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( Ji Won Min ),( Jin Her ),( Chang Kil Jung ),( Hee Jin Song ),( Soo Kyung Bae ),( Ki Hwan Hur ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Xanthogranulomatous cholecystitis (XGC) is a rare form of chronic cholecystitis that is chacterized by focal or diffuse destructive infi ammation and xanthomatous histiocytes. Radiographically it is sometimes confused with malignant neoplasm due to abnormal wall thickening of the gallbladder with peripheral infi ltration. A 54-year-old man was admitted to the hospital complaining of right upper quardrant pain and jaundice. Computed tomogram (CT) was suggestive of gallbladder cancer with gallbladder stone accompanied by Mirizzi`s syndrome. Furthermore magnetic resonance imaging( MRI) and Positron emission tomography (PET)/CT scan revealed metastatic masses were seen on in segment 6 of the liver. Under a diagnosis of Gallbladder cancer with liver metastasis, Radiacal cholecystectomy and right hepatectomy were performed. A histological examination indicated xanthogranulomatous cholecystitis and multiple liver abscesses extended from the gallbladder. Postoperatively, he complained of an abnormal sensation in his left eyeball and was diagnosed to have endogenous endophthalmitis. we herein present a case of xanthogranulomatous cholecystitis with a liver abscess and endogenous endophthalmitis.
A case of pseudomyogenic hemangioendothelioma of the back misdiagnosed as epithelioid sarcoma
( Ji Youn Hong ),( Ji Su Lee ),( Sung Min Kim ),( Jin Hee Kim ),( Joo Ran Hong ),( Hye In Cheon ),( Min Seok Hur ),( Yang Won Lee ),( Yong Beom Choe ),( Kyu Joong Ahn ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.1
A 25-year-old man referred to our dermatologic clinic with one month history of multiple nodular lesions on the back, histopathologically reported epithelioid sarcoma. A punch biopsy was performed again at our clinic, which demonstrated atypical spindle cell proliferative lesion. The tumor cells were immunoreactive for CD31, ERG, Multi-Cytokeratin (CK), INI-1, and vimentin, and were negative for S-100, SMA, EMA, and CD68. Ki-67 index was about 10% of tumor cells. Based on these results, this case is finally diagnosed as pseudomyogenic hemangioendothelioma (PHE). The patient was referred to plastic surgery department and treated with wide local excision. PHE is a rare soft tissue tumor, frequently presenting as multiple nodular lesions in the lower extremities. PHE is also known as epithelioid sarcoma-like hemangioendothelioma, which means that PHE can histopathologically mimic epithelioid sarcoma. In comparison with epithelioid sarcoma, PHE is a relatively indolent and rarely metastasizing tumor. Therefore, a definite diagnosis is important because treatment and prognosis are remarkably different. Immunochemistry is important for differential diagnosis. We herein report the case of PHE diagnosed by immunochemistry, which was misdiagnosed as an epithelioid sarcoma.
Hur, Jin,Kim, Young Jin,Lee, Hye-Jeong,Ha, Jong-Won,Heo, Ji Hoe,Choi, Eui-Young,Shim, Chi-Young,Kim, Tae Hoon,Nam, Ji Eun,Choe, Kyu Ok,Choi, Byoung Wook Radiological Society of North America 2009 Radiology Vol.251 No.3
<P>PURPOSE: To assess the diagnostic accuracy of two-phase 64-section cardiac computed tomographic (CT) angiography for detection of left atrial appendage (LAA) thrombi and differentiation between thrombus and circulatory stasis in patients with stroke, with transesophageal echocardiography (TEE) as the reference standard. MATERIALS AND METHODS: This study was institutional review board approved, and all patients gave written informed consent. Fifty-five consecutive patients (36 men, 19 women; mean age, 61 years) who had recently experienced a stroke, had high-risk factors for thrombus formation, and underwent both two-phase 64-section cardiac CT angiography and TEE up to 5 days apart were examined. Agreement between CT and TEE for detection of thrombus was assessed with kappa statistics. For quantitative analysis, the LAA-ascending aorta attenuation ratio (LAA/AA, in Hounsfield units) was measured on early- and late-phase CT images. The significance of differences in CT attenuation measurements were assessed by using the Student t test. RESULTS: