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이만호,고동혁,이상종,정을순,홍미재,임시영,주영만 대한내분비학회 1989 Endocrinology and metabolism Vol.4 No.1
Since the severity of hyperthyroidism is generally not reflected by the magnitude of elevation of values in thyroid function test, it is potentially useful to have a hyperthyroid symptom scale (HSS) to assess the clinical status and the response to various treatments. To evaluate the changes of symptoms in the management of Graves' disease, thyroid function test including T4RIA, Free T3 and TSH, and hyperthyroid symptom scale were administered to three groups of the patients with untreated Graves' disease (Group I), patients with treated Graves' disease (Group II) and normal subjects (Group III). Hyperthyroid symptom scale is a ten item scale that rates nervousness, diaphoresis, heat tolerance, motor activity, tremor, weakness, hyperdynamic precordium, diarrhea, weight loss and appetite, and overall function. And the intencity of each item can be rated on a subsacle from 0 to 4 points. Except normal control group, all patients had the clinical and chemical evidence of graves' disease and had HSS scores of 17 to 29 points, but in normal controls, 4 to 12 points. Both thyroid function tests and HSS scores were significantly reduced after propylthiouracill and tenormin therapy in the treated Graves' disease group. And in normal controls, HSS scores showed less than those of untreated Graves' disease group. We considered that this scale including ten categories of symptoms is sensitive to changes in both the adrenergic and metabolic components of Graves' disease and it is useful in the clinical assessment and management of patients with Graves' disease. (J Kor Soc Endocrinol 4:55-58, 1989)
이만호,이상종,권순호,임시영,백문철,주영만,김경중,임진우 대한내과학회 1990 대한내과학회지 Vol.39 No.6
The communication between a coronary artery and a cardiac chamber or vessel is a rare anomaly, With the advent of coronary arteriography, incidentally observed fietula between coronary arteries and a cardial chamber or vessels has been desoribed. In this report We presented three cases of coronary artery-pulmonary artery fistula and compared them with those reporthed in the literature.
이만호,이상종,김명숙,주영만,배원길,서정경 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Lymphangiomas are infrequent tumors of the alimentary canal, About ten duodenal lymphangiomas have been reported. An 33-year-old housewife was admitted to this hospital because of epigastric pain associated with nausea and vormiting. She has been in excellent health until a week ago when she has been intermitent epigastric aching pain, nausea, and vormiting after meal. She has pregnant twice. Both family- and past histories are unremarkable. Endoscopic examination of the duodenum was shown two small cauliflower like polypoid lesions on the duodenal bulb. The lesion was sucessfu1ly removed by the surgeon. A case of lympghangiama of the duodenum is presented, the pathologic findings are described, and the literature is reviewed.
이성훈,이만호,이상종,정을순,오동주,주영만,안현택 대한내과학회 1986 대한내과학회지 Vol.31 No.4
Not all renal cystic diseases cause symptoms or signs. The simple or solitary cyst, for example, may remain silent during life, to be found incidentally during the course of routine postmortem examination in the past time. The recently wide applications of abdominal sonography seems to be found relatively high incidence of the simple renal cyst. There were a few cases reports with the simple renal cyst in this country. Herein is reported observations on 346 cases suspecting with simple cyst of kindey among the total of 24,845 subjects received the abdominal sonography for purpose of the mediscreen testing or the diagnostic approach of the patients in this hospital from January 1982 to May 1985. 1) The incidence of simple renal cyst among the all subjects received the abdominal sonography was 1.39 percent. 2) The rate of the simple renal cyst in the male group was 1.59 percent, but 1.11 percent in the female. The peak age group of this observation was sixth decade(34.1%). 3) Two hundred ninty-nine cases(86.4%) in this observation was the solitary cyst found mostly (93.6%) in the unilateral kidney. No significantly different occurence in both site of kidneys was seen. 4) Concomitant occurence of the liver cyst was 2,3o in this series. Cases 3.0cm in diameter of the renal cyst was 53.8% but only 2.9% above 5.0 cm in diameter. 5) Most cases with the simple renal cyst was asymptom except someone complaining fatigue or urinary frequency. Urinary abnormalities of proteinuria and/or microscopic hematuria, and slightly elevated blood urea nitrogen or blood creatinine level were demonstrated in a few cases of this observation. The similar findings of the renal mass was also found in 7 cases performed intravenous pyelography. 6) Only a case associated with hydronephrosis required operation in this observation.