• Title/Summary/Keyword: National Medical Center

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A Case of Lymphangioleiomyomatosis Looked Like Miliary Tuberculosis (속립성 결핵으로 오인된 폐임파관평활근종증)

  • Won, Kyoung-Sook;Park, Keun-Uk;Park, Hyun-Jin;Kim, In-Soo;Jeong, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.2
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    • pp.244-249
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    • 1995
  • We experienced one case of pulmonary lymphangioleiomyomatosis in 26-year-old female patient. She had taken antituberculous medication under the impression of miliary tuberculosis on simple chest X-ray at peripartum period. On outpatient follow-up she complained of progressive exertional dyspnea in spite of medication. Through careful history taking and physical examination, high resolutional CT, and open lung biopsy she was diagnosed as pulmonary lymphangioleiomyomatosis combined with incomplete type of tuberous sclerosis. So, we presented the case with the brief review the literatures.

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A Case of Thrombocytopenia and Purpura Induced by Rifampin, Pyrazinamide, and Ciprofloxacin (Rifampin, Pyrazinamide and Ciprofloxacin에 의한 혈소판 감소증, 자반증 1예)

  • Son, Hyung-Dae;Kim, Chang-Sun;Park, Mi-Ran;Seo, Ji-Yung;Rheu, Nam-Soo;Cho, Dong-Il
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.4
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    • pp.930-934
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    • 1997
  • Drug-induced thrombocytopenia and purpura have been developed by many various agents. Rifampin and Pyrazinamide have been known as bactericidal antituberculous drugs, but, the above side effects have been a problem. Especially, hematologic side effects are fatal to patients occasionally. Rifampin-induced thrombocytopenia and purpura have been well known, also, pyrazinamide-induced thrombocytopenia have been reported. A new quilonone agent, Ciprofloxacin, has been commonly used in clinics now, but it's side effects are not known well. So, we report a case of a 23-year-old female with thrombocytopenia and purpura after taking Rifampin, Pyrazinamide, and Ciprofloxacin as antituberculous agents.

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A Clinical Study of Serum Thyroglobulin Levels in Patients with Thyroid Tumor (갑상선종양환자(甲狀腺腫瘍患者)에서의 혈청(血淸) Thyroglobulin치(値)에 관(關)한 임상적(臨床的) 고찰(考察))

  • Lee, Choong-Kyu;Yu, Byung-Hee;Lee, Woo-Hyung;Yoo, Hyung-Joon;Lee, Chong-Suk
    • The Korean Journal of Nuclear Medicine
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    • v.17 no.1
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    • pp.25-31
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    • 1983
  • Serum thyroglobulin(Tg) was measured by radioimmunoassay in 81 patients with thyroid tumor who were treated in the department of Internal medicine of National Medical Center from January, 1981 to June, 1982. The results were as follows: 1) The mean serum thyroglobulin level in thyroid tumor was significantly higher than normal subjects (p<0.001). 2) The mean serum thyroglobulin level in benign tumor was lower than malignant tumor (p<0.05). 3) The thyroid carcinoma with metastasis had significant high level of serum thyroglobulin than without metastasis (p<0.001). 4) The mean postoperative serum thyroglobulin level was significantly lower than preoperative level (p<0.001). Data from our study show that serum thyroglobulin determination is useful for assessing the presence of malignant thyroid tumor, metastasis and the extent of residual or recurrent thyroid cancer after surgery.

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A Case of Intralobar Pulmonary Sequestration (내엽형 폐격리증 1예)

  • Seo, Hae-Sook;Park, Mun-Hwan;Rhee, Myung-Seon;Rhu, Nam-Soo;Cho, Dong-Ill;Hur, Yong
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.6
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    • pp.736-741
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    • 1993
  • Pulmonary sequestration is the part of a spectrum of bronchopulmonary foregut anomalies in which a portion of lung parenchyma does not communicate with the tracheobronchial tree and usually receives its arterial supply from a systemic vessel. The sequestrated portion of the lung is susceptible to infection. The patient with this entity will have a paucity of symptoms and will present himself for treatment because of a persistent pneumonia. The associated aberrant systemic artery makes the preoperative diagnosis of the lesion imperative because of the life-threatening technical hazards posed by this artery. We experienced a case of intralobar pulmonary sequestration. Initially, the diagnosis of sequestration was unsuspected and open thoracotomy was done for management of homogenous cystic mass on left lower lobe, but one anomalous systemic artery from thoracic descending aorta to sequestrated lung was incidentally revealed. Then we underwent lower lobectomy and ligation of anomalous artery.

