• Title/Summary/Keyword: 병리학적 진단

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A Pathological Survey on Equine Viral Rhinopneumonitis Occurred in Korea (말 바이러스성(性) 비폐염(鼻肺炎)에 관한 병리학적(病理學的) 연구(硏究))

  • Bak, Ung-Bok;Lim, Chang Hyeong;Kang, Bu Hyeon;Lee, Shi Young
    • Korean Journal of Veterinary Research
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    • v.21 no.1
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    • pp.11-23
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    • 1981
  • 서울 경마장(競馬場)의 경주마(競走馬) 517두를 대상으로 호흡기병상(呼吸器症狀)을 관찰하여 1978년 12월 중순(中旬)부터 1979년 1월 초순(初旬) 까지 42.9%의 호흡기병상발생률(呼吸器症狀發生率)을 보았고 1979년 1월 하순(下旬)부터 5월 중순(中旬)까지 임신마(姙娠馬)의 60%가 사산(死産)을 일으켰다. 사산(死産)된 태자(胎仔)는 육안적(肉眼的)으로 흉강수액(胸腔水液)의 저류, 각 장기(臟器)의 울혈성수종(鬱血性水種), 출혈성병변(出血性病變)과 간장(肝臟)의 소상괴사(巢狀壞死)를 나타내었고, 조직학적(組織學的)으로는 간장(肝臟)의 한국성괴사소(限局性壞死巢), 비장(脾臟), 임파절(淋巴節), 흉선(胸線)과 Peyer판(板)에서의 세강(細網) 세포(細胞)의 증식성(增殖性), 괴사성변화(壞死性變化)와 임파양세포(淋巴樣細胞)의 붕괴(崩壞)를 시현(示顯)하였다. 여기서 간세포(肝細胞), 담관상피세포(膽管上皮細胞), 소기관지상피세포(小氣管支上皮細胞) 및 비장(脾臟), 임파절(淋巴節), 흉선(胸線)의 세강(細網) 세포(細胞)에서 Cowdry type A 봉입체(封入體)를 확인하였다. 이상의 역학적(疫學的) 및 병리학적(病理學的) 소견(所見)에 의하여 본(本) 마유산증(馬流産症)을 말 바이러스성 비폐염(鼻肺炎)이라고 진단(診斷)할 수 있었으며 본(本) 발병예(發病例)가 한국(韓國)에서 초발생(初發生)인 것으로 추정(推定)되었다.

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Immune Reaction to Infection by Malassezia pachydercatis in Canine Ezternal Ear Canals (개 외이도내 Malassezia pachydercatis 감염에 대한 면역 반응)

  • 이진희;오태호;한홍율;조상내
    • Journal of Veterinary Clinics
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    • v.13 no.2
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    • pp.130-139
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    • 1996
  • Malassezia pachydercatis균은 개 외이염의 주된 원인균으로 알려져 있으나, 그 감염률은 지역에 따라 많은 차이가 있다. 그러나 그 기병론적인 역할에 대해서는 아직 명확히 밝혀지지 않았다. 이에 본문에서는 국내에서 사육되는 개의 외이염에서 Malassezia pachydercatis 균의 분리율을 조사하고, Malassezia pachydercatis에 대한 혈중 항체와 외이염과의 연관성을 밝혀 Malassezia pachydercatis에 의한 외이염 진단을 위한 도구로서 간접 ELISA 법의 유용성을 평가해 보고자 본 연구를 수행하였다. 총 112두 중, 외이염에 감염된 개 44두와 정상견 68두를 대상으로, 심부외이도에서 취한 가검물을 배양검사하였고, Malassezia pachydercatis 항원에 대한 혈청내 IgG와 IgM 역가를 간접 ELISA법에 의해 측정하였다. 살아있는 Malassezia pachydercatis 균을 3두의 정상견 외이도에 접종하여 Malassezia pachydercatis 균의 실험적 감염에 대한 조직병리학적 소견, 조직내 침투 정도, 그리고 접종 후 시간경과에 따른 IgG와 IgM의 혈중 역가변화를 측정하였다. Malassezia pachydercatis 균은 외이염이 있는 개 귀에서 가장 높게 분리(50.0%)되었고, 정상귀에서는 낮게 분리(6.3%)되었다. Malassezia pachydercatis 항원을 이용한 간접 ELISA 법 진단에서, Malassezia pachydercatis 양성배양인 외이염 개체에서 IgG와 IgM에 대한 민감도는 각각 41.7%, 20.8%이었고 특이도는 88.2%, 85.2% 이었다. 실험적으로 Malassezia pachydercatis 를 접종한 3두중 1두에서만 조직병리학적 변화와 모낭에 Malassezia pachydercatis 균체가 확인되었으며, IgG와 IgM 혈중역가도 유의성 있게 증가하였다. 국내에서 사육되는 개 외이염의 주된 원인균은 Malassezia pachydercatis 균이었고 이 균의 혈중항체는 유의성 있게 증가하였으며(p<0.005), 간접 ELISA법은 Malassezia pachydercatis 에 의한 개외이염의 유용한 진단도구임을 증명하였다.

