• Title/Summary/Keyword: Clinical case

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Lamivudine- and Adefovir-Induced Tinnitus in a Patient with Hepatitis B: A Case Report (B형 간염 환자에서 Lamivudine과 Adefovir 병용처방으로 유발된 이명의 증례보고)

  • Jung, Eun-Hee;Bang, Joon Seok;Lee, Yu Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.2
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    • pp.175-177
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    • 2013
  • Lamivudine and adefovir are medications used to treat hepatitis B. We observed the occurrence of tinnitus after administering lamivudine and adefovir to a 49-year-old hepatitis B patient for two months. The patient had no comorbidities and no history of ear diseases, including tinnitus, and was not taking any other medications. In general, neither lamivudine nor adefovir are known to induce tinnitus as an adverse reaction. A literature search revealed that this is the first case in which tinnitus occurred after lamivudine and adefovir were administered to a hepatitis B patient. Therefore, we believe that this case is clinically valuable and decided to report it.

Fine Needle Aspiration Cytology of Anaplastic Carcinoma of the Thyroid with Osteoclast-like Giant Cells - A Case Report - (파골세포모양 거대세포를 동반한 갑상선 미분화 암종의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Maeng, Lee-So;Lee, Je-Hoon;Lee, An-Hi;Kang, Chang-Suk;Kim, Kyoung-Mee
    • The Korean Journal of Cytopathology
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    • v.14 no.1
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    • pp.32-35
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    • 2003
  • Multinucleated giant cells of osteoclast-like appearance can be seen in a type of anaplastic carcinoma of thyroid and only a few case reports for fine needle aspiration cytologic findings are found in the literatures. Recently, we experienced a case of anaplastic carcinoma of thyroid with many osteoclast-like giant cells in a 72-year-old woman. The cytologic features and immunohistochemical results are described with special emphasis on differential diagnosis.

Systemic Review of Clinical Studies about Oriental Medical Treatment of Cancer in Korea (국내에 보고된 한국 한의학의 암치료 임상연구에 대한 계통적 고찰)

  • Park, Bong-Ky;Lee, Jong-Hoon;Cho, Chong-Kwan;Shin, Hyun-Kyu;Eom, Seok-Ki;Yoo, Hwa-Seung
    • The Journal of Internal Korean Medicine
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    • v.29 no.4
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    • pp.1061-1074
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    • 2008
  • Objectives : Recently, the number of cancer patients who use complementary and alternative medicine (CAM), including oriental medicine, are increasing. Also, evidence for efficacy and safety of cancer CAM is reported continuously. This study was designed to evaluate the quality of the published papers for clinical studies about oriental medical cancer treatment in Korea. Methods : We searched for clinical research papers on the websites of the Korean oriental medical society and subsidiary academies, Korean traditional knowledge portal. Koreanstudies information service system (KISS), etc. We used the reference words 'cancer', 'malignant tumor', 'leukemia', 'lymphoma', 'multiple myeloma', 'melanoma', etc, We then chose studies that had been presented between 1991 and 2008 and analyzed them by publication year, design, cancer type, intervention, subject and journal. Results : There were 86 clinical research papers that were published between 1991 and 2008. The number of clinical studies has increased in a time-dependent manner. Case reports and case series studies account for 78% of total clinical research. Studies of lung cancer account for 17%. Studies of cancer-related symptoms of cancer patients account for 38%. Studies of Hang-Am-Dan account for 33%. Studies published in the journal of the Korean Society of Oriental Internal Medicine account for 35%. Conclusion : The clinical research papers about oriental medicine are increasing over time, but most of the studies are retrospective case reports or case series. Well-designed and prospective clinical trials would be recommended to provide more reliable evidence.

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A Case Report of Lower Extremity Paresthesia with Polyneuropathy Treated with Traditional Korean Complex Treatment (양하지 이상감각을 호소하는 다발신경병증 환자에 대한 침구-한약 복합한방 치료 치험 1례)

  • Lee, Hyun-ku;Kim, Se-won;Seo, Yu-na;Bae, In-hu;Park, Ho-jung;Cho, Ki-ho;Moon, Sang-kwan;Jung, Woo-sang;Kwon, Seung-won
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.256-266
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    • 2020
  • Objectives: This report presents the case of a 21-year-old woman with lower extremity paresthesia in both feet due to polyneuropathy. Methods: The patient was treated using a Korean traditional complex treatment approach that included herbal medication, acupuncture, electroacupuncture, and moxibustion. We evaluated the improvements in the pain symptoms in both feet using the numeric rating scale (NRS); we also assessed for gait disturbance and used Digital Infrared Thermographic Imaging (D.I.T.I.) to evaluate minute changes in body temperature in diseased areas. Results: After administering the Korean traditional complex treatment, we observed a decrease in pain levels in both feet based on the NRS scores. We also observed improvements in gait disturbance and D.I.T.I. Conclusions: This case showed that the use of a Korean traditional complex treatment approach, consisting of herbal medication, acupuncture, electroacupuncture, moxibustion, had a positive effect on decreasing polyneuropathy symptoms.

Case Report of Psychogenic Dystonia Treated with Traditional Korean Medicine (정신성 근긴장 이상 환자에 대한 한방 치험 증례보고 1례)

  • Park, Hojung;Lee, Hyun-ku;Lee, Seong Wook;Cho, Ki-Ho;Mun, Sang-Kwan;Jung, Woo-Sang;Jin, Chul;Kwon, Seungwon
    • The Journal of Internal Korean Medicine
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    • v.42 no.2
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    • pp.152-164
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    • 2021
  • Objective: This case reports on the effect of traditional Korean medicine (TKM) treatment in a patient with psychogenic dystonia. Methods: A patient with generalized tremor and gait disturbance diagnosed as psychogenic dystonia was treated with Yokukan-san-gami, Jakyakgamcho-tang, Yikgeebohyul-tang, acupuncture, moxibustion, and cupping for 6 weeks. Symptom improvement was evaluated with the unified dystonia rating scale (UDRS) and the Toronto Western spasmodic torticollis rating scale (TWSTRS). Results: After 6 weeks of TKM treatment, the UDRS and TWSTRS decreased, and the patient's clinical symptoms, including generalized tremor and gait disturbance, improved. Conclusions: This case shows that TKM treatment may be effective for improving psychogenic dystonia.

