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다낭성 난소증후군 환자에서 비만도에 따른 인슐린 저항성에 대한 연구
김상만 ( Kim Sang Man ),이득주 ( Lee Deug Ju ),한인권 ( Han In Gwon ),최규홍 ( Choe Gyu Hong ),양광문 ( Yang Gwang Mun ),김진영 ( Kim Jin Yeong ),유근재 ( Yu Geun Jae ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.8
Objective : Polycystic ovarian syndrome (PCOS) is a heterogenous dysfunctional endocrinologic disorder with unknown etiology, clinically characterized by obesity, chronic anovulation, masculinization and infertility. Recently, the association between poly
폐경후 여성에서 2개월간의 호르몬대치요법이 혈청 지질과 Apolipoprotein(a)의 농도에 미치는 영향
민용기 ( Min Yong Gi ),장학철 ( Jang Hag Cheol ),이관우 ( Lee Gwan U ),한인권 ( Han In Gwon ),김치정 ( Kim Chi Jeong ) 대한내과학회 1993 대한내과학회지 Vol.44 No.2
Background : Postmenopausal women have a high risk of cardiovascular disease than premenopausal women and hormone replacement therapy [HRT] reduces the risk of cardiovascular disease. Apolipoprotein(a)[apo(a)] is attached by disulfide linkage to apo B-100 of LDL, forming lipoprotein(a)[Lp(a)]. The level of this lipoprotein is an independent risk factor for atherosclerosis. The serum level of apo(a) is stable and not affected by most dietary interventions and lipid lowering agents. There was little information available about the effect of HRT on levels of Lp(a). This study was conducted to assess the effect of HRT on serum lipids and apo(a) levels in postmenopausal women. Methods : Postmenopausal women with serum FSH level above 40mIU/ml or no menstruation for more than I year were included in the study. They received the combination of conjugnated equine estrogen (CEE) 0.625mg a day for 25 days plus medroxyprogesterone acetate 10mg(group A)or 5mg (group B) a day for the last 10 days followed by 5 days off. Hysterectomized women received CEE 0.625mg a day for 25 days (group C). HRT was repeated for 2 months. The baseline levels of serum total cholesterol, triglyceride, LDL cholesterol, VLDL cholesterol, HDL cholesterol, and apo(a) were compared with posttreatment levels. Results : Serum total cholesterol levels before treatment were 5.42±0.09mmol/L, 5.59±0.09mmol/L, 5.53±0.13mmol/L in group A, B, C respectively. After HRT they were significantly reduced to 4.93±0.08mmo/L, 5.22±0.08mmol/L in group A, B respectively (p=0.0001). Serum LDL cholesterol levels before treatment were 3.29±0.07mmol/L, 3.41±0.07mmol/L, 3.40±0.10mmol/L in gruop A, B, C respectively. After HRT they were significantly reduced to 3.00±0.06mmol/L (p=0.0001). 3.14±0.06mmol/L(p=0.0001), 3.18±0.13mmol/L(p=0.05) in gruop A, B, C respectively. Serum HDL cholesterol levels before treatment were 1.72±0.04mmol/L, 1.75±0.04mmol/L, 1.69±0.06mmol/L in gruop A, B, C respectively. After HRT they were significantly increased to 1.90±0.07mmol/L in gruop C (p=0.0001). Serum triglyceride levels before treatment were 1.45±0.08mmol/L, 1.54±0.08mmol/L, 1.68±0.15mmol/L in gruop A, B, C respectively. After HRT they were not significantly changed. Serum VLDL cholesterol levels before treatment were 0.39±0.03mmol/L, 0.40±0.03mmol/L, 0.45±0.05mmol/L in gruop A, B, C respectively. After HRT they were significantly reduced to 0.30±0.02mmol/L(p=0.0001), 0.34±0.03mmol/L (p<0.05) in gruop A, B respectively. Serum apo(a) levels before treatment were 357.5±33.2U/L, 348.7±28.2U/L, 376.8±54.2U/L in group A, B, C repectively. After HRT they were significantly reduced to 264.7±26.1U/L, 291.0±31.8U/L, 228.8±47.4U/L in group A, B, C reapectively (p=0.0001) Conclusion : These results suggest that HRT for 2 months in postmenopausal women has beneficial effect on serm lipids and apo(a) levels and HRT in postmenopausal women can improve their cardiovascular risk.
정형진 ( Jeong Hyeong Jin ),김해엽 ( Kim Hae Yeob ),안용진 ( An Yong Jin ),장학철 ( Jang Hag Cheol ),민용기 ( Min Yong Gi ),한인권 ( Han In Gwon ),이성공 ( Lee Seong Gong ) 대한내과학회 1992 대한내과학회지 Vol.42 No.3
Several congenital anomalies in Turner`s syndrome frequently include coarctation of the aorta and urinary tract malformations. These anomalies are occasionally associated with hypertension, but idiopathic hypertension also is common in adult Turner`s syndrome. A case of hypertension in 29 year-old female patient with 45XO/46XX mosaic, Turner`s syndrome is presented. The hypertension proved to have been to left adrenal gland pheochromocytoma by biochemical tests, computed tomography, and pathologic examination. Through literature review, we recognized that Turner`s syndrome among children and young adults has a preponderance of neurogenic tumor and 2 cases of pheochromocytoma associated with Turner`s syndrome had been reported. This case illustrates that neurogenic tumor including pheochromocytoma may be more frequently associate with Tuner`s syndrome than is expected at present. The possibility of pheochromocytoma should be considered when evaluating hypertensive patient with Turner`s syndrome.