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A Case Report of a Patient with Chemotherapy-induced Leukopenia Treated with Acupuncture (항암화학요법으로 인한 백혈구감소증 환자의 침 치료 증례 보고)

  • Choi, Jin-yong;Cho, Jae-hyun;Bae, Go-eun;Shim, So-hyun;Seo, Hee-jeong;Choi, Jun-yong;Kwon, Jung-nam;Lee, In;Hong, Jin-woo;Yun, Young-ju;Park, Seong-ha;Kim, So-yeon;Han, Chang-woo
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.806-811
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    • 2017
  • Leukopenia is a commonly encountered adverse event experienced by cancer patients. It can cause serious infections and delays in chemotherapy. We describe a case of leukopenia induced by colon cancer chemotherapy. After acupuncture treatment, the patient showed improvement in the leukopenia and completed the scheduled chemotherapy without delay or additional administration of granulocyte colony-stimulating factor (G-CSF). Therefore, acupuncture may have a substantial benefit for treatment of leukopenia in this patient.

Does the direction of J-tip of the guide-wire influence the misplacement of subclavian catheterization?

  • Kang, Changshin;Cho, Sunguk;Ahn, Hongjoon;Min, Jinhong;Jeong, Wonjoon;Ryu, Seung;Oh, Segwang;Kim, Seunghwan;You, Yeonho;Park, Jungsoo;Lee, Jinwoong;Yoo, Insool;Cho, Yongchul
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.636-640
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    • 2018
  • Objective: Central venous catheter (CVC) misplacement can result in incorrect readings of the central venous pressure, vascular erosion, and intravascular thrombosis. Several studies have examined the correlation between the guidewire J-tip direction and misplacement rate. This study examined whether the guidewire J-tip direction (cephalad vs. caudad) affects the misplacement rate in right subclavian venous catheterization. Methods: This prospective randomized controlled study was conducted between February 2016 and February 2017. The subjects were divided into two groups (cephalad group vs. caudad group) and the misplacement rate was compared according to guidewire J-tip direction in each group. Results: Of 100 patients, the cephalad and caudad groups contained 50 patients each. The age, sex, and operator experience were similar in the two groups. In the cephalad group, misplacement of CVC insertion into the ipsilateral internal jugular vein occurred in two cases. In the caudad group, misplacement of CVC insertion into the contralateral subclavian vein occurred in one case, with loop formation in the brachiocephalic trunk in one case. Guidewire J-tip direction showed no significant correlation with CVC misplacement. Conclusion: The guidewire J-tip direction does not influence the rate of misplacement.

A Case Report of Tracheal Granuloma Treated with Sipyukmiyuki-eum (기관절개술 후 발생한 기관내 육아종에 대한 십육미유기음(十六味流氣飮)의 치험 1례 : 증례보고)

  • Nam, Irang;Heo, Gi-yoon;Kang, Hee-kyung;Kim, Min-hwa;Kim, Mariah;Kwon, Jung-nam;Kim, So-yeon;Park, So-jung;Yun, Young-ju;Choi, Jun-yong;Han, Chang-woo;Hong, Jin-woo;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.973-979
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    • 2022
  • Purpose: The purpose of this study is to report the improvement of tracheal granuloma after herbal medicine treatment. Methods: A patient with tracheal granuloma was treated with Sipyukmiyuki-eum, and we checked laryngoscopy images to observe the improvement of this condition. Results: After treatment with Sipyukmiyuki-eum and Korean medicine therapy, we found that tracheal granuloma showed improvements in the laryngoscopy image. Conclusion: This case suggests that Sipyukmiyuki-eum might be effective for patients who develop tracheal granuloma after tracheostomy. However, additional studies with more patients are required to verify this finding.

