• 제목/요약/키워드: Renal diseases

검색결과 895건 처리시간 0.028초

경궐을 동반한 습온 치험 1예 (A Case report of Seupon (Shiwen, 습온) with Gyeonggwol (Jingjue, 경궐))

  • 박성호;송윤경;임형호
    • 대한한의학회지
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    • 제25권3호
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    • pp.203-211
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    • 2004
  • Objectives : We report an unusual case of a 57-year old woman with spasticity following fever of unknown origin (the origin of her fever was not certain by western medical diagnosis). Malignant hyperthemia with spasticity couldn't be cured by general western medical therapy, and furthermore the function of liver and renal system was worsened as a consequence of drugs. Methods : We diagnosed the watery state of the patient as seupon (습온) with gyeonggwol (경궐) through pattern identification (변증) of symptoms and signs. Results : This patient who had spasticity with malignant hyperthermia was treated by optical management of herb medicine and acupuncture, and should need long-term observation. Conclusions : We want to show that trial by febrile diseases can solve fever and spasticity.

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Tubulointerstitial Nephritis and Uveitis (TINU) 1례 (A Case of Tubulointerstitial Nephritis and Uveitis (TINU))

  • 한혜원;하일수;유영석;정해일;최용
    • Childhood Kidney Diseases
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    • 제4권2호
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    • pp.166-169
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    • 2000
  • Tubulointerstitial nephritis and uveitis (TINU) is a rare syndrome of unknown etiology involving the kidney and the eye. This is the first case reput of TINU in Korea. The diagnosis of TINU was confirmed in a 15-year-old girl on the basis of pathologically proven tubulointerstitial nephritis and bilateral uveitis. Although the renal symptoms disappeared spontaneously, uveitis showed only partial response to topical steroid treatment and persisted fir more than 11 months. TINU should be included in the differential diagnosis of tubulointerstitial nephritis of unknown etiology.

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정맥투여용 면역글로불린에 반응한 심한 복통을 가진 $Henoch-Sch\"{o}nlein$ 자반증 3례 (IV-gamma Globulin Therapy for Severe Abdomlnal Pain Refractory to Steroid Therapy in $Henoch-Sch\"{o}nlein$ Purpura)

  • 허영옥;이창연
    • Childhood Kidney Diseases
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    • 제1권2호
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    • pp.176-178
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    • 1997
  • Henoch-Scholein purpura is a systemic vasculitis of small blood vessels. It is characterized by nonthrombocytopenic purpura, abdominal pain, arthralgia and renal involvement. In Henoch-Scholein purpura, severe abdominal pain may be relived by steroid, but occasionally unresponsive to steroid and conventional analgesics therapy. We tried IV-gamma globulin for severe abdominal pain, unresponsive to steroid, analgesics, and antispasmodics therapy in HSP, and experienced dramatic symptomatic improvement. So we report three cases of IVIG therapy against severe abdominal pain in HSP with a brief review of literatures

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Cyclosporine에 의한 중추신경계 독성 1례 (A Case of Central Nervous System Toxicity Associated with Cyclosporine)

  • 이도윤;남궁미경;김황민;임백근
    • Childhood Kidney Diseases
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    • 제1권2호
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    • pp.179-182
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    • 1997
  • Cyclosporine is an immunosuppressant usually used to prevent renal transplantation rejection. Nephrotoxicity and hypertension are considered as the most frequent side effects of cyclosporine treatment. The neurotoxic effects of cyclosporine such as agitation, anxiety, delirium, depression and psychosis have recently been found. Methylprednisolone may increase as well plasma concentration of cyclosporine, which leads to side effects. Here we report a $Henoch-Sch\"{o}nlein$ nephritis patient treated with cyclosporine and methylprednisolone who has experienced psychosis including visual and auditory hallucination and convulsion.