A total of 14 thrombi were detected in the 55 patients at TEE. With TEE as the reference standard, the overall sensitivity, specificity, and positive and negative predictive values of cardiac CT angiography for the detection of thrombus in the LAA were 100% (14 of 14 patients), 98% (40 of 41 patients), 93% (14 of 15 patients), and 100% (40 of 40 patients), respectively. Concordance between cardiac CT angiography and TEE for the detection of thrombus in the LAA was high (overall kappa = 0.953). Mean LAA/AA values were significantly different between thrombus (0.29 HU +/- 0.12 [standard deviation]) and circulatory stasis (0.85 HU +/- 0.12) on late-phase CT images (P < .001). CONCLUSION: Two-phase 64-section cardiac CT angiography is a noninvasive sensitive modality for detecting LAA thrombi and differentiating thrombus from circulatory stasis in stroke patients.</P>
Hur, Jin,Kim, Young Jin,Lee, Hye-Jeong,Ha, Jong-Won,Heo, Ji Hoe,Choi, Eui-Young,Shim, Chi-Young,Kim, Tae Hoon,Nam, Ji Eun,Choe, Kyu Ok,Choi, Byoung Wook Ovid Technologies Wolters Kluwer -American Heart A 2009 Stroke Vol.40 No.6
<P>BACKGROUND AND PURPOSE: We assessed the diagnostic performance of 2-phase 64-slice cardiac computed tomographic angiography (CCTA) for the detection of a cardiac source of embolism in stroke patients using transesophageal echocardiography (TEE) as the reference standard. METHODS: We selected 137 patients who had experienced a recent episode of stroke and had undergone both 2-phase 64-slice CCTA and TEE within a period of 5 days. A potential cardiac source of embolism detected at both CCTA and TEE was recorded, and echocardiographic findings were categorized into high- and medium-risk sources based on the TOAST (Trial of Org 10172 in Acute Stroke Treatment) classification. RESULTS: Of 137 patients, 100 abnormal findings in 91 patients were found on TEE, and 46 patients had no abnormal finding on TEE. The overall sensitivity, specificity, positive predictive value, and negative predictive value of the 64-slice CCTA for detecting cardiac sources of embolism were 89% (95% CI, 82%, 95%), 100% (95% CI, 90%, 100%), 100% (95% CI, 95%, 100%), and 81% (95% CI, 70%, 92%), respectively. TEE detected a total of 47 high-risk sources of embolism, whereas CT detected 44 lesions. For medium-risk sources of cardiac embolic stroke, TEE detected a total of 53 abnormal findings, whereas CT detected 44 abnormal findings. Of 53 lesions, there were 8 false-negative results on CT (5 patent foramen ovale and 3 atrial septal aneurysm). CONCLUSIONS: Two-phase 64-slice CCTA is a noninvasive and useful modality for detecting high-risk cardiac sources of embolism in stroke patients.</P>
Ji-Won Hur,김용구 대한신경정신의학회 2009 PSYCHIATRY INVESTIGATION Vol.6 No.3
Objective:Personality dimension is considered as a risk factor of depression. This study was to compare aggression, impulsivity, hopelessness, and TCI (temperament and character dimensions) between patients with major depressive disorder (MDD) and normal controls. Methods: A total of 56 MDD patients and the same number of normal controls who were matched for age, gender, and education were recruited. All subjects completed the following questionnaires; Aggression Questionnaire (AQ), Beck Hopelessness Scale (BHS), Barratt Impulsiveness Scale, 11th Version (BIS-11), and Temperament and Character Inventory (TCI). Results: MDD patients were significantly higher scores in anger, hostility of AQ, BHS, motor impulsivity of BIS-11, and Harm Avoidances (HA) of TCI with all subscales of HA than normal controls, whereas novelty seeking 1 (NS1) (Exploratory of NS), Reward Dependence (RD) with RD3 (Attachment) · RD4 (Dependence), Self-Directedness (SD) with most subscales of SD, Cooperativeness (CO), and ST3 (Spiritual Acceptance) showed lower scores than normal controls. Moreover, BHS and HA, BIS and NS showed moderate positive correlation in MDD patients, while BHS and SD, HA and SD were negatively correlated. Conclusion: The present study showed unique clinical features, especially personality dimensions of patients with MDD. Our results could be applicable to suggest treatment process and to predict one’s prognosis for depression in that psychological properties are important for drug compliance and treatment response.
