• 대한한방부인과학회지
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• 제22권3호
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• pp.246-256
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• 2009

Purpose: To report the effect of oriental medicine on 2 patients with secondary amenorrhea diagnosed as hypothalamic-pituitary failure. Methods: The patients who had secondary amenorrhea were treated with the oriental medical treatments such as herbal medication, herbal acupuncture and moxibustion therapy, and so forth. Results: After the oriental medical treatments, the patients could have their periods again, their menstrual condition was improved. Conclusion: This case report shows that the oriental medical therapy is effective for treating secondary amenorrhea diagnosed as hypothalamic-pituitary failure.

• Clinical and Experimental Pediatrics
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• 제58권1호
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• pp.28-32
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• 2015

Purpose: Diencephalic syndrome is an uncommon cause of failure to thrive in early childhood that is associated with central nervous system neoplasms in the hypothalamic-optic chiasmatic region. It is characterized by complex signs and symptoms related to hypothalamic dysfunction; such nonspecific clinical features may delay diagnosis of the brain tumor. In this study, we analyzed a series of cases in order to define characteristic features of diencephalic syndrome. Methods: We performed a retrospective study of 8 patients with diencephalic syndrome (age, 5-38 months). All cases had presented to Seoul National University Children's Hospital between 1995 and 2013, with the chief complaint of poor weight gain. Results: Diencephalic syndrome with central nervous system (CNS) neoplasm was identified in 8 patients. The mean age at which symptoms were noted was $18{\pm}10.5$ months, and diagnosis after symptom onset was made at the mean age of $11{\pm}9.7$ months. The mean z score was $-3.15{\pm}1.14$ for weight, $-0.12{\pm}1.05$ for height, $1.01{\pm}1.58$ for head circumference, and $-1.76{\pm}1.97$ for weight-for-height. Clinical features included failure to thrive (n=8), hydrocephalus (n=5), recurrent vomiting (n=5), strabismus (n=2), developmental delay (n=2), hyperactivity (n=1), nystagmus (n=1), and diarrhea (n=1). On follow-up evaluation, 3 patients showed improvement and remained in stable remission, 2 patients were still receiving chemotherapy, and 3 patients were discharged for palliative care. Conclusion: Diencephalic syndrome is a rare cause of failure to thrive, and diagnosis is frequently delayed. Thus, it is important to consider the possibility of a CNS neoplasm as a cause of failure to thrive and to ensure early diagnosis.

• 대한한방내과학회지
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• 제38권5호
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• pp.583-591
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• 2017

Adrenal insufficiency is caused by adrenal failure or impairment of the hypothalamic-pituitary-adrenal axis. The main symptoms of adrenal insufficiency are chronic fatigue, nausea, vomiting, anorexia, and weight loss. We report a case of adrenal insufficiency in a 38-year-old female. The patient complained of headache, dizziness, anorexia, and general weakness. We treated her with Iggisaengjin-tang and acupuncture. After treatment, the patient's symptoms were improved and serum cortisol levels rose to a normal range without the aid of steroid supplementation therapy. This case suggests that Korean medicine can be effective in the treatment of adrenal insufficiency, but more clinical reports are needed.

• 한국수정란이식학회지
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• 제33권4호
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• pp.305-311
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• 2018

Gonadotropin releasing hormone (GnRH) centrally plays a role in control of the hypothalamic-pituitary-gonadal axis-related hormone secretions in the reproductive neuroendocrine system. In addition, hormone receptors like luteinizing hormone receptor (LHR) are important element for hormones to take effect in target organ. However, ageing-dependent changes in terms of the distribution of GnRH neurons in the brain and LHR expression in the acyclic ovary have not been fully understood yet. Therefore, we comparatively investigated those ageing-dependent changes using young (1-5 months), middle (11-14 months) and old (21-27 months) aged female mice. Whereas a number of GnRH positive fibers and neurons with monopolar or bipolar morphology were abundantly observed in the brain of the young and middle aged mice, a few GnRH positive neurons with multiple dendrites were observed in the old aged mice. In addition, acyclic ovary without repeated development and degeneration of the follicles was shown in the old aged mice than others. LHR expression was localized in theca cells, granulosa cell, corpora lutea and atretic follicle in the ovaries from young and middle aged mice, in contrast, old aged mice had few positive LHR expression on the follicles due to acyclic ovary. However, the whole protein level of LHR was higher in the ovary of old aged mice than others. These results are expected to be used as an important basis on the relationship between GnRH and LHR in old aged animals as well as in further research for reproduction failure.

