• Title/Summary/Keyword: Five-year-old

Search Result 712, Processing Time 0.026 seconds

A Case of Trousseau's Syndrome Associated with Lung Cancer (폐암과 동반된 Trousseau 증후군 1예)

  • Song, Min-Kyung;Kim, Young-Sam;Lee, Kee-Myung;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
    • /
    • v.42 no.6
    • /
    • pp.941-946
    • /
    • 1995
  • The association between hypercoagulability and malignant disease was first described by Armand Trousseau in 1865. According to Trousseau, the thrombophlebitis was usually/migratory and recurrent and involved both venous and arterial system. Thrombosis remains the hallmark of Trousseau's syndrome, although a wide variety of coagulation disorders including disseminated intravascular coagulation(DIC), pulmonary embolism, thrombotic endocarditis, and bleeding have been associated with the syndrome. Since then, abnormalities of the coagulation system have been repeatedly demonstrated in patients with cancer. Pancreatic carcinoma is thought to carry the highest risk of Trousseau's syndrome although the number of cases of Trousseau's syndrome is actually higher in patients with lung cancer because of the greater prevalence of this tumor. We report a thirty-five year old male patient with Trousseau's syndrome associated with lung cancer initially presenting deep vein thrombosis.

  • PDF

Diffuse Reticular Interstitial Infiltrations in the Patient with Worsening Exertional Dyspnea after Clomifen Hormonal Therapy (Clomifen 호르몬제 복용후 호흡곤란이 악화된 환자에서의 미만성 망상형 간질성 폐침윤)

  • Park, Hyeong-Cheon;Kim, Young-Sam;Kim, Se-Kyu;Chung, Kyung-Young;Shin, Dong-Hwan;Lee, Hong-Lyeol;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
    • /
    • v.42 no.4
    • /
    • pp.624-628
    • /
    • 1995
  • Lymphangioleiomyomatosis is a rare disease which afflicts young women of childbearing age. We experienced a 32-year-old female who was admitted because of worsening exertional dyspnea after hormonal therapy with Clomifen for five months and intermittent hemoptysis. Chest PA showed diffuse ground glass appearance with some reticular infiltrations. High resolution CT scan showed multiple small thin walled cysts distributed homogeneously throughout the entire lung. Pulmonary function test showed characteristic obstructive pattern despite the restrictive interstitial pattern of chest radiography. Thoracoscopic lung biopsy specimen showed abnormal proliferation of smooth muscle cells in the walls of lymphatic vessels, bronchioles, and pulmonary vessels typical of pulmonary lymphangioleiomyomatosis. Hormonal therapy with medroxyprogesterone was initiated.

  • PDF

Comparison of Seedling Growth by Treatments of Vegetation Basis in an Abandoned Coal Mine Area (석탄폐광지에서의 식생기반재 처리별 수목 초기 생육상황 비교)

  • Jeong, Yong-Ho;Lee, Im-Kyun;Lim, Joo-Hoon;Seo, Kyung-Won;Lee, Choong-Hwa
    • Journal of the Korean Society of Environmental Restoration Technology
    • /
    • v.13 no.6
    • /
    • pp.87-96
    • /
    • 2010
  • This study was conducted to select environmentally-friendly and low-cost mulching material that could replace soil molding which can be used to restore vegetation in an abandoned coal mine area. To this end, we established 20 experimental plots (4m ${\times}$ 10m in size) on the steep, south west-facing slope of the abandoned coal mine area in Hwangji-Dong, Taebaek City, Gangwon Province in April 2006. We planted two-year-old 1,600 seedlings (at intervals of 0.6m ${\times}$ 0.8m) of drought-resistant tree species including Betula schmidtii, Betula platyphylla var. japonica, Amorpha fruticosa, and Quercus mongolica in the plots. After planting seedlings, mulching was applied by using five different kinds of material such as HWAP (Teracotem), peat moss, straw mats, wood chips, and control (no-mulching) and the effects of different mulching material on the survival rate and growth performance were compared. Three years after planting, the survival rate was the highest in wood chip mulching, followed by straw-mat, peat moss, HWAP, and control. The survival rate was the highest in Quercus mongolica, followed by Betula schmidtii, Betula platyphylla var. japonica, and Amorpha fruticosa. Meanwhile the height growth was the best in Betula platyphylla var. japonica, followed by Betula schmidtii, Quercus mongolica, and Amorpha fruticosa. The height growth of seedlings was the best in HWAP mulching, followed by peat moss, woody chips, straw mat, and control. From an economic point of view, wood chips are considered to be the best mulching material. The results showed that mulching without soil molding and/or mixing applications would be effective for restoring vegetation in an abandoned coal mine areas.

Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology in the Diagnosis of a Gastrointestinal Stromal Tumor of the Stomach -A Case Report - (내시경 초음파 유도하에 세침흡인 세포검사로 진단한 위의 위장관 기질 종앙 1예 보고)

  • Kim, Lucia;Kim, Hyung-Gil;Chu, Young-Chae;Park, In-Suh;Choi, Suk-Jin;Han, Jee-Young;Kim, Sun-Hee;Lee, Don-Haeng;Kim, Joon-Mee
    • The Korean Journal of Cytopathology
    • /
    • v.19 no.2
    • /
    • pp.178-182
    • /
    • 2008
  • We report here a case of a gastrointestinal stromal tumor (GIST) in the stomach that was diagnosed by endoscopic ultrasound-guided fine needle aspiration cytology (EUS-FNA). A 67 year old male patient underwent regular check-ups for five years due to the presence of a submucosal tumor that was found in the fundus of the stomach incidentally. EUS-FNA was performed to evaluate the tumor, which had increased in size from 1 cm to 2.8cm. A cytologic smear revealed cohesive sheets or clusters of spindle cells with elongated nuclei. Immunohistochemical staining revealed a strong positive reaction for c-kit and CD34, without any reaction for smooth muscle actin and Ki-67. Therefore, a diagnosis of GIST was made.

Acute Kidney Injury and Postobstructive Diuresis Caused by a 4 mm Urinary Calculus (작은 요로 결석에 의한 급성 신후성 신부전 및 폐쇄 후 이뇨 1례)

  • Jung, Eui Seok;Yang, Eun Mi;Kim, Chan Jong
    • Childhood Kidney Diseases
    • /
    • v.17 no.2
    • /
    • pp.117-121
    • /
    • 2013
  • Urinary obstructions from ureteral calculi are one of the causes of postrenal acute kidney injury (AKI). Here we present a case of AKI caused by a 4 mm ureteral calculus with postobstructive diuresis following the spontaneous passage of the calculus. A 13-year-old girl who underwent nephrectomy for the removal of a neuroblastoma eight years previously, visited our institution because anuria had developed over the preceding five days. The serum creatinine level was elevated at 13.4 mg/dL. Radiological examinations showed the right solitary kidney with moderate hydronephrosis and a 4 mm calculus in the upper right ureter. The patient immediately underwent hemodialysis. After the ureteral calculus was passed spontaneously on day 2 of hospitalization, urinary output increased to more than 5,200 mL per day. Intravenous fluid replacement with careful monitoring of weight, intake, output, and serum and urine electrolytes was performed. On day 5 of hospitalization, the patient's condition stabilized.

