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미세침 흡인 세포검사 후 발생한 양측 갑상선내 출혈에서 갑상선 절제술을 하지 않고 압박 지혈술로 회복된 증례
백초옥 ( Cho Ok Baek ),장지원 ( Ji Won Jang ),국민하 ( Min Ha Kook ),김인재 ( In Jae Kim ),유경보 ( Kyung Bo Yoo ),조인진 ( In Jin Cho ),임진한 ( Jin Han Lim ),이영선 ( Young Sun Lee ),백홍선 ( Tae Sun Park ),박태선 ( Hong Sun Bae 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
Fine needle aspiration (FNA) procedure for thyroid nodule evaluation is considered to be safe and easy to perform, however serious complication such as intrathyroidal hemorrhage causing airway compression can be occurred. Massive hemorrhage compromised airway problem leads to unexpected results including total thyroidectomy. Prior to operation, careful decision for necessity of thyroidectomy and tight compression around bleeding site should be performed. In this case, we present the patient who resolved completely from massive intrathyroidal hemorrhage without thyroidectomy and implicate the importance of manual compression on the bleeding site after FNA before decision of operation.
자가 면역성 저혈당으로 발현한 전신성 홍반성 루푸스와 간질성 폐질환을 동반한 B형 인슐린 저항 증후군
장지원 ( Ji Won Jang ),백초옥 ( Cho Ok Baek ),김선민 ( Seon Min Kim ),이창훈 ( Chang Hun Lee ),국민하 ( Min Ha Kook ),양희찬 ( Hee Chan Yang ),김인재 ( In Jae Kim ),임성균 ( Sung Kyun Yim ),조인진 ( In Jin Cho ),진흥용 ( Heung Yon 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
Autoimmune forms of hypoglycemia which characterized by the presence of autoantibodies to insulin or insulin receptor are uncommon condition. Systemic lupus erythematosus (SLE) is a connective tissue disorder of unknown etiology accompanied by the presence of several kinds of autoantibodies and results in immune-mediated organ damage of multiple sites. We describe herein an unusual case of SLE with pulmonary manifestation presenting as hypoglycemia due to anti-insulin receptor antibodies. A 38-year-old Korean woman suffered an episode of unconsciousness and was admitted to hospital where blood glucose was found to be 18mg/dL. During hypoglycemic episode, her serum insulin level was inappropriately high (2,207.1 pmol/L; normal range: 18.173 pmol/L) and C-peptide level was elevated (1.7 nmol/L; normal range: 0.37.1.47 nmol/L). Further blood test revealed the presence of antinuclear antibody, anti-double stranded DNA antibody, anti-Ro/SSA, anti-La/SSB, anti-ribonecleoprotein, anti-insulin receptor antibody. Computed tomography scan for abdomen which was attempted at tumor localization such as insulinoma revealed ground-glass opacities in both lower lungs, while there was no abnormal finding in the abdomen. For a definitive diagnosis of the lung lesion, video associated thoracoscopic surgery was performed and the histopathological findings showed a pattern of fibrotic nonspecific interstitial pneumonia.
국민하 ( Min Ha Kook ),김인재 ( In Jae Kim ),백초옥 ( Cho Ok Baek ),이창훈 ( Chang Hun Lee ),장지원 ( Ji Won Jang ),오호준 ( Ho Jun Oh ),최경화 ( Kyoung Hwa Choi ),정치량 ( Chi Ryang Chung ),박승용 ( Seung Yong Park ),박성주 ( Seo 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
Tracheobronchopathia osteochondroplastica (TO) is a rare, benign condition and is characterized by the presence of bony and cartilaginous nodules in the tracheal and bronchial submucosa. Bronchoscopy remains the gold standard for the diagnosis of TO and characteristically reveals multiple, submucosal nodules measuring 1 to 10 mm in diameter. The lesions are found most frequently in the distal two thirds of the trachea and the involvement of the lobar and more peripheral bronchial tree is very rare. Here, we report a patient with right middle lobe syndrome caused by tracheopathia osteochondroplastica.
임진한 ( Jin Han Lim ),주연미 ( Yeon Mi Ju ),유지은 ( Ji Eun Yoo ),조재삼 ( Jae Sam Jo ),백초옥 ( Cho Ok Baek ),백홍선 ( Hong Sun Baek ),박태선 ( Tae Sun Park ),진흥용 ( Heung Yong Jin ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.2
Hyperthyroidism is associated with increased plasma levels of procoagulant and antifibrinolytic clotting factor, including fibrinogen and plasminogen activator inhibitor-1 (PAI-1) (1,2). Arterial thrombosis in thyrotoxicosis is mainly resulted from atrial arrhythmias and the overall incidence of thromboembolism varies from 8% to 40% (3). There are many reports about venous thrombosis related to the thyrotoxicosis, however, there are few cases about arterial thrombosis combined with thyrotoxicosis independent of atrial arrhythmias. Herein, we report a case of Graves` disease who presented with renal artery infarction independent of atrial fibrillation.