• 제목/요약/키워드: Calcinosis

검색결과 45건 처리시간 0.032초

전신성 석회증을 동반한 부갑상선 암 1예 (A Case of Parathyroid Carcinoma with Systemic Calcification)

  • 김희식;이찬우;남상엽;박진철;윤지성;이재춘;원규장;조인호;김태년;이형우;현명수;이현우
    • Journal of Yeungnam Medical Science
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    • 제14권2호
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    • pp.459-466
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    • 1997
  • 저자들은 원발성 부갑상선 기능 항진증과 함께 전신성 석회증을 동반한 부갑상선암 환자에서 부갑상선암 제거후 골 스캔상 폐와 위장의 전신성 석회화가 사라진 증례를 경험하여 보고하는 바이다.

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Adjunctive Therapy of Pimecrolimus for Treatment of Facial Discoid Lupus Erythematosus in a Dog

  • Yeonhoo Jung;Moonseok Jang;Rahye Kang;Wanghui Lee;Seongjun Park
    • 한국임상수의학회지
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    • 제41권1호
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    • pp.49-53
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    • 2024
  • A two-year-old, spayed female, 22.5 kg Pungsan was referred with chronic crusts and erosion on the nose. A referring veterinarian prescribed an anti-inflammatory dose (0.5-1 mg/kg/day) of oral glucocorticoids for 5 months, but skin lesions showed no meaningful improvement. A dermatological evaluation revealed a crust, depigmentation, erosion, and erythematous lesion over the nasal planum with a loss of the normal cobblestone texture. Also, firm and multifocal plaques over the thigh, groin, axilla, and dorsum were detected. A cytology examination on the nose, thigh, groin, axilla, and dorsum revealed moderate neutrophilic inflammation and bacterial infection. Abdominal radiography and ultrasonography revealed subcutaneous calcified materials along the thigh, groin, axilla, and dorsum. Calcinosis cutis was suspected because of the adverse effect of previous prolonged corticosteroid therapy. A histopathology examination of the nose lesion revealed moderate to severe degenerative or apoptotic changes of the basal layer and lymphoplasmacytic interface dermatitis. Facial discoid lupus erythematosus (FDLE) was diagnosed based on the history and the clinical, cytological, and histopathological results. Minocycline (7 mg/kg PO q 12 h) and niacinamide (500 mg/dog PO q 12 h) were prescribed as initial treatment. Glucocorticoids were not administered due to the presence of calcinosis cutis induced by previous corticosteroid treatment. After 6 weeks of treatment, the clinical signs on the nose were mildly improved. At this time, topical 1% pimecrolimus cream (twice daily) was initiated, while minocycline and niacinamide were continued at the same dose. The nasal planum markedly improved after 6 weeks of additional treatment, hence minocycline and niacinamide were prescribed for an additional 2 weeks and stopped, and the patient was continued solely on topical pimecrolimus. The dog's skin lesion has been maintained in clinical remission with topical 1% pimecrolimus twice daily for more than 5 months.

German shepherd에서 발생한 기관 골.연골형성증 (Cases of Tracheopathia Osteochondroplastica in German shepherd)

  • 한정희;김준기;서강문
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.129-133
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    • 2000
  • Based on pathological findings, 5 German shepherds, revealed a mean age of 7.6 years, showing no clinical signs were diagnosed as tracheopathia osteochondroplastica(TOC). Grossly, multiple small-sizecd nodules, appeared as cobble-stones, on the cartilage rings situated in the anterior trachea and the mucosal surface of the epiglottis were showed. Numerous tiny nodules were scattered on the pleural surface of the lung. The vascular walls of the heart were irregular and coarse apearance with calcification. Histopathologically, nodules in the trachea represented an irregular expansion of the underlying tracheal ring with protrusion into the submucosa and consisted of proliferated and calcified cartilage and bone with marrow spaces containing numbers of hematopoietic cells. Pulmonary calcinosis and calcification of the vascular walls of the heart were observed. Our observations suggested that TOC arises form eccondroses and exostoses of the tracheal cartilage rings.

