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정기석(Ki Suck Jung),이록윤(Rok Yun Lee),김윤원(Yun Weon Kim),김철민(Cheol Min Kim),노병연(Byeng Yun Rho),김성균(Seong Gyun Kim) 대한내과학회 1999 대한내과학회지 Vol.56 No.5
Scleroderma renal crisis is defined as the new onset of accelerated arterial hypertension and/or rapidly progressive oliguric renal failure. The pathogenesis is not well understood but there is increasing evidence that renin- angiotensin system is involved. We report an one female patient with diffuse scleroderma and renal crisis. Initial treatment with ACE inhibitor was not effective in controlling blood pressure until the temporal initiation of hemodialysis. Predialysis serum creatinine level was 8.4 mg/dL, but after initiation of hemodialysis, adequate control of blood pressure was achieved with ACE inhibitor alone. This case illustrated many features of the syndrome of scleroderma renal crisis and supported the early use of captopril and emergency hemodialysis if indicated.
만성폐쇄성폐질환 급성 악화로 입원한 환자의 세균성 원인
정기석 ( Ki Suck Jung ) 대한내과학회 2009 대한내과학회지 Vol.77 No.3
Chronic obstructive pulmonary disease (COPD) is a chronic disease that has high morbidity and mortality in Korea. Since an acute exacerbation can place a great burden not only on COPD patients but also on the community, the prevention and treatment of this condition is becoming more important. An acute exacerbation of COPD is defined as an event in the natural course of the disease, characterized by a change in the patient`s baseline dyspnea, cough, or sputum that is beyond the day-to-day variation, is acute in onset, and may warrant a change in regular medication. Among the causes of exacerbation, bacteria are the most common etiology. The data of Joo et al. in this issue best describe the relevant pathogens causing COPD exacerbation in Korea. Knowing the prevalent pathogens and their antibiogram is crucial when selecting the antibiotics to use. Their manuscript provides recent information on the bacterial etiology of COPD exacerbation. (Korean J Med 77:306-308, 2009)
정기석 ( Ki Suck Jung ) 대한내과학회 2009 대한내과학회지 Vol.77 No.4
The prevalence of chronic obstructive pulmonary disease (COPD) in Korea is reported to be 17.5% in aged over 45 years. The overall approach should be individualized and dependent upon the severity of the disease and clinical status of the patient. Objectives of COPD treatment are improvement of airflow obstruction, prevention and management of co-morbidity and complication of COPD and upgrading in the quality of life. Pharmacologic therapy includes bronchodilators such as beta-2 agonists, anticholinergic and theophylline. Another key pharmacologic agent is glucocorticosteroid which reduces acute exaceerbation and inflammatory burden in COPD airways. Non-pharmacologic management is not less important. Education including smoking cessation, rehabilitation, home oxygen therapy along with appropriate vaccination. More importantly, doctor-patient-patron relationship plays a central role in long-term management of COPD. (Korean J Med 77:422-428, 2009)
정기석 ( Ki Suck Jung ) 대한내과학회 2008 대한내과학회지 Vol.75 No.2
Community-acquired pneumonia (CAP) is one of major medical illness and leading causes of death in the elderly patients. They account for the majority of CAP-related hospital admission, and suffer from more severe degree of illness that often requires broad-spectrum antibiotics and intensive care unit (ICU) admission. Recently, the incidence and mortality of CAP is rising. Therefore, the economic and clinical burden is expected to increase consistently at present time and also in the future. Although Streptococcus pneumoniae is still the most common pathogen identified, pneumonia in elderly patients is different from that in younger patients, with regard to the etiology, clinical course, and treatment response. The most striking characteristic of pneumonia in older patients is its clinical presentation: classic symptoms are often absent. Therefore, appropriate diagnosis and treatment can be delayed. When approaching the treatment for pneumonia in older patients, patients with healthcare-associated pneumonia (HCAP) should be distinguished from those with CAP. Patients with HCAP are at high risk for multidrug-resistant (MDR) pathogens and tend to have much more severe illness due to multiple co-morbidities and decreased functional status, which are associated with poor outcome. Prevention should also be implemented, focusing on smoking cessation, aspiration prevention, and influenza and pneumococcal vaccination. (Korean J Med 75:129-140, 2008)
이정화 ( Jung Hwa Lee ),천원석 ( Won Seok Cheon ),서영일 ( Young Il Seo ),엄광석 ( Kwang Seok Eom ),장승훈 ( Seung Hun Jang ),반준우 ( Joon Woo Bahn ),김동규 ( Dong Gyu Kim ),정기석 ( Ki Suck Jung ) 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.1
Leflunomide is a new disease modifying anti rheumatic drug (DMARD) for the treatment of active rheumatoid arthritis. Its mechanism of action differs from other DMARDs in that it inhibits the de novo pyrimidine synthesis by inhibiting dihydroorotate dehydr
김정한(Jung Han Kim),장현주(Hyun Joo Jang),김성진(Sung Jin Kim),김철홍(Cheol Hong Kim),김동규(Dong Gyu Kim),모은경(Eun Kyung Mo),박명재(Myoung Jae Park),이명구(Myung Gu Lee),현인규(In Gyu Hyun),정기석(Ki Suck Jung) 대한내과학회 1999 대한내과학회지 Vol.56 No.1
Cryptococcosis has been considered as an opportunistic mycosis associated with depressed immune function of the host. However, it may develop in healthy individuals without any underlying disease. Recently, we experienced a case of pulmonary cryptococcosis in healthy person. The patient had experienced hemoptysis and dry cough persisted for a month. The chest X-ray and CT showed multifocal pneumonic consolidation containing small cavities in RLL, LUL and LLL. Fiberoptic bronchoscopy didn't revealed endobronchial lesion in both lungs. Transbronchial lung biopsy(TBLB) was done, and we could diagnose pulmonary cryptococcosis by means of histopathologic examination. Clinical evaluations did not reveal immune deficiency or evidence of other specific disease. The patient was treated with fluconazole and resulted in clinical and radiological improvement. Cryptococcosis has well known for its meningeal involvement. Although primary pulmonary cryptococcosis is rare, we must think of it when meet mass or nodular lesion on the chest radiology.