논문 상세보기

대한내과학회> Korean Journal of Medicine(구 대한내과학회지)> 증례 : 감염 ; HIV 감염 환자에서 발생한 Ramsay Hunt 증후군 1예

KCI후보

증례 : 감염 ; HIV 감염 환자에서 발생한 Ramsay Hunt 증후군 1예

Case Reports : Infectious disease ; Ramsay Hunt Syndrome in a Patient Infected with Human Immunodeficiency Virus

강은경 ( Eun Kyung Kang ) , 김지연 ( Ji Yeon Kim ) , 송경환 ( Kyung Hwan Song ) , 문송미 ( Song Mi Moon ) , 고광필 ( Kwang Pil Ko ) , 서일혜 ( Yiel Hea Seo ) , 박윤수 ( Yoon Soo Park )
  • : 대한내과학회
  • : Korean Journal of Medicine(구 대한내과학회지) 90권2호
  • : 연속간행물
  • : 2016년 02월
  • : 169-172(4pages)
Korean Journal of Medicine(구 대한내과학회지)

DOI


목차


					

키워드 보기


초록 보기

RHS는 안면신경 무릎신경절에 수두대상포진바이러스(varicellar zoster virus)가 감염되어 있다가 얼굴과 귀에 분지되어 있는 감각 분지로 재활성화되어 발생한다. 전형적인 3가지 증상인 얼굴마비, 귀 통증, 외이도와 귓바퀴의 소수포성 발진이 나타나면 RHS라고 진단한다. 본 증례는 사람면역결핍바이러스 환자에서 RHS 진단과 치료의 국내 첫 보고이다. 40세 남자가 우측 귀 통증과 귀가 멍멍한 느낌을 주소로 내원하였다. 입원 직후 우측 얼굴의 말초 신경마비, 이루, 두통, 혀의 우측 운동 장애가 나타났으며 우측 외이도와 귓바퀴에 소수포성 발진이 관찰되었다. 입원 10일째 청력저하를 호소하였으며 고막 천공이 관찰되었다. 말초혈액 검사에서 사람면역결핍바이러스(HIV) 항체가 양성으로 도출되었고 확진 검사 양성이 확인되었다. CD4 T cell은 281/μL였다. 치료는 valacyclovir와 steroid를 투여하고 highly active antiretroviral therapy를 시행하였으며 안면마비를 포함한 증상은 치료 후호전되었으나 청력저하는 호전이 없었다.
Ramsay Hunt syndrome is caused by reactivation of the varicella zoster virus in the geniculate ganglion of the sensory branch in the face and ears. It is characterized by peripheral facial palsy, ear pain, and vesicles in the auditory canal and auricle. We report on a first case of Ramsay Hunt syndrome in a patient with human immunodeficiency virus in Korea. The patient, a 40-year-old male, first presented with otalgia and ear fullness. On admission, he had right facial palsy of the peripheral type, otorrhea, headache, limited tongue movement, and right auricle vesicular eruptions. He had positive human immunodeficiency virus antibody and Western blot tests. His CD4 T cell count was 281/μL. The patient was treated with valacyclovir and steroid with highly active antiretroviral therapy. His symptoms and facial palsy improved with treatment. (Korean J Med 2016;90:169-172)

UCI(KEPA)

I410-ECN-0102-2016-510-000479367

간행물정보

  • : 의약학분야  > 내과학
  • : KCI후보
  • :
  • : 격월
  • : 1738-9364
  • : 2289-0769
  • : 학술지
  • : 연속간행물
  • : 1949-2022
  • : 12170


저작권 안내

한국학술정보㈜의 모든 학술 자료는 각 학회 및 기관과 저작권 계약을 통해 제공하고 있습니다.

이에 본 자료를 상업적 이용, 무단 배포 등 불법적으로 이용할 시에는 저작권법 및 관계법령에 따른 책임을 질 수 있습니다.

