• Title/Summary/Keyword: Hospital medicine

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A Case of Pulmonary Sarcoidosis with Elevated Carcinoembryonic Antigen (CEA) (CEA상승을 보이는 폐 유육종증의 1예)

  • Yang, Mi-Yean;Ryu, Yang-Seon;Ko, Hee-Ja;Park, Se-Kyng;Park, Jong-Sook;Park, Chun-Sik;Park, Jae-Sung;Bak, Sang-Hyen;Ko, Eun-Suk;Park, Jeong-Mi
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.1
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    • pp.48-51
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    • 2010
  • Sarcoidosis is a multi-systemic granulomatous disorder of unknown etiology. The characteristic pathological finding is the presence of non-caseating granulomas. The lungs are primarily affected, however other organs may be involved causing various symptoms and ambiguous laboratory findings can be present. There are a few reported cases of sarcoidosis with elevated tumor markers. We describe a 68-year-old woman presenting with sarcoidosis showing elevated serum carcinoembryonic antigen (CEA). The possibility of cancer arising from serum CEA such as gastrointestinal cancer, breast cancer and lung cancer was excluded. A transbronchial lung biopsy demonstrated a non-caseating granuloma without necrosis. As a result prescribed 30 mg prednisolone daily to the patient and serum CEA was decreased after 1 month of treatment. We report a case of pulmonary sarcoidosis with elevated serum CEA.

The Clinical Studies for the effects of MyoFascial Releasement on Patients with Nuchal Pain Caused by Traffic Accidents (교통사고로 유발된 경항통 환자의 근막이완술의 효과에 대한 임상적 연구)

  • Jung, Won-Hee;Jung, Ji-Eun;Seo, Sang-Kyoung;Kang, Jun-Hyuk;Lee, Chang-Hee
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.21-29
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    • 2009
  • Objectives : The purpose of this study is to find out the effects of myofascial releasement on nuchal pain caused by traffic accidents. Methods : The 30 patients were divided into 2 groups : group A was treated except myofascial releasement and group B was treated with myofascial releasement. Both group were treated with acupuncture treatment, physical theraphy and herbal medication. Patients were evaluated by McGill Pain Questionnaire-Short Form(SF-MPQ), Visual Analogue Scale(VAS), Pain Disability Index(PDI) and Neck Disability Index(NDI). Results : 1. Both Group were significantly decreased in affective of SF-MPQ, VAS, after 10 times of treatment. 2. Group B compared with the Group A was significantly decreased in affective of SF-MPQ, NDI and PDI after 10 times of treatment. Conclusions : We found out that myofascial releasement is considered to be effective and useful on nuchal pain caused by traffic accidents.

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

  • Kim, Seung Kyu;Kwon, Yong-Jin;Park, Heae Surng;Rhee, Kwang Won;Ha, Ji Yoon;Ko, Hee Sung;Kim, Ki Hyun;Byun, Min Kwang
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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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.

A Case Report on ROS1-positive Recurrent Non-small-cell Lung Cancer Treated with Crizotinib and Korean Medicine (Crizotinib과 한방치료를 병행하여 호전된 ROS1 양성 재발성 폐암 환자 1례)

  • Jang, Kwon-jun;Yang, Jung-min;Lee, Ji-yoon;Ko, Eun-bi;Moon, Hyang-ran;Yoon, Min-ji;Jo, On-you;Jeong, Seong-heon;Lee, Beom-joon;Shin, Kwang-soon;Hwang, Woo-seok
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.820-832
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    • 2021
  • Objectives: This study examined the case of a patient with ROS1-positive recurrent non-small-cell lung cancer treated with crizotinib and traditional Korean medicine. Methods: The patient was treated with crizotinib from January 20 2021 to May 22 2021, together with Haedogyangpye-tang and Haengso-tang. The tumor size was measured using computed tomography (CT), and adverse events were evaluated according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Results: After four months of combined treatment, the sizes of the lymph nodes in the porta hepatis, hepatoduodenal, retrocrural, aortocaval, and para-aortic areas had decreased, and no lymph nodes larger than 1 cm in diameter were observed. The side effects of chemotherapy also improved. Conclusions: This case study suggests that traditional Korean medicine may alleviate the side effects of chemotherapy, improve quality of life, and complement chemotherapy itself.

