• Title/Summary/Keyword: Gyeongsang

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Recurrent Ischemic Strokes with Progression of Middle Cerebral Artery Stenosis during HIV Treatment (사람면역결핍바이러스감염증 치료 중 발생한 중대뇌동맥협착의 악화 및 재발성 뇌경색)

  • Kang, Jongsoo;Kim, Min Ok;Yi, Jeong Jin;Park, Min Won;Kim, Chang Hun;Kim, Young-Soo;Park, Kee Hong;Kang, Hee-Young;Choi, Nack-Cheon;Kwon, Oh-Young;Kim, Soo-Kyoung
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.337-340
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    • 2018
  • Human immunodeficiency virus (HIV) infection can result in ischemic stroke via several mechanisms, including opportunistic infection, vasculopathy, cardioembolism, and coagulopathy. HIV-vasculopathy is related to endothelial dysfunction, stenosis and aneurysm formation, infectious vasculitis, dissection and accelerated atherosclerosis during highly active antiretroviral therapy (HAART). We represent a case of HIV infection manifested as an acute ischemic stroke attack. After 4 months during HAART, our patient experienced a recurrent ischemic stroke with progression of middle cerebral artery stenosis.

Extensive Blunt Hepatic Injury due to Cross-over Traffic Accident - A Case Report of Conservative Management (전단교통사고에 의한 광범위 간장손상 - 보존치료 1례)

  • Jang, In-Seok;Kim, Sung Hwan;Lee, Jung Eun;Kim, Jong Woo;Choi, Jun Young;Shin, Il Woo;Kim, Hyun Ok
    • Journal of Trauma and Injury
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    • v.27 no.3
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    • pp.84-88
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    • 2014
  • The severity of blunt hepatic injury correlates with internal organ damage. We experienced a patient, who had an extensive crushed liver injury. The patient was a 28-year-old man, who was involved in a traffic accident in which a wheel ran over his right upper abdomen. A grade V severe hepatic laceration was diagnosed with computed tomography. His vital signs were stable, so we could wait for times with conservative management. Bile leakage led to biloma and bile spillage into the peritoneal space. Selective percutaneous drainage was needed to control the several biloma. After four months of conservative management, could the patient was discharged in good condition.

Skull Base Dermoid Cyst in the Right Infratemporal Fossa Diagnosed Using the Dixon Technique: a Case Report and Review of Literature

  • Kim, Seung Jin;Baek, Hye Jin;Ryu, Kyeong Hwa;Choi, Bo Hwa;Moon, Jin Il;Cho, Soo Buem;Park, Sung Eun;Bae, Kyungsoo;Jeon, Kyung Nyeo;Cho, Eun Bin;An, Hyo Jung
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.2
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    • pp.114-118
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    • 2017
  • Dermoid cysts are benign congenital tumors composed of keratinizing squamous epithelium and dermal derivatives. They account for less than 1% of all intracranial tumors and are rarely exhibited at the base of the skull. To the best of our knowledge, only one case report has presented computed tomography and conventional T1-weighted magnetic resonance (MR) findings that revealed an infratemporal dermoid cyst. In the present study, we report an unusual case of a dermoid cyst in the right infratemporal fossa, which was incidentally detected by MR imaging with the Dixon technique. This article also highlights the importance of meticulous radiological review and the usefulness of the Dixon technique in everyday clinical practice.

Identification of Autoantigens in Pediatric Gastric Juices

  • Hee-Shang Youn;Jin-Su Jun;Jung Sook Yeom;Ji Sook Park;Jae-Young Lim;Hyang-Ok Woo;Jung-Wook Yang;Seung-Chul Baik;Woo-Kon Lee;Ji-Hyun Seo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.1
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    • pp.15-25
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    • 2024
  • Purpose: This study aimed to investigate the presence of autoantigens in the gastric juices of children. Methods: Gastric juice and serum samples were obtained from 53 children <15 years of age who underwent gastric endoscopy. Among these, 8, 22, and 23 participants were in the age groups 0-5, 6-10, and 11-15 years, respectively. These samples were analyzed using two-dimensional electrophoresis (2-DE), immunoblot analysis, and matrix-assisted laser desorption ionization-time of-flight mass spectrometry. Furthermore, we reviewed the histopathological findings and urease test results and compared them with the results of 2-DE and immunoblot analysis. Results: There were no statistically significant differences in urease test positivity, grades of chronic gastritis, active gastritis, or Helicobacter pylori infiltration of the antrum and body among the three age groups. Three distinct patterns of gastric juice were observed on 2-DE. Pattern I was the most common, and pattern III was not observed below the age of 5 years. Histopathological findings were significantly different among active gastritis (p=0.037) and H. pylori infiltration (p=0.060) in the gastric body. The immunoblots showed large spots at an approximate pH of 3-4 and molecular weights of 31-45 kDa. These distinct, large positive spots were identified as gastric lipase and pepsin A and C. Conclusion: Three enzymes, which are normally secreted under acidic conditions were identified as autoantigens. Further investigation of the pathophysiology and function of autoantigens in the stomach is required.

A Novel Mediastinal Drainage Tube for Mediastinitis

  • Yhang, Jun Ho;Jang, In-Seok;Kim, Sung Hwan;Park, Hyun Oh;Kang, Dong Hoon;Choi, Jun Young
    • Journal of Chest Surgery
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    • v.48 no.5
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    • pp.378-379
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    • 2015
  • Mediastinitis is a life-threatening disease, and effective drainage is needed to treat mediastinitis with abscess formation. We recommend an alternative drainage method using chest tube binding with a Silastic Penrose drainage tube. The use of a Silastic Penrose drainage tube may help to manage mediastinitis with abscess formation. This method facilitates effective draining and prevents tissue adhesion.

Kawasaki disease in infants

  • Yeom, Jung Sook;Woo, Hyang Ok;Park, Ji Sook;Park, Eun Sil;Seo, Ji-Hyun;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.56 no.9
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    • pp.377-382
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    • 2013
  • Kawasaki disease (KD) is an acute febrile illness that is the predominant cause of pediatric acquired heart disease in infants and young children. Because the diagnosis of KD depends on clinical manifestations, incomplete cases are difficult to diagnose, especially in infants younger than 1 year. Incomplete clinical manifestations in infants are related with the development of KD-associated coronary artery abnormalities. Because the diagnosis of infantile KD is difficult and complications are numerous, early suspicion and evaluation are necessary.

The first pediatric case of tularemia in Korea: manifested with pneumonia and possible infective endocarditis

  • Yeom, Jung Sook;Rhie, Kyuyol;Park, Ji Sook;Seo, Ji-Hyun;Park, Eun Sil;Lim, Jae-Young;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.58 no.10
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    • pp.398-401
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    • 2015
  • Tularemia is a potentially severe zoonotic disease caused by Francisella tularensis. A lack of awareness about tularemia can be embarrassing and could result in delayed treatment because of improper diagnosis. The diagnosis of tularemia is difficult, because the infections are rare and the clinical spectrum is broad. As only 1 adult case has been reported in Korea thus far, pediatricians in Korea may be unfamiliar with tularemia. We report our experience with a 14-year-old male adolescent with tularemia who presented with atypical pneumonia and possible infective endocarditis. Although the infectivity and mortality rates for tularemia are very high if left untreated, we did not suspect tularemia in this case until the incidental isolation of F. tularensis. The present case suggests that clinicians in Korea should be more aware of tularemia. This case also suggests that tularemia should be considered in undetermined cases of atypical pneumonia or acute febrile illness without local signs.