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Canine Renal Failure Caused by Ochratoxin A and Citrinin in the Commercial Dog Food (시판 사료에 오염된 Ochratoxin A와 Citrinin에 의한 개의 신부전)

  • Ahn, So-Jeo;Jeoung, Seok-Young;Lim, Man-Su;Park, Son-Il;Han, Jeong-Hee;Kim, Doo
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.82-87
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    • 2007
  • Five dogs with renal failure were referred to the Veterinary Medical Teaching Hospital at Kangwon National University. These dogs had the common history of consumption of Pedigree dry dog food produced in Thailand plant for over 1 month. The dogs showed anorexia, emaciation, vomiting, and polydipsia/polyuria. And in one severely affected dog, bloody diarrhea and hypothermia were seen. The remarkable clinicopathological signs were high value of BUN and creatinine. In some dogs, GGT, phosphorus and lipase were increased. However, no significant changes of complete blood count were found. In urinalysis, hematuria, low specific gravity urine, proteinuria, and calcium oxalate-like crystals were observed. Two severely affected dogs were died. The remained dogs were recovered gradually after change of dog food and supportive therapy. Pathological findings were seen typically in kidneys. Renal atrophy, congestion of the glomerular capillary, and diffuse degeneration, necrosis, dystrophic calcification and regeneration in the tubular epithelium were seen. Yellowish brown fluorolucent laminated materials or particles were quite often found in the lumina of the necrotizing renal tubules of cortex and medulla. Proliferation of fibrous tissue in the interstitium was also seen. By the mycotoxin analysis of the Pedigree dry dog food, ochratoxin A (OTA) and citrinin were detected as much as the concentration of 372.8 ppb and 8.3 ppb, respectively. The final diagnosis of renal failure caused by OTA and citrinin toxicosis was made on the basis of history takings, clinical signs, clinicopathological and pathological findings, and analysis of mycotoxins.

Imaging of the Small Airway Diseases (소기도 질환의 영상소견)

  • Chung, Myung Hee
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.2
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    • pp.133-141
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    • 2005
  • "소기도"라 일컬어지는 해부학적 부위는 말단부 막성 세기관지와 호흡성 세기관지로 구성된 직경 3 mm 이하의 기도부위이다. 방사선학적으로는 고해상 전산화단층촬영(CT)에서 흉막직하의 직경 약 1.0 cm으로 이루어진 2차 소엽내의 중심부에 위치하게 된다. 그러므로 이 부위의 질환때에는 중심소엽성 세기관지내의 가득찬 물질로 인해 나타나는 중심소엽성 결절들과 선상음영들이 보인다. 이외의 소견으로는 중심소엽성 폐기종, 모자이크 모양의 폐음영, 분절하 무기폐등이 있고, 호기시 CT 촬영에서 나타나는 공기포획이 있다. 최근에는 다검출기형식의 CT (multidetector CT)의 발전으로 인하여 이차원 재구성 (2 dimension reformat) 관상면, 시상면 CT 스캔을 매우 명확하고 빨리 얻을 수 있고, 기관지에 대한 삼차원 볼륨 영상 (3 dimentional volume rendering image) 등을 얻어서 가시적인 효과를 높이고 진단의 정확성에 보다 더 접근하게 되었다. 소기도를 침범하는 질환은 일차적인 것과 이차적인 것이 있는데, 병리조직학적으로는 원인별로 흡연으로 인한 소기도 질환, 세포성 세기관지염, 수축성 세기관지염, 증식성 세기관지염등으로 구분하며 여기에는 이와 같은 병리질환을 일으키는 다양한 원인들이 포함된다. 이외에도 드문 질환으로 미만성 범세기관지염, 광물질에 의한 소기도 질환등이 있다.