Primary Hepatosplenic B-cell Lymphoma: linitial Diagnosis and Assessment of Therapeutic Response with F-18 FDG PET/CT (원발성 간비장 B세포성 림프종에서 치료전과 치료 후 F-18 FDG PET/CT 소견)

  • Kang, Sung-Min;Lee, Hong-Je;Seo, Ji-Hyoung;Lee, Sang-Woo;Ahn, Byeong-Cheol;Lee, Jae-Tae
    • Nuclear Medicine and Molecular Imaging
    • /
    • v.42 no.4
    • /
    • pp.333-336
    • /
    • 2008
  • A 52-year-old woman with a history of general weakness, fatigue, weight loss, elevated serum levels of liver transaminase enzyme for three months underwent an F-18 FDG PET/CT scan to evaluate a cause of the hepatosplenomegaly found on abdominal ultrasonography. Initial PET/CT revealed markedly enlarged liver and spleen with intense FDG uptake. Otherwise, there were no areas of abnormal FDG uptake in whole body image. Histological evaluation by a hepatic needle biopsy demonstrated diffuse large B cell type lymphoma and final diagnosis for this patient was hepatosplenic B-cell lymphoma. She received five cycles of CHOP chemotherapy, and second PET/CT scan was followed after then. Follow-up PET-CT revealed normal sized liver with disappearance of abnormal FDG uptake. Hepatosplenic B-cell lymphoma is relatively rare and mostly presents as single or multiple nodules.1,2 Diffuse type hepatosplenic lymphoma is extremely rare and poorly recognized entity.3 The diagnosis is very difficult and complicated by the presence of misleading symptoms.4 In this rare hepatosplenic B-cell lymphoma case, F-18 FDG PET/CT scan provided a initial diagnostic clue of hepatosplenic lymphoma and an accurate chemotherapy response.

A Lower T1 Slope as a Predictor of Subsidence in Anterior Cervical Discectomy and Fusion with Stand-Alone Cages

  • Lee, Su Hun;Lee, Jun Seok;Sung, Soon Ki;Son, Dong Wuk;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
    • /
    • v.60 no.5
    • /
    • pp.567-576
    • /
    • 2017
  • Objective : Preoperative parameters including the T1 slope (T1S) and C2-C7 sagittal vertical axis (SVA) have been recognized as predictors of kyphosis after laminoplasty, which is accompanied by posterior neck muscle damage. The importance of preoperative parameters has been under-estimated in anterior cervical discectomy and fusion (ACDF) because there is no posterior neck muscle damage. We aimed to determine whether postoperative subsidence and pseudarthrosis could be predicted according to specific parameters on preoperative plain radiographs. Methods : We retrospectively analyzed 41 consecutive patients (male : female, 22 : 19; mean age, $51.15{\pm}9.25years$) who underwent ACDF with a stand-alone polyether-ether-ketone (PEEK) cage (>1 year follow-up). Parameters including SVA, T1S, segmental angle and range of motion (ROM), C2-C7 cervical angle and ROM, and segmental inter-spinous distance were measured on preoperative plain radiographs. Risk factors of subsidence and pseudarthrosis were determined using multivariate logistic regression. Results : Fifty-five segments (27 single-segment and 14 two-segment fusions) were included. The subsidence and pseudarthrosis rates based on the number of segments were 36.4% and 29.1%, respectively. Demographic data and fusion level were unrelated to subsidence. A greater T1S was associated with a lower risk of subsidence (p=0.017, odds ratio=0.206). A cutoff value of T1S<$28^{\circ}$ significantly predicted subsidence (sensitivity : 70%, specificity : 68.6%). There were no preoperative predictors of pseudarthrosis except old age. Conclusion : A lower T1S (T1S<$28^{\circ}$) could be a risk factor of subsidence following ACDF. Surgeons need to be aware of this risk factor and should consider various supportive procedures to reduce the subsidence rates for such cases.

