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혈액투석 환자에서 뼈스캔 시행 후 발생된 급성간염 1예
전병수 ( Byung Soo Jeon ),황선덕 ( Seun Duk Hwang ),이상철 ( Sang Choel Lee ),윤수영 ( Soo Young Yoon ),배문선 ( Moon Sun Pai ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.6
Bone scan is one of the most frequently performed studies in nuclear medicine with few adverse reactions for the examination of pathologic conditions of bone. Diffuse liver uptake of Technetium-99m methylene diphosphonate (Tc-99m MDP) is a rare occurrence with only a few reports in the literature. Furthermore, there is no report of Tc-99m MDP-induced liver injury. Here we report a case of acute hepatitis with diffusely increased uptake of Tc-99m MDP in a hemodialysis patient.
정성수(Sung Soo Jung),전병수(Byung Soo Jeon),서재갑(Jae Gap Seo),이용봉(Yong Bong Lee) 한국소음진동공학회 2014 한국소음진동공학회 학술대회논문집 Vol.2014 No.10
Wind turbine industry is the most developing field among other renewable energy industry. As expanding wind farms, noise is the big problem to solve. This study is about wind turbine noise measuring method based on IEC 61400-11. Sound pressure levels, 1/3-octave band levels, and low frequency sound pressure levels of a 3 MW wind turbine were measured and analyzed.
급성신우신염 환자에서 균혈증의 위험 인자 분석 -단일기관 분석-
황선덕 ( Seun Duk Hwang ),박경석 ( Kyoung Suk Park ),전병수 ( Byung Soo Jeon ),김윤지 ( Yoon Ji Kim ),이상헌 ( Sang Hun Lee ),이꽃실 ( Kkot Sil Lee ),윤수영 ( Soo Young Yoon ),이상철 ( Sang Choel Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Purpose: Acute pyelonephritis (APN) is among the most common infectious diseases. Most APN occurs in young women and easily treated. Bacteremia has been associated in approximately 20-30% of those with APN. But recent documents demonstrated that blood cultures provide no useful information toward the clinical management of acute pyelonephritis. Thus we compared demographic and clinical characteristics as related to the bacteremic status, and investigated the risk factors for bacteremia. Methods: One hundred sixty five patients, who visited myongji hospital for APN from January, 2004 to December, 2006 were included. Retrospective data were analyzed by medical record review. Results: Bacteremic patients (N=51, 30.9%) were significantly older than those in nonbacteremic group (p<0.0001), had elevated serum creatinine (p=0.008), decreased platelet counts (p=0.029), lower serum protein (p=0.010), and lower serum albumin (p=0.011) than those without bacteremia. Hematuria was more severe in bacteremic patients (p<0.0001). The bacteremic cases were observed more frequently in patients with complicated APN patients than uncomplicated patients (46.7% vs. 21.4%, p=0.001). No significant difference existed between the bacteremic and non-bacteremic patients in the prevalence of resistance to quinolone of E. coli. In multivariate logistic regression analysis, serum albumin (p=0.023), hematuria (p=0.003), and age (p=0.003) at presentation were found to be independent risk factors for bacteremia in acute pyelonephritis. Conclusion: Our study reveals that patients with bacteremia have different clinical characteristics compared to those without bacteremia. It is recommended to concern about the presence of bacteremia in the treatment of APN.
가역성 양측 기저핵 병변을 동반한 반복적인 급성 요독성 뇌병증
최자성 ( Ja Sung Choi ),김정훈 ( Jeong Hun Kim ),전병수 ( Byung Soo Jeon ),박경석 ( Kyung Suk Park ),우명렬 ( Myoung Lyeol Woo ),이상철 ( Sang Choel Lee ),이은자 ( Eun Ja Lee ),윤수영 ( Soo Young Yoon ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.1
Uremic encephalopathy is a well-known complication in uremia and rarely occurs with involuntary movements which represent basal ganglia lesion. We experienced a cases of recurrent acute uremic encephalopathy associated with reversible bilateral basal ganglia lesion. A 49-year-old man with end stage renal disease due to diabetic nephropathy on continuous ambulatory peritoneal dialysis (CAPD) treatment for the last 2 months was admitted for mental change. His blood sugar was 60 mg/dl, and his mentality was recovered after glucose solution infusion. Five days after admission, he suddenly developed dysarthria and chorea. Brain magnetic resonance imaging (MRI) demonstrated low and high signals on bilateral basal ganglia in T1-weighted and T2-weighted images, respectively. After intensified CAPD treatment, his neurologic manifestations were resolved. One month after discharge, follow-up brain MRI showed decreased size of low attenuation on the basal ganglia. Two months later, he repeatedly developed dysarthria and involuntary movement of extremities. Newly developed bilateral symmetric T1 low and T2 high signal lesion on the basal ganglia was repeatedly observed on brain MRI. At that time, (his) Kt/V was 1.33. So we decided on him to switch from CAPD to hemodialysis, after then his symptoms disappeared.