Simultaneous Occurrence of an Acanthomatous Ameloblastoma and a Fibrous Dysplasia in the Maxilla of a Dog (개 상악에서 발생한 유두종성 에나멜아세포종과 섬유성 이형성의 병발)

  • Jung, Dong-In;Yhee, Ji-Young;Sur, Jung-Hyang;Wang, Ji-Whan;Yeon, Seong-Chan;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.29 no.3
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    • pp.263-267
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    • 2012
  • A 4-year-old female Labrador Retriever dog was evaluated for a mass located in the left maxilla. Skull radiographic and CT findings revealed a soft tissue mass with bone lysis in the region of the left maxilla. Mass resection and surgical curettage was performed, and the mass was histopathologically classified as an acanthomatous ameloblastoma with a fibrous dysplasia.

Blood Biomarkers for Alzheimer's Dementia Diagnosis (알츠하이머성 치매에서 혈액 진단을 위한 바이오마커)

  • Chang-Eun, Park
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.249-255
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    • 2022
  • Alzheimer's disease (AD) represents a major public health concern and has been identified as a research priority. Clinical research evidence supports that the core cerebrospinal fluid (CSF) biomarkers for AD, including amyloid-β (Aβ42), total tau (T-tau), and phosphorylated tau (P-tau), reflect key elements of AD pathophysiology. Nevertheless, advances in the clinical identification of new indicators will be critical not only for the discovery of sensitive, specific, and reliable biomarkers of preclinical AD pathology, but also for the development of tests that facilitate the early detection and differential diagnosis of dementia and disease progression monitoring. The early detection of AD in its presymptomatic stages would represent a great opportunity for earlier therapeutic intervention. The chance of successful treatment would be increased since interventions would be performed before extensive synaptic damage and neuronal loss would have occurred. In this study, the importance of developing an early diagnostic method using cognitive decline biomarkers that can discriminate between normal, mild cognitive impairment (MCI), and AD preclinical stages has been emphasized.

Surgical Treatment of the Pulmonary Nodular Lymphoid Hyperplasia - A case report - (폐에 발생한 결절성 림프구양 증식증 (Nodular Lymphoid Hyperplasia) 치험 - 1예 보고 -)

  • Yang, Hong-Seok;Park, In-Kyu;Shin, Dong-Hwan;Lee, Yoon-Hee;Chung, Kyung-Young
    • Journal of Chest Surgery
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    • v.40 no.7 s.276
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    • pp.517-519
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    • 2007
  • Nodular Lymphoid hyperplasia of the lung has a very low incidence and both the nomenclature and this disease entity have changed since its appearance in the 1960s. It has recently been classified as lymphoid hyperplasia of the B cell associated lymphoid tissue. Ground glass opacity was incidentally diagnosed in the right lower lobe of the a 60 year old male and he underwent right lower lobe lobectomy. The opacified lesion in the chest CT was diagnosed as nodular lymphoid hyperplasia under microscopic examination.

