http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 신장 ; 1주간 지속된 육안적 혈뇨로 발현한 운동 유발 혈뇨 1예
나선영 ( Sun Young Na ),성지윤 ( Ji Yoon Sung ),정지용 ( Ji Yong Jung ),장제현 ( Jae Hyun Chang ),김세중 ( Se Joong Kim ),정우경 ( Woo Kyung Chung ),이현희 ( Hyun Hee Lee ) 대한내과학회 2012 대한내과학회지 Vol.82 No.1
외래에서 혈뇨 환자를 접하게 되면, 환자의 활동성 및 운동 여부를 반드시 확인하고, 혈뇨가 운동으로 유발되고, 운동 중단 후 호전되는지 확인하여야 한다. 그리고 종양, 감염, 약물, 요석, 신염과 운동 유발 혈뇨를 감별하여, 검사의 진행 여부를 결정해야 한다. 하지만 운동 유발 혈뇨가 다른 신장-비뇨기계의 증상 중 하나일 수 있기 때문에 반복적인 혈뇨, 연령 등에 따라 검사가 필요함을 염두해 두어야 한다. Exercise-induced hematuria is a phenomenon occurring in subjects who participate in strenuous exercise. Rapid resolution is an important feature of exercise-induced hematuria. We report here a case of exercise-induced hematuria presenting as gross hematuria Lasting I week in a 19-year-old male patient. Gross hematuria developed after strenuous exercise about 3 years ago. Three months ago, recurrent gross hematuria was Lasting I week, regardless of exercise intensity. Compression of the Left renal vein between the aorta and superior mesenteric artery, without prominent venous collaterals, was detected by computed tomography. However, no abnormalities were detected by renal venography, arteriography or kidney biopsy. Exercise-induced hematuria occurs with a high incidence, but is self-Limiting. In contrast, recurrent and gross hematuria can be associated with bladder carcinoma or vascular abnormality. This should be kept in mind, and urological evaluations such as cystoscopy and angiography are necessary in gross and recurrent hematuria. (Korean J Med 2012;82:95-99)
유근피 다린 물을 복용 후 발생한 급성 독성 간염 및 급성 신손상 1예
김병훈 ( Byung Hoon Kim ),나선영 ( Sun Young Na ),성지윤 ( Ji Yoon Sung ),장제현 ( Jae Hyun Chang ),김세중 ( Se Joong Kim ),이현희 ( Hyun Hee Lee ),정우경 ( Woo Kyung Chung ),정지용 ( Ji Yong Jung ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
Despite the splendid development of medicine, traditional alternative remedies have been widely used in Korea for a long time. Especially, the extract of elm bark is typical, common and easily obtained in a daily life. A scientific name of elm is Ulmus davidiana var. japonica. Although the study of pharmacologic effect and side effect is underway, the results are not yet enough to be applied in practice. Nevertheless, many people have the extracts of elm bark on expecting the improvement of health. We experienced a case of acute toxic hepatitis and acute kidney injury after complementary medication. She was a 48-year-old female patient who ingested 3-4 cups of extracts per day for 10 days to improve her health until admitted due to nausea, vomiting, and fatigue. The case report can suggest that ingestion of complementary medicine (elm bark root extracts) can be a cause of acute toxic hepatitis and acute kidney injury.
증례 : 신장 ; 결절성경화증 환자에서 신장과 간 혈관근지방종 및 폐 침범 2예
이현희 ( Hyun Hee Lee ),정우경 ( Woo Kyung Chung ),장제현 ( Jae Hyun Chang ),정지용 ( Ji Young Jung ),성지윤 ( Ji Yoon Sung ),나선영 ( Sun Young Na ),성연미 ( Yon Mi Sung ) 대한내과학회 2010 대한내과학회지 Vol.79 No.6
결절성경화증은 지능저하, 간질, 피지선종이 특징적으로 나타나는 상염색체 우성 유전 질환으로 뇌, 눈, 심장, 폐, 간, 콩팥, 피부 등 여러 장기에 양성 종양성 병변을 일으키는 질환이다. 혈관근지방종은 혈관, 평활근, 지방조직으로 구성된양성 종양으로, 결절성경화증과 연관되어 발생하는 경우도 많다. 혈관근지방종은 신 실질에 가장 흔하며, 이외 간, 비장, 자궁관, 림프조직 등의 복부 장기 및 폐, 심장에서 발생하기도 한다. 결절성경화증에서 종양이 여러 장기에 동시에 생긴예는 매우 드물다. 저자들은 결절성경화증 환자에서 신장과간에 혈관근지방종이 있고 임파관평활근종증 혹은 다발성 미세결절폐세포증식증 등의 폐 침범을 나타내는 2예를 경험 하였기에 보고하는 바이다. Tuberous sclerosis (TS) involves multiple organs. Angiomyolipoma of the liver or kidney is one of the clinical manifestations of TS. However, coexistent renal and hepatic angiomyolipoma associated with TS is a rare condition. Pulmonary involvement is extremely rare, and occurs in only 0.1~1% of TS. We report two cases of concurrent renal and hepatic angiomyolipomas with pulmonary involvement in patients with TS. The first case was a 35 year-old woman who showed multiple angiomyolipomas in the liver and both kidneys and cystic parenchymal changes in the lungs. The other case was a 27-year-old woman who showed multiple angiomyolipomas in the liver and both kidneys, and multinodular pulmonary shadows. To the best of our knowledge, this is the first reported case of renal and hepatic angiomyolipomas associated with pulmonary involvement in Korea. (Korean J Med 79:705-709, 2010)
지속성 외래 복막투석 환자에서 발생한 Comamonas testosteroni 복막염 1예
장제현 ( Jae Hyun Chang ),서미령 ( Mi Ryoung Seo ),나선영 ( Sun Young Na ),성지윤 ( Ji Yoon Sung ),정지용 ( Ji Yong Jung ),김세중 ( Se Joong Kim ),정우경 ( Woo Kyung Chung ),이현희 ( Hyun Hee Lee ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
Comamonas testosteroni has rarely been implicated as a human pathogen. We here present a case of peritonitis due to this organism in a patient on continuous ambulatory peritoneal dialysis (CAPD). A 32-year-old woman was admitted with abdominal pain and cloudy peritoneal effluent. Empirical intraperitoneal (IP) treatment with cefazolin and ceftazidime was started. The culture was positive for C. testosteroni and antibiotic was changed to ceftazidime IP. Four days after the ceftazidime treatment, the patient became asymptomatic. The follow-up culture from peritoneal effluent at 7th day was negative. This treatment was maintained for 21 days. After that, culture negative peritonitis occurred twice for 2 months in this patient, so CAPD catheter had to be removed. This is the first reported case of CAPD peritonitis caused by C. testosteroni. It is important for clinicians to recognize that CAPD peritonitis is caused by this organism which has been largely overlooked as a potential pathogen.