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Cutaneous Histiocytoma in a Dog Carrying Calcinosis Circumscripta of the Tongue

  • Do, Sun-hee;Jeong, Kyu-shik
    • 한국수의병리학회:학술대회논문집
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    • 한국수의병리학회 2003년도 추계학술대회초록집
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    • pp.53-53
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    • 2003
  • This benign canine histiocytoma was the most common single tumor type, followed lipoma, adenoma, soft tissue sarcoma, mast cell tumor and lymphosarcoma [2]. Canine cutaneous histiocytoma (CCH) most commonly occur as solitary lesions, head and pinnae are prefermential sites, that undergo spontaneous regression. The histologic appearance varies greatly, depending on the age of the lesion and the degree of necrosis and secondary inflammation. The age-specific incidence rate for CCH drops precipitously after 3 years, although histiocytomas occur in dogs of all ages [5]. Their etiology and pathogenesis are unknown. This case reports the gross and histopathological findings of canine cutaneous histiocytoma of observed in a young dog with localized calcification of lingual muscle. (omitted)

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개의 뇌하수체 의존성 부신 피질 기능 항진증에서의 selegiline 적용 (Use of selegiline in 3 Cases of Canine Pituitary-dependent Hyperadrenocorticism)

  • 김주민;황철용;윤정희;윤화영;한홍율
    • 한국임상수의학회지
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    • 제19권4호
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    • pp.455-460
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    • 2002
  • Pituitary-dependent hyperadrenocorticism (PDH) was diagnosed with history taking, physical examination, complete blood count, serum chemistry profiles, abdominal radiology, ultrasonography and adrenal function tests in 3 dogs. Their clinical signs were polyuria, polydipsia, polyphagia, bilateral symmetrical truncal alopecia and secondary infection in skin or urinary tract. Especially one dog showed severe clinical signs such as calcinosis cutis and delayed wound healing. These 3 dogs were diagnosed as PDH, and treated with selegiline 1-2 mg/kg /ay sid PO. 2 dogs with clinical signs of PDH were disappeared and improved, but 1 dog with severe illness progressed gradually despite of selegiline and mitotane application, and eventually died.

Pulsed Radiofrequency Lesioning of the Axillary and Suprascapular Nerve in Calcific Tendinitis

  • Kim, Jun-Sik;Nahm, Francis Sahn-Gun;Choi, Eun-Joo;Lee, Pyung-Bok;Lee, Guen-Young
    • The Korean Journal of Pain
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    • 제25권1호
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    • pp.60-64
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    • 2012
  • The patient was a 45-year-female who presented with pain at right shoulder and right upper arm. The patient suffered from right shoulder and arm pain for 3 years and had pain management which was performed using medication and conservative management after she had been diagnosed with calcific tendinitis. However, substantial pain relief was not consistently achieved, and recurrence of pain was reported. Therefore, we performed right axillary nerve and suprascapular nerve block through pulsed radiofrequency. Two months after the procedure, the shoulder pain gradually subsided with the size reduction of the calcified nodule and she needed no more pain management.

족부 연부조직에 발생한 골연골종 - 1예 보고 - (Soft Tissue Osteochondroma in the Foot - A case report -)

  • 유선오;심창구;김철호;조명일;문진응
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.82-85
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    • 2001
  • We experienced a case of soft tissue osteochondroma in the foot. The 43-years-old male was complained palpable mass and mild pain at the heel for 3 years. The plain radiograpy revealed a bony mass without connection of neighbor bone in the heel. The osteochondroma in the soft tissue is rare benign tumor. The mass was removed en bloc. The gross and histologic findings were consistent with osteochondroma. The differential diagnosis includes myositis ossificans, tumoral calcinosis, synovial chondromatosis, soft tissue osteochondroma, and true osteochondroma which arises from bone. The symptom was improved. After postoperative 1 year, recurrence was not.

