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우측 부신선종에 의한 원발성 Aldosterone 증의 치험 3예
김정은,정창호,권용준,한승수,김윤자,김광회,류영준,전배완,김윤권 대한내분비학회 1991 Endocrinology and metabolism Vol.6 No.4
Three patients with hypertension and hypokalemia demonstrated the low level plasma renin activity and elevated aldosterone level. Plasma renin activity did not increase during volume depletion and aldosterone level did not suppress during salt loading. Computerized tomography of abdomen showed well-defined oval mass of low density in right adrenal gland in all 3 cases. Right adrenalectomy was done and pathologic finding showed adrenal adenoma. Postoperatively there were reversal of hypertension and hypokalemia. We present three cases of primary aldosteronism which were all located in right adrenal gland, with brief review of literatures (J Kor Soc Endocrinol 6:377~383, 1991)
Somatostatin 투여로 임상적 호전을 보인 악성인슐린종 1 예
문병천(Boung Cheon Moon),김종호(Jong Ho Kim),정창호(Chang Ho Jeong),전배완(Bae Owan Chun),권용준(Yong Joon Kwon),한승수(Seung Soo Han),김광희(Kwang Hoi Kim),이병두(Byung Doo Lee) 대한내과학회 1991 대한내과학회지 Vol.41 No.2
A 61 year-old woman with symptomatic, malignant insulinoma was hospitalized with random blood glucose levels of 16-48 mg/dl and corresponding serum insulin levels of 35~54 μIU/ml. Physical examination showed a slightly enlarged liver, which was palpable 1 finger breadth below the right costal margin. Abdominal CT and selective celiac angiogram revealed hypervascular pancreatic mass with metastases to the liver and spleen. Ultrasono-guided aspiration biopsy cytology of the pancreas and excisional biopsy of tumor thrombus on the gastrocolic omentum revealed islet cell adenoma. Treatment was begun with subcutaneous injection of 50㎍ of SMS 201-995 every 8 hours. The hypoglycemic symptom was well controlled by doses of 200~250㎍ t. i.d and blood glucose levels also improved, There were no significant side effects except for diarrhea which was easily controlled by conservative treatment. The potential value of this new drug in management of malignant insulinoma was illustrated by this case over a short period, but the long-term effects on the serum glucose and insulin levels in our patient remain to be determined.
Graves 병에 동반된 Guillain - Barre 증후군
윤순일(Soon Il Yoon),김종호(Jong Ho Kim),전배완(Bae Owan Chun),김종순(Jong Soon Kim),김광희(Kwang Hoe Kim),한승수(Seung Soo Han) 대한내과학회 1991 대한내과학회지 Vol.41 No.3
Autoimmune thyroid diseases include Graves disease, Hashimotos thyroiditis and primary myxedema. Hyperthyroidism is associated with a variety of muscle abnormalities such as myopathy, periodic paralysis and myasthenia gravis, There are several reports of autoimmune thyroid diseases associated with various other autoimmune diseases such as type I diabetes mellitus, aplastic anemia and rheumatoid arthritis, Guillain-Barre syndrome, associated with hyperthyroidism, has been previously reported in 4 cases. A 41-year-old woman developed Guillain-Barre syndrome during the treatment of Graves disease with propylthiouracil (PTU). She had quadriplegia and recurrence of hyperthyroidism. Her CSF protein level was elevated and the CSF cell count was not elevated. The recurrent hyperthyroidism was treated with PTU. She responded to therapy well and became euthyroid without improvement of muscle weakness. She received physical therapy and showed progressive gain in muscle strength. In conclusion, although Guillain-Barre syndrome happens to coexist during treatment of Graves disease, the former may be associated with the latter by a common autoimmune pathogenesis.