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Chloroquine 내성 유입 말라리아 14 예에 대한 Halofantrine 의 치료효과
조현장(Hyun Jang Cho),노성민(Sung Min Noh),이상도(Sang Do Lee),부철수(Cheol Su Poo),김성일(Sung Il Kim),김두형(Du Hyeong Kim),김승영(Seung Young Kim),박병엽(Byeung Yeub Park) 대한내과학회 1997 대한내과학회지 Vol.53 No.4
Objectives: The prevalence of malaria is increasing in recent years and also multidrug resistant malaria is increasing around the world and there is an increasing concern about imported malaria in nonendemic areas. Now many drugs are tried to find out effect on multidrug resistant malaria. We performed this study to investigate the thrapeutic effect of halofantrine in the treatment of chloroquine resistant imported malaria. Methods: From Feb. 1992 to May 1995, we experienced 35 patients infected with malaria and treated 14 patients among 35 patients with halofantrine. Results: 1) All 14 patients were sailor with a mean age of 39.4 years and infected with malaria. 2) The majority of patients were infected with malaria at Africa. 3) 10 patients were infected with Plasmodium falciparum and the remainder were undetermined. 4) In the 11 cases of chloroquine resistant malaria treated with quinine plus tetracycline combination therapy or Fansidar, 4 cases could not be tolerable due to side effects and resistance to the therapy, we substituted halofantrine for above regimens. 5) In the 10 cases, treated after May 1994, halofantrine was the first choice of treatment because they were the cases of malaria infected in the mid-Africa where the prevalence of chloroquine resistant malaria is high. 6) With halofantrine, all 14 cases were treated with minimal side effects suc4 as nausea, vomiting, anorexia, abdominal pain and fatigue. Conclusion: We think halofantrine is a simple and effective regimen against chloroquine resistant malaria and consider this agent as an alternative therapeutic regimen on chloroquine resistant malaria.
노성민(Sung Min Noh),조현장(Hyun Jang Cho),이상도(Sang Do Lee),이재홍(Jae Hong Lee),김승영(Seyng Young Kim),이일두(Il Doo Lee),박병엽(Byeung Yub Park),정주섭(Ju Sup Jung) 대한내과학회 1996 대한내과학회지 Vol.51 No.1
Actinomycosis is chronic suppurative and granulomatous disease caused by anaerobic, gram positive filamentous bacterium, The most common sites of involvement are the cervicofascial area, thorax, abdomen and pelvis. Primary hepatic actinomycosis is rare and presents a diagnostic challenge. A 57-year old man was admitted because of right upper quadrant abdominal pain and fever for 1 month. abdominal ultrasonography, computed tomography examination showed mass lesion in liver. Primary hepatic actinomycosis was confirmed by identification of sulfur granule, ultrasonography-guided percutaneous needle aspiration. We report a case of primary hepatic actinomycosis, emphasizing the role of imaging study followed by percutaneous liver biopsy in a condition which frequently requires laparotomy for diagnosis.
부철수(Cheol Su Poo),김지수(Ji Soo Kim),조현장(Hyun Jang Cho),양승호(Yang Seung Ho),이헌직(Heon Jik Lee),김두형(Du Hyung Kim),양용석(Yong Seok Yang),김승영(Seung Young Kim),박병엽(Byeung Yub Park) 대한내과학회 1998 대한내과학회지 Vol.55 No.5
Autoimmune neutropenia is characterized by severe neutropenia with cell-bound neutrophil antibodies or circulating antibodies for neutrophils. Diagnosis of disease is made of the basis of the presence of antibodies for neutrophil. Corticosteroid or rhG-CSF have been reported to be effective in some patients. Recently we experienced one case of autoimmune neutropenia patient who was admitted to our hospital in 1997 because of stomach cancer and degenerative joint disease. She had severe neutropenia without underlying autoimmune disease. And cell-bound neutrophil antibodies were detected by indirect immunofluorescence test. Treatments with rhG-CSF and steroid result in transient improvement of neutropenia and subtotal gastrectomy was done successfully. We herein report one case of autoimmune neutropenia patient, to our best knowledge, the first report in Korea, with a brief review of literature.
류마티스 관절염, 골 관절염, 강직성 척추염, 통풍성 관절염 환자의 활액내 Adenosine deaminase 활성도
김승영 ( Seung Young Kim ),김지수 ( Ji Soo Kim ),김태범 ( Tae Bum Kim ),부철수 ( Chul Su Poo ),조현장 ( Hyun Jang Cho ),노성민 ( Sung Min Noh ),김병국 ( Byoung Kuk Kim ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.1
Objective: To investigate whether synovial fluid adenosine deaminase activity is useful in the differential diagnosis of joint swelling and in estimating the disease activity. Method: Adenosine deaminase activity was determined in the synovial fluid taken from patients with rheumatoid arthritis (n=21), osteoarthritis (n=l1), ankylosing spondylitis (n=3), and gouty arthritis (n=2). This enzyme activity was compared with the laboratory indices (ESR, CRP) in the blood and the other parameters in the synovial fluid. Result: More increased adenosine deaminase activity was found in the synovial fluid taken from patients with rheumatoid arthritis, ankylosing spondylitis, and gouty arthritis, as compared with that of osteoarthritis patients. Synovial fluid ADA activity was significantly corelated with the WBC count in the synovial fluid, but there was no statistical corelation between other synovial parameters and adenosine deaminase activity. Conclusion: Adenosine deaminase activity is useful in the differential diagnosis of joint swelling between inflammatory joint disease and osteoarthritis, but not useful in estimating the disease activity.