97권3호(2022년 06월) 수록논문
최근 권호 논문
| | | |

KCI후보

1노인장기요양제도와 의료서비스: 의료계 역할을 중심으로

저자 : 장현재 ( Hyun Jae Jang )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 147-149 (3 pages)

다운로드

(기관인증 필요)

초록보기

노인장기요양보험 제도는 2005년부터 3년 동안 시범사업을 거쳐, 지난 2008년 7월부터 본격적으로 시행되었다. 이 제도의 목적은 증가되는 노인 인구에 있어, 노인의 삶의 질 개선과 가족의 돌봄 부담 경감이다. 2021년, 노인장기요양보험 수급자는 86만 명, 급여비는 9조 8,248억 원으로 도입된 이후 그 규모가 2-4배로 증가하였다. 이러한 증가에 맞추어 효율적으로 제도가 안착되고, 수급자의 의료적 요구를 바로 연계할 수 있는 제도의 보완이 필요하다. 이를 통하여 급증하는 노인 진료비의 지출의 감소, 즉 사회적 비용의 감소의 효과도 볼 수 있다. 결론적으로, 노인 돌봄은 의료·보건·복지가 각 영역 내 혹은 영역 간에 유기적으로 연계할 수 있도록 제대로 체계를 마련되고 시행되어야 하겠다.


The long-term care insurance for the elderly system was officially implemented in July 2008, following a 3-year pilot program starting in 2005. The purpose of this system was to improve the quality of life of seniors and reduce the burden of care among family members, given the growing elderly population. By 2021, the scale of the system had increased by two to four times, with 860,000 beneficiaries and 9,824,800,000,000 KRW worth of insurance benefits. In line with this increase, it is necessary to efficiently establish and improve the system so that it can directly meet the medical needs of the beneficiaries. This may serve to reduce the rapidly increasing expenditure related to the elderly medical expenses, which in turn leads to a decrease in societal costs. In conclusion, senior care needs to be properly established and implemented in order to create organic intra- and inter-field connections between medicine, healthcare, and welfare. (Korean J Med 2022;97:147-149)

KCI후보

2수술 및 시술 시 항혈전제 사용에 대한 전문가 합의문: 1부. 종설편

저자 : 박용휘 ( Yongwhi Park ) , 허애영 ( Ae-young Her ) , 김현국 ( Hyun Kuk Kim ) , 문재연 ( Jae Youn Moon ) , 박재형 ( Jae Hyoung Park ) , 박근호 ( Keun-ho Park ) , 이경훈 ( Kyung Hoon Lee ) , 주형준 ( Hyung Joon Joo ) , 원호연 ( Ho Yeon Won ) , 안성균 ( Sung Gyun Ahn ) , 박홍준 ( Hong Jun Par

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 150-168 (19 pages)

다운로드

(기관인증 필요)

초록보기

The prevalence of ischemic heart disease is steadily growing as populations age. Antithrombotic treatment is a key therapeutic modality for the prevention of secondary cerebro-cardiovascular disease. Patients with acute coronary syndrome or who are undergoing percutaneous coronary intervention must be treated with dual antiplatelet therapy for a mandatory period. The optimal perioperative antithrombotic regimen remains debatable; antithrombotics can cause bleeding. Inadequate antithrombotic regimens are associated with perioperative ischemic events, but continuation of therapy may increase the risks of perioperative hemorrhagic complications (including mortality). Many guidelines on the perioperative management of antithrombotic agents have been established by academic societies. However, the existing guidelines do not cover all specialties, nor do they describe the thrombotic and hemorrhagic risks associated with various surgical interventions. Moreover, few practical recommendations on the modification of antithrombotic regimens in patients who require non-deferrable interventions/surgeries or procedures associated with a high risk of hemorrhage have appeared. Therefore, cardiologists, specialists performing invasive procedures, surgeons, dentists, and anesthesiologists have not come to a consensus on optimal perioperative antithrombotic regimens. The Korean Platelet-Thrombosis Research Group presented a positioning paper on perioperative antithrombotic management. We here discuss commonly encountered clinical scenarios and engage in evidence-based discussion to assist individualized, perioperative antithrombotic management in clinical practice. (Korean J Med 2022;97:150-163)

