• Title/Summary/Keyword: Chronic cough

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The Effects of Sochongryong-tang on Pulmonary Function and Quality-of-Life in Asthmatic Patients (소청용탕이 기관지천식 환자의 폐기능과 삶의 질에 미치는 영향)

  • 허태석;황우석;주창엽;정희재;이형구;정승기
    • The Journal of Korean Medicine
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    • v.22 no.4
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    • pp.131-141
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    • 2001
  • Objectives : Asthma is a chronic inflammatory disorder in which the airway smooth muscle undergoes exaggerated constriction and is abnormally responsive to external stimuli and clinically manifests dyspnea, cough, and wheezing. Recently in Korea, the number of asthma patients has tended to increase as air pollution increases and new allergens appear. This study aimed to identify the therapeutic effects of Sochongryong-tang, which has been used on asthmatic patients in Oriental Medicine for a long time. Methods : We studied 10 asthmatic patients who had visited the Division of Respiratory System, Department of Internal Medicine of Kyunghee Oriental Medical Center from February 1, 2001 to June 30, 2001, which examined the patients by the pulmonary function test (PFT) and Quality of Life Questionnaire for adult Korean Asthmatics (QLQAKA) before and after taking Sochongryong-tang for two weeks. The data was analyzed using paired t-test. Results : After treatment with Sochongryong-tang for two weeks, FEV 1.0 showed a significant increase of 14.2%, FVC a significant increase of 9.3% and PEFR a significant increase of 16.2% in results of patients examined asthmatic by PFT. In the results of QLQAKA, the mean of scores increased significantly over 0.5 points in total score, symptom domain, emotion domain, and environmental domain. Conclusions : This study shows that Sochongryong-tang has the effect of improvements of pulmonary function and quality of life in asthmatic patients.

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The Clinical Study on 1 Case of Patient with Idiopathic Epilepsy (특발성(特發性) 간질(癎疾) 환아(患兒) 치험(治驗) 1례(例))

  • Lee, Jeong-Lim;Shin, Ji-Na;Song, In-Sun
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.2
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    • pp.27-35
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    • 2003
  • Objective : About 5% of children suffer from convulsive disease before they grow up. Among the convulsive disease, epilepsy means the chronic and relapsed nervous disorder. The etiologic factors of epilepsy are very various. But about 75% of cases are idiopathic, in other words, we cannot find the origin of the disease. Method : We report on 8-year-old male patient with idiopathic epilepsy. We treated him with Hyoungbangdojeok-San and acupuncture. Results : After treatments, the symptoms(convulsion, cough, sputum, constipation, and sore throat) are improved. Conclusion : We had good effects in oriental medical treatment on Idiopathic Epilepsy. And the more study about this disease is needed.

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MR Imaging of Disseminated Tuberculosis of the Brain in a Patient with Miliary Tuberculosis : Initial Findings and Changes Six Months after Antituberculous Therapy (속립성 뇌결핵의 초기 자기공명영상 소견과 치료 후 변화)

  • Jang, Jae Ho;Lim, Jae Woo;Jung, Soon Lee;Choeh, Kyuchul;Han, Taeil
    • Clinical and Experimental Pediatrics
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    • v.45 no.12
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    • pp.1596-1600
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    • 2002
  • A 23-month-old girl visited with chronic cough and her chest radiograph showed miliary tuberculosis. There was no neurological abnormality. But CSF findings showed WBC $22/mm^3$(lymphocyte 20%, neutrophil 80%) and positive result of polymease chain reaction(PCR) for M. tuberculosis. MR imaging showed multiple ring enhanced nodules and ovoid nonenhancing bright signal lesion on the cerebrum, cerebellar parenchyme, and left basal ganglia. Antituberculous chemotherapy was done and follow-up MR imaging was done after six months. One month after treatment, the number and size of nodules had decreased. Six months after treatment, the multiple enhanced nodules and leptomeningeal enhancement were not observed, and high signal intensity of genu portion of left internal capsule and posterior portion of putamen were decreased.

Codonopsis Lanceolata Inhibits Inflammation through Regulation of MAPK in LPS-stimulated RAW264.7 cells (LPS로 유도된 RAW264.7 염증모델에서 MAPK 조절에 의한 양유(羊乳)의 항염증효과)

  • Kim, Bum-Hoi;Lee, Yong-Tae;Kang, Kyung-Hwa
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.1
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    • pp.80-84
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    • 2010
  • Codonopsis Lanceolata (CL) has been widely used in Oriental medicine for treatment of chronic inflammatory diseases, such as bronchitis, cough, and spasm; however, the mechanism of its anti-inflammatory activity has not been clarified. In this study, therefore, we investigated the inhibitory effect of CL on LPS-induced inflammation. The effect of CL was analyzed by ELISA, RT-PCR and Western blotting in LPS-stimulated RAW264.7 cells. We found that CL suppressed not only the mRNA expression of pre-inflammatory cytokines, inducible nitric oxide synthase (iNOS), and cyclooxygenase (COX)-2, but also the phosphorylation of ERK1/2, JNK1/2 and p38 MAPK. These results suggest that CL exerts an anti-inflammatory effect through the regulation of the mitogen-activated protein kinases (MAPK) pathway, thereby decreasing production of pre-inflammatory cytokines, NO, and PGE2.

Pulmonary Toxocariasis Mimicking Invasive Aspergillosis in a Patient with Ulcerative Colitis

  • Park, Eun Jin;Song, Joon Young;Choi, Min Ju;Jeon, Ji Ho;Choi, Jah-Yeon;Yang, Tae Un;Hong, Kyung Wook;Noh, Ji Yun;Cheong, Hee Jin;Kim, Woo Joo
    • Parasites, Hosts and Diseases
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    • v.52 no.4
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    • pp.425-428
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    • 2014
  • A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.

