• Tuberculosis and Respiratory Diseases
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• 제52권5호
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• pp.550-556
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• 2002

Microscopic polyangiitis is a systemic small-vessel vasculitis that is associated primarily with necrotizing glomerulonephritis and pulmonary capillaritis. A recurrent and diffuse alveolar hemorrhage due to pulmonary capillaritis is the main clinical manifestation of lung involvement. Recently, and interstitial lung disease that mimics idiopathic pulmonary fibrosis was reported to be rarely associated with microscopic polyangiitis. Here we report two patients with microscopic polyangiitis who showed a honeycomb lung at the time of the initial diagnosis with a brief review of relevant literature.

• Pediatric Infection and Vaccine
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• 제2권2호
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• pp.180-185
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• 1995

1. Purpose The accurate diagnosis and proper treatment of group A streptococcus should be emphasized concerning about possible development of late sequelae, such as acute rheumatic fever and acute glomerulonephritis. We would like to know the recover rate of beta-hemolytic streptococci by throat swab culture at the in-patient 2. Methods The throat swab cultures and filled up flow-sheets were undertaken on 619 children who had admitted to hospital, KyungHee university hospital from may 1994 to april 1995 prospectively. At the same time on admission, throat culture was performed. 3. Results The highest recover rate of BHS(Beta-Hemolytic Streptococci)and GAS(Group A Streptococci) were seen in above 10 years old, as 9.1% and 1.9%. BHS were obtained in 39 cases(6.3%) among 619 children while GAS was obtained in 3 cases (0.4%). Among 39 specimens of BHS, 33 specimens were classified as non-grouping streptococcus. 4. Conclusion The poor recovery rate of GAS inpatient compared with normal carrier rate is likely due to possible antibiotic abuse, errors in processing samples, and epidemiologic factors such as seasons and geographic areas. It is necessary to evaluate the clinical significance of non-A,B,C,G streptococcal infections and carriers.

• Tuberculosis and Respiratory Diseases
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• 제53권2호
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• pp.202-208
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• 2002

A diffuse alveolar hemorrhage is a rare manifestation in microscopic polyangiitis. Recently we experienced a case of diffuse alveolar hemorrhage associated with microscopic polyangiitis, which was diagnosed with the typical clinical manifestations, ANCA and a renal biopsy. A 71 year old female was admitted complaining of coughing and dyspnea. A chest X-ray, HRCT and BAL revealed a diffuse alveolar hemorrhage. A diffuse alveolar hemorrhage was noted during a bronchoscopy. She also had proteinuria, microscopic hematuria and mild azotemia. The renal biopsy showed necrotic glomerulonephritis without immune complex deposits or granuloma. Under the diagnosis of microscopic polyangiitis, she was treated with steroid pulse therapy, and prednisolone with cyclophosphamide subsequently. She showed marked improvement in the clinical manifestations.

• 한국동물위생학회지
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• 제17권1호
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• pp.67-80
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• 1994

8-10 week old ICR mice were infected intracerebrally and intraperitoneally with different encephalomyocarditis virus(K$_3$, $K_{11}$, ATT-VR 129) to observe histopathological and immunohistochemical change. Results obtained throuh the experiments were summarized as follows : 1. No differences in clinical signs by the virus strains and the inoculation routes were found. Mice infected with EMCV showed clinical signs after 3 days of inoculation. Main clinical signs were tremors, convulsions, circling movement, and uni or bilateral hindleg paralysis followed by death on the 3-8 days. In general, most of the infected animals died or recovered closely on the 8th day of postinoculation. 2. At necropsy, petechial and ecchymotic hemorrhages in lung were observed and no specific findings in other were observed. 3. In histopathological observation, neuroal cell degeneration perivascular mononucear cell in-filtration gliosis were appeared in central nervous system. Myocarditis with myocardial degeneration and necrosis, calcification were observed along with acinar cell necrosis of exocrine glands in pancreas, severe glomerulonephritis in kidney. Also, focal necrosis of hepatocytes and interstitial pneymonia hyperemia, hemorrhages in lungs were observed. 4. By immunohistochemical staining using ABCIT method, the positive cells were recognized in intracytoplasm of acinar cell in pancreas and intracytoplasm of neuronal cells in cerebrum.

• Journal of Yeungnam Medical Science
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• 제18권2호
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• pp.246-252
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• 2001

고용량 스테로이드 충격 요법에 반응하지 않는 심한 복통과 신생검에서 50% 이상 반월체 형성이 되는 알레르기성 자반증 산염 환자의 치료를 위하여 고용량 정맥용 면역 글로불린을 투여하여 복부 증상이 조기 회복되었으며 이후 혈뇨와 단백뇨도 호전되었다. 그러므로 복부 증상과 선장 침범이 스테로이드 치료야 반응하지 않는 알레르기성 자반증 환자의 경우에 정맥용 면역 글로블린 치료가 고려되어야 할 것으로 사료된다.

