• 사상체질의학회지
• /
• 제27권4호
• /
• pp.436-443
• /
• 2015

Objectives The aim of this study was to report an improvement on the symptoms of Eosinophilic Colitis (EC) by Yeoldahanso-tang.Methods The patient was diagnosed with Taeumin Ganyeol-paeJo Symptomatology and treated with Yeoldahanso-tang. The gastroendoscopy and eosinophilic infitration of mucosa of colitis are investigated. Also patient's subjective symptom of abdominal pain was scored using the Numerical Rating Scale(NRS) during the treatment period. And the number of defecation in a day is also used to decide the degree of colitis.Results and Conclusions The patient had been treated from December 13, 2014 to August 8, 2015. Eosinophilic infiltration of colon was disappeared after the treatment although chronic inflammation still existed. Subjective pain of abdominal pain was measured as NRS 6~8 at the beginning of the remedy, but diminished through the treatment sessions and became NRS 0 in the end. The number of defecation was in average 3, and at the endpoint it became 1. In conclusion, this study suggests that Sasang constitutional Medicine used for treating EC of Taeumin may be effective.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제8권2호
• /
• pp.122-129
• /
• 2005

목 적: 영아 초기에 혈변으로 발현하는 호산구성 대장염의 임상 양상과 치료 및 예후 등을 알아보고자 하였다. 방 법: 2002년 8월부터 2004년 2월까지 부산대학교병원 소아과에 혈변을 주소로 내원한 생후 6개월 미만의 영아 중 말초 혈액에 호산구 증가증이 있고 대장 내시경 검사에서 특징적인 소견과 대장 조직 생검에 대한 병리조직학적 검사에서 호산구의 침윤이 현저한 염증이 소견이 보이는 환자들을 대상으로 임상 및 조직 소견을 후향적으로 분석하였다. 결 과: 남아가 5명(83.3%), 여아가 1명(16.7%)이고, 혈변의 최초 발생시 나이는 $79.2{\pm}56.1$일이었다. 모든 환자에게 성장 장애나 식욕 저하 등의 다른 전신 증상은 없었으며, 알레르기의 가족력도 없었다. 수유 방법은 다양했으며, 어머니의 식이 습관에는 우유 섭취가 2예, 땅콩 섭취가 1예 있었고, 아토피 피부염이 동반된 환아가 1명 있었다. 혈액 검사에서 백혈구수가 $11,763{\pm}3,498/mm^3$, 호산구 비율이 $17.0{\pm}4.3%$, 절대 호산구수가 $2,044{\pm}996/mm^3$였다. 대장 내시경 검사 소견은 전예에서 직장과 S상 결장의 점막이 미만성으로 홍반, 울혈 및 과립상 변화를 보였다. 이 중 3명에서 상부 위장관 내시경 검사가 시행되었으나, 특히 소견이 없었다. 대장의 병리조직 검사 소견은 전예에서 심한 호산구 침윤이 동반된 만성 염증 소견을 보였다. 치료로는 2명에서 유단백 가수 분해 분유(HA분유)를 수유하였는데, 1명에서 반응이 있었다. HA 분유에 반응이 없었던 환자를 포함하여 5명에서 스테로이드를 투여하였고, 모든 환자에서 증상과 말초 호산구 수가 정상화된 기간은 $36{\pm}15$일이었다. 치료 후 추적 검사는 평균 $11.6{\pm}8.0$개월 동안 시행했는데 이 기간 중에 증상의 재발은 없었다. 결 론: 영아 초기에 발생하는 호산구성 대장염은 혈변 이외에 다른 성장 장애나 위장관계 증상이 없었고, 음식 알레르기와의 관련성은 없었으며 스테로이드에 좋은 반응을 보였다. 앞으로 호산구성 대장염에 대한 대단위의 연구와 장기간의 추적 관찰이 필요한 것으로 생각된다.

• Tuberculosis and Respiratory Diseases
• /
• 제51권5호
• /
• pp.474-481
• /
• 2001

염증성 장질환 환자에서 폐주변부에 발생하는 진행성 폐침윤과 기침, 발열, 호흡곤란 등의 호흡기계 증상, 말초혈액내 호산구중다중의 발현, 다른 호산구중다중을 유발할 만한 약제나 기생충 감염 등의 원인이 없는 경우에 메살라진이나 설파살라진에 의한 호산구성 폐렴의 가능성율 생각하고, 약제 투여 중단과 스테로이드 사용을 고려해야 하며, 기관지경을 통한 기관지 폐포액에서 호산구 증가와 lymphocyte stimulation test, 폐생검올 통해 진단할 수 있다. 저자들은 궤양성 대장염 환자에서 부작용이 적다고 알려진 메살라진에 의한 호산구성 폐렴 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제5권1호
• /
• pp.91-95
• /
• 2002

저자들은 설사와 우복부통증 및 체중감소의 증상을 보인 11세 남아에서 말초혈액의 호산구수 증가와 IgE가 정상범위이며 대장내시경하에 채취한 S자결장 생검조직에서 특징적인 호산구침윤 소견이 관찰되어 비 IgE 매개성 호산구성 대장염으로 진단된 1례를 경험하였으며 부신피질 호르몬 투여로 증상 호전을 보여 문헌고찰과 함께 보고하는 바이다.

