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복부종괴로 인한 체중증가를 비만으로 오인한 2개의 증례

Weight Gain Due to Abdominal Mass Misdiagnosed as Obesity: Case Report

  • 김선현 (가톨릭관동대학교 의과대학 가톨릭관동대학교 국제성모병원 가정의학교실)
  • Sun-Hyun Kim (Department of Family Medicine, Catholic Kwandong University International St. Mary's Hospital, Catholic Kwandong University College of Medicine)
  • 투고 : 2023.01.03
  • 심사 : 2023.04.20
  • 발행 : 2023.06.30

초록

Early evaluation of obesity is important. Obesity is defined as an excessive accumulation of fat that causes harm to health. Among patients who visit a hospital for weight-related issues, diseases other than body fat gain may be present; however, people often cannot distinguish between these issues and concerns. Therefore, among patients who visit the hospital with weight gain concerns, it is necessary to determine whether the weight gain is actually the result of excessive fat accumulation. After being diagnosed with obesity, the cause and degree of obesity, the amount and distribution of body fat, and the degree of risk should be evaluated. Additionally, obesity-related complications should be identified and, even if there are no complications, all related risk factors should be evaluated and managed. In all these processes, diagnostic methods such as history taking, physical examination, body fat measurement, blood tests, and imaging tests are necessary, but history taking and physical examination, which can provide a lot of information from the beginning, should not be overlooked.

키워드

참고문헌

  1. World Health Organization. Obesity [Internet]. World Health Organization. 2023 [cited 2023 Mar 20]; Available from: https://www.who.int/health-topics/obesity#tab=tab_1
  2. 2022 Obesity fact sheet [Internet]. Korean Society for the Study of Obesity. 2022 [cited 2023 April 21]; Available from: https://www.kosso.or.kr/popup/obesity_fact_sheet.html
  3. Kim KK, Haam JH, Kim BT, et al. Evaluation and treatment of obesity and its comorbidities: 2022 update of Clinical Practice Guidelines for Obesity by the Korean Society for the Study of Obesity. J Obes Metab Syndr 2023;32:1-24. https://doi.org/10.7570/jomes23016
  4. Ryan DH, Kahan S. Guideline recommendations for obesity management. Med Clin North Am 2018;102:49-63. https://doi.org/10.1016/j.mcna.2017.08.006
  5. Wharton S, Lau DCW, Vallis M, et al. Obesity in adults: a clinical practice guideline. CMAJ 2020;192:E875-91. https://doi.org/10.1503/cmaj.191707
  6. Breen C, O'Connell J, Geoghegan J, et al. Obesity in adults: a 2022 adapted clinical practice guideline for Ireland. Obes Facts 2022;15:736-52. https://doi.org/10.1159/000527131
  7. Sabiniewicz A, Lubocka P, Sabiniewicz R. Case report: right heart failure mistaken for obesity-a fault of telemedicine. Front Pediatr 2022;10:856911.
  8. Turner LR, Harris MF, Mazza D. Obesity management in general practice: does current practice match guideline recommendations? Med J Aust 2015;202:370-2. https://doi.org/10.5694/mja14.00998