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Spontaneous Tumor Lysis Syndrome Presenting Acute Kidney Injury with Extreme Hyperuricemia and Urinary Stone: A Rare Case of Spontaneous Tumor Lysis Syndrome

  • Kim, Seong Heon;Yang, Eu Jeen;Lim, Young Tak;Kim, Su Young
    • Childhood Kidney Diseases
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    • v.21 no.1
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    • pp.31-34
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    • 2017
  • Tumor lysis syndrome is a serious complication of malignancy, resulting from the massive and rapid release of cellular components into the blood. Generally, it occurs after initiation of chemotherapy. The onset of spontaneous tumor lysis syndrome (STLS) before anti-cancer treatment is rare and occurs mostly in Burkitt lymphoma and non-Hodgkin's lymphoma. There are only a few case reports in children. Here, we report a case of STLS secondary to T-cell acute lymphoblastic leukemia (ALL), which presented with urinary stone and subsequent acute kidney injury with severe hyperuricemia. Occult malignancy should be considered in case of unexplained acute kidney injury with extreme hyperuricemia.

Dynamic Contrast-Enhanced MR Imaging of Tietze's Syndrome: a Case Report

  • Kim, Dong Chan;Kim, Sang Yoon;Kim, Bong Man
    • Investigative Magnetic Resonance Imaging
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    • v.24 no.1
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    • pp.55-60
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    • 2020
  • Tietze's syndrome is an inflammatory condition associated with painful swelling of the costochondral, costosternal, and sternoclavicular joints. Tietze's syndrome has been mostly attributed to microtrauma until now; however, this etiology is currently disputed. The diagnosis is based on clinical findings, although a few studies suggest the advantages of imaging. We report a case of Tietze's syndrome with a review of radiological findings, especially magnetic resonance imaging (MRI) with dynamic contrast enhancement.

Three Cases of Horner's syndrome after Neck Mass Removal (경부종물 제거후 발행한 Horner씨 증후군 치험 3례)

  • Kim Young-Min;Moon You-Bo;Kim Ic-Tae;Park Young-Min
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.2
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    • pp.212-217
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    • 1994
  • The Horner's syndrome includes anisocoria as a result of miosis of the involved pupil with ptosis of the upper and lower lids, which results in slight narrowing of the palpebral fissure. Ipsilateral facial hyperemia and anhidrosis over the face and neck are less common features. The findings with Horner's syndrome are a result of the loss of sympathetic innervation to the ipsilateral eye and face. Recently we experienced 3 cases of Horner's syndrome that developed postoperatively and report briefly with literature.

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Surgical Treatment of Boerhaave's Syndrome (Boerhaave증후군 환자의 외과적 치료)

  • Kim, Dong Won
    • Korean Journal of Bronchoesophagology
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    • v.18 no.1
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    • pp.9-12
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    • 2012
  • Boerhaave's syndrome is a very fatal condition occuring esophageal rupture during emesis and has the worst prognosis of the esophageal perforation. From May 2007 to March 2012 11 patients underwent surgical treatment for Boerhaave's syndrome at Inje University Sanggye Paik Hospital. There were 11 males whose mean age was 49.9 years ranging from 42 to 59. 2 cases of primary closure was performed and 9 cases of anastomosis using EEA (Esophago-Enteric Anastomisis) stapler. Mean operation time was 154.4 minutes and one patient who undergone primary repair died because of mediastinitis and sepsis on $35^{th}$ post-operative day. There was no leakage at other patients. Post-operative complication was one operative wound infection and one post-operative bleeding which was treated completely. Surgical treatment for Boerhaave's syndrome using EEA stapler is simple and effective technique but further studies with large number of cases should be carried out for better outcome.

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Relationship between Shangri-la Syndrome and Appearance Management Behavior (샹그릴라 신드롬에 따른 외모 관리 행동에 관한 연구)

  • Lee, Mi-Hyang;Yoo, Hwa-Sook
    • Fashion & Textile Research Journal
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    • v.13 no.2
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    • pp.194-204
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    • 2011
  • The purpose of this study was to investigate appearance management behavior of Koreans in their 40s and 50s according to Shangri-La Syndrome'. Shangri-La Syndrome means a social phenomena which people in their 40s and 50s want to live as young as people in their 20s and 30s. The questionnaires were distributed to 500 people in their 40s and 50s living in Ulsan, Dague, and Seoul. Of 500 questionnaires, 368 of them were used in data analysis. Descriptives, frequency analysis, factor analysis, reliability analysis, correlation analysis were performed using SPSS 12.0. The degree of Shangri-La Syndrome was evaluated by a cognitive age. As a result, first, people in their 40s and 50s showed to recognize themselves about 9.1 years younger than actual ages. Second, the attitude to appearance management behavior revealed to be generally positive and the correlation between the cognitive age and the attitude to appearance management behavior was presented to be low and negative. Third, types of appearance management behavior were classified skin care and clothing, figure management, plastic surgery, hair. The smaller cognitive ages were, in other words, the larger the degree of Shangri-La Syndrome of respondents were, the more positive their opinions to the types of appearance management behavior were. Among the types of appearance management behavior, figure management was shown to be the most effective means for appearance management but, clothing the most frequent usable one. In conclusion, it was found out that the relationship between Shangri-La Syndrome and appearance management behavior was low but positive.