• Parasites, Hosts and Diseases
• /
• 제52권4호
• /
• pp.425-428
• /
• 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.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권18호
• /
• pp.7673-7677
• /
• 2014

Background: Patients with long-standing inflammatory bowel disease (IBD) have an increased risk of developing colorectal cancer (CRC). Colon cancer risk in IBD increases with longer duration and greater anatomic extent of colitis, the presence of primary sclerosing cholangitis, family history of CRC and degree of inflammation of the bowel. This study aimed to characterize the histopathological pattern of benign colorectal diseases among Saudi patients and to highlight age and gender variations of lesions as base line data for future studies to investigate the link between benign/IBD and colorectal cancers in the local population. Materials and Methods: The materials consisted of 684 biopsies, reported as benign (excluding malignancies and polyps) at the Department of Pathology, King Fahad Hospital, Madinah, Saudi Arabia from January 2006 to December 2013. Data collected and entered in MS-Excel and were analyzed using SPSS-20. Results: Of 684 colorectal tissues reviewed, 408 specimens (59.6%) were from male patients and 276 specimens (40.4%) were from females giving a male: female ratio of 1.5:1. Age of the patients ranged from 4 to 75 years with a mean of 39.6 years. The most frequent histologic diagnosis was a chronic non specific proctocolitis followed by ulcerative colitis, accounting respectively for 52.6% and 31.7% of all cases. These were followed by Crohn's disease 22 (3.2%), ischemic bowel disease 20 (2.9%), diverticular disease 14 (2%), eosinophilic colitis 12 (1.7%) and solitary rectal ulcer 12 (1.7%). A minority of 21 patients (3.1%) were cases of acute nonspecific proctocolitis, schistosomiasis, tuberculosis, volvulus and pseudomembranous colitis. Conclusions: These data show that although chronic non specific proctocolitis and ulcerative colitis were the dominant diagnoses, Crohn's disease, ischemic bowel disease and diverticular disease also existed to a lesser extent and should be considered in the differential diagnosis of benign colorectal diseases. This study provides a base line data for future studies which would be taken up to investigate the link between benign/IBD and colorectal cancers in the local population.

• Biomolecules & Therapeutics
• /
• 제6권1호
• /
• pp.37-44
• /
• 1998

This study was performed to examine the effects of DA-9601, a novel antiulcer agent extracted from Artemisiae Herba, on radiation colitis in the rat. Female Wistar rats received a 30 Gy dose of irradiation to the 2 cm of distal colon in length using an intrarectal applicator system. 30 mg/tg or 100 mg/kg of DA- 9601 was administered orally 30 min before and 4 h after radiation on day 1. And the same dose of DA-9601 was given to the animals twice a day from day 2 to 14. As a reference control, sucralfate suspension (100 or 300 mg/head) was given as an enema based on the same treatment schedule of DA-9601. Body weight change and the frequency of diarrhea were recorded during the observation period as markers of radiationinduced injury, All animals were sacrificed on day 15 for evaluation of macro- and microscopic findings and mucosal myeloperoxidase (MPO) activity. Radiated animals showed diarrhea, mucosal redness and histologic changes characterized by edema and eosinophilic infiltration of the periglandular lamina propria with loss of colonic epithelium. Radiation also significantly increased mucosal MfO activity of affected colon f\\\\\\\\`<0.05). However, most of these changes were completely protected by oral administration with DA-9601. DA-9601 reduced radiation-induced histologic alteration significantly in a dose-related manner (P<0.05). In addition, mucosal MPO activity in rats receiving high dose of DA-9601 decreased significantly when compared with that in radiated control. High dose of sucralfate (300 mg/head) alleviated radiation-induced histologic lesion, but failed to reach statistical significance. The results of this study suggest that DA-9601 can be useful for the prevention of acute clinical symptoms of radiation proctocolitis and that decrease of mucosal MPO by DA-9601 plays a role in its protective mechanism(s), at least in part.

• Journal of Neurogastroenterology and Motility
• /
• 제24권4호
• /
• pp.614-627
• /
• 2018

Background/Aims Although functional abdominal pain disorders (FAPDs) are common in children, the accurate pathogenesis of FAPDs is not known yet. Micro-inflammation, particularly tissue eosinophilia of gastrointestinal (GI) tract, has been suggested as the pathophysiology observed in several GI disorders. We aimed to evaluate eosinophilic infiltration throughout the entire GI tract in children with FAPDs, compared to those with inflammatory bowel diseases (IBD) and to normal reference values. Methods We included 56 children with FAPDs, 52 children with Crohn's disease, and 23 children with ulcerative colitis. All subjects underwent esophagogastroduodenoscopic and colonoscopic examination with biopsies. Tissue eosinophil counts were assessed in 10 regions throughout the GI tract. Results Eosinophil counts of the gastric antrum, duodenum, terminal ileum, cecum, and ascending colon were significantly higher in children with FAPDs compared to normal reference values. Eosinophil counts of the stomach and the entire colon were observed to be significantly higher in children with IBD than in those with FAPDs. Even after selecting macroscopically uninvolved GI segments on endoscopy in children with IBD, eosinophil counts of the gastric body, cecum, descending colon, sigmoid colon, and the rectum were also significantly higher in children with IBD than those with FAPDs. Conclusions Significantly high eosinophil counts of the stomach and colon were observed in the order of IBD, followed by FAPDs, and normal controls, regardless of endoscopically detected macroscopic IBD lesions in children. This suggests some contribution of GI tract eosinophils in the intrinsic pathogenesis of FAPDs in children.