our data indicates that the most common genotype of CYP2E1 is type A (70%) in patients with advanced alcoholic liver cirrhosis in Korea. It is also suggested that patients with genotype A of CYP2E1 may be associated with more advanced alcoholic liver cirrhosis compared to those with type B.(Korean J Med 60:222-227, 2001)
양측 부신 전이를 동반한 비소세포폐암에서 발현된 부신피질기능저하증
이주용 ( Jue Yong Lee ),공승진 ( Seung Jin Kong ),전만조 ( Man Jo Jeon ),이성진 ( Seong Jin Lee ),송헌호 ( Hun Ho Song ),최문기 ( Moon Gi Choi ),이명구 ( Myung Goo Lee ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
Metastatic tumor is the most common malignancy in adrenal glands, and high occurrence of adrenal metastasis is closely related to its rich sinusoidal blood supply. Lung is common origin of metastatic tumor, and 42% of non-small cell lung cancer is associated with metastasis to adrenal glands. In spite of high incidence of adrenal metastasis, metastatic tumor very rarely causes adrenocortical insufficiency possibly because adrenal cortex must be almost completely destroyed before development of adrenocortical insufficiency. Symptoms of adrenocortical insufficiency such as fatigue, generalized weakness, anorexia, nausea, vomiting, abdominal pain are usually nonspecific, and insidiously occur. In addition, these symptoms are often overlooked or misdiagnosed as symptoms of cancer progression, thereby adrencortical insufficiency is not properly managed. We report a 68-year-old man who presented with nonspecific symptoms, and was diagnosed as adrenocortical insufficiency associated with bilateral adrenal metastasis of non-small cell lung cancer by hormonal and radiologic studies including rapid ACTH stimuation test and furosemide challenge test. (Korean J Med 69:S846-S850, 2005)
복부 대동맥류에서 발치 후 발생한 범발성 혈관내 응고증 1 예
안종호 ( Jong Ho Ahn ),이정열 ( Jeong Yeol Lee ),노희종 ( Hee Jong Noh ),주민하 ( Min Ha Joo ),전만조 ( Man Jo Jeon ),윤병인 ( Byung In Yun ),장흥문 ( Heung Moon Chang ) 대한내과학회 2001 대한내과학회지 Vol.61 No.5
Disseminated intravascular coagulation (DIC) is the result of a severe underlying disorder thatinitiates massive activation of the coagulation system. We report an unusual case of 79- year - old man who developed DIC after tooth extraction in abdominal aortic aneurysm. He was referred to our hospital because of persistent bleeding after tooth extraction. Physical examination indicated a pulsating mass in abdomen. Abdominal computerized tomography (CT) scan revealed 70 mm diameter aneurysm of the abdominal aorta, extending from the renal infrahilar level to the common iliac artery, and his coagulation profile showed the features of DIC by revealing thrombocytopenia, hypofibrinogenemia, and increased level of fibrinogen degradation product (FDP). After he had received blood component therapy including fresh frozen plasma and continuous intravenous heparin infusion (4,800 U/day), the bleeding diathesis and coagulopathy improved. He refused to have definitive surgery for the aneurysm. (Korean J Med 61:572- 576, 2001)
Paraquat 중독 환자에 대한 hemoperfusion 과 continuous veno-venous hemofiltration 의 치료 효과
노희종(Hee Jong Noh),구자룡(Ja Ryong Koo),이정열(Jeong Yeol Lee),주민하(Min Ha Joo),전만조(Man Jo Jeon),김진철(Jin Cheol Kim),김근호(Gheun Ho Kim),전노원(Rho Won Chun),김형직(Hyung Jik Kim),채동완(Dong Wan Chae),노정우(Jung Woo Noh) 대한내과학회 2000 대한내과학회지 Vol.59 No.6
