• 제목/요약/키워드: Gangnam

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ANCA 음성인 전신성 베게너육아종증 1예 (A Case of ANCA-Negative Generalized Wegener's Granulomatosis)

  • 김승규;권용진;박혜성;이광원;하지윤;고희성;김기현;변민광
    • Journal of Yeungnam Medical Science
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    • 제30권1호
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    • pp.17-20
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    • 2013
  • Wegener's granulomatosis is a very rare systemic vasculitis characterized by necrotizing granulomatosis. The detection of antineutrophil cytoplasm antibody (ANCA) is a valuable finding in diagnosing Wegener's granulomatosis because ANCA is positive in approximately 90 percent of patients with active, generalized Wegener's granulomatosis. But ANCA is not necessarily positive to make a diagnosis. A 59-year-old man was transferred to our hospital. He was diagnosed with lung abscess and treated with antibiotics at previous hospital. Initially, the ANCA was negative in immunofluorescence assay but we suspected Wegener's granulomatosis because of systemic inflammatory symptoms. Clinical symptoms deteriorated rapidly so we did bronchoscopic biopsy early. Wegener's granulomatosis was diagnosed according to pathologic finding that reported necrotizing granulomatous inflammation associated with vasculitis. Thus we treated with steroid then clinical symptoms and laboratory findings were improved.

표피낭종으로 오인된 에크린 선암 1예 (A Case of Eccrine Adenocarcinoma Misdiagnosed as Epidermal Cyst)

  • 김민기;강민석;신유주;노경진;변형권
    • 대한두경부종양학회지
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    • 제31권2호
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    • pp.78-81
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    • 2015
  • Sweat gland cancer is very rare with a reported incidence of less than 0.005% of all tumor specimens resected surgically. Diagnosis and management of these cancers are difficult, due to the limited reports in the literature. Here we present a case of an eccrine adenocarcinoma in the retroauricular area and report this case with a review of the literature.

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Treatment of Intractable Pneumothorax with Emphysema Using Endobronchial Watanabe Spigots

  • Lee, Doo Yun;Shin, Yu Rim;Suh, Jee Won;Haam, Seok Jin;Chang, Yoon Soo;Watanabe, Yoichi
    • Journal of Chest Surgery
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    • 제46권3호
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    • pp.226-229
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    • 2013
  • Prolonged air leakage is a major cause of morbidity in pneumothorax. When conservative management is not effective, surgery should be performed. However, surgery is not appropriate in patients with low pulmonary function. In these patients, occlusion of the airway with endobronchial blockers may be attempted under bronchoscopy. We treated two patients with prolonged air leakage using endobronchial Watanabe spigots under fibrobronchoscopy.

LGMD2E with a novel nonsense variant in SGCB gene: a case of LGMD2E with a novel variant

  • La, Yun Kyung;Oh, Eun Kyoung;Lyou, Hyun Ji;Hong, Ji Man;Choi, Young-Chul
    • Annals of Clinical Neurophysiology
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    • 제22권1호
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    • pp.29-32
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    • 2020
  • Sarcoglycanopathies are a rare group of autosomal recessive limb-girdle muscular dystrophies (LGMDs) caused by genetic variants in α-, β-, γ-, or δ-sarcoglycan that maintain membrane integrity and contribute to molecular signal processing. High-throughput nucleotide sequencing was performed in patients with slowly progressive proximal muscle weakness from early childhood with respiratory involvement, which detected a novel homozygous nonsense variant (c.601C>T;p.Gln201Ter) in SGCB. This report informs about the clinical characteristics of LGMD2E (type-2E LGMD) in Korea and provides genetic confirmation of the disease.

치과 수술 후 발생한 종격동 기종과 피하기종 (Pneumomediastinum and Subcutaneous Emphysema after Dental Treatment)

  • 차용훈;김범준;김창완;남경식;이두연;함석진
    • Journal of Chest Surgery
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    • 제43권6호
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    • pp.797-799
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    • 2010
  • 치과 시술 후 발생하는 종격동 기종은 비록 발생 비율이 낮고 예후가 양호하지만 잠재적으로 생명을 위협하는 합병증을 초래할 수도 있다. 저자들은 치과 치료 시에 고속 핸드피스에 의해 발생한 공기가 두경부 근막 공간을 통해 종격동까지 전파된 증례를 치험 하였기에 문헌고찰과 함께 보고하는 바이다.

