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홍소담 ( So Dam Hong ),신재경 ( Jae Kyoung Shin ),홍희진 ( Hee Jin Hong ),허진형 ( Jin Hyung Heo ),정소영 ( So Young Chong ),오도연 ( Do Youn Oh ),오지수 ( Ji Su Oh ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1
비록 자궁경부암이 갑상선으로의 전이는 매우 드물지만, 자궁경부암의 과거력이 있는 경우, 갑상선부위의 부종이나 촉지되는 결절이 발생하면 반드시 전이성 병변을 의심해봐야 한다. 비록 갑상선으로의 전이는 매우 나쁜 예후를 의미 하지만 고식적 치료로 전신항암요법 및 방사선요법이 환자의 삶의 질 개선에 도움을 줄 수 있다. 드물기는 하지만 갑상선으로의 악성전이 보고가 증가하는 추세로, 이에 대해 어떠한 치료가 가장 효과적일지에 대한 연구가 필요하겠다. Most patients with recurrent uterine cervical cancer have intra-pelvis metastasis with adjacent lymph node involvement, while a lone, distant metastasis is extremely rare. We report a 79-year-old woman with recurrent uterine cervical cancer that presented as thyroid mass with no intra-pelvic recurrence. Four years earlier, the patient had been diagnosed with uterine cervical cancer. She had undergone a course of concurrent chemoradiotherapy to the pelvis and had no subsequent evidence of recurrence. Several weeks before presenting, she had noticed a foreign body sensation in her throat and a palpable mass in the left side of her neck. Clinically, this was metastatic squamous cell carcinoma from the uterine cervix. Patients who present with swelling or palpable nodules in the neck with a previously diagnosed malignancy must be evaluated for metastatic disease, although metastasis from uterine cervical carcinoma to the thyroid gland is rare. (Korean J Med 2016;90:68-71)
신재경 ( Jae Kyoung Shin ),최성훈 ( Sung Hoon Choi ),홍소담 ( So Dam Hong ),김새암 ( Saeahm Kim ),조혜정 ( Hye Jeong Cho ),홍희진 ( Hee Jin Hong ),김희경 ( Hee Kyung Kim ),고광현 ( Kwang Hyun Ko ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.3
Enterolith is a rare complication of Billroth II gastrectomy. Most enterolith cases have been reported in association with diverticula, tuberculosis, and Crohn’s disease. We report the case of a huge enterolith that developed in the duodenal stump following common bile duct obstruction and cholangitis, necessitating surgery. The enterolith was clearly visible on the abdominal computed tomography. It was removed through a duodenotomy. The surgery was successful without any significant complications. (Korean J Gastroenterol 2016;67:150-152)
증례 : 류마티스 ; 분류 불능형 면역 결핍증(Common Variable Immunodeficiency)과 병발된 쇼그렌 증후군 1예
강산하 ( San Ha Kang ),조혜정 ( Hye Jeong Cho ),홍희진 ( Hee Jin Hong ),홍소담 ( So Dam Hong ),김보혜 ( Bo Hye Kim ),정상윤 ( Sang Yoon Jung ),최진정 ( Jin Jung Choi ) 대한내과학회 2015 대한내과학회지 Vol.89 No.2
Common variable immunodeficiency (CVID) is a heterogeneous group of primary immune deficiencies in adults characterized by hypogammaglobulinemia, recurrent bacterial infections, and a higher incidence of autoimmune diseases. More than 25% of CVID patients also have autoimmune diseases such as autoimmune hemolytic anemia, immune thrombocytopenic purpura, rheumatoid arthritis, and systemic lupus erythematosus. However, the pathogenesis of autoimmunity in CVID remains obscure. We report a 56-year-old woman with CVID and Sjogren`s syndrome. In addition to a long history of recurrent upper respiratory infections, acute gastroenteritis, and cellulitis, she has also suffered from persistent xerostomia and xerophthalmia for the past 10 years. Serologic studies revealed hypogammaglobulinemia (low levels of IgG, IgA, and IgM in serum) and the presence of anti-Ro antibodies, and salivary scintigraphy indicated salivary gland involvement. These findings led to a diagnosis of CVID and Sjogren`s syndrome, which was treated by monthly intravenous immunoglobulin therapy. (Korean J Med 2015,89:254-258)
B형간염 환자에서 엔테카비어 투여 후 발생한 중증 다발성 신경병증
송지현 ( Ji Hyun Song ),김시연 ( Si Yeon Kim ),신재경 ( Jae Kyoung Shin ),홍소담 ( So Dam Hong ),임규성 ( Kyu Sung Rim ),박하나 ( Ha Na Park ),이주호 ( Joo Ho Lee ),이윤빈 ( Yun Bin Lee ),오승헌 ( Seung Hun Oh ),황성규 ( Seong Gyu 대한소화기학회 2016 대한소화기학회지 Vol.67 No.4
Entecavir (Baraclude®) is an oral antiviral drug used for the treatment of HBV. Entecavir is a reverse transcriptase inhibitor which prevents the HBV from multiplying. Most common adverse reactions caused by entecavir are headache, fatigue, dizziness, and nausea. Until now, there has been no report of peripheral neuropathy as a side effect associated with entecavir treatment. Herein, we report a case of peripheral neuropathy which probably occurred after treatment with entecavir in a hepatitis B patient. The possibility of the occurrence of this side effect should be carefully taken into consideration when a patient takes a high dose of entecavir for a long period of time or has risk factors for neuropathy at the time of initiating entecavir therapy. (Korean J Gastroenterol 2016;67:216-219)