KCI후보

3진행성 악성 간문부 담관 폐쇄의 고식적 치료를 위한 담관내 고주파 소작술

저자 : 강화평 ( Huapyong Kang ) , 김의주 ( Eui Joo Kim ) , 김연석 ( Yeon Suk Kim )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 164-170 (7 pages)

다운로드

(기관인증 필요)

초록보기

Malignant hilar biliary obstruction (MHBO) frequently accompanies cholestasis and cholangitis, and requires biliary stent placement. To prevent stent occlusion and prolong survival, local ablation therapy can be considered adjunctive to stent placement. Intraductal radiofrequency ablation (ID-RFA) is a recently developed local therapy for malignant biliary obstruction that can be easily performed employing endoscopic retrograde cholangiography. The use of ID-RFA to treat MHBO (as distinct from distal biliary obstruction) was suggested to be associated with severe adverse events. However, recent comparative studies have shown that ID-RFA is feasible and safe, and acceptably efficacious, in patients with advanced MHBO; newer temperature-controlled ID-RFA devices may enhance safety further. Regularly repeated ID-RFA with stent exchange affords better survival than stenting alone. However, the optimal ID-RFA strategy for MHBO remains inconclusive given the lack of data. Further large-scale clinical trials are needed. (Korean J Med 2022;97:164-170)

KCI후보

4이차고혈압의 진단과 치료

저자 : 송수현 ( Su Hyun Song ) , 최홍상 ( Hong Sang Choi ) , 배은희 ( Eun Hui Bae )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 171-178 (8 pages)

다운로드

(기관인증 필요)

초록보기

Secondary hypertension, which refers to arterial hypertension caused by an identifiable medical condition, accounts for 5-10% of all hypertensive diagnoses; however, this is thought to be an underestimate. If diagnosed promptly, secondary hypertension can be treated, and proper blood pressure restored. This review focuses on the screening, diagnosis, and management of the most common forms of secondary hypertension, including primary aldosteronism, renovascular hypertension, pheochromocytoma, Cushing's syndrome, and renal parenchymal disease. (Korean J Med 2022;97:171-178)

KCI후보

5호기산화질소 검사의 시행과 해석

저자 : 권재우 ( Jae-woo Kwon )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 179-185 (7 pages)

다운로드

(기관인증 필요)

초록보기

Nitric oxide is produced by the human lungs and increases in response to type 2 inflammation. The level of fractional exhaled nitric oxide (FeNO) may reflect type 2 inflammation in the airways, which is related to eosinophilic inflammation and treatment responsiveness to corticosteroids. The FeNO test is a non-invasive, simple, and safe point-of-care test to evaluate airway inflammation. It has been standardized for clinical use and has been widely utilized in daily medical practice. However, various intrinsic and extrinsic factors can affect FeNO levels, and understanding and controlling such factors will improve the utility of this measure. The FeNO test can be used to confirm an asthma diagnosis, predict treatment responses to corticosteroids, and guide inhaled corticosteroid therapy for asthma treatment. (Korean J Med 2022;97:179-185)

KCI후보

6육아종성 세관사이질신염으로 확인된 크론병

저자 : 한정석 ( Jung Suk Han ) , 최범순 ( Bum Soon Choi ) , 박철휘 ( Cheol Whee Park ) , 최영진 ( Yeong Jin Choi ) , 양철우 ( Chul Woo Yang ) , 이한희 ( Han Hee Lee ) , 반태현 ( Tae Hyun Ban )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 186-190 (5 pages)

다운로드

(기관인증 필요)

초록보기

크론병의 장관 외 발현 중 육아종성 세관사이질신염은 매우 드문 사례이다. 아직 정립된 치료는 없으나, 크론병 환자에서 신기능의 악화를 보인다면 크론병에 의한 세관사이질신염을 의심하여야 하며, 빠른 진단과 치료를 하여 환자의 신기능의 악화를 억제하여야 한다.