Background : In Korea, paraquat accounts for most of fatal poisoning with 500 or more deaths per year. It has been known that patients who ingested more than 1/2 mouthful of 20% concentrate paraquat usually die of multiorgan failure and pulmonary fibrosis. But the effect of charcoal hemoperfusion which can enhance elimination of paraquat remains controversial. Because acute paraquat poisoning is also characterized by multiorgan failure including kidney and marked rebound in plasma paraquat level after hemoperfusion, Continuous veon-venous hemofiltration(CVVH) may have theoretical benefits in the treatment of paraquat poisoning. So we evaluated the effect of early charcoal hemoperfusion and prophylactic CVVH after hemoperfusion in patients with paraquat poisoning. Methods : There were 80 patients with paraquat poisoning admitted within 24 hours after ingestion (August 1996 - March 1998). All of them were treated with hemoperfusion (duration of hemoperfusion, 6.4±3.0 hours) within 24 hours of ingestion. The amount of ingestion was 2.1±1.0 mouthful (as 20% concentrate) and 78 (98%) were urine sodium dithionite test positive which is a poor prognosis factor. Forty-four patients received hemoperfusion only and 36 were followed by CVVH (duration, 50.4±20.9 hours; ultrafiltration volume, 33.8±3.9 L/day) after hemoperfusion. Results : There was no difference between the hemoperfusion group and hemoperfusion+CVVH group in age, sex, initial serum creatinine, arterial oxygen saturation, severity of poisoning (as assessed by serum paraquat level determined by HPLC and amount of ingestion), or in the time elapsed from ingestion to the beginning of hemoperfusion. The total mortality was 65% (52/80) with no difference between the hemoperfusion group (64%, 28/44) and hemoperfusion+CVVH group (67%, 24/36). The mortality according to amount of ingestion was as follows: 〈 1 mouthful, 0% (0/5); 1 mouthful, 53% (8/15); 2 mouthful, 65% (11/17); ≥ 3 mouthful, 82% (27/33); unknown, 60% (6/10). Conclusion : Early hemoperfusion can be effective in reducing mortality in patients who ingest less than 2 mouthful. Even though prophylactic CVVH after hemoperfusion has no additional benefit in reducing mortality in paraquat poisoning, it prolonged the time to death after ingestion.(Korean J Med 59:651-656, 2000)
입원한 지역사회획득 폐렴 환자에서 요중 레지오넬라항원 검사를 통해 본 Legionella Pneumophila 감염의 비중
송홍석 ( Song Hong Seog ),서지현 ( Seo Ji Hyeon ),안종호 ( An Jong Ho ),윤병인 ( Yun Byeong In ),이승준 ( Lee Seung Jun ),이명구 ( Lee Myeong Gu ),전만조 ( Jeon Man Jo ),강민종 ( Kang Min Jong ),이재명 ( Lee Jae Myeong ),김동규 ( 대한결핵 및 호흡기학회 2001 Tuberculosis and Respiratory Diseases Vol.50 No.4
주민하(Min Ha Joo),구자룡(Ja Ryong Koo),윤종우(Jong Woo Yoon),이정열(Jeong Yeol Lee),노희종(Hee Jong Noh),전만조(Man Jo Jeon),김근호(Gheun Ho Kim),전노원(Rho Won Chun),김형직(Hyung Jik Kim),채동완(Dong Wan Chae),노정우(Jung Woo Noh) 대한내과학회 2001 대한내과학회지 Vol.60 No.5
Paraquat, a very potent herbicide, has produced many fatalities through indiscriminate usage and suicides. It is known that with ingestion of more than one mouthful of 20% paraquat, death usually occurs by pulmonary fibrosis. We experienced two cases of successful outcome in patients with paraquat poisoning complicated with pulmonary fibrosis through active, intensive treatment from the early phase after ingestion. They swallowed one to two mouthfuls of the 20% commercial paraquat, and received hemoperfusion within 2-3 hours after ingestion. Then, combination therapy with steroid, vitamin C, D-penicillamine, allopurinol, colchicine was administered from the early phase. They showed moderate to severe hypoxemia and pulmonary fibrosis on chest HRCT during hospital course, but recovered from hypoxemia and remained very well on follow up over 3 months and 12 months after ingestion, respectively. We report these cases with literature review on treatment and prognosis of paraquat poisoning. (Korean J Med 60:490-495, 2001)
중환자실에 입원한 환자의 장기부전 및 예후 평가를 위한 SOFA 점수체계의 의의
김수호 ( Su Ho Kim ),이명구 ( Myung Goo Lee ),박상면 ( Sang Myeon Park ),박용범 ( Young Bum Park ),장승훈 ( Seung Hun Jang ),김철홍 ( Cheol Hong Kim ),전만조 ( Man Jo Jeon ),신태림 ( Tae Rim Shin ),엄광석 ( Kwang Seok Eom ),현인규 대한결핵 및 호흡기학회 2004 Tuberculosis and Respiratory Diseases Vol.57 No.4