Pancreatic Schwannoma with Cystic Degeneration: A Case Report and Literature Review (낭성변화를 보이는 췌장의 신경초종: 증례 보고와 문헌고찰)

  • Joon Suk Park;Seon Jeong Min;Hyunchul Kim;Jung-Ah Choi
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.194-200
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    • 2021
  • Schwannomas originate from Schwann cells, and they are the most common benign neoplasms of the peripheral nerves. They can occur in most parts of the body but have a predilection for the head, the neck, and the flexor aspects of the extremities. Pancreatic schwannomas are uncommon, and only a few cases have been reported in the English literature. Approximately two-thirds of pancreatic schwannomas undergo cystic degeneration, and they should be considered in the differential diagnosis of solid pancreatic tumors with cystic changes to facilitate accurate diagnosis and optimal treatment. We report a case of a pathologically proven schwannoma in the pancreatic tail with multiple cystic and hemorrhagic changes followed by a review of relevant literature.

Comparative Study of the Clinicopathologic Characteristics between Gastrointestinal Stromal Tumors Arising from the Stomach and Small Bowel (위와 소장에 생긴 위장관 간질종양의 임상병리학적 비교)

  • Heo, Geon-Woong;Shin, Dong-Woo;Paik, So-Ya;Kim, Il-Dong;Kim, Ki-Ho;Suh, Byung-Sun;Park, Jin-Soo;Kim, Sang-Wook
    • Journal of Gastric Cancer
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    • v.7 no.4
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    • pp.254-260
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    • 2007
  • Purpose: The purpose of this study is to compare the clinicopathological characteristics of stomach and small bowel gastrointestinal stromal tumors and to determine the risk factors and treatment guidelines. Materials and Methods: Among 38 patients who were diagnosed with a gastrointestinal stromal tumor from August 1998 to May 2006, 29 patients at the Pundang Jesaeng General Hospital, Daejin Medical Center were evaluated. The clinicopathological characteristics of gastrointestinal stromal tumors arising from stomach and small bowel were compared. Immunohistochemical staining for CD117, CD34, smooth muscle actin, desmin, and S-100 protein was performed and classified according to NIH criteria. Prognosis between groups was analyzed according to NIH criteria. Results: There was no significant difference in the clinicopathological characteristics and prognosis between gastrointestinal stromal tumors arising from the stomach and small bowel. Recurrence of the disease occurred in four (13.8%) patients. Classification of gastrointestinal stromal tumors according to NIH criteria was predictive of recurrence (P=0.030). Conclusion: NIH criteria were predictive of recurrence, but the location of the primary site was not predictive of recurrence. A further study involving multi center data and a long-term follow-up will be needed for formulating diagnostic and therapeutic guidelines.

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Osteoid Osteoma Around the Hip Joint (고관절 주위에 발생한 유골 골종)

  • Kim, Tai-Seung;Kim, Jong-Heon;Lee, Bong-Gun;Kim, Soon-Myung
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.168-174
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    • 2005
  • Purpose: We experienced 8 cases of osteoid osteoma arising around hip joint which had some characteristics that differ from those arising on long bone. we reports the characteristics of osteoid osteoma arising around the hip joint. Materials and Methods: 8 cases of osteoid osteoma were diagnosed during 1985 to 2004 at hanyang university hospital. all cases were comfirmed patholgically. 6 cases were male, 2 cases were female patients. The mean age was 17 years old (ranged from 8 to 29). They occurred in intertrochanteric area (4 cases), subtrochanteric area (2 cases), acetabulum (1 case) and femoral neck (1 case). We used radiologic tools including magnetic resonance image, computed tomography, bone scintigraphy. clinicopathologic test including erythrocyte sedimentation rate and Creactive protein. Results: The patients expressed various symptoms including thigh pain, knee pain, low back pain and radiating pain respectively. 2 patients had experienced operation on knee joint. 3 patients showed limping gait. Aspirin relieved the pain in 3 patients. The difference in circumference was 1cm between both thighs in 2 cases. Conclusion: Patients with osteoid osteoma arising around hip joint which have various symptoms such as severe knee pain and claudication, differ from infectious disease by clinicopathologic test including erythrocyte sedimentation rate and C- reactive protein and had better diagnostic result in computed tomography.

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