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인간면역부전 바이러스 초감염 3예 조기 인지의 임상적 중요성
정성주 ( Sung Joo Jung ),정은석 ( Eun Sun Jung ),김정엽 ( Jeong Yup Kim ),정혜원 ( Hye Won Jeong ),박대원 ( Dae Won Park ),손장욱 ( Jang Wook Sohn ),김민자 ( Min Ja Kim ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
Primary HIV infection (PHI) is the period from initial infection with HIV to complete seroconversion and can presented in a variety of ways. Persons with symptomatic PHI are highly contagious and play a key role in HIV spread. More than 90% of acute infection go undiagnosed despite more than 50% of cases are symptomatic. As the newly diagnosed HIV infected patients have increased in South Korea recent years, persons with PHI should be included in the targeted public health strategies. We recently experienced three cases of symptomatic PHI; the first case presented with whole body rash and general weakness, the second presented as mononucleosis-like syndrome and aseptic meningitis, and the last showed as only fever and myalgia. We suggest that general practitioners realize the clinical impact of PHI on the spread of HIV and importance of its early detection. (Korean J Med 69:S988-S993, 2005)
무증상 담석에서 이형성 및 악성 종양 발생의 예방을 위한 담낭 절제술의 유용성 검토
정성주 ( Sung Joo Jung ),김재선 ( Jae Seon Kim ),홍승권 ( Seung Goun Hong ),주문경 ( Moon Kyung Joo ),이범재 ( Beom Jae Lee ),김지훈 ( Ji Hoon Kim ),연종은 ( Jong Eun Yeon ),박종재 ( Jong Jae Park ),변관수 ( Kwan Soo Byun ),박영태 대한소화기학회 2010 대한소화기학회지 Vol.55 No.1
목적: 담석에 의한 담낭 점막의 만성적인 자극과 염증에 의해 점막의 이형성 및 악성 종양이 발생할 수 있음은 이미 알려져 있다. 이번 연구는 무증상 담석 환자에서 이형성 및 악성 종양의 조기진단 및 치료로서 담낭 절제술의 유용성을 알아보고자 시행하였다. 대상 및 방법: 2004년 1월부터 2008년 7월까지 고려대학교 구로병원에서 담석으로 담낭절제술을 시행하였던 703예를 대상으로 후향적으로 의무기록을 분석하였고 수술 후 병리조직에서 이형성 및 악성 종양의 빈도를 조사하였다. 결과: 담석으로 담낭 절제술을 시행하였던 703예 중 증상이 있어 담낭 절제술을 시행하였던 경우는 542예(77.1%), 무증상으로 수술을 시행한 경우는 161예(22.9%)였다. 수술 후 병리조직에서 증상군에서 저도이형성 4예, 고도이형성 1예가 관찰되었다. 무증상군에서는 저도이형성 4예, 악성종양 2예가 관찰되었다(p=0.012). 증상군에서 이형성은 용종과 연관이 없었고 무증상군에서 이형성이나 악성종양은 용종과 연관이 있었다. 무증상군 161예 중용종을 동반한 경우에 용종의 크기에 따라 분석하였다. 용종의 크기가 1 cm 이상인 12예 중에서 저도이형성 2예, 악성종양 2예가 관찰되었고, 용종의 크기가 1 cm 미만인 12예 중에서 저도이형성 2예가 관찰되었다. 결론: 무증상 담석환자에서 용종을 동반하지 않은 경우에 담낭의 이형성 및 악성 종양을 예방하기 위해 담낭 절제술을 시행할 필요는 없으나, 용종을 동반한 무증상 담석 환자에서는 용종의 크기에 따라 담낭 절제술을 시행해야 할지에 대해서는 추가연구가 필요할 것으로 여겨진다. Background/Aims: It has been known that chronic trauma and inflammation of gallbladder (GB) mucosa by gallstones (GS) can induce epithelial dysplasia, carcinoma in situ, and invasive cancer. This study was designed to investigate the usefulness of cholecystectomy in patients with asymptomatic GS for the early diagnosis and removal of dysplasia or cancer. Methods: From January 2004 to July 2008, the clinical records of 703 cases with GS who underwent cholecystectomy at Korea University Guro Hospital were reviewed, and the prevalence of dysplasia and cancer was analyzed. Results: In symptomatic GS (542 cases) group, low grade dysplasia was found in 4 cases (0.74%) and high grade dysplasia in 1 case (0.18%). In asymptomatic GS (161 cases) group, low grade dysplasia was found in 4 cases (2.48%) and cancer in 2 cases (1.24%) (p=0.012 vs. symptomatic cases). Dysplasias in symptomatic GS group were not associated with polyps, but dysplasias and cancers in asymptomatic GS group were associated. Patients with asymptomatic GS and polyps were analyzed according to the size of polyps. In those (12 cases) with larger polyps (≥1 cm), low grade dysplasia was found in 2 cases and cancer in 2 cases. And in those (12 cases) with smaller polyps (<1 cm), low grade dysplasia was found in 2 cases. Conclusions: Extending indication of prophylactic cholecystectomy in patients with asymptomatic GS without polyp to prevent GB dysplasia or cancer beyond the existing indication does not seem to be justifiable in Korea. However, further studies are needed in patients with asymptomatic GS and polyp of any size. (Korean J Gastroenterol 2010;55:52-57)
정성주(Sung Ju Jung),오명주(Myung Joo Oh) 한국어병학회 2002 한국어병학회지 Vol.15 No.1
The objective of the study was to clarify the mechanism of persistent infection of marine birnavirus (MABV) in various nonpermissive cell lines. It was observed in CHSE-214, RTG-2 and RSBK-2 that the virus produced at high yield with typical cytopathic effect (CPE). On the contrary, the CPE was not produced in EPC, FHM and BF-2 cells. However amount of virus protein in both permissive and nonpermissive cell lines detected by ELISA was almost the same. Electron microscopy showed virions in permissive cells but not in nonpermissive cells. From the results, it is clear that virus protein and RNA were produced in nonpermissive cells as observed in permissive cells; however, assembly of the virus particles did not occur in nonpermissive cells.
중합효소연쇄반응법(Polymerase Chain Reaction, PCR)에 의한 남해안 양식산 어류로부터 Birnavirus의 검출
오명주,정성주,김영진,Oh, Myung-Joo,Jung, Sung-Ju,Kim, Young-Jin 한국어병학회 1999 한국어병학회지 Vol.12 No.1
복부팽만, 안구돌출 및 체색혹화의 외부증상을 대표적으로 나타내며, 세균 및 기생충과 같은 병원체 감염의 원인이 아닌 버나바이러스성으로 판단되어지는 남해안 양식산 넙치, 조피볼락, 농어를 대상으로 RT-PCR 법에 의한 체내 감염 바이러스 검출을 행하였다. IPNV 및 MBV만을 선택적으로 확인 검출 할 수 있으며 감염어체를 사용한 검출에서 배양 세포법(12/50)에 비하여 높은 검출 감도(46/50)를 나타내는 RT-PCR 진단법을 도입하였다. 아울러 우리나라 남해안 양식장에 버나바이러스의 감염이 폭넓게 진행되고 있음을 확인할 수 있었다. To detect birnavirus from cultured marine fish, RT-PCR assay was developed. This method was specific for aquatic birnaviruses that include IPNV Sp., IPNV Ab, IPNV VR-299 and MBV Y6. The birnavirus gene was detected (birnavirus positive samples detected 46/50) from clinical samples signed with abdominal distension and overall darkening even though the samples gave negative results in virus isolation (birnavirus isolate with CHSE-214 cell showed 12/50).