• 제목/요약/키워드: 내과

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니볼루맙 치료 도중 발생한 폐포자충 폐렴 1예 (Pneumocystis Pneumonia Developing during Treatment of Recurrent Renal Cell Cancer with Nivolumab)

  • 김학로;김범석;박영식;김미소;김태민;김동완;허대석
    • The Korean Journal of Medicine
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    • 제93권6호
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    • pp.571-574
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    • 2018
  • 니볼루맙을 사용하는 도중 폐렴이 발생할 수 있고, 폐렴이 의심되면 치료하기 이전에 바이러스를 포함한 감염 여부와 림프관성 암의 진행 상태 및 울혈성 심장 기능 상실 여부 등의 감별이 필요하며 폐렴의 등급과 중증도를 평가하여 스테로이드를 경험적으로 쓰는 것이 중요하다. 본 증례에서는 감염을 배제하기 위하여 기관지 폐포세척을 시행한 후 폐포자충 폐렴이 진단된 사례로 드물기는 하지만 페포자충 폐렴의 감별이 필요함을 보여주어 증례로 보고하는 바이다.

특발성 동안신경마비의 안검하수와 안구운동장애 치험 1례 (A Case Report of Ptosis and Eye Movement Limitation Caused by Idiopathic Oculomotor Nerve Palsy)

  • 김민지;원서영;조현경;유호룡;설인찬;김윤식
    • 대한한방내과학회지
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    • 제40권3호
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    • pp.499-505
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    • 2019
  • Oculomotor nerve palsy causes ptosis, limitation of eye movement, diplopia, and facial pain. Despite imaging investigation, the cause of the palsy cannot be established in most cases. We treated a patient with idiopathic oculomotor nerve palsy with acupuncture, electroacupuncture, pharmacopuncture, and Korean medical physical therapy. In this case, the symptoms remarkably improved after 28 days of treatment. This case report suggests that traditional Korean medicine is effective in treating ptosis and limitation of eye movement diagnosed as idiopathic oculomotor nerve palsy.

원인 불명 열을 동반한 상세불명의 관절염 환자 한방 치험 1례 (A Case Report of Unspecified Arthritis Patient with Fever of Unknown Origin Treated by Korean Medicine)

  • 조준호;전경륭;박진서;길봉훈;김동원;이유진;이정은
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.181-191
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    • 2019
  • Objective: This study evaluates the effect of Korean medicine in a patient who suffered from unspecified arthritis with fever of unknown origin. Methods: A patient was treated with herbal medicine for 12 weeks. The clinical improvements were evaluated by body temperature, blood test (CBC-diffcount, CRP, ESR, etc.) and Visual Analogue Scale (VAS). Results: Improvements in body temperature, blood tests and clinical symptoms were observed after Korean medicine treatments. Conclusions: Korean medicine treatment may be an effective treatment for unspecified arthritis with fever of unknown origin.

두통, 오심을 주소로 하는 뇌진탕후증후군(postconcussion syndrome, PCS) 환자의 한방 치험 1례 (A Case Report of Headache, Nausea after Post-Concussion Syndrome Treated with Traditional Korean Medicine)

  • 박진서;전경륭;조준호;길봉훈;김동원;김창완;정윤경
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.228-235
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    • 2019
  • The purpose of this study is to report the clinical effect of Korean medicine on a patient who experienced headaches and nausea after post-concussion syndrome. The patient was treated with herbal medicine (Oryung-san, Hwangryunhaedok-tang-tablet) and acupuncture for four weeks. As a result, the pain degree compared to the day of hospitalization of headache and nausea and pain rating score of headache decreased after treatment. Therefore, this case is useful for describing Korean medicine treatment for headache and nausea after post-concussion syndrome, and further case reports and studies will be needed in the future.

밀러-피셔 증후군의 외안근 마비에 대한 한의학적 치험 1례 (A Case Report: Korean Medicine Treatment for Miller-Fisher Syndrome with Ophthalmoplegia)

  • 김해융;김정희;원서영;유호룡;설인찬;김윤식
    • 대한한방내과학회지
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    • 제43권4호
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    • pp.761-768
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    • 2022
  • The purpose of this case report was to document the efficacy of Korean medicine as a treatment for Ophthalmoplegia of Miller-Fisher Syndrome. A 57-year-old male patient was treated with acupuncture, electropuncture, pharmacopuncture, and cupping treatments for 2 months. Symptom changes were evaluated using the Scott and Kraft score, photographs of eyeball movement, and the Yanagihara score. Korean medicine treatment significantly improved the eye movements, ncreased the Scott and Kraft score from -4 to 0, and improved the Yanagihara score from 20 to 32. Korean medicine treatment could effectively and quickly treat Ophthalmoplegia of Miller-Fisher Syndrome.