Case Report of Asbestosis

  • Lee, Yong-Hwan;Chang, Hee-Kyung;Kiyoshi Sakai;Naomi Hisanaga;Chung, Yong-Hyun;Han, Jeong-Hee;Yu, Il-Je
    • Toxicological Research
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    • v.17 no.3
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    • pp.163-165
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    • 2001
  • A patient,58 years of age, with suspected 0/l pneumoconiosis since 1993, complained of a dry cough and exertioning dyspnea for 6 months. He had worked in an asbestos company for more than 20 years from 1974. He was subsequently diagnosed with an interstitial lung disease during an annual special health check-up for asbestos workers. h chest X-ray showed an interstitial lung disease and high-resolution computed tomography (HRCT) showed a round opaque asbestosis with chronic hypersensitivity pneumonitis. A pulmonary function test indicated that the patient had a mild restrictive lung disease with FEV1 1.67 litters and 82% FEVl/FVC. The bronchoalveloar larvage fluid included many asbestos bodies, indicating previous exposure to asbestos. Transmission electron microscopy (TEM) using an energy dispersive X-ray analyzer (EDX) revealed many asbestos bodies consisting of mainly crocidolite fibers (6,071$\times$$10^6$fibers/g of dry lung). The patient had an unusually high asbestos content of 6,112$\times$$10^6$ asbestos fibers/9 of dry lung.

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Necrotizing Bronchial Aspergillosis - A case report- (괴사성 기관지 국균증 -1예 보고-)

  • 이인호;김대현;김수철;김범식;조규석;박주철;김윤화
    • Journal of Chest Surgery
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    • v.36 no.11
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    • pp.874-877
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    • 2003
  • Necrotizing bronchial aspergillosis usually occurs in the immumocompromised host. Aspergillus invades bronchial epithelium and forms endobronchial mass or endobronchial stenosis. A 78-year-old male patient with diabetus mellitus complaining of dyspnea and cough was admitted to our hospital. Plain chest X-ray and chest computed tomogram showed a large endobronchial mass and total collapse of left upper lobe of the lung. Bronchoscopic biopsy of the endobronchial mass revealed chronic inflammation. To confirm the endobronchial mass, we performed sleeve lobectomy of left upper lobe of the lung. Histologically the mass was diagnosed as necrotizing bronchial aspergillosis. We report a case of necrotizing bronchial aspergillosis in an elderly man who has diabetus mellitus with review of the literature.

A Case of Congenital Cystic Adenomatoid Malformation Infected with Mycobacterium avium-intracellulare Complex

  • Kim, Yong Jin;Kim, Do Young;Seo, Jung Woong;Lee, Song Am;Hwang, Jae Joon;Kim, Hee Joung;Lee, Kye Young
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.1
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    • pp.28-31
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    • 2013
  • We present a case of congenital cystic adenomatoid malformation (CCAM) in a 25-year-old male who was presented with chronic cough. Chest radiography revealed an abnormal mass-like shadow in the right lower pulmonary zone. A contrast enhanced computed tomography showed an 11 cm solid, cystic mixed mass on the right lower lobe. A right lower lobectomy was performed by video-assisted thoracoscopic surgery without complications. The gross specimen showed a massive cavitation with multiloculated cysts of varying size, consistent with CCAM, along with noticeable granulomatous inflammation. Non-tuberculosis mycobacteria were isolated from a bronchial wash specimen, and the resected tissue homogenates were positive for Mycobacterium avium-intracellulare complex by polymerase chain reaction.

Pulmonary Sequestration: report of 2 cases (Pulmonary Sequestration [2례 보고])

  • 남충희
    • Journal of Chest Surgery
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    • v.14 no.4
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    • pp.350-353
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    • 1981
  • The pulmonary sequestration is an uncommon congenital anomaly characterized by the presence of a part of lung tissue which is supplied by an aberrant artery from the aorta or its branch and usually has no communication with the normal bronchial tree. It was first presented by Hubber in 1777 and presented in details by Pryce in 1946. We present a case of extralobar pulmonary sequestration experienced recently with a case of intralobar type experienced in 1962. The patient was 11 year old male with the complaint of chronic productive cough. Serial chest films showed a large cyst with or without the air-fluid level on the posterobasal segment area of the left lower lobe. Bronchography showed no definite communication between the cyst and bronchial tree. On operation, the cystic lesion was supplied by an aberrant artery from the descending thoracic aorta 5 cm above the aortic hiatus and was sited at the posterobasal segment area of the left lower lobe. We performed the sequestrectomy and the sequestration was surrounded by its own pleura, 6.8x3.9x3.2 cm in size, contained the pale brown mucoid secretion in a large cyst and showed the primitive alveolar structure of the wall. The aberrant artery was 1 -5 cm long, 0.3 mm in internal diameter and arterio-sclerotic. We also compared 6 cases of collection, 5 intralobar and 1 extralobar type, presented in Korea.

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Computed Tomographic Features of Saccular Type of Bronchiectasis in a Dog (개에서 발생한 낭상 기관지 확장증에 대한 컴퓨터단층촬영 소견 1례)

  • Choi, Sooyoung;Seo, Jiwon;Park, Hyunyoung;Lee, Youngwon;Choi, Hojung
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.523-526
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    • 2015
  • A 9-year-old, castrated male Malamute dog was presented with chronic cough. On thoracic computed tomography, non-tapered and dilated peripheral bronchi were detected. Bronchoarterial ratio was about 2.2. The dilated bronchi appeared as a cluster of grapes especially in left cranial, left caudal and right middle lung lobe. Based on the computed tomographic findings, the diagnosis was made as the saccular type of bronchiectasis.