Crohn's disease is usually diagnosed according to intestinal symptoms, but extra-intestinal manifestations are important in approximately one-third of cases. Although several extra-intestinal symptoms associated with various organs have been reported, renal involvement is uncommon in patients with Crohn's disease. Tubulointerstitial nephritis in a patient with Crohn's disease is usually caused by infection, sarcoidosis, or medications. However, primary tubulointerstitial nephritis caused by Crohn's disease alone is extremely rare. A 19-year-old male patient was referred to our hospital because of an increase in serum creatinine level. He underwent a kidney biopsy with renal insufficiency. Renal histological findings revealed granulomatous tubulointerstitial nephritis. Thereafter, a colonoscopy was performed with suspicion of Crohn's disease. Ultimately, he was diagnosed with granulomatous tubulointerstitial nephritis based on Crohn's disease. The patient had improved gastrointestinal symptoms after the last treatment. This case report presents a rare case of primary tubulointerstitial nephritis caused by Crohn's disease. (Korean J Med 2022;97:186-190)

KCI후보

7소장 폐색이 합병된 말기 암환자에서 고식적 내시경 초음파하 소장 연결술

저자 : 오지홍 ( Ji Hong Oh ) , 홍승권 ( Seung Goun Hong )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 97권 3호 발행 연도 : 2022 페이지 : pp. 191-197 (7 pages)

다운로드

(기관인증 필요)

초록보기

Recurrent or refractory small bowel obstruction in postsurgical patients with advanced malignancies poses therapeutic dilemmas. Although some promising results have been achieved as small bowel endoscopic techniques advanced, palliative stent placement is both challenging and complex. Endoscopic ultrasound (EUS)-guided anastomosis using a lumen-apposing metal stent has been recently used during gastroenterostomy to treat benign or malignant gastric outlet obstruction. Data on the outcomes of EUS-guided enterostomy in patients with recurrent small bowel obstruction are lacking, although the technique is applicable throughout the entire gastrointestinal tract. We recently encountered recurrent or refractory small bowel obstruction in two poor surgical candidates. For the first case, we performed EUS-guided enterostomy to treat a recurrent obstruction after conventional stent insertion. The second case underwent EUS-guided transenteric stent placement to treat refractory small bowel obstruction associated with diffuse peritoneal carcinomatosis after failure of a conventional “push” endoscopic procedure. (Korean J Med 2022;97:191-197)

1
권호별 보기
같은 권호 다른 논문
| | | | 다운로드

KCI후보

1특집 : 기능성 위장관질환에 있어서 식이 및 영양요법: 위식도역류질환

저자 : 김범진 ( Beom Jin Kim )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 93-97 (5 pages)

다운로드

(기관인증 필요)

초록보기

Gastroesophageal reflux disease (GERD) is a common condition with a wide range of clinical manifestations. The clinical epidemiology of GERD is related to diet. It has been speculated that certain dietary factors may play a role in the pathogenesis or course of GERD. Physiological studies have shown a decrease in lower esophageal pressure and an increase in esophageal acid exposure in response to consuming a variety of foods. Subjects with GERD are sensitive to acidic juices, such as orange and tomato juices. Some patients are less tolerant to caffeine including coffee. Fatty foods and chocolate may weaken the lower esophageal sphincter, whereas protein may increase lower sphincter tone. Large meals distend the stomach, increase intragastric pressure, and facilitate gastroesophageal reflux. Alcohol consumption is another important risk factor for GERD. However, a wide-rangingreview of the available data revealed conflicting findings regarding the impact of dietary factors on GERD.(Korean J Med2016;90:93-97)

