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CT 유도하 경피적 흉부 세침생검 후 발생한 뇌 공기 색전증 1례
양두경 ( Doo Kyung Yang ),이수걸 ( Soo Keol Lee ),서성환 ( Sung Wan Suh ),손유정 ( You Jeong Sohn ),김경태 ( Kyoung Tae Kim ),유정남 ( Jung Nam Yoo ),김종국 ( Jong Kuk Kim ),노미숙 ( Mee Sook Roh ),최필조 ( Pil Jo Choi ),김기남 ( 대한결핵 및 호흡기학회 2004 Tuberculosis and Respiratory Diseases Vol.57 No.5
금동주 ( Dong Joo Keum ),양두경 ( Doo Kyoung Yang ),김광진 ( Kwang Jin Kim ),지삼룡 ( Sam Ryong Jee ),윤진혁 ( Chin Hyuk Yun ),이성원 ( Sung Won Lee ),정원태 ( Won Tae Chung ) 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.3
Behcet`s disease is a recurring illness characterized by the triple symptom complex of aphthous stomatitis, genital ulceration, and uveitis. The disease is multisystemic disorder with involvement of skin, gastrointestinal tract, blood vessels, central nervous system, joints, and epididymis. Vascular involvement of Behcet`s disease affects both arteries and veins and blood vessels of all sizes. Periosteal new bone formation is one feature of hypertrophic osteoarthropathy. Other features are clubbing and arthritis. Periosteal new bone formation on the bones of the lower extremities without other features of hypertrophic osteoarthropathy has been reported in patients with varicose veins, vitamin A intoxication, infantile cortical hyperostosis, tuberous sclerosis, congenital syphilis and chronic renal failure with hyperparathyroidism, and chronic venous insufficiency. However, periosteal new bone formation has not, to our knowledge, been described in patients with Behcet`s disease yet although similar findings are occasionally noted in polyarteritis nodosa. We report a case of Behcet`s disease complicated by leg swelling with periosteal new bone formation of right lower leg.
문성훈(Sung Hun Moon),최해종(Hae Jong Choi),윤욱돈(Uk Don Yun),양두경(Doo Kyoung Yang),우영석(Young Seok Woo),장광열(Kwang Yul Chang),지삼룡(Sam Ryong Jee),오일환(Il Hwan Oh),김성은(Seong Eun Kim),김기현(Ki Hyun Kim) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.1
Tuberous sclerosis is a rare disease, which occurs sporadically or hereditarily and is recognized by its neurological and dermatological manifestations and may be accompanied with renal anomalies. The cla- ssical triad is composed of seizure, mental retardation and adenoma sebaceum on face. We experienced two cases of tuberous sclerosis in sporadic forms by mutation without any familial history which suggests the diseases were occurred by mutation rather than by autosomal dominant inheritance. In the first case, a 24-year-female patient with hypertension and abnormal renal function tests which were noted on the routine prenatal check at 32 weeks of gestation delivered normally at 37 weeks. The daughter of patient had seizure when she was 6 years old and was diagnosed as polycystic kidney disease by abdorninal computed tomography. This case developed sporadic form of disease without familial history but, the daughter of patient might inherited by autosomal dominant form. The patient's clinical feature was characterized by history of epilepsy, painless abdominal mass due to polycystic kidney disease, abnormal renal function, skin abnormalites including angiofibroma and shagreen patch. Abdominal computed tomography demonstrated numerous variable sized cysts throughout both kidney. In second case, the patient was a 32-year-female patient complaining of 5kg weight gain, abdominal distension due to palpable masses. Her clinical feature was characterized by bilateral huge renal angiomyolipoma with normal renal function and skin abnormality such as erythematous papule on the face. Abd CT and MRI revealed huge angiomyolipoma of about 15cm×18.5cm×30cm and 14.5cm×18cm×30cm res- pectively. We presented the two cases with brief review of the literatures.
폐출혈과 위장관출혈이 합병된 Henoch-Sch nlein Purpura 1예
김광진,한상영,이철종,최석렬,노명환,신우원,이종훈,양두경,허기영 대한소화기학회 2000 대한소화기학회지 Vol.36 No.4
Henoch-Sch nlein purpura is an immunologically mediated systemic vasculitis of small blood vessels that primarily involves the skin, gastrointestinal tracts, joints, and kidneys. Henoch-Sch nlein purpura is a common vasculitic disease of childhood. It is diagnosed by characteristic clinical manifestations: nonthrombocytopenic purpura, arthritis or arthralgia, abdominal pain which may be complicated by gastrointestinal hemorrhage, and urinary sediment changes. Pulmonary hemorrhage is a rare complication which occurred predominantly in adolescent and adult according to previously reported cases. We experienced 34-year-old man with Henoch-Sch nlein purpura in whom gastrointestinal bleeding and bilateral, massive, pulmonary hemorrhage developed. He died of respiratory failure.