http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Henoch-Schönlein Purpura with Concurrent Cytomegalovirus Duodenitis
신새봄,최영진,이지은,곽봉기,김용희,하경선,강진형 대한감염학회 2017 Infection and Chemotherapy Vol.49 No.2
Henoch-Schönlein purpura (HSP) is a systemic vasculitis involving the small vessels with distinct clinical features. The etiology of HSP is diverse, and viral infection is one of the many predisposing factors. Cytomegalovirus (CMV) infection mostly affects immune-suppressed patients, but rarely patients with normal immunity can also be affected. Authors experienced a case of HSP patient, with underlying small-cell lung cancer (SCLC) with CMV duodenitis. This is a rare case of HSP diagnosed in SCLC patient with predisposing factor of CMV infection.
신새봄,김진일,정대영,장유나,이준섭 대한상부위장관ㆍ헬리코박터학회 2018 Korean Journal of Helicobacter Upper Gastrointesti Vol.18 No.2
Lymphangioma of the esophagus is a rare submucosal benign tumor. A 49-year-old man was referred because of a foreign body sensation in the esophagus. In endoscopy, a 10×1.0-cm longitudinal, translucent, whitish yellow mass covered with normal esophageal mucosa was found in the lower esophagus. Endoscopic ultrasonography revealed a heterogeneous, mainly hypoechoic, well-circumscribed lesion located in the third layer. Incisional biopsy was performed, and histologic findings showed multiple dilated lymphatic vessels, consistent with lymphangioma. After 3 months of proton pump inhibitor treatment, the symptom was relieved and the patient is currently asymptomatic and under surveillance. (Korean J Helicobacter Up Gastrointest Res 2018;18:127-130)
증례 : 신장 ; 우연히 발견된 무증상 기종성 신우신염 1예
이현정 ( Hyeon Jung Lee ),신새봄 ( Sae Bom Shin ),고세은 ( Se Eun Go ),서주현 ( Ju Hyun Seo ),한덕재 ( Deok Jae Han ),조형준 ( Hyeong Jun Cho ),김영옥 ( Young Ok Kim ) 대한내과학회 2015 대한내과학회지 Vol.89 No.5
기종성 신우신염은 주로 당뇨병 환자에서 발생하는 심한 괴사성 감염으로 발생빈도는 낮지만 임상경과가 매우 빠르고 예후가 나쁠 수 있기에 즉각적인 처치가 필요한 것으로 알려져 있다. 대개 급성 신우신염과 유사한 증상을 보이나 요로감염을 시사하는 증상 없이 우연히 영상검사 중에 진단된 증례가 국외에서 1예[7] 보고된 바 있다. 저자들은 진단 시점부터 치료 시작 전까지 무증상이었으나 연속적으로 시행한 영상검사상 악화 소견을 보여 항생제 치료를 시작하였고 영상검사상에서 호전을 확인한 증례를 경험하였기에 유사한 증례의 고찰과 함께 보고하는 바이다. Emphysematous pyelonephritis (EPN) is a severe gas-forming infection of the renal parenchyma and surrounding tissues. Patients with EPN commonly present with high fever, chills, and flank pain. These symptoms mimic a simple urinary tract infection, such that diagnosis is often delayed. Because of its life-threatening fulminant course, the early detection of EPN and its prompt treatment with intravenous antibiotics with or without percutaneous drainage are critical. Here we describe a case of a 63-year-old Korean female with diabetes mellitus who had no specific symptoms or signs of EPN. A chest computed tomography (CT) scan to assess a right pleural effusion incidentally detected an abnormal gas shadow in the renal parenchyma. An abdominal CT scan performed 5 days later showed increased gas within the kidney parenchyma, but the patient still had no symptoms of EPN. She was treated with intravenous antibiotics alone. A follow-up abdominal CT scan revealed the complete disappearance of the features of EPN. (Korean J Med 2015,89:567-570)
김신승,김진일,정대영,노현진,신새봄,장유나,김동진,김욱 대한상부위장관ㆍ헬리코박터학회 2016 Korean Journal of Helicobacter Upper Gastrointesti Vol.16 No.3
Treatment of choice for early gastric cancer has changed from curative surgery to endoscopic therapy. And the indications for endoscopic treatment of early gastric cancer are expanded. A 70-year-old man was referred for further management of early gastric cancer. In endoscopy, early gastric cancer was suspected at antrum, greater curvature side of gastric body. Endoscopic submucosal dissection was performed. Histology revealed a 6.9×2.7-cm-sized tubular adenocarcinoma, moderately differentiated type and resection margin was negative. Following endoscopy was performed annually. Histology has changed from chronic inflammation to chronic gastritis with intestinal metaplasia, tubular adenoma with low grade dysplasia, tubular adenoma with high grade dysplasia year by year. Laparoscopic subtotal gastrectomy with lymphadenectomy was performed. Histologic finding showed well differentiated tubular adenocarcinoma confined in mucosal layer without lymph node metastasis. (Korean J Helicobacter Up Gastrointest Res 2016;16:-164)