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A Case of Esophagogastroduodenoscopy Associated Actinomycosis Presenting as Ulcers of Hard Palate
유종진,류성호,이진서,엄중식,박소연,홍지연 대한감염학회 2009 Infection and Chemotherapy Vol.41 No.6
Actinomyces is a normal flora of the oral cavity but lesions localized to the oral mucosa are very rare. We herein present a rare case of actinomycosis presenting as ulcers of hard palate which developed after esophagogastroduodenoscopy.
증례 : 류마티스 ; Methotrexate로 치료한 불응성 육아종성 유방염 1예
유종진 ( Jong Jin Yoo ),강은하 ( Eun Ha Kang ),이윤종 ( Yun Jong Lee ),김성원 ( Sung Won Kim ),최인아 ( In Ah Choi ),이은봉 ( Eun Bone Lee ),송영욱 ( Yeong Wook Song ) 대한내과학회 2012 대한내과학회지 Vol.82 No.3
Granulomatous mastitis (GM) is an uncommon chronic inflammatory disease of the breast that can mimic breast carcinoma or infection. The treatment options include expectant management, complete resection, and corticosteroid therapy, although no standard treatment has been established. Recently, several case reports have suggested that methotrexate is another effective treatment for GM. Here, we describe the first Korean case of recurrent GM successfully treated with low-dose weekly methotrexate and review the relevant literature. (Korean J Med 2012;82:386-391)
홍지연,박대균,유종진,이승민,김민관,김성은,이준희,한규록,오동진 대한심장학회 2010 Korean Circulation Journal Vol.40 No.6
Background and Objectives: Heart failure rarely occurs in patients with thyrotoxicosis (6%), with half of the cases having left ventricular dysfunction (LVD). Although a few studies reported isolated right heart failure in thyrotoxicosis,there has been no evaluation of relationship between LVD and right ventricular dysfunction (RVD). Subjects and Methods: We enrolled 12 patients (mean age: 51±11 years, 9 females) diagnosed as having thyrotoxicosis with heart failure and LVD {left ventricular ejection fraction (LVEF) <40%}, and divided them into two groups {Group I with RVD defined as tricuspid annular plane excursion (TAPSE) less than 15 mm and Group II without RVD}. Clinical features, laboratory variables, and echocardiographic parameters were compared between two groups. Results: RVD was found in 6 (50%) patients. On admission, there were no significant differences between the two groups in clinical features, laboratory variables, or echocardiographic parameters including atrial fibrillation {6 vs. 5, not significant (NS)}, heart rate (149±38 vs. 148±32/min, NS), LVEF (36.7±9.5 vs. 35.1±6.3%, NS), or the tricuspid regurgitation peak pressure gradient (TRPPG, 30.9±2.0 vs. 36.3±9.3 mmHg, NS). After antithyroid treatment, all achieved an euthyroid state and both ventricular functions were recovered. All data,including the recovery time of LVEF and the change of heart rate between two groups, displayed no significant differences. Conclusion: In half of patients, RVD was combined with thyrotoxicosis-associated LVD. There were no differences in clinical factors or hemodynamic parameters between patients with and without RVD. This suggests that RVD is not secondary to thyrotoxicosis-associated LVD.