The Clinical Study of Bokryungbosim-tang on the Cough (茯笭補心湯이 咳嗽에 미치는 臨床的 考察)

  • 이시형;박천수
    • The Journal of Internal Korean Medicine
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    • v.21 no.2
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    • pp.212-212
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    • 2000
  • Objective : To observe the effect of Boryungbosim-tang on the cough, cough patients medicine Boryungbosim-tang. Methods : A clinical observation was done on 30 case of cough patients, treated by Boryungbosim-tang, who were hospitalized frome January, 1. 1999 to December, 31, 1999 at the department of IKSAN Oriental Medicine Hospital, Wonkwang University and Pak Cheon Soo oriental medical clinic. Results : The effect of treated by Boryungbosim-tang is that excellent was 19 case(63.33%), good 3 case(10%), fair 3 case(10%) and poor 5 case(16.66%). Conclusions : These results indicate that the effect of Boryungbosim-tang on the cough is excellent.

A Case Study of Dysgeusia in a Patient with an Acute Thalamic Infarction Treated with Korean Medicine (급성 시상 경색으로 인한 미각 장애 치험 1례)

  • Lee, Mi-rim;Park, Min-jeong;Kim, Gyeong-muk;Cho, Ki-ho;Moon, Sang-kwan;Kwon, Seung-won;Jung, Woo-sang
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.226-234
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    • 2017
  • The case of a 73-year-old Korean female with dysgeusia due to an acute left thalamic infarction is presented. The patient was treated with the herbal medicine Yanggyuksanhwa-tang, in addition to acupuncture and electronic acupuncture treatment. The filter-paper test and Oral Health Impact Profile-14, (OHIP-14) test were administered to evaluate dysgeusia. Post-treatment, the patient's dysgeusia improved. Korean medicine may be an effective treatment for dysgeusia caused by a thalamic infarction.

A Case of Anemia with Chronic Kidney Disease Using Shipjeondaebo-tang (십전대보탕이 유효했던 신성 빈혈 환자 1례)

  • Kim, Soo-hyun;Kim, Jae-hak;Lee, Hyun-ku;Cho, Ki-ho;Mun, Sang-kwan;Jung, Woo-sang;Kwon, Seung-won
    • The Journal of Internal Korean Medicine
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    • v.40 no.2
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    • pp.173-180
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    • 2019
  • Objective: In this case report, we address the case of a 47-year-old man with anemia due to chronic kidney disease. Methods: A patient was treated with Korean medicine including an herbal medication, Shipjeondaebo-tang. We evaluated the improvement of symptoms by biochemical examination of blood, complete blood cell count and total score of Fatigue Severity Scale (FSS). Results: After 15 days of Korean medicine treatment, there was an increase in hemoglobin states, even after intervention ended, for over 30 days with improvement of the patient's fatigue. Conclusions: This study suggested that Shipjeondaebo-tang might be effective in patient's renal anemia and fatigue recovery.

A Case of Insomnia with Pain after Discontinuation of Quetiapine Treated with Gilchogeun-dan (쿠에타핀 중단 후 전신통증을 동반한 불면을 호소하는 환자에 대한 길초근단 치험 1례)

  • Lee, Seong Wook;Park, Hojung;Lee, Da-Bin;Cho, Ki-Ho;Moon, Sang-Kwan;Jung, Woo-Sang;Kwon, Seungwon
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.311-319
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    • 2022
  • Objective: This case report describes an 82-year-old man complaining of insomnia with pain after discontinuation of quetiapine. Methods: The patient was treated with the herbal extraction Gilchogeun-dan, and symptomatic improvement was assessed using the Korean version of the Pittsburgh Sleep Quality Index. Results: Following 28 days of Gilchogeun-dan treatment, the patient's symptoms improved. Conclusions: This case suggests that Gilchogeun-dan could be effective in treating insomnia with pain through central nervous depressant activity and analgesic effect.

CASE REPORT ON FORCED ERUPTION FOR CLINICAL CROWN LENGTHENING IN MAXILLARY ANTERIORS (상악전치부에서 치아정출술을 이용한 치관연장의 증례보고)

  • Kim, Young-Jun;Ju, Jae-Ig;Ryue, Myung-Girl;Jin, Yu-Nam;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.25 no.1
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    • pp.111-120
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    • 1995
  • This case report presents two maxillary anterior cases for clinical crown lengthening by forced eruption. In the first case, clinical crown of maxillary right lateral incisor was almost lost by fracture. Forced eruption using intracoronal splint and elastic thread accomplished vertical root movement successfully. Then, post & core was inserted and final restoration was harmonious with adjacent teeth. In the second case, the crown portion of maxillary right central incisor was almost mutilated by secondary caries. Forced eruption using removable Hawley appliance and elastic accomplished vertical root movement successfully. Then, post & core was inserted and final restoration was placed. In conclusion, clinical crown lengthening by vertical root movement can be accomplished by a simple appliance without any sacrifice of periodontal support in selected patients. A clinical crown so created can be restored to adequate function and arch integrity without compromising adjacent teeth. Therefore, forced eruption is preferred in the anterior region of the dentition where esthetics is of major concern.

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