KRAS 유전자 변이로 확진된 Noonan 증후군 신생아 1례 (Noonan Syndrome Confirmed to KRAS Gene Mutation: A Case of KRAS Gene Mutation)

  • 김성우;박소은;정인혁;윤정원;이초애;전지현
    • Neonatal Medicine
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    • 제18권2호
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    • pp.374-378
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    • 2011
  • 누난 증후군은 전형적인 얼굴 모양, 선천성 심질환, 저신장을 특징으로 하는 우성유전 질환으로 출생시부터 임상증상으로 진단하는데 어려움이 있다. 이에 최근 RAS-MAPK 경로 변이로 확진되는 경우가 많고, 유전 변이 유형에 따른 임상 증상이 차이가 나는 경우도 많다. 유전 변이 확진으로 말미암아 임상 증상에 대한 적극적인 치료와 경과 관찰이 중요하므로 저자들은 국내에서 드문 KRAS 유전 변이 환아를 출생시부터 임상증상으로 진단하고 확진한 경험을 하여 이를 보고하는 바이다.

Favorable Aortic Remodeling Following Serial False Lumen Procedures in a Case of Chronic Type IIIb Dissection

  • Eleshra, Ahmed Sameh;Heo, Woon;Lee, Kwang-Hun;Lee, Shin-Young;Lee, Ha;Song, Suk-Won
    • Journal of Chest Surgery
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    • 제51권4호
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    • pp.286-289
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    • 2018
  • We report a case of acute type I aortic dissection in which an emergency graft replacement of the ascending aorta and innominate artery was performed. We performed false lumen thrombosis through hybrid thoracic endovascular aortic repair to seal the primary entry tear, followed by false lumen obliteration at the level of the descending thoracic aorta, abdominal aorta, and right common iliac artery. Over a period of 4.5 years, we used Amplatzer vascular plugs and coils based on our computed tomography angiography follow-up protocol.

A Successfully Treated Case of Gorham-Stout Syndrome with Sternal Involvement

  • Kim, Bong Jun;Kim, Tae Hoon;Kim, Do Jung;Noh, Dongsub;Haam, Seok Jin;Lee, Sungsoo
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.90-94
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    • 2015
  • Gorham-Stout Syndrome (GSS) is a rare disease characterized by localized bone resorption. Any part of the skeleton may be affected; therefore, symptoms can vary depending on the site involved. Pathological analysis reveals lymphovascular proliferation and osteolysis in the affected lesion, but the etiology of the disease is poorly understood. When GSS occurs in the chest, chylothorax or respiratory failure may occur. Thus far, a standard treatment for GSS has not been established, and the prognosis remains unknown. The following case report describes a successfully treated case of GSS in a 16-year-old boy with an affected sternum and ribs.

채소류 섭취에 따른 연령별 잔류농약 노출평가 (Dietary Exposure Assessment by Ages due to Pesticide Residues in Vegetables)

  • 장미라;문현경;김태랑;육동현;김은희;홍채규;최채만;황인숙;김정헌;김무상;채영주
    • 농약과학회지
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    • 제16권1호
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    • pp.21-27
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    • 2012
  • 2008년 국민건강영양조사에서 서울시민의 연령별 채소섭취량을 산정하여 2007년부터 2009년까지 서울지역에서 유통 중인 채소류에 대한 잔류 농약을 모니터링 하여 채소류섭취에 따른 연령별 농약성분의 노출량을 평가하였다. 서울시민에 대해 연령별 평균 채소류 섭취량을 분석한 결과 통계적으로 유의한 차이가 있었다(p<0.001). 연령그룹 중 40~59세 그룹의 채소류 섭취량이 가장 높게 나타났고 5세 이하 그룹의 채소류 섭취량이 가장 낮게 나타났다. 2007년부터 2009년까지 채소류 섭취에 따른 연령별 잔류농약의 %ADI(Acceptable Daily Intake)는 모두 1 이하로 나타나 잔류농약으로 인한 위해 가능성은 낮을 것으로 판단된다.