• 대한한방부인과학회지
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• 제22권3호
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• pp.267-276
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• 2009

Purpose: The purpose of this study is to assess the effects of oriental medicine on secondary amenorrhea & hypomenorrhea objectively. Methods: By serum hormone assay and history interview, we classified the causes of each patient having secondary amenorrhea & hypomenorrhea. We also diagnosed and treated each patient according to them. And then we estimated the results of treatment by follow-up measurements of serum hormone level. Results: 1. We diagnosed case I as hypothalamic-pituitary disfunction, case II, III as PCOS and case IV as ovarian failure by classifying the causes from western medical scientific angle. 2. We also diagnosed and treated the cases from oriental medical scientific angle. 3. We confirmed the improvement of cases by follow-up measurements of serum hormone level. Conclusion: These results of serum hormone assay showed how medically effective oriental medical therapies of secondary amenorrhea & hypomenorrhea were.

• Clinical and Experimental Pediatrics
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• 제49권3호
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• pp.292-297
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• 2006

목 적 : 소아 수모세포종은 수술과 중추신경계 방사선조사 그리고 항암화학요법의 병합치료로 장기 생존율의 향상을 가져왔으나 성장호르몬결핍을 포함한 여러 내분비적 장애가 잘 발생하기에, 본 저자들은 수모세포종 치료 후 내분비적 장애와 성장변화를 관찰하고 해당 호르몬 치료의 성과를 분석하였다. 방 법 : 1986-2004년까지 서울대학교병원에서 수모세포종 치료를 마친 후 소아내분비 외래를 방문한 37명(남아 24명, 여아 13명)을 대상으로 내분비 장애와 성장변화에 대하여 분석하였다. 결 과 : 성장속도가 4 cm/yr 미만인 환자 중 16명에서 성장호르몬자극검사가 시행되었고 14명(전체환자 중 37.8%)이 성장호르몬결핍증으로 진단받았으며(완전 5명, 부분 9명), 2명의 환자는 신경분비장애로 의심되었다. 성장호르몬결핍증 환자군과 성장호르몬결핍이 없는 군 모두에서 방사선치료 전후의 키 표준편차 점수는 모두 유의한 감소를 보였으며(P<0.001), 성장호르몬결핍이 있는 12명과 신경분비장애가 있는 1명의 환자에게서 성장호르몬 치료를 시작하였다. 치료 전 골연령은 $9.3{\pm}4.7$세로 역연령에 비해 2.1세 저하되어 있었다. 치료 전 성장속도는 $3.4{\pm}1.2cm/yr$에서 1년째 $5.4{\pm}2.9cm/yr$로 유의하게 증가하였으나 키표준편차점수는 치료 전과 치료 후 유의한 변화가 없었다. 전체 37명 중 12명(32.4%)이 일차성 갑상선기능저하증으로 갑상선호르몬 치료를 받았다. 또한 다른 6명(16.2%)에서는 보상성 갑상선기능저하증이 의심되었다. 1명의 환자에서 방사선 치료종료 7년 후에 갑상선암이 발생하여 갑상선 전절제술을 시행 받은 후 갑상선호르몬을 복용 중이다. 성선자극호르몬결핍 1명(2%), 성선부전증이 2명(4%) 진단되었다. 결 론 : 수모세포종 치료 후 대부분 성장장애가 관찰되며 주로 성장호르몬결핍증과 척수방사선조사 등에 기인한다. 성장호르몬결핍증과 갑상선기능저하증 및 다른 내분비적 장애가 발생할 수 있으므로 지속적인 정기 추적 관찰 및 적절한 치료가 필요하다.