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차재황,이동원,김신영,김지현,문익상,정다현,박재준,윤영훈,박효진 대한상부위장관ㆍ헬리코박터학회 2018 Korean Journal of Helicobacter Upper Gastrointesti Vol.18 No.1
Background/Aims: Although several studies have suggested that tooth loss is associated with the risk of gastric cancer, the association between oral health and gastric cancer remains a controversial issue. Thus, we investigated whether oral health is associated with the risk of gastric neoplastic lesions. Materials and Methods: We retrospectively evaluated 391 patients who underwent upper gastrointestinal endoscopic examination between March 2010 and February 2013. The tooth number and the age-related periodontal bone loss score (ArB score) were investigated as parameters of oral health. Gastric neoplastic lesions included adenomas and cancer detected on biopsy examination. Results: We identified 10 patients (2.6%) with neoplastic lesions. Older age, a higher body mass index, and the presence of Helicobacter pylori infection were significantly associated with neoplastic lesions. However, there was no significant correlation about Kimura-Takemoto classification, ArB score, and tooth number. Multivariate analyses showed that age was significantly associated with neoplastic lesions. Conclusions: Our findings demonstrate that oral health (assessed using parameters such as tooth number and ArB score) may not be significantly associated with gastric neoplastic lesions.
차재황,라상호,박유미,지용관,이지현,박소연,백순구,권상옥,조미연,김문영 대한간학회 2013 Clinical and Molecular Hepatology(대한간학회지) Vol.19 No.4
Glycogenic hepatopathy (GH) is an uncommon cause of serum transaminase elevation in type I diabetes mellitus (DM). The clinical signs and symptoms of GH are nonspecific, and include abdominal discomfort, mild hepatomegaly, and transaminase elevation. In this report we describe three cases of patients presenting serum transaminase elevation and hepatomegaly with a history of poorly controlled type I DM. All of the cases showed sudden elevation of transaminase to more than 30 times the upper normal range (like in acute hepatitis) followed by sustained fluctuation (like in relapsing hepatitis). However, the patients did not show any symptom or sign of acute hepatitis. We therefore performed a liver biopsy to confirm the cause of liver enzyme elevation, which revealed GH. Clinicians should be aware of GH so as to prevent diagnostic delay and misdiagnosis, and have sufficient insight into GH; this will be aided by the present report of three cases along with a literature review. (Clin Mol Hepatol 2013;19:421-425)
지역사회 관련 메티실린 저항성 포도알균 심내막염 1례와 국내 보고된 증례들의 고찰
차재황 ( Jae Whang Cha ),이지현 ( Ji Hyun Lee ),라상호 ( Sang Ho Ra ),박유미 ( Yu Mi Park ),지용관 ( Yong Gwan Jee ),김경민 ( Kyung Min Kim ),김영근 ( Young Keun Kim ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
국내에 CA-MRSA에 의한 심내막염은 매우 드물게 보고되고 있으나 전세계적으로 점차적으로 증가하고 있다. 본 저자들은 젊은 성인에서 발생한 CA-MRSA 심내막염 1례를 보고하며 국내에 보고된 CA-MRSA에 의한 심내막염 증례들을 고찰하였다. 국내에 보고된 CA-MRSA 심내막염에서 SCCmectype Iva, PVL 음성이 가장 흔한 형이었으며, 모든 증례에서 수술적 치료를 필요로 하였다. Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is becoming an important public health issue worldwide, and being recognized as an emerging pathogen in infective endocarditis. We present a case of CA-MRSA endocarditis in an individual with underlying rheumatic mitral insufficiency and review the CA-MRSA endocarditis cases in Korea.
고명석,장진석,차재황 대한소화기학회 2020 대한소화기학회지 Vol.76 No.2
An endoscopic mucosal resection (EMR) is used widely as an alternative treatment to a surgical resection for early gastric neoplastic lesions. Among the unusual complications of gastric EMR, perforation is usually manifested as a pneumoperitoneum. This paper reports a patient with a left-side pneumothorax without pneumoperitoneum as a complication of gastric EMR. The patient developed a left side pneumothorax after gastric EMR in the gastric fundus and recovered without further complications after conservative treatment, including endoscopic clipping.
