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너구리 담낭 섭취 후 Helicobacter heilmannii-like Organism으로 유발된 위궤양
서우종 ( Seo Woo Jong ),박찬수 ( Park Chan Su ),조영재 ( Cho Young Jae ),차경우 ( Cha Kyoung Woo ),이상우 ( Lee Sang Woo ),임성택 ( Lim Seung Taek ),성영호 ( Sung Young Ho ),백애란 ( Baek Ae Ran ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.1
Recently, there was growing interest in a gastric spiral-shaped bacterium morphologically deviating from Helicobacter pylori (H. pylori), which was classified as Helicobacter heilmannii (H. heilmannii). It rarely inhabits human species whereas the observation of structurally comparable bacteria in other mammals, including cats and dogs, is a commonplace. Therefore, it is now generally recognized that H. heilmannii is an animal Helicobacter, which is occasionally transmitted to man. H. heilmannii is usually associated with chronic gastritis. Here, we described a case of gastric ulcer caused by spiral bacteria morphologically identical to H. heilmannii. The patient complained of epigastric pain over a two day period. He took the gallbldder of a wild raccoon dog 7 days before. Upper gastrointesinal endoscopy revealed multiple geographic gastric ulcers in the distal body and antrum. After eradication of another Helicobacter spp, H. heilmannii, the symptom resolved completely in 4 days. Eight weeks later, a follow-up endoscopy showed complete healing of the ulcer. (Korean J Gastroenterol 2003;42:63-66)
박찬수 ( Chan Su Park ),서우종 ( Woo Jong Seo ),조영재 ( Yeong Jae Cho ),차경우 ( Kyeung Woo Cha ),이찬우 ( Chan Woo Lee ),오동호 ( Dong Ho Oh ),김태권 ( Tae Gwun Kim ),민복기 ( Pok Kee Min ),김도원 ( Do Won Kim ),장윤환 ( Yun Hwa 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.3
Psoriatic arthritis and avascular necrosis of the femoral head each are relatively common diseases. However, avascular necrosis of the femoral head in psoriatic arthritisis extremely rare disease and a few cases have been reported to date. It is suggested that the use of steroids or chemotherapeutic agents, hyperuricemia, alcohol abuse, immunologic disorders, coagulopathies are risk factors of the development of avascular necrosis of the femoral head in psoriatic arthritis. This report describes a 58-year-old female patient without any of forementioned risk factors who underwent total hip replacement for femoral head avascular necrosis associated with psoriatic arthritis.
한국 정상 성인 남자에서의 혈청 총 콜레스테롤치 변화에 관한 최근 10년간 추적조사 -포항 지역 거주 직장인을 대상으로-
김영호 ( Kim Yeong Ho ),김종근 ( Kim Jong Geun ),이상우 ( Lee Sang U ),임성택 ( Im Seong Taeg ),차경우 ( Cha Gyeong U ),조영재 ( Jo Yeong Jae ),유선희 ( Yu Seon Hui ),이찬우 ( Lee Chan U ),김중구 ( Kim Jung Gu ) 대한내과학회 2003 대한내과학회지 Vol.65 No.6
목적: 혈청 콜레스테롤치는 우리나라에서도 식생활의 서구화로 변화가 있을 것으로 생각되며 청장년에서 연령이 증가할수록 증가한다고 알려져 있다. 우리나라 성인 남자에 있어서 동일인에 대한 연령 증가에 따른 콜레스테롤치의 변화를 알아보고 아울러 체중, 혈압, 공복 혈당 및 생활습관 (흡연, 음주, 운동)과의 연관성도 알아보기 위해 건강한 남자 직장인을 대상으로 최근 10년간의 정기 신체검사 자료를 분석해 보고자 하였다. 방법: 경북 포항 지역에서 근무하면서 Background: The serum total cholesterol is supposed to be increased as dietary pattern is Westernized recently in our country. We studied the longitudinal change of serum total cholesterol levels in normal Korean adult male workers and analyzed the influe
불안정형 관동맥질환 환자에서 주요 심혈관 사건의 예측 인자로서의 심근 Troponin 1 및 Myoglobin 에 관한 연구
허재웅(Jae Woong Hur),김경현(Kyung Hyun Kim),하영준(Young Jun Ha),박찬수(Chan Su Park),서우종(Woo Jong Seo),조영재(Yeong Jae Cho),차경우(Keung Woo Cha),남시현(Si Hyun Nam),김종연(Jong Yeon Kim) 대한내과학회 2001 대한내과학회지 Vol.61 No.5
N/A Background: Patients with unstable angina or non Q wave myocardial infarction still have an elevated risk for subsequent cardiac events. Therefore early assessment of the risk of future cardiac events is important. In this study, prognostic value of troponin I and myoglobin was evaluated and compared with other known early available risk indicators. Methods: Serum troponin I and myoglobin were measured at presentation and 8 hours, 16 hours, and 24 hours thereafter in 126 patients with unstable angina (n=70) or non Q myocardial infarction (n=56) from Jan 1998, through Feb 2000. Echocardiography was performed with calculation of wall motion score index. The incidence of cardiac death or myocardial infarction was compared between patients with normal troponin I, myoglobin and abnormal ones, respectively. Results: (1) At 6 months, 1 death (2.2%) and 1 myocardial infarction (2.2%) occurred in the 45 unstable angina patient s with normal troponin I compared with 3 deaths (12.0%) and 8 myocardial infarctions (32.0%) in the 25 unstable angina patient s with elevated troponin I. (2) At 6 months, 1 death (1.7%) and 3 myocardial infarctions (5.2%) occurred in the 58 unstable angina patients with normal myoglobin compared with 3 deaths (25.0%) and 6 myocardial infarctions (50.0%) in the 12 unstable angina patient s with elevated myoglobin. (3) When the analysis was limited to patients with normal baseline troponin I (≤0.4 ng/ dl: n=45), increased myoglobin level remained significantly associated with increased incidence of cardiac deaths or myocardial infarction compared with normal myoglobin level (16.7% vs 0%). (4) Together with age, diabetes, wall motion score index, troponin I and myoglobin levels were identified as independent prognostic variables for myocardial infarction or cardiac death in a multivariate logistic regression analysis. (5) The maximal troponin I and myoglobin value obtained during the first 24 hours provides independent and import ant prognostic information regardless of whether the patient is classified as having unstable angina or non Q wave myocardial infarction. Conclusion: The maximum troponin I and myoglobin obtained during the first 24 hours provides independent and important prognostic information in patients with unstable angina or non Q wave myocardial infarction. (Korean J Med 61:496- 505, 2001)