KCI후보

2특집 : 기능성 위장관질환에 있어서 식이 및 영양요법: 기능성 소화불량

저자 : 신철민 ( Cheol Min Shin )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 98-104 (7 pages)

다운로드

(기관인증 필요)

초록보기

Diet play an important role in triggering symptoms in patients with functional dyspepsia. The pathophysiology of functional dyspepsia is characterized by impaired gastric accommodation and visceral hypersensitivity, and patterns of nutrient intake may affect the threshold to dyspeptic symptoms by modulating gastric motor and sensory functions. In addition, cognitive factors are likely to modulate symptom perception in patients with functional dyspepsia. Duodenal hypersensitivity to fat is regarded as an important mechanism of meal-related dyspeptic symptoms, and is associated with increased visceral hypersensitivity and decreased gastric emptying. Among a wide range of foods, fried and fatty foods are most commonly implicated in the induction of dyspeptic symptoms; however, beans, onions, wheat-containing foods, chocolates, coffee, carbonated beverages, and milk and dairy products are also frequently associated with dyspeptic symptoms. In contrast, according to the recent Asian consensus report, rice, tea, and ginger can ameliorate dyspepsia. However, evidence is lacking, as the majority of studies have been retrospective; moreover, the results are inconsistent. Further prospective studies, especially in the Korean population, are necessary to formulate reliable dietary guidelines for patients with dyspepsia.(Korean J Med 2016;90:98-104)

KCI후보

3특집 : 기능성 위장관질환에 있어서 식이 및 영양요법: 과민성 장증후군

저자 : 김정환 ( Jeong Hwan Kim )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 105-110 (6 pages)

다운로드

(기관인증 필요)

초록보기

Irritable bowel syndrome (IBS) is a multifactorial disorder with the pathogenesis of abnormal gastrointestinal motility, low-grade inflammation, visceral hypersensitivity, communication in the gut-brain axis, and so on. Traditionally, IBS has been treated with dietary and lifestyle modification, fiber supplementation, pharmacological and psychological therapy. Carbohydrates have a range of foods regularly consumed including grains such as rye and wheat, vegetables, fruits, and legumes. Short-chain carbohydrates poorly absorbed exert osmotic effects in the intestinal lumen increasing its water volume, and are rapidly fermented by bacteria with consequent gas production. These effects may be the basis of the beginning of gastrointestinal symptoms. This made the use of lactose-free diets in those with lactose intolerance and of fructose-reduced diets for fructose malabsorption. All dietary poorly absorbed short-chain carbohydrates have similar and additive effects in the intestine, so a concept has been developed to regard them collectively as fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) and to evaluate a dietary approach that restricts them all. Based on observational and comparative studies and on randomizedcontrolled trials, FODMAPs trigger gastrointestinal symptoms in patients with IBS. Food choice via the low FODMAP and potentially other dietary strategies is now a realistic and efficacious therapeutic approach for symptoms of IBS. In Korea, the strategy of Korean diet for Korean patients with IBS needs apposite to the Korean cases. (Korean J Med 2016;90:105-110)

KCI후보

4특집 : 기능성 위장관질환에 있어서 식이 및 영양요법: 변비

저자 : 이정미 ( Jeong Mi Lee ) , 김도연 ( Do Yeon Kim ) , 윤인자 ( In Ja Yoon ) , 정기욱 ( Kee Wook Jung )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 111-114 (4 pages)

다운로드

(기관인증 필요)

초록보기

Constipation is a common functional gastrointestinal symptom, the medical treatment of which is established. However, knowledge of diet and nutritional management for constipation is lacking. Based on current studies, fiber is effective in managing chronic constipation, but care should be taken in constipated patients with gaseous bloating. Increased fluid intake is controversial but may be beneficial, especially in conjunction with a stool-bulking agent. Other diet treatments lack high-quality evidence. A well-designed study to validate the effectiveness of diet, especially Korean diet, in the treatment of chronic constipation is needed. (Korean J Med 2016;90:111-114)