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각종 Nonhuman primate에 자연 발생한 신장질병에 대한 연구 (The Natural Incidence of Renal Diseases in Various Species of Nonhuman Primates)

  • 임병무;김진수
    • 대한수의학회지
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    • 제22권2호
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    • pp.239-246
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    • 1982
  • Nonhuman primate에 자연 발생하는 신장질병에 대한 병리학적 연구를 위해 Macaque (200), Sanquinus mystax (15), Saimiri sciureus (80) 등 8종에서 총 504두를 일반 병리부검에 의해 조사하였다. 가장 빈발하는 신장 질병은 화농성, 간질성, 신장염이며 다음은 독성 신세뇨관염, 신사구체신염 및 신우신염 등이었다. 도표 3에서 비교된 바와 같이 nonhuman primate의 각 종류에 따라서 특징적인 신장염 소견을 보여주었다. 야외 원숭이 사육장에서 기르는 원숭이 군에서는 Aeromonas hydrophilia가 처음으로 중요한 본 질병의 원인체로 발견되었다.

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성인의 선천성 심장질환의 외과적 교정

  • 김광호
    • Journal of Chest Surgery
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    • 제13권1호
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    • pp.34-40
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    • 1980
  • Total 193 patients over 16 years of age who have underwent a surgical correction of congenital heart diseases during the period 1964 to September of 1979 were reviewed. 106 patients were male and 87 patients were female. 85 patients were in the ages of 16 years through 20 years. The oldest patient was 54 years old male who had atrial septal defect. The commonest defects were atrial septal defect that accounted for 66 cases [34.2%]. Ventricular septal defect was next one that accounted for 66 cases [34.2%]. Patients with tetralogy of Fallot defects were 34 cases [17.6%]. 25 cases had patent ductus arteriosus [13.0%]. Patients with pulmonary stenosis were 17 cases [8.8%] and transposition of the great arteries cases were 2 cases [1%]. There were 14 cases of operative death in this series. So operative mortality rate was 7.3%. The commonest cause of death was low output syndrome and next was renal failure. This reviewed series reveals the incidence of operable congenital heart defects appearing in adult cardiac surgical patients and an aggressive surgical approach can be justified with low operative mortality like as pediatric age group.

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Obesity and chronic kidney disease: prevalence, mechanism, and management

  • Yim, Hyung Eun;Yoo, Kee Hwan
    • Clinical and Experimental Pediatrics
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    • 제64권10호
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    • pp.511-518
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    • 2021
  • The prevalence of childhood obesity is increasing worldwide at an alarming rate. While obesity is known to increase a variety of cardiovascular and metabolic diseases, it also acts as a risk factor for the development and progression of chronic kidney disease (CKD). During childhood and adolescence, severe obesity is associated with an increased prevalence and incidence of the early stages of kidney disease. Importantly, children born to obese mothers are also at increased risk of developing obesity and CKD later in life. The potential mechanisms underlying the association between obesity and CKD include hemodynamic factors, metabolic effects, and lipid nephrotoxicity. Weight reduction via increased physical activity, caloric restriction, treatment with angiotensin-converting enzyme inhibitors, and judicious bariatric surgery can be used to control obesity and obesity-related kidney disease. Preventive strategies to halt the obesity epidemic in the healthcare community are needed to reduce the widespread deleterious consequences of obesity including CKD development and progression.

Circulating Permeability Factors in Idiopathic Nephrotic Syndrome

  • Ha, Tae-Sun
    • Childhood Kidney Diseases
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    • 제23권1호
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    • pp.7-21
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    • 2019
  • Nephrotic syndrome (NS) is a common chronic glomerular disease in children characterized by significant proteinuria with resulting hypoalbuminemia, edema, and hyperlipidemia. Renal biopsy findings of diffuse foot processes effacement on electron microscopy and minimal change disease, focal segmental glomerulosclerosis (FSGS), or diffuse mesangial proliferation on light microscopy. It has been speculated that circulating permeability factors would be implicated in the pathogenesis of NS because they have been reportedly detected in the sera of patients and in experimental models of induced proteinuria. Moreover, a substantial portion of the patients with primary FSGS recurrence shortly after transplantation. This report reviews the current knowledge regarding the role of circulating permeability factors in the pathogenesis of proteinuria in NS and suggests future targeted therapeutic approaches for NS.