• 제목/요약/키워드: Langerhans-Cell

검색결과 112건 처리시간 0.021초

Multiple Cystic Lung Disease

  • Koo, Hyeon-Kyoung;Yoo, Chul-Gyu
    • Tuberculosis and Respiratory Diseases
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    • 제74권3호
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    • pp.97-103
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    • 2013
  • A lung cyst is an air-filled lucent structure surrounded by a thin wall. The presence of multiple intrapulmonary cysts is defined as cystic lung disease. Although cystic lung disease is rare, incidental detection has increased significantly in recent years by screening using computed tomography. There are many conditions that can mimic lung cysts and cause cystic lung disease. Clinical, radiographic, and histologic findings are all necessary for a proper diagnosis, and multidisciplinary approaches are frequently required. The aim of this report is to review the causes and characteristics of cystic lung disease to better understand and improve treatment.

하악과두에 발생한 호산구육아종 (Eosinophilic granuloma of the mandibular condyle)

  • 최문경;허경회;이원진;오성욱;이삼선
    • Imaging Science in Dentistry
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    • 제38권1호
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    • pp.63-67
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    • 2008
  • The present study reports a case of eosinophilic granuloma of the mandibular condyle. Eosinophilic granulomas on the mandibular condyle are very rare, but there are several common clinical and radiographic presentations. The clinical presentations involve swelling on preauricular area, limitation of opening, TMJ pain, etc. The radiographic presentations involve radiolucent lytic condylar lesion with or without pathologic fracture. Sometimes new bone formations are observed. The purpose of the article is to add new cases to the literatures.

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랑게르한스 세포 조직구증의 치료 결과 (Treatment Outcome of Langerhans Cell Histocytosis)

  • 정소학;김재도;조현익
    • 대한골관절종양학회지
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    • 제20권1호
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    • pp.14-21
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    • 2014
  • 목적: 본 교실에서 경험한 랑게르한스 세포 조직구증의 임상적 특징을 알아보고 치료방법 및 예후를 알아보고자 한다. 대상 및 방법: 1996년 8월부터 2013년 6월까지 본 교실에서 수술 후 랑게르한스 세포 조직구증으로 확진 된 총 28례를 대상으로 발병 당시부터 최근까지의 진찰소견, 의무기록, 방사선 사진, 병리소견을 토대로 임상소견과 진단 및 치료결과에 대해 후향적으로 분석하였다. 결과: 총 28례로 소아 22례 성인 6례였다. 발병나이는 0.6세에서 51세 사이에서 발생하였으며 평균연령은 14.8세였다. 추시 기간은 6개월에서 134개월까지 평균 44.6개월 이었다. 환자의 구성은 남자 20명 여자 8명으로 남녀성비는 2.5:1이었다. 초기증상은 동통 18례, 병적 골절 5례, 종괴 3례, 방사선 검사상 우연히 발견된 경우 1례, 사경 1례였다. 방사선학적 소견에서는 모든 증례에서 골 용해 소견을 보였으며 이중 13례에서는 골막 반응이 동반되었으며 1례에서는 연부조직 침범이 관찰되었다. 임상적 분류로 28례 모두 호산구성 육아종 이었으며 조직구 협회가 제시한 분류법으로는 단일계통의 다발 병소 질환 3례, 단일 병소 질환 25례였다. 전례에서 조직 생검술이 시행되었으며 6례에서는 생검술 이후 특별한 치료 없이 골 유합을 얻었으며 11례에서는 스테로이드 국소 주입술을 시행하였으며 11례는 조직생검과 동시에 소파술 및 골이식술을 시행하거나 추가로 금속 내고정술을 시행하였다. 추시기간 중 환자가 사망한 경우는 없었다. 병변이 국소 재발한 경우는 없었으나 신체 다른 부위에 골병변이 생긴 경우가 3례 있었다. 합병증은 총 2례가 있었으며 소파술 및 골 이식술을 시행한 이후 감염소견을 보여 변연절제술을 시행한 경우였다. 결론: 랑게르한스 세포 조직구증 환자에서 급격한 전신적 발병을 가져오는 경우는 매우 드물기 때문에 초기 진단 시에 어린 환아에게 과도한 방사선 노출을 가져오는 검사는 지양해야 할 것으로 생각된다. 질환의 확진을 위해서는 조직 생검이 필요하며 조직학적 확진 이후에는 경과 관찰만으로도 대부분에서 만족스러운 결과를 얻을 수 있으나 술 전 병적 골절이 있거나 골 파괴 병변의 범위가 넓은 경우 소파술 및 골 이식술과 내고정술이 필요할 수도 있다. 3-6개월간의 경과관찰에도 병변의 호전이 느리거나 일상생활에 지장을 주는 통증을 호소하는 경우 스테로이드 국소 주입법이 좋은 치료가 될 수 있다.

