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주희린,안원석,이성원,정원태,나서희,김성은,김기현 대한내과학회 2003 대한내과학회지 Vol.65 No.2
저자들은 전신성홍반성 루푸스의 ClassⅠ병변에 미세변화 신증후군이 동반되어 고용량의 스테로이드 요법으로 관해를 이루고 이후 재발하여 재차 신생검 결과 막성신병증으로 확인된 환자에서 cyclophosphamide로 다시 관해를 이룬 매우 드문 증례를 경험하였기에 보고하는 바이다. Systemic Lupus Erythematosus (SLE) is an autoimmune disease characterized by the overprocuction of autoantibodies and the deposition of immune complexes in various organs. Unusual case of systemic lupus erythematosus (SLE) associated with minimal change nephrotic syndrome (MCNS) is described. A 30-year-old woman who has been diagnosed as SLE and treated with prednisolone presented symptoms of nephrotic syndrome. Renal biopsy revealed minor glomerular abnormalities without deposition of immune complexes. The initial heavy proteinuria promptly decreased after the prednisolone dosage was increased and disappeared 10 weeks later. She developed proteinuria again 3 years after the initial episode. Repeated renal biopsy revealed membranous nephropathy. T-cell dysfunction, which is present both in SLE and MCNS, might have triggered MCNS during the course of SLE.
황산구리 용액 음용 후 발생한 부식성 식도염 및 위염 1예
주희린,박종하,김태균,서은희,박승하,김태오,양성연,문영수 대한소화기내시경학회 2011 Clinical Endoscopy Vol.43 No.1
Copper sulfate ingestion is a rare cause of corrosive gastrointestinal injury in the Republic of Korea. In developing countries, copper sulfate is chiefly used for agricultural purposes as a pesticide and in the leather industry. It is also used in school science classes in the form of bright blue crystals. Copper sulfate is a powerful oxidizing agent that is corrosive to mucous membranes. Concentrated solutions are acidic, with a pH of 4. We report a case of corrosive gastritis and esophagitis due to accidental copper sulfate ingestion in a 12-year-old boy. 황산구리용액은 산성을 띄며 음용 시 전신중독증과 부식성 상부 위장관 손상을 유발할 수 있다. 황산구리용액을 음용한 이후 발생한 부식성 식도염 및 위염에 대해서 국내에서는 보고된 바 없다. 저자들은 12세 남아가 학교 실험실에서 음료수로 오인하여 황산구리 용액을 마신 후 발생한 부식성 위염과 식도염을 진단하였고 보존적 치료 후 위염과 식도염의 호전을 보인 1예를 경험하여 보고하는 바이다.
궤양성 대장염 환자에서 발생한 우측 대장의 위막성 대장염 1예
주희린 ( Hee Rin Joo ),김태오 ( Tae Oh Kim ),김태균 ( Tae Gyoon Kim ),서은희 ( Eun Hee Seo ),박종하 ( Jongha Park ),박승하 ( Seung Ha Park ),양성연 ( Sung Yeon Yang ),문영수 ( Young Soo Moon ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Clostridium difficile (C. difficile) is a cytotoxin-producing anaerobic gram-positive rod that is responsible for pseudomembranous colitis (PMC). The incidence of C. difficile is increasing in ulcerative colitis (UC) and inflammatory bowel disease patients and is associated with a more severe course, a longer hospital stay, higher financial costs, a greater likelihood of colectomy, and high mortality. PMC may occur anywhere along the intestinal tract, but it is often found in the distal colon. PMC involving the proximal colon with rectosigmoid sparing is rarely reported in patients with UC. We describe the case of a 35-year-old woman in remission from UC who presented with frequent diarrhea and abdominal pain. She was treated with ciprofloxacin for infectious enterocolitis at a local hospital; however, her symptoms did not improve. A colonoscopy revealed yellow-white plaques with edematous,erythematous from the proximal ascending colon to the cecum, and feces positive for C. difficile toxin. She was treated with metronidazole (500 mg, three times a day) for two weeks, and improved rapidly. Physicians should carefully examine the entire colon via colonoscopy, and perform stool exams for C. difficile in patients with UC who have been treated with antibiotics and in those who develop prolonged diarrhea despite medical treatment. (Intest Res 2011;9:144-147)
대한간학회지 제8차 춘계학술대회 초록집 : 포스터 전시 ; 악성흑색종에 의한 전격성 간부전 1예
주희린 ( Ju Hui Lin ),유정남 ( Yu Jeong Nam ),문성훈 ( Mun Seong Hun ),조정환 ( Jo Jeong Hwan ),이종훈 ( Lee Jong Hun ),노명환 ( No Myeong Hwan ),한상영 ( Han Sang Yeong ),최석렬 ( Choe Seog Lyeol ),신우원 ( Sin U Won ) 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.2(S)