KCI후보

5종설 : 돌연사의 일차적 예방을 위한 삽입형 제세동기 치료

저자 : 박형섭 ( Hyoung Seob Park ) , 한성욱 ( Seongwook Han )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 115-120 (6 pages)

다운로드

(기관인증 필요)

초록보기

Implantable cardioverter-defibrillators (ICDs) are an effective treatment strategy for patients with aborted sudden cardiac death (SCD) and ventricular tachyarrhythmias. rimary prevention of SCD is a strategy involving the use of ICDs in patients who are at high risk for, but have not had, any previous events of ventricular arrhythmias or cardiac arrest. Several randomized clinical trials have demonstrated the efficacy of ICDs in the primary prevention of SCD. Therefore, ICD implantation is recommended as a standard of care by the guidelines in patients who have ischemic or nonischemic cardiomyopathy and a low left ventricular ejection fraction. However, the rates of ICD implantation as a primary prevention in Korea is quite low compared to western countries. In this review, we will summarize the results and efficacy of ICDs in the clinical trials about primary prevention of SCD, the current treatment guidelines, and the reimbursement policy of Korean health insurance. We hope that this review will help broaden the recognition of importance of ICD implantation for the primary prevention of SCD. (Korean J Med 2016;90:115-120)

KCI후보

6의학강좌 : 개원의를 위한 모범처방 ; 비만 치료의 최신 지견

저자 : 김원준 ( Won Jun Kim ) , 이창범 ( Chang Beom Lee )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 121-126 (6 pages)

다운로드

(기관인증 필요)

초록보기

There have recently been many advances in obesity treatment, including lifestyle modifications and pharmacological and surgical treatments. Specifically, pharmacological strategies have improved significantly. However, the history of the development of medications aimed at weight loss is complicated. The Federal Drug Administration (FDA) withdrew anti-obesity drugs such as fenfluramine, dexfenfluramine, and phenylpropylamine due to their unwanted side effects. Moreover, sibutramine was voluntarily withdrawn from the market and a new drug, rimonabant, has been suspended in the middle of a clinical trial due to unacceptable side effects. The FDA has approved four new anti-obesity drugs in recent years. Lorcaserin is a selective 5-hydroxytryptamine receptor 2c (5-HT2c) agonist. The pharmacological mechanism of action of this drug is similar to fenfluramine and dexfenfluramine, but lorcaserin is specific for 5-HT2c, which are located almost exclusively in the central nervous system and are not found in heart valves. Three phase 3 clinical trials for lorcaserin have been published recently; weight reduction was successful and no side effects involving the heart were found. Furthermore, the FDA has also approved phentermine/topiramate controlled-release (PHEN/TPM CR), which is composed of a combination of immediate-release phentermine and controlled-release topiramate. Weight reduction achieved with PHEN/TPM CR was demonstrated to be better than all other anti-obesity drugs. Lastly, the combination therapy bupropion/ naltrexone activates proopiomelanocortin neurons and inhibits opioid-mediated negative feedback by synergism. Similar to liraglutide, a long-acting analogue of the hormone glucagon-like peptide-1, this treatment showed significant weight loss and metabolic improvements. However, in addition to its efficacy, clinicians should consider its side effects before use. (Korean J Med 2016;90:121-126)

KCI후보

7증례 : 소화기 ; 내시경 점막하 박리술 시행 후 발생한 급성 봉소염성 위염을 항생제로 치료한 1예

저자 : 박유민 ( Yoo Min Park ) , 장재영 ( Jae Young Jang ) , 하효정 ( Hyo Jung Ha ) , 김다래 ( Da Rae Kim ) , 박선희 ( Sun Hee Park ) , 신아리 ( A Ri Shin ) , 구자원 ( Ja Won Koo )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 127-131 (5 pages)

다운로드

(기관인증 필요)

초록보기

급성 봉소염성 위염은 과도한 음주, 면역 저하 상태 혹은 위 점막의 광범위한 손상이 있는 경우에 발생하는 화농성 세균 감염질환으로 빈도는 매우 드물지만 사망률이 높은 질환이다. 저자들은 위선종 치료를 위해 시행한 내시경 점막하 박리술 후에 발생한 급성 봉소염성 위염을 수술 없이 항생제만으로 치료에 성공한 증례를 경험하여 이를 보고한다.