늑골에 생긴 랑거한스세포 조직구증식증의 외과적 치료-치험 2예- (Surgical Treatment of Langerhans Cell Histiocytosis in the Rib - Two cases report -)

  • 강도균;박재민;한일용;전희재;윤영철;황윤호;조광현;이양행
    • Journal of Chest Surgery
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    • 제38권11호
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    • pp.799-802
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    • 2005
  • 랑거한스세포 조직구증식증은 호산구성 육아종, Letterer-Siwe병, Hand-Schuller 증후군을 포함하는 질환으로 이전에는 조직구증식증 X로 명명되어 왔다. 이 질환의 임상적 양상은 다양하며, 기본적인 종양의 성질은 양성이나 파종되는 성질이 아주 강하다. 질환의 자연 경과는 예측할 수 없다. 하지만, 뼈에 생긴 단일 병변일 경우 광범위 절제를 통해서 완치율을 높일 수가 있다. 대부분의 랑거한스세포 조직구증식증 환자에서는 주로 두개골 천정에 골용해 병변이 나타나며, 드물게 두개골 기저부와 대퇴골을 침범하기도 한다. 늑골에 생기는 단일 병소의 랑거한스세포 조직구증식증은 비교적 드물다. 본 저자들은 늑골에 생기는 단일 병소의 랑거한스세포 조직구증식증 2예를 외과적 절제술로 치료하였기에 보고한다.

방사선 조사를 받은 흰쥐 머리피부 표피층의 미세구조 (Fine Structure on the Epidermis of the Scalp of the Head-Irradiated Rats)

  • 고정식;김재호;양남길;안의태;박경호;김진국
    • Applied Microscopy
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    • 제24권2호
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    • pp.63-77
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    • 1994
  • This experiment was performed to study the morphological responses of the epidermis of the rat scalp, following X-ray irradiation. Male rats were divided into normal and experimental groups. Rats anesthetized with sodium thiopental, were exposed only on their head areas with a single dose of 3,000rads or 6,000rads, respectively. Radiation was produced by Mitsubishi Linea Accelerator ML-4MV at the speed of 200rads/min. The target distance was 80cm. Animals were sacrificed on six hours, two days and six days following irradiation. By the perfusion fixation through the heart, rats were fixed with 1% glutaraldehyde-1% paraformaldehyde solution. Pieces of the tissue taken from the scalp were refixed in 2.5% glutaraldehyde-1.5% paraformaldehyde solution, followed by post-fixation with 1% osmium tetroxide, and embedded within araldite mixture. The sections were cut on a LKB-V ultratome, stained with uranyl acetate and lead citrate, and were observed with JEM 100CX-II electron microscope. The results were as follow; 1. Six hours after exposure to 3,000rads of X-ray. Disrupted intercellular spaces, within which some amorphous materials were filled, disrupted mitochondria, and vacuoles in the keratinocytes were frequently observed, but six days after exposure to 3,000rads of X-ray, Morphology of the keratinocytes was generally restored. 2. Many of the morphological changes were seen on the six days after exposure to 6,000rads of X-ray. 3. Widened intercellular spaces and thickened dense plaques of the desmosomes were frequently observed after exposure to 6,000rads of X-ray. 4. In the experimental groups, the Langerhans and the Merkel cells were damaged, similarly to the keratinocyte. Above results suggest that head irradiation with the dose of 3,000rads temporarily damaged the epidermis of the scalp, though most of the structures recover within six days, whereas with the dose of 6,000rads it severely damaged the epidermis without showing any recovering tendency.