당뇨병성 말초신경병증에 병발한 항암화학요법 유발 신경병증의 침구치료 1례 (Case Report: Korean Medicine Treatment for Diabetic Peripheral Neuropathy Concurrent with Chemotherapy-Induced Peripheral Neuropathy)

  • 박지윤;김예슬;홍정화;이영주;석은주;안립
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.222-230
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    • 2023
  • Objectives: This study reports the effectiveness of acupuncture and moxibustion for Diabetic Peripheral Neuropathy concurrent with Chemotherapy-Induced Peripheral Neuropathy. Case presentation: A 58-year-old male was admitted for hand numbness and foot pain after his sixth chemotherapy. He was treated with acupuncture and moxibustion for 18 days. Symptoms were evaluated with a numeric rating scale (NRS). After 18 days of treatment, his foot pain improved from NRS 4 to NRS 2. His hand numbness disappeared. Conclusion: This study suggests that acupuncture and moxibustion can be used for managing diabetic peripheral neuropathy concurrent with chemotherapy-induced peripheral neuropathy.

운동실조와 현훈을 주소로 한 소뇌경색 환자의 척담탕 치험 1례 (A Case of Cerebellar Infarction Patient with Ataxia and Vertigo prescribed by Chukdam-tang)

  • 최인영;김미경;김보람;최동준;한창호;정승현;신길조;이원철
    • 대한중풍순환신경학회지
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    • 제9권1호
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    • pp.33-39
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    • 2008
  • Ataxia and vertigo are frequent clinical findings in cerebellar infarction patients. In severe cases, they cannot achieve normal activity in daily life. A 65-year-old man was admitted with ataxia and vertigo diagnosed as acute cerebellar infarction. We prescribed for Chukdam-tang to treat the phlegm disease. After this treatment, ataxia and vertigo improved. We suggest Chukdam-tang is significantly effective on the treatment of cerebellar infarction.

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뇌출혈 환자의 피부약물 유해반응에 대한 가미승마갈근탕 치험 1례 (A Case Report of Gamiseungmagalgeun-tang for a Cutaneous Adverse Drug Reaction in a Patient with Intracerebral Hemorrhage)

  • 석은주;홍정화;이영주;유재혁;이진영;최동준
    • 대한한방내과학회지
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    • 제45권2호
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    • pp.278-286
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    • 2024
  • A cutaneous adverse drug reaction (CADR) refers to an unexpected skin and mucosal reaction caused by drug administration. In the present case, a 65-year-old male presented with generalized itching and a maculopapular rash after taking Western medication, including anticonvulsants and a nonsteroidal anti-inflammatory drug (NSAID). He was treated with Gamiseungmagalgeun-tang, a traditional Korean herbal medicine. After treatment, the patient's symptoms improved, without recurrence. Based on this experience, traditional Korean herbal medicine, including Gamiseungmagalgeun-tang, may be beneficial for improving symptoms of CADRs.

봉약침 치료를 중심으로 한 한방 복합치료로 호전된 당뇨병성 신경병증 환자 1례 (A Case Report on Diabetic Neuropathy Treated with Bee Venom Acupuncture and Combined Korean Medicine)

  • 전규리;임태빈;황예채;최정우;박성욱;박정미;고창남;조승연
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.958-966
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    • 2021
  • Objective: This study investigated the effectiveness of bee venom acupuncture for a diabetic neuropathy patient. Methods: A diabetic neuropathy patient received twenty-one bee venom acupuncture treatments for a total of 99 days. The Neuropathy Pain Scale (NPS) was used to evaluate the weekly peak pain during the treatment period. Results: After the treatments, the NPS scores improved, and the frequencies of peak pain decreased. Conclusions: This clinical case indicates that bee venom acupuncture combined with Korean medicine may be effective for treating diabetic neuropathy patients.

중추성 현훈 및 감각저하를 호소하는 외측연수경색 환자에 대한 한의 치료 증례보고 1례 (A Case Report of Korean Medicine Treatment of Lateral Medullary Infarction with Central Dizziness and Hypoesthesia)

  • 양지혜;강지윤;채인철;최인우;유주영;유호룡;김윤식;설인찬
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.982-990
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    • 2021
  • Objectives: The aim of this study was to report the effectiveness of Korean medicine treatment for a patient with lateral medullary infarction who presented with central dizziness and hypoesthesia. Methods: The patient was treated with Korean medicine treatment, including acupuncture, moxibustion, and herbal medicine. We measured the progress of the case using the Numerical Rating Scale (NRS). Results: After the treatment, the NRS scores for dizziness and hypoesthesia decreased. Conclusions: This study suggests that Korean medicine treatment might be effective for lateral medullary infarction in patients who present with central dizziness and hypoesthesia.