KCI후보

8증례 : 소화기 ; 재발성 공장염으로 나타난 발작성 야간혈색소뇨증 1예

저자 : 김지원 ( Ji Won Kim ) , 김준영 ( Jun Young Kim ) , 김진혜 ( Jin Hae Kim ) , 김혜인 ( Hye In Kim ) , 김영남 ( Young Nam Kim ) , 김영호 ( Young Ho Kim ) , 홍성노 ( Sung Noh Hong )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 132-135 (4 pages)

다운로드

(기관인증 필요)

초록보기

발작성 야간혈색소뇨증은 보체 매개성의 만성 혈관내 용혈, 야간 혈색소뇨, 혈전증, 골수부전을 특징으로 하는 매우드문 후천적 조혈모세포 질환이다. 혈전증에 의한 위장관 허혈증은 발작성 야간혈색소뇨증의 합병증으로 알려져 있으나 우리나라 성인에서 이에 대한 보고는 아직 없었다. 저자들은 재발성 공장염을 보인 발작성 야간혈색소뇨증 환자를 경험 하였기에 이를 보고하고자 한다. 원인이 명확하지 않은 공장염이 반복적으로 발생할 경우 드문 원인 중 하나로 발작성 야간혈색소뇨증을 고려해 볼 수 있을 것으로 생각한다.

KCI후보

9증례 : 순화기 ; 경요골 경피적 관상동맥 중재술 중 발생한 요골동맥 천공의 간편한 관리

저자 : 김윤석 ( Yunsuek Kim ) , 정찬성 ( Chan Sung Jung ) , 김효식 ( Hyo Shik Kim ) , 이민호 ( Min Ho Lee ) , 박병원 ( Byoung Won Park ) , 방덕원 ( Duk Won Bang ) , 현민수 ( Min Su Hyon )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 136-139 (4 pages)

다운로드

(기관인증 필요)

초록보기

Radial artery perforation is one of the major complications of transradial percutaneous coronary intervention (PCI). Previous reports have suggested that sealing the perforation with a smaller guiding catheter may be possible. In one such study, the perforated segment was sealed with a 0.014- or 0.021-inch guidewire, and PCI was successfully completed. In this study, we describe a radial artery perforation that occurred after diagnostic coronary angiography and during insertion of a 6 French (FR) guiding catheter. PCI and the perforation were successfully managed through the use of a 5 Fr guiding catheter and a 0.035-inch guidewire. (Korean J Med 2016;90:136-139)

KCI후보

10증례 : 순환기 ; 대동맥-우심방 터널에 동반된 감염성 심내막염 1예

저자 : 진석재 ( Suk Je Jin ) , 김동한 ( Dong Han Kim ) , 정용진 ( Yong Jin Jeong ) , 김병기 ( Byung Ki Kim ) , 장승재 ( Seung Jae Jang ) , 방준희 ( Jun Hee Bang ) , 정영곤 ( Young Gon Jung )

발행기관 : 대한내과학회 간행물 : Korean Journal of Medicine(구 대한내과학회지) 90권 2호 발행 연도 : 2016 페이지 : pp. 140-143 (4 pages)

다운로드

(기관인증 필요)

초록보기

저자들은 대동맥-우심방 터널과 감염성 심내막염이 동반된 환자를 수술적 치료한 증례 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

12
발행기관 최신논문
자료제공: 네이버학술정보
발행기관 최신논문
자료제공: 네이버학술정보

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기