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Clinical Study of One Patient with Wallenberg's Syndrome (Wallenberg 증후군(症候群) 환자 1례의 증례 보고)

  • Byun, Seok-Mi;Kim, Mi-Bo;Tark, Myoung-Rim;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.261-268
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    • 2009
  • Objectives : Wallenberg's syndrome is dorsolateral medullary syndrome. The main symptoms of it are ataxia of gait, nausea, vomiting, vertigo, diplopia, numbness, dysphagia and other major symptoms. By use of Oriental medical treatment, we could improve symptoms on one patient with Wallenberg's syndrome. Methods : We conducted one patient with Wallenberg's syndrome after overwork seen at Dong-Eui University Ulsan Oriental Medical Hospital. We treated symptoms from Wallenberg's syndrome by oriental medical treatment such as herb and acupuncture. Results and Conclusion : We suggest that the oriental medical treatment by differentiation of symptoms make the patient with the Wallenberg's syndrome recovery.

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Factors Influencing the Farmers Syndrome (농부증 영향요인)

  • Kim, Eun-Ju
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.817-825
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    • 2002
  • Purpose: This study was carried out to investigate the prevalence and the main factors influencing the farmer's Syndrome in farmers in Korea. Method: A survey questionnaire was completed by 238 farmers who lived in 8 agricultural districts in Seosan City. The data were collected from April 10 to May 5, 2002. Results: The prevalence of the farmer's Syndrome was 42.6%, and its prevalence rate in woman was higher than that in man. The prevalence of the farmers syndrome proportionally increased with advanced age. Variables that were positively correlated with the farmer's syndrome were age, duration of farming, days of resting, and the number of the agricultural chemical's poisoning. On the other hand, variables that were negatively correlated with the farmers syndrome were smoking, sleeping hours, economic condition, and level of educational. In a regression analysis, the factors influencing the farmers syndrome were age, sex, sleeping hours, days of resting, and the number of the agricultural chemical's poisoning, which accounted for 25% of the total variance. Conclusion: Based on these study results, older age and woman gender are the remarkable risk factors influencing the farmer's syndrome. Sleeping hours, days of resting, and the number of the agricultural chemical's poisoning were also the significant attributable variables to the farmers syndrome.

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Sweet's Syndrome Associated with Graves' Disease

  • Yong, Ho Jin;Kang, Mi Il;Kim, Dohee
    • International journal of thyroidology
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    • v.10 no.1
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    • pp.50-55
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    • 2017
  • Sweet's syndrome, or acute febrile neutrophilic dermatosis, occurs in association with autoimmune diseases such as Hashimoto's thyroiditis but is rare in Graves' disease, in which all cases are induced by propylthiouracil (PTU). We report a case of Sweet's syndrome in a patient with Graves' disease treated with methimazole (MMI) during three weeks. A 34-year-old man presented with the acute onset of high fever, skin rashes on the whole body, arthralgia, and acroparesthesia. Laboratory results showed leukocytosis and elevated C-reactive protein. MMI first stopped and antibiotics and antihistamine therapy started, but his symptoms dramatically improved after oral prednisolone. Graves' disease has again been treated by MMI because of his aggravated ophthalmopathy. After one year of retreatment with MMI, there has been no recurrence of Sweet's syndrome, supporting that Sweet's syndrome in this case was not related to MMI exposure. To our knowledge, this is the first report of Sweet's syndrome associated with Graves' disease per se but not PTU or MMI use.

The Association of Pulse Pressure and Pre-Metabolic Syndrome in Korean Middle Aged Men

  • Shin, Kyung-A
    • Biomedical Science Letters
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    • v.23 no.2
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    • pp.73-79
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    • 2017
  • Pulse pressure is an independent risk factor for cardiovascular disease. The aim of the present study was to assess the association between pulse pressure and metabolic syndrome in Korean men. The study subjects were 8,439 adults aged 40 to 64 years, who underwent health screening examination from January 2012 to December 2014 at the Health Promotion Center of one hospital in Gyeonggi-do for general health check-up. They include the metabolic syndrome absent group (Absent, n=3,078), the pre-metabolic syndrome group (Pre-MetS, n=4,242) and the metabolic syndrome group (MetS, n=1,119). Progressive increase in pulse pressure was demonstrated for increasing components of the metabolic syndrome (P<0.001). The pulse pressure according to the degree of the metabolic syndrome was higher in the pre-MetS and MetS groups compared to the Absent group (P<0.001). Systolic and diastolic blood pressure, total cholesterol, triglyceride, fasting glucose, and abdominal obesity positively correlated with pulse pressure (P<0.001).

