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송한솔 ( Han Sol Song ),최우혁 ( Woo Hyeok Choi ),최원복 ( Won-bok Choi ),양승 ( Seung Yang ),황일태 ( Il-tae Hwang ),백혜성 ( Hey Sung Baek ) 대한천식알레르기학회(구 대한알레르기학회) 2016 Allergy Asthma & Respiratory Disease Vol.4 No.4
The drug reaction with eosinophilia and systemic symptom (DRESS) is a severe adverse drug-induced reaction. Acetaminophen is extensively used as an over-the-counter drug as well as a medical therapeutic. In spite of its frequent use, drug eruptions related to DRESS caused by acetaminophen are rare. This case report describes a 9-year-old boy who experienced fever and maculopapular skin rashes after taking acetaminophen. Leukocytosis with marked eosinophilia and slightly elevated levels of liver enzymes were observed. Symptoms resolved after withdrawal of acetaminophen, followed by intravenous methylprednisolone administration. The diagnosis of DRESS induced by acetaminophen was confirmed by an oral challenge test after 2 months. No allergic reactions to ibuprofen were observed. (Allergy Asthma Respir Dis 2016:4:296-300)
골격성 II급 부정교합의 하악골 ASO를 동반한 선수술 치험례
송한솔(Han Sol Song),유형석(Hyung Seog Yu) 연세대학교 치과대학 두개안면기형연구소 2017 연세임상교정 Vol.24 No.1
골격적인 부조화가 있는 환자에서 악교정 수술을 계획했을 때 보통 술전교정, 수술, 술후교정의 3단계로 진행된다. 치열 보상을 수술 전 교정치료를 통해 탈보상하는 과정은 보통 1~2년 정도의 시간이 걸린다. 이 기간 동안 환자의 심미 및 저작능력은 악화되고, 생리적인 움직임에 역행하는 방향으로 교정치료가 이루어진다.1 본 증례에서는 상악 소구치의 발치를 동반한 이전의 절충치료 경험이 있는 환자에서, 성장 완료 후 하악의 anterior segmental osteotomy(ASO)를 동반한 악교정 수술 시행 후 교정치료를 진행하여 조기에 안모를 개선하고 치료기간을 단축할 수 있었기에 이를 소개하고자 한다. Conventional orthognathic surgery for patients with skeletal deformity is comprised of three steps: presurgical orthodontic treatment, orthognathic surgery, and postsurgical orthodontic treatment. Many previous studies reported the duration of presurgical orthodontic treatment and it takes appoximately 1~2 years. During this period, the patient's esthetics and functional occlusion deteriorates because of dental decompensation.1 The present report describes a skeletal Class II patient with previous orthodontic treatment treated by surgery-first orthodontic treatment with mandibular anterior segmental osteotomy.