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이중 풍선 소장 내시경으로 진단한 와파린에 의한 소장 벽내 혈종
임동휘 ( Dong Hwi Rim ),은창수 ( Chang Soo Eun ),문신제 ( Shin Jae Moon ),배중호 ( Jung Ho Bae ),김태엽 ( Tae Yeob Kim ),이항락 ( Hang Lak Lee ),손주현 ( Joo Hyun Sohn ),전용철 ( Yong Cheol Jeon ),한동수 ( Dong Soo Han ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Although bleeding is a major complication of oral anticoagulant therapy, warfarin-induced spontaneous intramural hematoma of the small bowel is a very rare complication. The clinical features of spontaneous intramural hematoma vary from mild abdominal pain to panperitonitis due to bowel perforation. Because spontaneous intramural hematoma can proceed to a life threatening situation, early diagnosis is of vital importance. Although there are a number of radiologic diagnostic tools available including abdominal ultrasonography and computed tomography, confirmation of the diagnosis through direct visualization of the involved bowel mucosa is very helpful. Direct confirmation of warfarin-induced spontaneous intramural hematoma of the small bowel is possible using double-balloon enteroscopy. We report a case of warfarin-induced spontaneous intramural hematoma with a review of the relevant literature. (Intest Res 2011;9:162-165)
박성수 ( Sung Soo Park ),김동찬 ( Dong Chan Kim ),김영택 ( Young Taek Kim ),전재범 ( Jae Bum Jun ),박찬금 ( Chan Kum Park ),고주연 ( Joo Yeon Ko ),임동휘 ( Dong Hwi Rim ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.4
A 62-year-old Korean woman was admitted to our department to evaluate a chronic cough and sputum, which had begun several weeks ago. The patient had been diagnosed with systemic sclerosis in 2004. Autoantibody screening tests were negative for the anticentromere and antitopoisomerase antibodies. She received therapy with combined cyclophosphamide, a calcium channel blocker, D-penicillamine, and low dose steroid. In 2006, a pulmonary function test (PFT) showed a restrictive pattern, and a computed tomography (CT) scan of the lungs revealed interstitial lung disease, but no symptoms were present, so we maintained her on the medication. In October 2008, a chest x-ray and CT scan of the lungs demonstrated aggravation with bilateral basal interstitial infiltrates and hilar lymphadenopathy. Cyclophosphamide pulse therapy was conducted six times during 6 months, but there was no change on her chest CT and PFT, and she had no symptoms, so we decided to follow up. On admission, no significant interval change in the reticular opacity of both lower lungs was observed, but several lymph nodes were enlarged on a chest and neck CT. The skin showed multiple large polygonal-shaped scaled lesions on her upper and lower extremities. Biopsies were taken from the skin of the lower extremities and the left cervical lymph node. Typical non-caseating granulomas corresponding to sarcoidosis were found along with systemic sclerosis findings.
강직성 척추염으로 오인된 지연형 척추 골단 이형성증 1예
오일환 ( Il Hwan Oh ),송준석 ( June Seok Song ),임동휘 ( Dong Hwi Rim ),최종욱 ( Jong Wook Choi ),이승훈 ( Seung Hun Lee ),이주현 ( Joo Hyun Lee ),김태환 ( Tae Hwan Kim ) 대한류마티스학회 2011 대한류마티스학회지 Vol.18 No.4
10년 전 양측 발목의 통증과 경부와 요추부의 강직과 통증으로 강직성 척추염 진단 받고 NSAIDs 치료 중이었으나 호전이 없던 환자를 재평가하는 과정에서 신체 검진과 영상학적 검사를 통해 지연형 척추골단 이형성증으로 진단 후 치료중인 증례를 문헌 고찰과 함께 보고하는 바이다. The spondyloepiphyseal dysplasia tarda (SEDT) is a hereditary arthropathy that progressively leads to deformities of small and large joints, irregularities of the end plates of vertebral bodies, which causes joint restriction, short stature, and gait difficulties. The typical radiographic findings of SEDT are generalized platyspondyly and dysplasia of the epiphyses, resulting in premature arthrosis. Clinically SEDT is manifested as a form of short-trunk dwarfism and early arthrosis in the period from late childhood to adolescence. The major clinical importance of this rare disease is similarity to juvenile idiopathic arthritis (JIA), which has a rather different prognosis and treatment. A few cases of SEDT have been published. However, no cases have been reported in South Korea. We describe the case of a 29-year old man who suffered from back and multiple joint pain, who was misdiagnosed as having ankylosing spondylitis. We evaluated the patient clinically and radiographically in greater detail, and changed his diagnosis to SED tarda.
이민규 ( Min Kyu Lee ),김병식 ( Byung Sik Kim ),정석현 ( Suk Hyun Jung ),이건화 ( Gun Hwa Lee ),김진옥 ( Jin Ok Kim ),임동휘 ( Dong Hwi Rim ),이유화 ( Yu Hwa Lee ),김웅준 ( Woong Jun Kim ),방소영 ( So Young Bang ),이혜순 ( Hye Soo 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.3
Klinefelter`s syndrome which is characterized by hypogonadism with karyotype abnormality (47 XXY or 46 XY/47 XXY) in males has been reported to be associated with autoimmune diseases including rheumatoid arthritis and systemic lupus erythematosus. However, Klinefelter`s syndrome accompanying with polymyositis has rarely been reported. We report a case of KFS with polymyosits in a 38-year old man for the first time in Korea.