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Current Understanding of the Roles of CD1a-Restricted T Cells in the Immune System

  • Yoo, Hyun Jung;Kim, Na Young;Kim, Ji Hyung
    • Molecules and Cells
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    • 제44권5호
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    • pp.310-317
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    • 2021
  • Cluster of differentiation 1 (CD1) is a family of cell-surface glycoproteins that present lipid antigens to T cells. Humans have five CD1 isoforms. CD1a is distinguished by the small volume of its antigen-binding groove and its stunted A' pocket, its high and exclusive expression on Langerhans cells, and its localization in the early endosomal and recycling intracellular trafficking compartments. Its ligands originate from self or foreign sources. There are three modes by which the T-cell receptors of CD1a-restricted T cells interact with the CD1a:lipid complex: they bind to both the CD1a surface and the antigen or to only CD1a itself, which activates the T cell, or they are unable to bind because of bulky motifs protruding from the antigen-binding groove, which might inhibit autoreactive T-cell activation. Recently, several studies have shown that by producing TH2 or TH17 cytokines, CD1a-restricted T cells contribute to inflammatory skin disorders, including atopic dermatitis, psoriasis, allergic contact dermatitis, and wasp/bee venom allergy. They may also participate in other diseases, including pulmonary disorders and cancer, because CD1a-expressing dendritic cells are also located in non-skin tissues. In this mini-review, we discuss the current knowledge regarding the biology of CD1a-reactive T cells and their potential roles in disease.

Immunohistochemistry of the Pancreatic Endocrine Cells of the Red-eared Slider (Trachemys scripta elegans)

  • Ku, Sae-Kwang;Lee, Hyeung-Sik;Lee, Jae-Hyun;Park, Ki-Dae
    • Animal cells and systems
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    • 제4권2호
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    • pp.187-193
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    • 2000
  • Regional distribution and relative frequency of endocrine cells in the pancreas of the red-eared slider, Trachemys scripta elegans, were investigated by immunohistochemical methods. Chromogranin (Cg) A-, serotonin-, insulin-, glucagon-, somatostatin-, bovine pancreatic polypeptide (BPP)- and human pancreatic polypeptede (HPP)-immunoreactive cells were identified in this study. Most of immunoreactive cells in the exocrine and endocrine pancreas (Langerhans islet) were generally spherical or spindle-shaped (open-typed cell), while occasionally cells round in shape (close-typed cell) were found in the basal portion or interepithelial regions of the pancreatic duct. These immunoreactive cells were located in the exocrine, endocrine pancreas and/or basal or interepithelial portion of the pancreatic duct. Serotonin-immunoreactive cells were found in the basal portion of epithelia of the pancreatic duct at a low frequency and interacinar region of the exocrine at a moderate frequency. Insulin-immunoreactive cells were found in the central portion of the endocrine pancreas, interacinar regions of the exocrine pancreas and basal portion of the epithelia of the pancreatic duct at high, moderate and low frequencies, respectively. Glucagon-immunoreactive cells were detected in the periphery of the endocrine pancreas, interacinar region of the exocrine pancreas and basal portion of the epithelia or interepithelia of the pancreatic duct at high, moderate and moderate frequencies, respectively. Somatostatin-immunoreactive cells were dispersed in the whole area of the endocrine pancreas, interacinar regions of exocrine pancreas and basal portion of the epithelia or interepithelia of the pancreatic duct at a moderate frequency. BPP- and HPP-immunoreactive cells were detected in the iinteracinar region of the exocrine pancreas at moderate and hige frequencies, respectively. However, no Cg A- and motilin-immunoreactive cells were detected in this study.

