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강영우,박봉기,이상숙,송홍석,박재후,서승연 대한내과학회 1987 대한내과학회지 Vol.33 No.1
Herein we reported a case of sinus histiocytosis with massive lymphadenopathy which was the second in our nation. The patient was 53-year old man with a ten-year clinical course of SHML. Since three years before admission, he was suffered from generalized lymphadenopathy, nasal stuffiness, and multiple dark-reddish colored skin papules. Since 1 month before admission, more progression of nasal stuffiness and lymph node enlargement with persistent frontal headache were developed. Microscopic examination of cervical lymph node and skin tissues revealed characteristic features of SHML: predominant histiocyte infiltration, lymphophagocytosis, plasma cell proliferation. Laboratory examination disclosed anemia, increased erythrocyte sedimentation rate, polyclonal gammopathy and CSF protein of 434 mg/dl with WBC of 63/mm³. We observed a defect in cellular immune function, cutaneous anergy by Multi-CMI skin test. After treatment with vinblastine and prednisolone, improvement of headache, nasal stuffiness, and lymph node enlargement were noted.
만성 뇌경막외 혈종 : 2예 보고 Report of Two Cases
강영우,이봉암,이영근 대한신경외과학회 1979 Journal of Korean neurosurgical society Vol.8 No.2
Extradural hematomas are usually acute and rapidly progressing and the lucid intervals generally varies from a few moments to several hours. However, not uncommonly, an epidural hematoma may have a lucid interval lasting weeks, months or even years, which may present as a chromic epidural hematoma. Two cases have recently come under our care, demonstrating a paucity of objective neurologic abnormalities, but with extensive compressive extradural hemorrhage, which were found incidentally during the screening examination with the CT scanning.
강영우,김희철,이성룡 대한생물치료정신의학회 2001 생물치료정신의학 Vol.7 No.2
Objectives : There is a hypothesis that subject may adapted to same kind repetitive stress. Polyamine(putrescine, spermidine, and spermine) is one of the stress responses in brain and peripheral organs. Therefore, we designed this study to investigate the differences between single and complex type of chronic stresses by examining the changes of polyamine levels in brain and peripheral tissues. Method : There are four groups in this study. 1) control group(n=5) : animals with no stress, 2) immobilization stress group(n=5) : animals with 10 times of immobilization stress, 3) cold-water swimming stress group(n=5) ; animals with 10 times of swimming stress in cold water, 4) complex stress group(n-5) : animals with immobilization and cold-water swimming stress. For immobilization stress(10 days), rats were placed in restrainers once daily, for 3 hours, For cold water swimming stress, rats were placed in ice-cold water once daily for 3min(10 days). For complex stress, rats were alternately underwant immobilization stress and cold swim stress, for 10 days(5 times, respectively). For polyamine analysis, polyamine extracted from brain tissue(frontal cortex and hippocampus) and gastrointestinal tract(gastric and duodenal mucosa) and measured with high performance liquid chromatography and ultraviolet detector at 242nm. Results : Putrescine levels in frontal cortex were significantly decreased by immobilitation stress and complex stress, respectively. Putrescine levels in hippocampus were significantly decreased by immobilization stress. Spermidine levels in duodenal mucosa were significantly decreased by cold swimming stress. However, spermine levels were not changed by any type of stress. There were no differences in polyamine reponses between single type and complex type stresses. Conlusions : Attenuations of putrescine and spermidine levels after chronic stresses seem to be a adaptation process of polyamine responses. In our experimental conditions, there are no differences in polyamine responses between single type and complex type stresses.
비전형적 부위인 위전정부 (2예) 와 위공장문합술후 공장 부위 (1예) 에서 관찰된 Dieulafoy 양 병변
강영우,안성훈,박승국,황재석,허정욱,권오영 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.3
Dieulafoy's lesion is a rare distinetive arterial malformation that can cause massive gastrointestinal henorrhage. Although in most cases the lesion is encountered in the proximal stomach within 6 cm of the gastroesophageal junction, similar lesions have been described in the antrum, duodenum, jejunum, colon, and rectum. We report 3 unusually located Dieulafoy-like lesion, two gastric antrum and one jejunum in patient who had gastrojejunostomy for pancreatic caneer. After a year follow up there was no bleeding episode in patient after endoscopic treatment.
강영우,이상곤,안성훈 대한소화기학회 1992 대한소화기학회지 Vol.24 No.4
Currently, the incidence of corrosive esophagitis and gastritis caused by strong acid for suicidal purpose has been increased instead of decreasing tendency of accidental ingestion of strong alkali. It is important to analyze the current statua of strong acid injury in upper gastrointestinal tract because the report about this field is rare in Korea. We reviewed 18 cases of corrosive esophegitis and gastritis caused by strong acid, who were admitted to Dongsan Hospital from Januaty, 1978 to December, 1991. In conclusion, urgent diagnosis and management is necessary to these patients for longterm survival and prevention of complications.