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A Case of Pneumocystis Carinii Pneumonia with Histopathologic Finding of Bronchiolitis Obliterans with Organizing Pneumonia in Patient with AIDS (폐쇄성 세기관지염.간질성 폐렴 양상을 보인 Pneumocystis Carinii 폐렴 1예)

  • Ahn, Myoung-Soo;Koh, Young-Min;Shin, Jin;Jeong, Hong-Bae;Lee, Seong-Eun;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.2
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    • pp.444-450
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    • 1998
  • PCP remains the leading cause of deaths in patients with AIDS. As familiarity with PCP increases, atypical manifestations of the diseases are being recognized with greater frequency. There are following "atypical" manifestations of PCP ; 1) interstitial lung response that include diffuse alveolar damage, bronchiolitis obliterance, interstitial fibrosis, and lymphoplasmocytic infiltrate 2) striking localized process frequently exhibiting granulomatous features 3) extensive necrosis & cavitation 4) extrapulmonary dissemination of the disease. A wide variety of pathologic manifestations may occur in PCP in human immunodeficiency virus-infected patienst and that atypical features should be sought in lung biopsies from patients at risk for PCP. We had experienced a case of PCP, which presented with severe hypoxia, progressive dyspnea and fine crackles. It was diagnosed as PCP in AIDS with manifestation of BOOP by open lung biopsy and showed good response to Bactrim & corticosteroid therapy.

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A Case of Sarcoidosis Accompanied by Azoospermia (무정자증을 동반한 Sarcoidosis 1예)

  • Cho, Young-Soo;Park, Jae-Nam;Suh, Jung-Eun;Rhu, Nam-Soo;Cho, Dong-Ill;Kim, Jae-Won
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.2
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    • pp.179-185
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    • 1991
  • We experienced a case of sarcoidosis accompanied with azoospermia due to the involovement of epididymis, besides the generalized involvement of the para tracheal and hilar lymph nodes, skin and lung. Final diagnosis of sarcoidosis was established by pathological evidence of noncaseating granuloma from the involved organs, typical radiological findings and consistent clinical features. A movable, nontender $1.5{\times}0.8\;cm$ sized nodule was palpated on epididymis, and multiple small nodules were noticed in both testis and epididymis by scrotal ultrasonogram. Semen analysis showed azoospermia initially. After treatment with prednisolone for 12 months, sperm was increased to 64,800,000/ml, and 70% of them were motile when they were measured at 15 minutes after ejaculation. The patient's condition became better and the typical radiological findings of involved organs were improved as well. As far as we studied, sarcoidosis is known to involve multiple organs, but epididymal sarcoidosis is very rare. So we report a case of sarcoidosis involving epididymis which caused azoospermia.

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A case of deep neck infection resulting from intubation-induced hypopharyngeal injury (기관내 삽관으로 발생한 하인두 천공에 기인한 심경부 감염 1례)

  • Kim, Min-Soo;Seo, Hyung-Seok;Lim, Hye-Jin;Jung, Jae-Ho;Lee, Kang-Jin;Kang, Jae-Goo
    • Korean Journal of Bronchoesophagology
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    • v.14 no.2
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    • pp.57-63
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    • 2008
  • Hypopharyngeal perforation secondary to tracheal intubation is rare, but may result in severe airway complications that include retropharyngeal abscess, pneumothorax, pneumonia, mediastinitis and death. The most common site of hypopharyngeal perforation is the pyriform sinus and the region of the cricopharyngeus muscle. We report a 62-year old man with intubation-induced hypopharyngeal injury presenting as deep neck infection. The patient presented with dyspnea and pain on the neck. Neck CT scan identified fluid and air collection on the neck from the hyoid bone to the thoracic inlet level. Despite of delayed diagnosis, we successfully operated him by using strap muscle myofascial transposition flap. The patient was followed up for 3 months without any complications.