A case of calcinosis cutis of the fingertip
( Ji Youn Hong ),( Ji Su Lee ),( Sung Min Kim ),( Jin Hee Kim ),( Joo Ran Hong ),( Hye In Cheon ),( Min Seok Hur ),( Yang Won Lee ),( Yong Beom Choe ),( Kyu Joong Ahn ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.1
A 31-year-old male patient presented our clinic with a 3-month history of a yellowish globular-shaped subcutaneous firm nodule on right third fingertip. He complained of perilesional pain but had no systemic symptoms. He denied any history of trauma in the lesion, and medical past history. A biopsy was performed under clinical suspicion of glomus tumor. The lesion was totally excised, and histopathological examination revealed the presence of calcified deposits in the dermis. Moreover, laboratory examination, including renal function tests, serum calcium and phosphorus showed no abnormality. Idiopathic calcinosis cutis is an uncommon disorder, which is cutaneous calcification without underlying tissue injury or metabolic disorder. Tumoral calcinosis is a type of idiopathic calcinosis cutis, which usually occurs around the large joints, but rare in the fingers. Subepidermal calcified nodule is an another type of idiopathic calcinosis cutis. It is characterized by solitary hard papules on the head and extremities, which is frequently occurs in children. The other type of idiopathic calcinosis cutis is scrotal calcinosis. We herein report the case of idiopathic calcinosis cutis presenting with atypical manifestation, which occurs in fingertip of healthy male adult.
( Ji Eun Jun ),( Young Ju Choi ),( Yong-ho Lee ),( Dae Jung Kim ),( Seok Won Park ),( Byung Wook Huh ),( Eun Jig Lee ),( Sun-ha Jee ),( Kyu Yeon Hur ),( Sung Hee Choi ),( Kap Bum Huh ) 대한내과학회 2018 The Korean Journal of Internal Medicine Vol.33 No.1
Background/Aims: This study aimed to investigate whether the apolipoprotein (Apo) B/ApoA-I ratio is associated with carotid intima-media thickness (CIMT) in type 2 diabetes mellitus (T2DM) subjects with low density lipoprotein cholesterol (LDL-C) levels less than 100 mg/dL. Methods: This cross-sectional study included 845 subjects aged with T2DM 40 to 75 years who had visited Huh’s Diabetes Center in Seoul, Republic of Korea for CIMT measurement. Traditional fasting lipid profiles, ApoB and ApoA-I levels were examined. CIMT was measured at three points on the far wall of 1 cm long section of the common carotid artery in the proximity of the carotid bulb. The mean value of six measurements from right and left carotid arteries were used as the mean CIMT. In this study, carotid atherosclerosis was defined as having a focal plaque or diffuse thickening of the carotid wall (mean CIMT ≥ 1.0 mm) Results: The prevalence of carotid atherosclerosis increased with ApoB/ApoA-I ratio. The ApoB/ApoA-I ratio, expressed as both quartiles (odds ratio [OR], 2.14; 95% confidence interval [CI], 1.21 to 3.79; p for trend = 0.014) and continuous values (OR, 10.05; 95% CI, 3.26 to 30.97; p < 0.001), was significantly associated with a higher risk for carotid atherosclerosis, regardless of conventional cardiovascular disease risk factors. The optimal ApoB/ApoA-I ratio cutoff value for detecting carotid atherosclerosis was 0.57, based on receiver operating characteristic curve analysis with a sensitivity of 58.0% and a specificity of 55.1%. Conclusions: A high ApoB/ApoA-I ratio was significantly associated with carotid atherosclerosis in T2DM patients with LDL-C levels less than 100 mg/dL.
Hur, Ji-Won,Kim, Boram,Park, Dasom,Choi, Sung-Won Mary Ann Liebert 2018 Telemedicine and e-Health Vol.24 No.9
<P>Introduction:While self-administered mobile app-based cognitive behavioral therapy (CBT) has shown efficiency and effectiveness over the past decade, attempts to address automatic and negative beliefs have been lacking. The purpose of this study was to introduce and verify a mobile app that directly intervenes in dysfunctional thoughts. This app-based treatment includes recognizing automatic and negative thoughts of the protagonist of scenarios, writing advice directly to the main character, and sharing advice provided by other participants.Materials and Methods:Thirty-four participants diagnosed with Other Specified Depressive Disorder were recruited and randomly allocated to a CBT-based mobile-app program, the Todac Todac (TT group), or a daily mood chart app program (control group). Participants were asked to use the software for 3 weeks. Assessments for autonomic thoughts and clinical symptoms were administered at baseline and at a follow-up evaluation.Results:After completing the 3-week program, Dysfunctional Attitude Scale (DAS) scores in TT group were lower than they were in the control group. In clinical measures, both TT group and control group showed reduced Beck Depression Inventory-II (BDI-II) scores and situation-dependent trait version of State-Trait Anxiety Inventory (STAI-X2) at follow-up. However, TT group showed significantly reduced STAI-X2 scores compared to control group. For all participants, changes in DAS scores were correlated with BDI-II and STAI-X2 scores.Conclusions:Our preliminary findings provide promising evidence that scenario-based CBT mobile apps can be used to deliver feasible and efficacious cognitive therapy. Long-term research is needed to determine the impact and effectiveness of this new treatment format.</P>