• 대한약침학회지
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• 제11권4호
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• pp.95-99
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• 2008

Objective Sjogren's Syndrome is a chronic inflamatory disorder characterized by lymphocytic infiltration of lacrimal and salivary gland. It may be associated with renal disease such as tubulonephritis or glomerulonephritis. Proteinuria is a kidney disorder resulting in an abnormally high amount of protein in the urine. When the glomeruli are damaged, proteins of various sizes pass through them and are excreted in the urine. This report is a case of proteinuria with Sjogren's Syndrome. Methods The patient was diagnosed as kidney yang deficiency syndrome and treated with Woogyu-eum, Sa-am acupuncture therapy and bee venom acupuncture therapy. Visual Analog Scale was used to estimate the clinical symptoms. Results Clinical symptoms and proteinuria were improved without steroid therapy. Conclusion Therefore, we concluded that oriental medical therapy may be useful to treat proteinuria with Sjogren's Syndrome.

• Childhood Kidney Diseases
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• 제25권2호
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• pp.122-127
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• 2021

C1q nephropathy is a rare glomerulopathy that typically presents with nephrotic syndrome in children. Treatment with immunosuppressive agents renders patients vulnerable to infection and its complications. Gastroenteritis is common in children, and rotavirus is a leading cause. Extraintestinal manifestations of rotavirus have recently been reported; however, there is a paucity of cases exploring the involvement of a rotavirus on the respiratory system. Acute respiratory distress syndrome (ARDS) is a rapid onset respiratory failure characterized by noncardiogenic pulmonary edema and hypoxemia. Causes of ARDS include sepsis, pneumonia, pancreatitis, aspiration, and trauma. In this paper, we report a case of ARDS after rotavirus infection in a child with C1q nephropathy who had been treated with immunosuppressive agents.

• Childhood Kidney Diseases
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• 제3권2호
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• pp.123-129
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• 1999

목적 : 연쇄상구균 감염후 급성사구체신염은 항원-항체계가 작용하여 증식병변과 염증반응을 가져오는 신질환을 가리킨다. 임상적으로 부종, 고혈압의 전신증상과 함께 육안적 혹은 현미경적 혈뇨를 보이며 대개 경한 단백뇨가 동반되는 것으로 알려져 있으나 소수의 환자에서 신증후군이 동반될 수 있고 이러한 경우 질환의 경과 및 예후 또한 전형적인 사구체신염과 다르게 나타날 수 있다. 따라서 본 연구에서는 신증후군을 동반한 연쇄상구균 감염후 급성사구체신염의 임상적인 양상 및 조직학적인 특성을 관찰하여 초기 단백뇨의 정도가 본질환의 예후에 미치는 영향을 파악하여 치료 및 경과 예측에 도움이 되고자 하였다. 대상 및 방법 : 1989년 3월부터 1999년 2월까지 연쇄상구균 감염후 급성사구체신염으로 진단된 71명의 환아를 대상으로 하여 신증후군을 동반하지 않은 환아군(A군)과 동반한 환아군(B군)으로 구분하여 두 군간의 임상양상의 차이를 비교하였다. 결과 : 대상기간 중 연쇄상구균 감염후 급성사구체신염으로 진단된 환아는 총 71명으로 신증후군이 동반되지 않은 환자(A군)는 64례(90.1%), 신증후군이 동반된 환자(B군)가 7례(9.9%)였고, 남녀비는 A군이 1:1, B군이 1.9:1, 발병평균연령은 A군이 $8.9{\pm}2.6$세, B군이 $8.8{\pm}2.6$세였다. 진단 당시 주소로 육안적 혈뇨는 A군에서 33/64명 (51.6%), B군에서 7/7명(100%)있었고, 전신부종은 A군에서 23/64명(35.9%), B군에서 2/7명 (28.6%), 안면부종은 A군에서 17/64명(26.6%), B군에서 1/7명(14.3%), 호흡곤란은 A군에서 1/64명(1.6%), B군에서 0/7명(0%)였다. 검사실소견상 백혈구수, 헤모글로빈, CRP, ASO, BUN, 크레아티닌, 사구체여과율, $C_3,\;C_4$는 두 군간의 유의한 차이가 없었다. 선행감염으로는 A군의 경우 급성인두편도염 39/64명(60.9%), 피부감염 0/64명(0%), 경부임파선염 1/64명 (1.6%), 알지못하는 경우가 24/64명(37.5%), B군의 경우 급성 인두편도염 4/7명(57.1%), 알지 못하는 경우가 3/7명(42.9%)이었다. 단백뇨의 지속기간은 A군이 $1.95{\pm}2.27$주, B군이 $13.3{\pm}21.1$주 통계적으로 유의한 차이(P=0.013)를 나타내었고, 현미경적혈뇨의 지속기간은 A군이 $4.5{\pm}5.8$주, B군이 $6.6{\pm}5.0$주(P=0.42), $C_3$감소의 지속기간은 A군 (33/38명)이 $1.9{\pm}2.9$주, B군(5/38명)이 $7.3{\pm}5.0$주(P=0.04)로 신증후군을 동반하는 경우 단백뇨, $C_3$의 감소 기간이 유의하게 증가하였고 전례에서 단백뇨가 모두 소실되었으며 신부전으로 진행되거나 사망한 례는 없었다. 신조직 검사는 15례(21.1%)에서 시행하였고 적응증으로는 신증후군, 신기능의 저하, 고혈압이 동반되었던 경우로 하였다. 결론 : 연쇄상구균 감염후 급성사구체신염 환아에서 신증후군을 동반하는 경우 질환의 경과(단백뇨, $C_3$감소)가 유의하게 길어지며, 이외의 임상양상에 있어서는 신증후군의 유무에 따른 차이가 없었고, 전례에서 단백뇨가 모두 소실되었으며 신부전으로 진행된 례는 없는 것으로 보아 신증후군의 동반이 이 질환의 최종적인 예후에는 별다른 영향을 나타내지 못하는 것으로 생각되었다.