The Study of 5,10-Methylenetetrahydrofolate Reductase Variation (MTHFR C677T) in Infertile Females with Polycystic Ovarian Syndrome (PCOS) in Korea (한국인 다낭성 난포증후군 환자에서 5,10-Methylenetetrahydrofolate Reductase의 677번 유전자 다형성에 관한 연구)

  • Lee, Kyo-Won;Jeong, Yu-Mi;Lee, Sook-Hwan;Yoon, Tae-Ki;Kwak, In-Pyung;Yoon, Seon-Woong;Choi, Joong-Sub;Kim, Kye-Hyun;Han, Jong-Sul;Kim, Sung-Do;Kim, Nam-Keun;Cha, Kwang-Yul;Baek, Kwang-Hyun;Lee, Su-Man
    • Clinical and Experimental Reproductive Medicine
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    • v.30 no.3
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    • pp.217-222
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    • 2003
  • Objective: To investigate the association of genetic background between MTHFR C677T genotype and infertile females with polycystic ovarian syndrome. Materials and Methods: We compared 86 infertile females with polycystic ovarian syndrome (PCOS) with 100 healthy fertile females with one or more offspring. Pyrosequencing analysis for MTHFR C677T variation was performed on polymerase chain reaction (PCR) product of study group. To validate pyrosequencing data of C677T variation for randomly selected 50 samples, we compared the pyrosequencing result with the PCR-RFLP (Restriction Fragment Length Polymorphism) result of MTHFR C677T genotype. Results: The prevalence of the C677T mutant homozygous (TT) was significantly lower (p=0.0085) in females with PCOS (8.14%) than in fertile females (21.00%). MTHFR 677 TT genotype had a decreased risk (3.7-fold) of PCOS compared with wild type (MTHFR 677 CC). Conclusion: Our data support a role for MTHFR mutant homozygous (677 TT) genotype in reducing risk in Korean infertile females with Polycystic ovarian syndrome.

A Case Report of Complex Korean Medicine Treatments for Tetraplegia Caused by Spinal Cord Injury (척수손상으로 인한 사지마비 환자에 대한 복합 한방치료 효과 증례보고)

  • Kim, Eun-jung;Kim, Dong-hoon;Yoo, Sang-gu;Kim, Da-hye;Lee, Se-won;Bae, Ji-yun;Kim, Seon-woo;Park, Cheol-woo;Hur, Shin-chul
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.122-131
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    • 2020
  • Background: This study aimed to determine the effects of complex Korean medicine treatments on a patient suffering from tetraplegia caused by spinal cord injury. Case Summary: A 64-year-old female patient diagnosed with tetraplegia was treated using acupuncture, electroacupuncture, pharmacopuncture, knee joint motion style treatment (MST), and herbal medicine. Clinical symptoms were measured using the numeric rating scale (NRS) and manual muscle test (MMT). After 67 days of treatment, the NRS score for lower back pain and knee pain decreased from 7 to 3. For the shoulder joint the MMT grade improved from 3+/4+(Rt./Lt.) to 4/5-; in the hip joint, it improved from 3-/3+ to 4/4+. No side effects were observed from the treatments used in this case report. Conclusion: The complex Korean Medicine treatments appeared to be effective in recovering muscle strength and reducing pain in patients with tetraplegia caused by spinal cord injury.

A Case Report of Adolescent Nonalcoholic Fatty Liver Disease (NAFLD) with Obesity (피로감을 주증으로 입원한 청소년 비알코올성 지방간질환(NAFLD) 환자 치험 1례)

  • Kang, Kyung-rae;Lee, Min-su;Jung, You-jin;Choi, A-ryun;Han, Dong-geun;Kang, Ah-hyun;Song, Woo-sub;Lee, Hyung-chul;Um, Guk-hyun
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.726-732
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    • 2016
  • Objective: To report the clinical effect of Korean medicine treatment in an adolescent patient diagnosed with nonalcoholic fatty liver disease (NAFLD) with obesity. Methods: The patient was treated from July 9th, 2014 to August 7th, 2014. He was taking Saenggangeonbi-tang (生肝建脾湯) during the treatment period. He also undertook regular exercise and regulated his diet to reduce body weight. Results: The patient’s AST, ALT, and GGT levels were significantly decreased. Total cholesterol, triglyceride, and LDL levels were also decreased, and HDL level was increased. His body weight and body mass index (BMI) were decreased. Conclusions: The results suggest that Saenggangeonbi-tang with exercise and regulated diet could be an effective treatment for adolescent NAFLD with obesity in clinics.