Studies on the Shade Tolerance of the Woody and Herbaceous Plants for Urban Forest Aromatic Bath (도시형(都市型) 삼림욕장(森林浴場) 목초본식물(木草本植物)의 내음성(耐陰性) 연구(硏究))

  • Hong, Sung Gak;Kim, Jong Jin;Im, Hyoung Tak
    • Journal of Korean Society of Forest Science
    • /
    • v.89 no.5
    • /
    • pp.585-590
    • /
    • 2000
  • The studies were carried out to know shade tolerance of the plants for the urban forest aromatic bath. The one to two year old potted seedlings were grown under the one of the five light conditions such as 100%, 50%, 30%, 10% and 2% of the full sun light intensities. Pinus densiflora S. et Z., P. sylvestriformis (Takenouchi) Chien., Thymus quinquecastatus Celak, Lonicera japonica Thunb, and Zingiber officinale Roscoe showed decreasing tendencies in height and root collar diameter growth, and dry mass production as the light intensity decreases. Exceptionally Thuja koraiensis Nakai showed the best growth in the 50% of full sun light intensity. Athyrium yokoscense (Fr. et Sab.) H. Christ showed better growth in the relative light intensity of 10 to 15% than in the in the relative light intensity of 25 to 30% in the bath green house.

  • PDF

Consumptive Disease and Chronic Fatigue Improved by Nokyonggunbi-tang and Other Korean Medical Treatments: A Case Report (녹용건비탕을 비롯한 한방치료로 호전된 허로 환자 1례)

  • Park, Mu-jin;Jin, So-ri;Oh, Eun-jae;Song, Woo-sub;Lee, Hyun-seok;Hwang, Kyu-hyun;Oh, Seung-ju;Ju, Ah-ra;Baek, Su-in
    • The Journal of Internal Korean Medicine
    • /
    • v.42 no.5
    • /
    • pp.738-745
    • /
    • 2021
  • Objective: This study investigated the efficacy of using Nokyonggunbi-tang and other Korean medical treatments for a patient with consumptive disease and chronic fatigue. Methods: A 59-year-old female patient with fatigue, headache, dizziness, and neck pain due to consumptive disease and chronic fatigue was treated with herbal medicine (Nokyonggunbi-tang), together with acupuncture, pharmacopuncture, cupping, and chuna manual therapy, for 22 days. The treatment effects on the pain were evaluated using the scores for the Fatigue Severity Scale (FSS), European Quality of Life Five Dimensions (EQ-5d) Scale, Neck Disability Index (NDI), and Numerical Rating Scale (NRS). Results: Following treatment, the patient showed a decrease in the FSS, NDI, and NRS scores and an improvement in the EQ-5d score. Conclusions: Nokyonggunbi-tang and Korean medical treatment significantly improved fatigue symptoms in a patient with no substrate disease.

A Blood Pressure Lowering Effect Only through Complex Korean Medical Treatment, without Antihypertensive Drugs, for Patients with Stress Induced Hypertension - A Case Report (스트레스성 고혈압 환자에서 고혈압 약물 복용 없는 복합한의치료만의 강압 효과 - 증례보고)

  • Lee, Ji-hyun;Roh, Min-yeong;Yoon, Seok-yeong;Jun, Hyung-sun;Han, Yang-hee;Leem, Jung-tae
    • The Journal of Internal Korean Medicine
    • /
    • v.42 no.5
    • /
    • pp.808-819
    • /
    • 2021
  • Objectives: This study considered the effectiveness of integrative Korean medical treatment for stress-induced hypertensive patients without the use of conventional medication. Methods: A 62-year-old female with stress-induced hypertension (HTN) was hospitalized for 33 days. Her pattern identification was ascendant hyperactivity of liver yang (Ganyangsanghang)-type HTN. Herbal medicine and acupuncture were used for the treatment: Cheonggansoyo-san for 33 days and Chunwangbosim-dan for 15 days, together with acupuncture for 20 minutes twice a day. Blood pressure was checked daily during hospitalization with a digital sphygmomanometer in the brachial artery. Results: After 33 days of treatment, blood pressure decreased. The Handicap Inventory (DHI) scale and Pittsburg Sleep Quality Index (PSQI) scores both decreased. The patient also reported fewer complaints. A five-month follow-up after discharge, with no further treatment, confirmed stable blood pressure. Symptom improvements continued with no significant side effects. Conclusions: This study indicates that Korean medical treatment is effective for stress-induced hypertensive patients.