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Allergic Bronchopulmonary Aspergillosis Associated with Aspergilloma (폐국균종과 동반된 알레르기성 기관지폐 아스페르길루스증 1예)

  • Ryu, Jeon-Su;Baik, Jae-Joong;Kim, Do-Kyun;Kim, Young-Jin;Eom, Woo-Seob;Cho, Jea-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.3
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    • pp.302-307
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    • 2004
  • Aspergilloma and Allergic Bronchopulmonary Aspergillosis(ABPA) are different types of the pulmonary aspergillosis spectrum of diseases. ABPA is an inflammatory disease that causes hypersensitivity to Aspergillus spores growing in the bronchi, which is characterized by asthma, recurrent pulmonary infiltrations or mucoid impaction, eosinophilia and central bronchiectasis. Aspergilloma is a simple colonization of fungus within a cavitary lung lesion, but these diseases rarely coexist. A case of ABPA, coexistent with Aspergilloma, was experienced in a 31 year-old female. The diagnosis was confirmed by the immediate cutaneous reactivity to Aspergillus fumigatus, elevated total IgE antibodies, peripheral eosinophilia, bronchiectasis, growth of Aspergillus species in a sputum culture and radiographic infiltration. Treatment, with prednisone and itraconazole, led to improvement of the respiratory symptoms, reduction of the cavitary lesion and in the total serum IgE level.

A Study on Relationship between the Post-stroke Depression and Acceptance (뇌졸중 환자의 우울과 수용간의 관계)

  • Seo, Joo-Hee;Kim, Ja-Yeong;Sung, Woo-Yong;Lim, Ho-Jea;Kim, Jin-Won;Kim, Su-Yeon;Jang, Ha-Jeong
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.167-177
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    • 2006
  • Objective : We aimed to study the relationship between the post-stroke depression and acceptance of the stroke. Method : For this study, 80 stroke patients were surveyed by using questionnaires for CES-D, acceptance for stroke, and social support. Result & Conclusion : 1. Acceptance for stroke varied inversely as the post-stroke depression. 2. The acceptance for the stroke appeased the negative influence caused by the stress of the stroke, and the post-stroke depression was biggest predictable variant. And location of the stroke were the predictable variants of the post-stroke depression. 3. When the gender, location of the stroke, motor power, age, period of stroke, and social support were controlled, the group with depression and the one without depression had a significant difference in the acceptance of the stroke.

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A Review of Scalp Acupuncture on Patients with Insomnia -Focusing on Chinese Journals- (불면의 두침치료에 대한 임상논문 고찰 -1994년부터 2011년까지 중국 논문을 중심으로-)

  • Ryu, Chun-Gil;Kim, Soo-Jung;Cho, A-Ram;Seo, Joo-Hee;Jeong, Seong-Sik;Lee, Ji-Su;Sung, Woo-Yong
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.1
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    • pp.17-29
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    • 2012
  • Objectives : The study was designed to evaluate the effects of scalp acupuncture treatment on patients with insomnia in China. Methods : A journal search was performed using China National Knowledge Infrastructure(CNKI) from 1994 to 2011. Key words used within the search were 'insomnia' and 'scalp acupuncture'. Results : 19 studies were selected. 9 RCTs and 2 case control studies showed that scalp acupuncture therapy reported better results than routine acupuncture, western medicine, and herbal medicine therapy. 8 case reports described a significant improvement in patients with insomnia by scalp acupuncture. Conclusions : There have been many studies regarding scalp acupuncture on patients with insomnia in China and these studies can be applied to clinical practices within Korea.