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Antidiabetic Potential of Kefir Combination from Goat Milk and Soy Milk in Rats Induced with Streptozotocin-Nicotinamide

  • Nurliyani,;Harmayani, Eni;Sunarti,
    • 한국축산식품학회지
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    • 제35권6호
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    • pp.847-858
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    • 2015
  • The study aimed to evaluate the effect of kefir combination from goat milk and soy milk on lipid profile, plasma glucose, glutathione peroxidase (GPx) activity and the improvement of pancreatic β-cell in diabetic rats. Male rats were divided into five treatments: normal control, diabetic control, goat milk kefir, combination of goat milk-soy milk kefir and soy milk kefir. All rats were induced by streptooztocin-nicotinamide (STZ-NA), except for normal control. After 35 d experiment, the rats were sampled for blood, sacrificed and sampled for pancreatic tissues. Results showed that diabetic rats fed kefir combination had higher (p<0.05) triglyceride than the rats fed goat milk or soy milk kefir. Decreasing of plasma glucose in diabetic rats fed kefir combination was higher (p<0.05) than rats fed goat millk kefir. The activity of GPx in diabetic rats fed three kinds of kefir were higher (p<0.01) than untreated diabetic rats. The average number of Langerhans and β-cells in diabetic rats fed kefir combination was the same as the normal control, but it was higher than diabetic control. It was concluded that kefir combination can be used as antidiabetic through maintaining in serum triglyceride, decreasing in plasma glucose, increasing in GPx activity and improving in pancreatic β-cells.

수점산(手拈散)이 심장(心臟)과 소화기(消化器)에 미치는 영향(影響) (Effects of Soo Jeom San on the Functions of Heart and Digestive Organs)

  • 이기상;문병순;김세길
    • 대한한방내과학회지
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    • 제11권2호
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    • pp.148-169
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    • 1990
  • The Present experiment was designed to investigate the effects of Soo Jeom San on the function of heart and digestive organs. And thus it was analyzed the total acidity, recovery effect, and the other various enzyme activities such as ATPase, Creatine kinase, Aspartate transaminase, and Lactate dehydrogenase. The results were obtained as follows : 1. The Total acidity decreased after Soo JeomSan administration for 6 days, however the total acidity inoreased after the drug administration for 9 days, these phenomena demonstrate that Soo Jeom San acts as a dual factor. The mechanism of decreasing the total acidity was considered to the inhibition of ATPase activity used for HCI active transport from parietal cells. 2. Soo Jeom San recovered the islets of Langerhans which was disrupted by streptozotocin. The recovery mechanism was suggested that Soo Jeom San stimulates the ${\beta}-cell$ proliferation. 3. Soo Jeom San inhibited the enzyme activities such as Creatine kinase and Aspartate transaminase, however the drug activated Lactate dehydrogenase. According to the obtained results, Soo Jeom San may be used for curing gastric ulcer and myocardiac infarction.

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갑상선에 생긴 랑게르한스 세포 조직구증 1예 (Langerhans Cell Histiocytosis of Thyroid Gland : A Case Report)

  • 장철순;연제엽;박수경;이동욱
    • 대한두경부종양학회지
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    • 제29권1호
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    • pp.18-21
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    • 2013
  • 랑게르한스 세포 조직구증은 골수에서 유래하는 랑게르한스 세포 조직구의 이상 증식에 의해 발병하는 희귀한 질병으로 알려져 있다. 비록 모든 장기에서 발생 할 수 있으나 갑상선을 침범하는 경우는 매우 드물다. 18세 남자가 5달전부터 점점 커지는 갑상선 종괴를 주소로 내원하여 세침흡인 세포검사, 총샘검, 경부 전산화단층촬영을 시행하였다. 세침흡인 세포검사에서 악성신생물이 의심되었고, 총생검에서 랑게르한스 세포 조직구증으로 나타났다. 경부 전산화단층촬영에서는 우측 갑상선에서 윤곽이 잘 구분되는 저음영의 종괴와 우측 기관 주위 림프절의 종대가 관찰되었다. 갑상선 전절제술과 우측 중앙 선택적 경부 림프절 청소술이 시행되었다. 랑게르한스 세포 조직구증이 갑상선을 침범하는 경우는 드물지만 갑상선 비대가 있는 환자가 뇌하수체 기능부전의 증상이나 뼈와 폐의 침범과 관련된 증상을 호소한다면 갑상선의 랑게르한스 세포 조직구증 침범을 고려해야 한다. 또한, 다른 장기의 랑게르한스 세포 조직구증을 치료한 과거력이 있는 경우는 갑상선 종괴를 감별 진단하는데 있어 랑게르한스 세포 조직구증을 고려해야 한다.