두빈-존슨 증후군 환자에서 발생한 급성 A형 간염으로 인한 지속성 담즙 정체 1예
성세용,정호연,라상호,차재황,김문영,백순구,조미연 대한내과학회 2011 대한내과학회 추계학술발표논문집 Vol.2011 No.1
서론: 두빈-존슨 증후군은 선천적 고빌리루빈 혈증을 나타내는 대사 장애 중 주로 포합 빌리루빈 혈증이 관찰되며 간에서 포합된 빌리루빈이 세담관으로 분비되는 과정에 이상으로 발생하는 증후군이다. 두빈-존슨 증후군에서 빌리루빈 수치는 일반적으로 2-5 mg/dL 정도이며 다른 일반적인 간기능 검사는 정상이다. 저자들은 과거에 두빈-존슨 증후군을 진단 받은 환자에서 발생한 급성 A형 간염으로 인한 지속성 담즙 정체 1예를 경험하였기에 보고하는 바이다. 증례: 34세 남자 환자는 5일 전 발생한 열과 우상복부 통증을 주소로 본원에 내원하였다. 과거력상 1995년도에 간조직 검사를 통해 두빈-존슨 증후군을 진단 받았다. 내원 당시 활력 징후는 130/92 mmHg, 맥박 61회/분, 호흡수 18회/분, 체온 36.7℃이었다. 구역질, 전신 쇠약감 및 식욕 부진 호소하였고 신체 검진에서 전신 황달 및 공막 황달이 관찰되었고 우상복부 압통 소견이 관찰되었다. 혈액 검사상 백혈구 4030/mm3, 혈색소 15.3 g/dL, 혈소판 142000/mm3이었고 혈청 생화학 검사상 AST/ALT 11745/11779 IU/L, ALP/GGT 154/285 IU/L, CK/LDH 1024/7500 IU/L, total bilirubin/direct bilirubin 14.2/12.7 mg/dL 소견 보였다. 혈액 응고 검사상 PT INR 3.15 로 상승되었고 소변 검사상 bilirubin 2+ 소견 보였다. 면역 혈청 검사상 HAV IgM (+) 소견 보여 급성 A형 간염으로 진단하였다. 이미지 검사상 간비장 종대 이외에 특이 소견 관찰되지 않았다. 내원 후 보전적 치료 후에 증상 호전되었고, 내원 8개월째에 시행한 검사상 AST/ALT 43/22 IU/L, ALP/GGT 88/50 IU/L, PT INR은 1.10으로 급성 간염은 회복되었으나 total bilirubin/direct bilirubin은 36/30.6 mg/dL 까지 상승하였고, 급성 A형 간염 발생 10개월째, 최근 시행한 검사상 18.2/16.8 mg/dL으로 담즙 정체 지속되는 상태로 외래 추적 관찰 중이다.
박유미,안성균,고안나,라상호,차재황,지용관,이지현 대한내과학회 2014 The Korean Journal of Internal Medicine Vol.29 No.2
Myocarditis often occurs due to viral infections and postviral immune-mediated responses. Hypersensitivity myocarditis is a rare form of myocarditis. Numerous drugs can induce myocarditis, which is typically reversible after withdrawal of the causative agent. Here, we report a case of hypersensitivity myocarditis that was probably triggered by amoxicillin and that resolved completely with heart failure management as well as discontinuation of the drug. A 68-year-old woman presented with acute chest pain mimicking acute coronary syndromes, but the coronary angiography was normal. A recent history of taking medications, skin rash, and peripheral eosinophilia suggested a diagnosis of hypersensitivity myocarditis, which was confirmed by cardiac magnetic resonance imaging and endomyocardial biopsy.
Acquired Hemophilia A with Gastrointestinal Bleeding
Narae Park,장진석,차재황 대한소화기내시경학회 2020 Clinical Endoscopy Vol.53 No.1
Peptic ulcer disease is the most common cause of acute gastrointestinal bleeding, followed by variceal bleeding, Mallory–Weisssyndrome, and malignancy. On the contrary, acquired hemophilia A is a very rare hemorrhagic disease, which usually manifests withmusculocutaneous bleeding, caused by autoantibodies against coagulation factor VIII. A 78-year-old man presented to the Emergency Department with melena. Dieulafoy’s lesions were observed on esophagogastroduodenoscopy,and endoscopic cauterization was performed. However, the patient complained of back pain and symptoms indicative ofupper gastrointestinal bleeding. Abdominopelvic computed tomography was performed, and hematoma in the psoas muscle was detected. Antibodies against coagulation factor VIII were confirmed with a blood test, and the diagnosis of acquired hemophilia A was made. Here, we report a case of acquired hemophilia A presenting with upper gastrointestinal bleeding symptoms and present a brief reviewof literature.
자가면역성 갑상선기능저하증과 동반한 1 형 위 유암종의 1 예
지용관 ( Yong Gwan Jee ),라상호 ( Sang Ho Ra ),박유미 ( Yu Mi Park ),차재황 ( Jae Whang Cha ),이지현 ( Ji Hyun Lee ),박홍준 ( Hong Jun Park ),조미연 ( Mee Yon Cho ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
Gastric carcinoid tumors are rare neoplasms that account less than 1% of all gastric cancer. They are classified as three types by pathogenesis. Type I gastric carcinoid tumors are arising from hyperplasia of enterochromaffin-like cells (ECLs) due to secondary hypergastrinema. Type I gastric carcinoid tumors can be associated with autoimmune disease for example type A chronic atrophic gastritis presenting antibodies to parietal cell or intrinsic factor. Some case reports has showed other autoimmune diseases such a sautoimmune thrombocytopenic purpura, autoimmune multi-glandular failure, type I diabetes mellitus, autoimmune hepatitis as well as autoimmune thyroiditis could be related to type Igastric carcinoid tumors. Especially, autoimmune thyroiditis combined with type I gastric carcinoid tumor has not yet been reported on except one case report in the world. We report rare case of autoimmune hypothyroidism due to Hashimoto`s thyroiditis combined with gastric carcinoid along with review of the related literature.