• 한국임상수의학회지
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• 제24권4호
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• pp.647-652
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• 2007

In the present study, we address systemically a case of renal disease developed in a 1 year-old male cocker spaniel dog in terms of clinical signs, clinical pathology and pathological examinations. The animal has been suffered from renal dysfunction signs such as polyuria, anorexia, vomiting, diarrhea and weight loss. The dog was very weak and emaciated and had foamy contents with foul-smell in oral cavity. The animals showed notable decrease in the number of red blood cells and severe decreases of hemoglobin and hematocrit with or without changes of mean corpuscular volume and mean corpuscular hemoglobin concentration values, indicating microcytic or normocytic hypochromatic anemia. In serum chemistry, blood urea nitrogen, creatinine, phosphorous, Na and Cl, which are associated with renal function, were dramatically increased. In addition, alanine aminotransferase, aspartate transferase, alkaline phosphatase, cholesterol, lipase and amylase were also significantly elevated, while K concentration was notably decreased. Urinalysis indicated prominent proteinuria with increase of bilirubin. Despite of symptomatic treatments, the dog was getting worse in healthy condition and dead in the end. At necropsy, both kidneys were brownish, pale, slightly small, and have diffuse, firm and subcapsular pits. Histologically, the kidneys indicated prominent segmental or diffuse interstitial fibrosis in cortex and medulla as well as glomerulonephritis. The clinical signs, clinical pathology and histopathological abnormalities of the young dog presented were consistent with chronic glomerulonephropathy, which was suspected to be a case of familial renal disease in the juvenile cocker spaniel dog.

• 한국산업보건학회지
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• 제11권2호
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• pp.153-160
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• 2001

Objectives : The authors evaluated the effects on renal function of workers chronically exposed to low-level organic solvent mixtures. Methods : The authors measured the level of urine ${\beta}2$-microglobulin(${\beta}2$-MG) and microalbumin as biochemical markers of renal function and damage in 29 male workers exposed to organic solvents for more than five years and compared their results with those of 30 male office clerks as a reference group. Results : 1. The mean values of hemoglobin, hematocrit, SGOT, SGPT, ${\gamma}$-GTP were all within normal limits and there was no significant difference, except for hemoglobin(p<0.01), between exposed and reference group. 2. The values of BUN and serum creatinine were within reference limits and there was no significant difference between exposed and reference group. 3. The difference of mean values of urine microalbumin corrected by urine creatinine were statistically significant (p<0.01), but those of urine ${\beta}2$-MG was not. 4. There were no correlation of urine hippuric acids with BUN, serum creatinine, urine microalbumin and ${\beta}2$-MG. 5. There were no significant difference of BUN, serum creatinine, urine microalbumin and ${\beta}2$-MG upon work duration. Conclusions: It is assumed that chronic low-level organic solvent exposure in these workers shows early renal dysfunction, glomerular changes. The result corresponds to previous studies showing the relationship between hydrocarbon exposure and glomerulonephritis. For evaluation of impairment on kidney tubules, we need further study using more precise markers and long-term follow-up.