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Eustachian tube calcification as an unusual finding on a panoramic radiograph

  • Galal Omami
    • Imaging Science in Dentistry
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    • 제54권1호
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    • pp.105-107
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    • 2024
  • The author herein presents an unusual case of eustachian tube calcification masquerading as loose radiopacities in the temporomandibular joints on a panoramic image, creating a diagnostic challenge. The patient, a 72-year-old woman, presented to the dental service for implant treatment to improve her masticatory function. A cone-beam computed tomography scan was performed and reviewed by a board-certified oral and maxillofacial radiologist. The scan showed no evidence of calcifications in the temporomandibular joints; however, it revealed nodular calcifications within the cartilaginous portion of the eustachian tube bilaterally. Additionally, this report briefly reviews the differential diagnosis of calcified loose bodies in the temporomandibular joint and provides information that needs to be reinforced periodically.

소아기 피부근염의 임상적 고찰; 진단시 임상증상을 중심으로 한 고찰 (A clinical analysis of juvenile dermatomyositis; focus on clinical manifestations at diagnosis)

  • 이소영;방지석;김희석;김중곤
    • Clinical and Experimental Pediatrics
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    • 제50권11호
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    • pp.1116-1124
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    • 2007
  • 목 적 : 소아기 피부근염은 피부와 근육을 침범하는 만성 염증성 질환으로 비교적 드문 질환이다. 우리 나라에서는 산발적인 증례 보고는 있어 왔으나 종합적인 분석은 두가지의 보고가 있을 뿐이다. 이에 저자들은 진단 당시에 소아기 피부근염 환자들의 임상적 증상 및 검사 소견을 분석하였다. 방 법 : 1985년 1월부터 2007년 5월까지 서울대학교병원 소아과 면역 질환 분과에서 소아기 피부근염으로 진단받거나 타병원에서 진단 후 전원된 환아 47명을 대상으로 하여 연령 및 성병분포, 초기 임상 증상, 증상 발현으로부터 진단까지의 시간, 혈청근효소, 자가항체, 근전도, 근생검, 자기공명영상, 합병증 등을 분석하였다. 결 과 : 대상 환아들은 모두 47명으로 남자가 25명 여자가 22명으로 남녀 비율은 1.14:1이었다. 진단 당시 연령은 $6.51{\pm}0.88$세(1.5-13.25세)였다. 피부 발진은 모든 환아에서 나타났으나 3례의 환아에서는 진단 후 발생하였고, 얼굴 발진이 가장 많았다. 진단 당시 근쇠약감은 44례의 환아에서 나타났으며, 2례는 진단 후 나타났다. 근위부 근쇠약감은 계단을 잘 오르지 못하는 것이 가장 흔한 증상이었다. 질병 활성도는 평균 10.8점(3-17점)이었으며, 근쇠약감은 평균 4.91점(0-9점), 피부 병변은 평균 5.89점(0-9점)이었다. 피부와 근육의 증상 이외의 증상은 43%에서 관찰되었고, 석회증이 30%, 관절 구축이 21%, 흡인성 폐렴이 13 %로 관찰되었다. 석회증이 발생한 환아 중 47%는 진단 당시부터 관찰되었고 석회증이 발생한 위치는 골반과 둔부가 50%에 해당하였다. 혈청 근효소의 상승은 LDH가 96%, AST가 80%였다. 자가 항체 중 항핵항체가 59%로 가장 많은 양성을 나타내었으며, 이중 반점 모양이 58%에서 관찰되었다. 근전도는 88%에서 근염에 합당한 소견을 보였고, 근생검은 91%에서 피부근염에 합당한 소견을 보였다. 자기공명영상은 9례에서 시행되었고 모두 T2 강조 영상에서 고신호 강도 변화를 보여 근염에 합당하였다. 결 론 : 소아기 피부근염을 진단하기 위해서는 여러가지 진단 방법이 사용되고 있으나, 얼굴 발진, Gottron 발진, heliotrope 발진과 같은 피부 발진과 상하지 근위부 근육의 쇠약감과 같은 임상증상이 중요할 것으로 생각된다.