A Case Report of Asperger's Syndrome (아스퍼거 증후군 환아 증례보고)

  • Han, Jae-Kyung;Kim, Yun-Hee;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.2
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    • pp.1-9
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    • 2006
  • Objective : This study was to investigate the effect of oriental medical treatment for Asperger's syndrome. Methods : This patient was lack of social communication, interaction, imagination and motor coordination. It was due to Asperger's syndrome. The patient was treated with Herbal medicine, acupuncture and play therapy. And we evaluated the case with The Australian scale for Asperger's syndrome. Results : Oriental medical treatment and play thrapy alleviated his symptoms of Asperger's syndrome and anxiety. Conclusions : We report the good result of oriental medical treatment on this case. The more study of oriental medical treatment for Asperger's syndrome is needed.

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Effects of Life Style on Metabolic Syndrome Stage according to the Sasang Constitution (사상체질에 따른 생활습관이 대사증후군 및 위험군에 미치는 영향)

  • Kim, Jiyoung;Lee, Siwoo;Baek, Younghwa
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.3
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    • pp.232-241
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    • 2017
  • Objectives This study was to identify the lifestyle associated with metabolic syndrome and to suggest a personalized health management according to the constitution to prevent disease by metabolic syndrome stage. Methods This study used the data of Korean medicine Data Center (KDC). A total of 8,985 data were searched for subjects who participated in Anseong and Ansan cohorts study from 2009 to 2012. We analyzed 2,602 participants that diagnosed with metabolic syndrome among the ages of 30 to 55. We divided into three groups, none, pre-metabolic syndrome (Pre-MetS), and metabolic syndrome (MetS), according to number of metabolic syndrome elements. Results The prevalence of metabolic syndrome was highest in Taeumin (Pre-MetS: 48.2%, MetS: 41.2%). The risk factors for metabolic syndrome are dietary amount, speed of eating, and sleep quality in Taeumin, and dietary amount and sleep quality in Soyangin. Conclusions The life style affecting the metabolic syndrome were different according to the constitution. It is necessary to manage life style considering the Sasang constitution

Cytogenetic Study and Clinical Features in Patients with Klinefelter's Syndrome and Y Chromosomal Abnormalities (Klinefelter 증후군 및 Y염색체 이상으로 진단된 환자들의 염색체 결과 및 임상 양상)

  • Moon, Shin-Yong;Choi, Seok-Tae;Ko, Hee-Jung;Oh, Sun-Kyung;Han, Jung-Ho;Suh, Chang-Suk;Kim, Seok-Hyun;Choi, Young-Min;Kim, Jung-Gu;Lee, Jin-Yong
    • Clinical and Experimental Reproductive Medicine
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    • v.26 no.1
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    • pp.43-54
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    • 1999
  • Klinefelter's syndrome is a very important disease in gynecologic endocrinologic fields, because the patients with this karyotype complain of infertility, azospermia and ambiguous genitalia. Y chromosome is an important chromosome which determine genetic sex and the structure of gonad and genitalia. In this study, to elucidate the cytogenetic characteristics and clinical features of Klinefelter's syndrome and Y chromosomal abnormalities in Korea, we studied 303 cases of Klinefelter's syndrome and 11 cases of Y chromosomal abnormalities which were diagnosed by chromosomal analysis at the Cytogenetic Laboratory, Institute of Reproductive Medicine and Population, Seoul National University for 12 years from January 1984 to December 1996. The results of this study showed as follows: 1. In a total of 9275 cases, there were 303 cases (3.3%) of Klinefelter's syndromes, 11 cases (0.1%) of Y chromosomal abnormalities. 2. In 102 cases of patients showed typical clinical features of Klinefelter's syndrome, 101 cases (99%) of them were diagnosed to Klinefelter's syndrome in karyotyping. 3. In 303 cases of Klinefelter's syndrome, there were 277 cases (91.4%) of 47,XXY complement, 16 cases (5.3%) of mosaicism, 2 cases (0.7%) of 48,XXXY, 5 cases (1.7%) of 48,XXYY and 3 cases (1.0%) of 49,XXXXY. 4. In 303 cases of Klinefelter's syndrome, 284 cases (93.7%) of them were diagnosed after puberty and only 19 cases (6.3%) of them were diagnosed before puberty. 5. In 303 cases of Klinefelter's syndrome, there were 146 cases (48.2%) of patients with infertility-associated chief complaints, 101 cases (33.3%) of patients with typical clinical features of Klinefelter's syndrome, 22 cases (7.3%) of patients with ambiguous genitalia. 6. In patients with Klinefelter's syndrome, 48,XXYY and 49,XXXXY had serious symptoms such as mental retardation, developmental delay, Down syndrome-like features, congenital anomalies, but 48,XXYY and other mosaicisms had infertility-associated symptoms or ambiguous genitalia. 7. The 8 cases of polysomy Y (XYY complement) showed several serious symptoms such as Down syndrome-like features, mental retardation, fragile X syndrome-like feature, congenital anomalies, ambiguous genitalia which could be detected before puberty.

