• 제목/요약/키워드: Department of Internal Medicine

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갑상선기능저하증에 의한 흉막액 1예 (A Case of Pleural Effusion due to Hypothyroidism)

  • 오형중;박선영;변민광;정우영;박무석;문진욱;강신명;한창훈;김영삼;장준;김성규;김세규
    • Tuberculosis and Respiratory Diseases
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    • 제59권3호
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    • pp.321-325
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    • 2005
  • 저자들은 복수나 심낭액, 심부전의 소견 없이 갑상선기능저하증에 의해 발생한 일측성 흉막액을 진단하고, levothyroxine sodium 치료로 호전을 보인 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

흉곽내 악성종양환자에서 Cisplatin 투여시 5-hydroxyindoleacetic Acid (5-HIAA)의 변화 (Urinary 5-hydroxyindoleacetic Acid(5-HIAA) Excretion Before and During Cisplatin Chemotherapy in Patients with Intrathoracic Malignancy)

  • 양동규;장윤수;김영삼;이준구;박재민;안강현;김세규;정현철;장준;안철민;김성규;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제46권6호
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    • pp.811-816
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    • 1999
  • Background : Nausea and vomiting associated with chemotherapy are common side effects which remain difficult to control. Acute phase nausea and vomiting (0-24 hours after induction of chemotherapy) parallels plasma serotonin release, which explains the effectiveness of $5-HT_3$ receptor antagonists. Serotonin released from gastrointestinal enterochromaffin cells may mediate chemotherapy-induced emesis. In this study, we analyzed urinary excretion of 5-HIAA, the main metabolite of serotonin. Methods : Eight men and four women were studied in their cisplatin chemotherapy cycle. Urinary 5-hydroxyindoleaoetic aicd (HIAA) levels were determined before and during a 24-hour period under ondansetron prophylaxis. Results : Urinary 5-HIAA excretion for a 24-hour period was increased in all patients after induction of cisplatin (P=0.002). Conclusion : Cisplatin chemotherapy is associated with serotonin release in the acute phase. Our finding may provide evidence for a relationship between emesis and serotonin following cisplatin chemotherapy.

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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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Streptococcus parasanguinis에 의한 폐렴과 부폐렴성 흉수 1예 (A Case of Pneumonia and Parapneumonic Effusion Caused by Streptococcus parasanguinis)

  • 박명린;박동일;유수진;정선영;은혁수;김민정;박지원;박희선;정성수;김주옥;김선영;이정은
    • Tuberculosis and Respiratory Diseases
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    • 제71권5호
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    • pp.359-362
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    • 2011
  • Streptococcus parasanguinis is a Viridans group bacteria that is most often discovered in the oral cavity and causes dental plaque and endocarditis in a rat model. It has low virulence but an unknown relationship to human respiratory infections. We report on a 61-year-old woman who developed hemoptysis followed by pleuritic chest pain after conscious sedation during a gastroscopic polypectomy and was diagnosed with pneumonia and parapneumonic effusion from Streptococcus parasanguinis isolated in pleural fluid. Microaspiration during the procedure was presumed to play a role in the pathogenesis.

다발 전이성 농양을 일으킨 편평상피세포암성 농양 1예 (A Case of Squamous Cell Carcinomatous Lung Abscess with Multiple Metastatic Abscesses)

  • 임주은;김은영;장지은;손지영;정지예;박병훈;이경종;윤여운;변민광;이사라;강영애;문진욱;박무석;김영삼;장준;박영년;김세규
    • Tuberculosis and Respiratory Diseases
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    • 제66권5호
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    • pp.390-395
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    • 2009
  • 기관지폐쇄에 의한 폐농양 혹은 공동성 병변에 발생한 암성 농양은 임상 양상 및 방사선학적 소견이 흡인성 폐농양과 흡사하여 감별이 어려워서 폐암을 조기 진단할 수 있는 기회를 놓치기 쉽다. 따라서 항생제에 대한 반응이 뚜렷하지 않거나 선행 요인이 없고 비전형적인 위치에 발생한 폐농양의 경우 악성 병변의 동반 가능성을 염두에 두고 적극적인 검사가 필요하다. 저자들은 발열, 기침, 혈담, 호흡곤란을 주소로 내원하여 폐농양 의심하에 항생제 치료에도 불구하고 병변이 악화된 67세 남자 환자에서 간세침흡인생검을 통해 다발 전이성 농양을 일으킨 편평상피세포암성 농양으로 진단된 예가 있어 문헌 고찰과 함께 보고하는 바이다.

Fistula Formation between Right Upper Bronchus and Bronchus Intermedius Caused by Endobronchial Tuberculosis: A Case Report

  • Kim, Mikyoung;Kang, Eun Seok;Park, Jin Yong;Kang, Hwa Rim;Kim, Jee Hyun;Chang, YouJin;Choi, Kang Hyeon;Lee, Ki Man;Kim, Yook;An, Jin Young
    • Tuberculosis and Respiratory Diseases
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    • 제78권3호
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    • pp.286-288
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    • 2015
  • Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

신경인성 방광 환자 치험 2례 (Clinical Report on the Patients Suffering from Neurogenical Bladder)

  • 유병찬;한영주;채은영;윤담희;이남헌;조충식;김철중;이지영
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.677-683
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    • 2004
  • The following case studies illustrate the application of oriental medical treatment of patients diagnosed with neurogenical bladder. The outstanding symptoms of two cases were general weakening and voiding difficulty, urinary retention and lack of urine sense. In one case, neurogenical bladder was caused by an operation on the femur, and in the other case, by diabetes and anemia. Western medical treatment didnot have any effect in these cases, but after oriental medical treatment, self-voiding was possible. These resu1t suggest that oriental treatment should be considered for patients with neurogenical bladder.

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노인성 어지럼증 환자에 대한 신기환의 증례보고 1례 (1 Cases Study of The Effect of Jaeumgeonbi-tang Gamibang on the functional dizziness)

  • 조창환;김수진;이혜진;신현수;안정조;조현경;김윤식;설인찬;유호룡
    • 혜화의학회지
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    • 제20권1호
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    • pp.65-68
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    • 2011
  • A Case of dizziness treated with Singi-hwan is reported. Singi-hwan is an herbal formula historically used for Jing(精) deficiency in Traditional Korean Medicine and dizziness is a common symptom presented in patients with Jing(精) deficiency. An elderly patient diagnosed with senile dizziness was treated using Singi-hwan for ten consecutive days in Dunsan Oriental Hospital, and has shown positive outcome.