Efficacy of Korean Medicine Combination Treatments for Recurrent Back Pain after Medical Procedures: A Retrospective Study

  • Jeong, Wu-Jin;Noh, Je-Heon;Huh, Hyo-Seung;Lee, Sun-Ho;Kim, Sun-A;Kim, Min-Kyung;Roh, Ji-Ae;Lee, Ji-Won
    • Journal of Acupuncture Research
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    • v.36 no.4
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    • pp.230-237
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    • 2019
  • Background: The purpose of this study was to investigate the clinical efficacy of Korean medicine combination treatments for recurring back pain after medical procedures. Methods: This was a retrospective study performed on 311 patients admitted to Daejoen Jaseng hospital who were diagnosed with lumbar spine herniated intervertebral discs. The patients were divided into 2 groups according to whether or not they had undergone at least one medical procedure on the lumbar spine. They were assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI) and EuroQol-5 Dimensions Index (EQ-5D) before and after treatment. Results: Patients who experienced a medical procedure on the lumbar spine in the prehospital phase (Group A), statistically significantly improved EQ-5D and ODI scores. The NRS scores also decreased however it was not statistically significant. Patients who had not undergone a medical procedure on the lumbar spine in the prehospital phase (Group B) had statistically significantly improved ODI and NRS scores. The average EQ-5D score decreased however, there was no statistically significant difference before and after scores in Group B. There was no statistically significant difference in variation in EQ-5D, ODI, and NRS scores before and after treatment between the groups. Conclusion: The results of this study indicated that even after a bilateral procedure and surgery, when pain in patients with lumbar spine herniated intervertebral disc did not decrease, (as in failed back surgery syndrome), Korean medicine combination treatment of postoperative pain was helpful and there was improvement in daily life.

A Case Report of Tension Headache Treated with Yanghyeolgeopung-tang (양혈거풍탕(養血祛風湯)을 포함한 한의치료로 호전된 긴장형 두통 환자의 치험 1례)

  • Jin, So-ri;Park, Mu-jin;Oh, Eun-je;Oh, Joo-hee;Kim, Kyoung-hoon;Song, Woo-sub;Ahn, Sang-min;Kim, Eun-song;Jang, Dong-jin
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.303-310
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    • 2022
  • Objectives: This study reports the effects of Korean medical treatment, including the administration of Yanghyeolgeopung-tang, on tension headache. Case presentation: A 48-year-old man with headache and neck pain caused by tension-type headache was managed with Yanghyeolgeopung-tang, acupuncture, and pharmacopuncture for 15 days. To evaluate the improvements, a numeric rating scale (NRS), the Korean Headache Impact Test-6 (KHIT-6), and Neck Disability Index (NDI) were used. After treatment, the symptoms were relieved, and there were no particular side effects. The NRS scores reduced from 6 to 3, KHIT-6 from 64 to 48, and NDI from 46 to 22. Conclusion: These results suggest that Korean medicine may be effective for treating tension-type headache.

Peripheral Facial Palsy due to Cerebellar Artery Infarction is Improved by Korean Medical Treatment: A Case Report (소뇌동맥 경색으로 발생한 말초성 안면마비 환자에 대한 한방통합치료 증례보고)

  • Park, Mu-jin;Jin, So-ri;Oh, Eun-jae;Oh, Joo-hee;Song, Woo-sub;Lee, Hyun-seok;Woo, Jae-hyuk;Hwang, Kyu-hyun;Bae, Gun-hee;Yun, Yeong-chan
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.122-129
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    • 2022
  • Objective: This study investigates the efficacy of Korean medical treatment for a patient with peripheral facial palsy caused by cerebellar artery infarction. Methods: A 45-year-old male patient with right facial palsy and left side numbness from cerebellar artery infarction was treated with herbal medicine (ligigeopoongsan), acupuncture, pharmacopuncture, and cupping therapy for 37 days. The effects were evaluated using the House-Brackmann (H-B) and Yanagihara's unweighted grading systems. Results: Following treatment, the patient's H-B grade decreased and Yanagihara score improved. Conclusion: Korean medical treatment improved peripheral facial palsy in a patient with cerebellar artery infarction.