혈청 항기저막 항체검사에서 위양성을 보인 막증식성 사구체신염 1예
박경석 ( Kyoung Suk Park ),황선덕 ( Seun Duk Hwang ),전병수 ( Byung Soo Jeon ),최진이 ( Jin Yi Choi ),송지선 ( Ji Sun Song ),윤수영 ( Soo Young Yoon ),이상철 ( Sang Choel Lee ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Anti-glomerular basement membrane (Anti-GBM) nephritis is an autoimmune disorder characterized by rapidly progressive crescentic glomerulonephritis (RPGN). The treatment of anti-GBM nephritis with plasmapheresis, steroids and immunosuppressant has improved outcomes. An early diagnosis is essential for the survival of patients and a recovery of renal function. The diagnosis of anti-GBM disease has been traditionally based on the demonstration of linear deposits of immunoglobulins along the glomerular basement membrane by immunofluorescence (IF) microscopy. However, a kidney biopsy cannot always be easily performed in such ill patients. Recent development of specific enzyme immunoassays for anti-GBM antibody in the serum has made possible a provisional diagnosis without a kidney biopsy. A 46-year-old male patient with hypertension and hepatitis B presented with generalized edema and general weakness. Laboratory findings were compatible with acute renal failure and nephritic syndrome with positive serum anti-GBM antibodies. After plasmapheresis with steroid pulse therapy, renal biopsy was performed and diagnosed as membranoproliferative glomerulonephritis (MPGN) with granular deposit of Ig G and C3. Follow-up antibody titers were negative. This case demonstrates the possibility of false-positive anti-GBM antibody in the serum. Therefore, enzyme immunoassay for anti-GBM antibody should be used only as a screening or follow-up test in patients that have been confirmed positive by IF microscopy.
박태운 ( Tae Woon Park ),우명렬 ( Myoung Lyeol Woo ),한서구 ( Seo Goo Han ),김정훈 ( Jeong Hun Kim ),전병수 ( Byung Soo Jeon ),이상철 ( Sang Cheol Lee ),송지선 ( Ji Sun Song ),윤수영 ( Soo Young Yoon ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.6
Classic polyarteritis nodosa (c-PAN), first described by Kussmaul and Maier in 1866, is a systemic illness characterized by necrotizing inflammation of mediumsized arteries. Rapid progressive renal failure is very rare in c-PAN in contrast to microscopic polyangiitis (MPA). We report a case of c-PAN presented with rapidly progressive renal failure. A 58 year-old male was referred to our hospital for evaluation of asthenia and right visual loss. An increase in serum creatinine level was developed in the 6th day of hospitalization and acute renal failure was aggravated rapidly. Renal biopsy showed the transmural fibrinoid necrosis of small and medium sized arteries with few glomerular crescents. P-ANCA was detected in serum, and all clinical and laboratory findings supported the diagnosis of c-PAN. He was treated with pulse methylprednisolone, followed by oral corticosteroid and cyclophosphamide, and received temporary hemodialysis. After the treatment, he recovered and was discharged but his visual defect was irreversible despite the treatment. (Korean J Nephrol 2006;25(6):1029-1034)
최기준(Gi Jun Choi),임영철(Young Chul Lim),김기용(Ki-Yong Kim),성병렬(Byung Ryul Seong),김맹중(Meing Jooung Kim),김원호(Won Ho Kim),지희정(Hee Chung Ji),이종경(Joung Kyong Lee),전병수(Byoung Soo Jeon),정민웅(Min Woong Jung),이상훈(Sa 한국초지조사료학회 2008 한국초지조사료학회지 Vol.28 No.3
본 시험은 사료용 옥수수 검은줄오갈병 피해 다발지역의 발병실태를 조사하여 종합적인 방제기술 개발에 필요한 기초 자료를 확보하고자, 2006년부터 2007년까지 제주도를 제외한 전국을 대상으로 수행하였다. 검은줄오갈병의 발생은 지역에 따라 차이가 많았으며, 발병이 심한 지역은 경기(이천), 전북(고창, 김제), 전남(영광), 경북(김천, 영주), 충남(천안, 보령)이었다. 옥수수 검은줄오갈병 다발지역에서 파종시기가 4월 26일~5월 15일까지 파종이 발병이 적었으며, 파종기가 4월 10일~20일 또는 5월 31일 이후에서 발병이 많았다. 검은줄오갈병의 발생은 옥수수 품종간의 차이는 다소 있으나 저항성을 나타내는 품종은 없었다. 옥수수 검은줄오갈병 감염에 따른 건물수량은 발병률이 높을수록 유의적으로 감소하였으며, 발병률과 옥수수 건물수량 간에는 고도의 부의상관 (r = -0.86**)이 인정되었다. 검은줄오갈병에 감염된 옥수수는 건전한 옥수수보다 건물소화률은 3.2%, 가소화양분총량은 3.6%, RFV는 12% 낮았으며, NDF와 ADF 함량은 각각 3.7, 4.5% 높아져 전체적으로 사료가치가 낮아지는 것으로 나타났다. This experiment was carried out to investigate the actual outbreak status of rice black-streaked dwarf virus (RBSDV) disease in forage corn for securing the basic data to control of the disease all over the country from 2006 to 2007. Outbreak of the disease showed a wide difference according to regions and was severe in Icheon, Gochang, Kimje, Youngkwang, Kimchun, Youngju, Cheonan, and Boroung provinces in Korea. Outbreak rate of the disease was effected by planting time of forage corn. Disease rate was lower in corns planted from Apr. 26 to May 15 than in those of planted from April 10 to 25 or after May 31. The corn fields planted from April 26 to May 15 showed lower disease rate than that of planted from April 10 to 25 or after May 31. Also the outbreak rate of the disease was some difference according to corn varieties but was not genuinely resistant varieties to RBSDV. Dry matter yield of forage corn was significantly decreased depending on disease rate, and was highly negative correlation to disease rate. The forage corn infected with RBSDV was lower 3.2%, 3.6% and 12% in IVDMD, TDN, and RFV, and higher 3.7% and 4.5% in NDF and ADF than those of the healthy plant, respectively.