Swyer-James(macleod's) Syndrome (Swyer-James(Macleod) 증후군)

  • 최영호
    • Journal of Chest Surgery
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    • v.27 no.11
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    • pp.970-972
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    • 1994
  • The Swyer-James syndrome is one of the very few condition that the density of one lung is markedly less than the density of the other and frequently presents a diagnostic problem. In 1989, we reported a case of Swyer-James Syndrome. Recently, we experienced a new case of this syndrome. Left upper lobectomy was performed and postoperative pneumonia was developed, but the patient was recovered.

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Mothers' Adjustments in Raising Children with Down Syndrome (다운증후군 자녀를 둔 어머니의 적응)

  • Kim, Mi Young
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.2
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    • pp.19-29
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    • 2008
  • Purpose: The purpose of this study was to explore mothers' adjustments in raising children with Down syndrome and to develop a grounded theory about their adjustments. Method: Three mothers from each group of children in the ages below 7 years, 8-13 years, 14-19 years, and over 20 years participated in the study. Data were collected through an in-depth interview from twelve participants having a child with Down syndrome. Then it was analyzed simultaneously using the grounded theory method. Results: 'Adjustment of mother's expectation according to child's status' was emerged as a core category. The adjustment process was categorized into five stages: shocking, embracing, doing one's best with passion, lowering anticipation, and accepting another living. Conclusion: Being the mother of a child with Down syndrome is not considered to be a negative experience. There are positive experiences along with some more negative ones. Nurses working with families that include children with Down syndrome need to be aware of the obstacles the families will face and should advise necessary support.

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4 Cases Report of Menopause Syndrome with Ondam-tang Gagambang (온담탕(溫膽湯) 가감방(加減方)으로 증상 호전된 갱년기 증후군 환자 치험 4례)

  • Kim, Jung-Ah;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.1
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    • pp.206-216
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    • 2014
  • Objectives: The Purpose of this study is to report the effects of Ondam-tang gagambang on menopause syndrome. Methods: Four patients who had menopause syndrome as chief complaints were treated by Gamiondam-tang or Kuibiondam-tang for two weeks. We evaluated the results of treatment by change of symptoms, Kupperman's Index and Menopause Rating Scale (MRS). Results: After treatment, menopause syndrome cases were improved. Almost scores of Kupperman's Index & Menopause Rating Scale (MRS) were reduced. Conclusions: This study suggests that Ondam-tang gagambang is effective on overall Menopause syndrome cases.

A Case of Nephrotic Syndrome with Swine-origin H1N1 Influenza Virus (H1N1 인플루엔자 바이러스 감염과 동반되어 발생한 신증후군 1례)

  • Kim, Sae-Yoon;Kim, Myoung-Uk;Lee, Sang-Su;Park, Yong-Hoon
    • Childhood Kidney Diseases
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    • v.14 no.2
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    • pp.218-222
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    • 2010
  • Nephrotic syndrome is a clinical syndrome characterized by heavy proteinuria, hypoalbuminemia, edema and hyperlipidemia. Causes of idiopathic nephrotic syndrome include minimal change nephrotic syndrome (MCNS), focal segmental glomerulosclerosis (FSGS) and mesangial proliferation. Other causes of nephrotic syndrome are rare genetic disorders and secondary diseases associated with drugs, infections, or neoplasia. Since February 2009, a swine-origin H1N1 influenza virus (S-OIV) from Mexico has been spread among humans in unexpected rapidity. S-OIV is markedly different from seasonal influenza, in that many of those affected are previously healthy young people. While pulmonary complications of S-OIV infection have been frequently documented, renal complications have not been as widely recognized. We report a case of 4 year-old boy who had developed nephrotic syndrome after S-OIV infection with good response after steroid treatment.

Candida Esophagitis in a Patient with Cowden's Syndrome: A Case Report (Cowden 증후군 환자에서 발생한 캔디다 식도염 1예)

  • Kang, Kyung-Ji;Yun, Hye-Jung;Ryu, Seong-Yeol;Ryoo, Nam-Hee;Kang, Yu-Na;Hwang, Jin-Bok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.1
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    • pp.46-50
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    • 2009
  • Cowden's syndrome is a harmatomatous polyposis syndrome with characteristic mucocutaneous lesions and among the spectra of clinical disorders that has been attributed to germline mutations in the PTEN gene. Although Cowden's syndrome has rarely been reported, immunologic studies have revealed that patients with this syndrome have humoral and/or cellular immune abnormalities. We recently identified a 21-year-old woman with Cowden's syndrome who was diagnosed with candida esophagitis without a history of diabetes, carcinoma, or steroid therapy. We report the immunologic status of this patient and the relationship with candida esophagitis on the basis of a literature review.

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