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A Clinical Report of Wallenberg's Syndrome (청심연자탕을 복용한 후 호전된 Wallenberg's syndrome 환자 1례)

  • Shim, So-ra;Choi, Woo-jung
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.10 no.1
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    • pp.62-67
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    • 2009
  • Wallenberg's syndrome is a neurological condition caused by a stroke in the vertebral or posterior inferior cerebellar artery of the brain stem. Wallenberg's syndrome is also called Lateral Medullary Syndrome. In this case report, we are going to describe the clinical menifestation and progress of one case of Wallenberg's syndrome and review previously published case reports about it and compare them to our case. In conclusion, significant improvements were observed in some symptoms but there were some symptoms not improved such as paresthesia. So further researches are needed for more effective treatment.

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Pulmonary Features of Hyperimmunoglobulin E (Job's) Syndrome (Hyperimmunoglobulin E (Job's) syndrome에서 발현되는 호흡기증상)

  • Min, Byoung-Ju;Shin, Jae-Seung;Lee, In-Sung;Shin, Young-Kyoo
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.6
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    • pp.651-656
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    • 2002
  • Hyperimmunoglobulin E syndrome, otherwise known as Job's syndrome, is an immune disorder characterized by an abnormal elevation of the circulating immunoglobulin E level, and recurrent infections of the skin and sinopulmonary tract. The syndrome has various pulmonary features, e.g., pneumonia, pneumatocele, pneumothorax, lung abscesses and empyema. We report a case of hyperimmunoglobulin E syndrome, with various respiratory clinical manifestation. Medical therapy, including prophylactic antibiotics, has been the cornerstone for the treatment of hyperimmunoglobulin E syndrome. Even if surgical intervention is required, minimal pulmonary parenchymal resection is recommended.

Psychiatric Factors Associated with Farmers' Syndrome (농부중의 정신적 원인에 대한 연구)

  • Park, Tae-Jin;Lee, Ka-Young
    • Journal of agricultural medicine and community health
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    • v.22 no.1
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    • pp.49-59
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    • 1997
  • Backgrounds : There has been many studies investigating the causes of farmers' syndrome. In some studies, psychologic stress is related to farmer's syndrome. And the diagnostic criteria of farmer's syndrome is similar to those of generalized anxiety disorder. So we carried out this study to investigate the psychiatric causes of farmers' syndrome. Methods : This study was done in some rural and urban areas of Kyoungsangnam Province, July, August, October and November of 1996. Those who came to free medical service and completed interview, medical examination and laboratory examination and 20-59 years old were 150 persons. And those who came to health center for health examination and completed only interview and 20-59 years old were 94 persons. The questionnaire was composed of sociodemographic factors, health risk factors, farmer's syndrome, work load, BEPSI(inventory to measure stress), Spielberger's state-trait anxiety inventory, self-rating depression scale. To examine statistical significance, we used X2-test, Mantel-Haenszel test for linear association, t-test, ANCOVA, correlation, multiple regression, logistic regression. Results : The prevalence of farmer's syndrome, adjusted for age and sex with population of Kyungsangnam Province of 1993 was 208 per 1,000(90 per 1,000 in men and 329 per 1,000 in women). In bivariate analysis, farmer's syndrome was significantly related to age, sex, job, income, smoking, alcohol drinking, work load, BEPSI, state anxiety, trait anxiety, depression, body mass index, Hwa-Byung, hypertension, anemia. However, when age and sex were adjusted, job was not significantly related to farmer's syndrome. The score of farmer's syndrome was significantly related to age, sex, work load, BEPSI, trait anxiety by multiple regression. Farmer's syndrome was significantly related to increasing age(odd ratio 1.079, 95% C.I. 1.060 - 1.099), sex(odds ratio of male 0.434, 95% C.I. 0.349 - 0.540), and BEPSI(odds ratio 1.231, 95% C.I. 1.148 - 1.320) by logistic regression. Results of logistic regression analysis of the component symptoms of farmer's syndrome were as follows. Shoulder stiffness was significantly related to increasing age, female sex and BEPSI. Lumbago was significantly related to increasing age, female sex and trait anxiety. Numb limbs and nocturia was significantly related to increasing age and female sex. Breathlessness was significantly related to work load, sleeplessness was significantly related to depression, dizziness was significantly related to job and state anxiety, and abdominal fullness was significantly related to female sex. Conclusion : Farmers' syndrome was related to work load, but was more related to psychiatric factors such as BEPSI and trait anxiety. And the occupation was not risk factor of farmers' syndrome in this study, so further study is needed to investigate the cause of farmers' syndrome.

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