A Case Report of Patient Suffering from Cough and Dyspnea after Lung Transplantation Treated with Complex Korean Medicine (기침 및 호흡곤란을 호소하는 폐 이식 환자의 복합 한방 치험 1례)

  • Seyeon Lee;Kibeom Ku;Mariah Kim;Irang Nam;Minhwa Kim;Changwoo Han;In Lee;Jinwoo Hong;Jungnam Kwon;Soyeon Kim;Youngju Yun;Sojung Park;Junyong Choi
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.1101-1108
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    • 2023
  • We report the case of a lung transplantation patient whose cough and dyspnea symptoms improved after receiving complex Korean medicine treatment. Lung transplantation provides a solution to many end-stage patients with lung disease who are refractory to conventional treatment, but the five-year survival rate of lung transplantation remains around 50%, and even surviving patients suffer from side effects, including infection, respiratory difficulty, and gastrointestinal problems. A 66-year-old woman with rheumatoid arthritis-interstitial lung disease was advised to undergo lung transplantation surgery when she suffered from dyspnea and failing respiratory symptoms after being diagnosed with COVID-19 and contracting pneumonia. Approximately five months after receiving a bilateral lung transplantation operation, she experienced acute pulmonary thromboembolism, and even after receiving anticoagulation therapy, she still struggled with cough and respiratory difficulty. After she received complex Korean medicine treatments, including herbal medicine, cupping therapy, and electrical moxibustion, we observed a decrease in inflammation, alleviation of symptoms such as cough and dyspnea, and improvement of pulmonary function and exercise capacity.

Pyridoxine responsive sideroblastic anemia in a boy with mitral valve prolapse (승모판 탈출증을 가진 소아에서 Pyridoxine 반응성 철적모구성 빈혈 1례)

  • Sung, June Seung;Kim, Ki Hwan;Han, Dong Gyun;Kim, Mi Jeong;Cho, Young Kook;Chung, Hae Yul;Baek, Hee Jo;Ma, Jae Sook;Kook, Hoon;Hwang, Tai Ju
    • Clinical and Experimental Pediatrics
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    • v.49 no.11
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    • pp.1223-1226
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    • 2006
  • Sideroblastic anemia is a rare, heterogeneous group of disorders characterized by hyperferremia, microcytic hypochromic anemia, and bone marrow erythroid hyperplasia with the presence of numerous ringed sideroblasts. We describe herewith the case of a rare coincidence of sideroblastic anemia and mitral valve prolapse with resultant regurgitation in a 2-year-old boy. In addition to the inherent propensity for the development of cardiac dysfunction in sideroblastic anemia due to transfusion-associated myocardial iron overload and chronic anemia, a coincidence of MVP will further increase the likelihood of the morbidity or mortality of th patient. in this patient. After response to pyridoxine, the patient remains in good condition with stable hemoglobin levels.

A Case of Posterior Mediastinal Plasmacytoma Confounded by Community-Acquired Pneumonia

  • Heo, Dahee;Boo, Ki Yung;Jwa, Hyeyoung;Lee, Hwa Young;Kim, Jihyun;Kim, Seong Taeg;Seo, Hye Mi;Han, Sang Hoon;Maeng, Young-Hee;Lee, Jong Hoo
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.262-266
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    • 2015
  • Plasmacytomas are extramedullary accumulations of plasma cells originating from soft tissue. Mediastinal plasmacytoma is a rare presentation. A 67-year-old man recovered after antibiotic treatment for community-acquired pneumonia. However, on convalescent chest radiography after 3 months, mass like lesion at the right lower lung field was newly detected. Follow-up chest computed tomography (CT) revealed an increase in the extent of the right posterior mediastinal mass that we had considered to be pneumonic consolidations on previous CT scans. Through percutaneous needle biopsy, we diagnosed IgG kappa type extramedullary plasmacytoma of the posterior mediastinum.

Four Cases of Phytolacca Esculenta Van Houtte Intoxication due to Misidentification as a Ginseng (인삼으로 오인하여 섭취한 후 발생한 자리공 뿌리 중독 4례)

  • Bae, Jun Ho;Kim, Ga Eul;Kim, Gi Joong;Lee, Doo Hyun;Lee, Jun Yeol;Jeong, Dae Jin;Kim, Yoon Seong;Park, Chan Woo;Lee, Hui Young;Cho, Jun Hwi
    • Journal of The Korean Society of Clinical Toxicology
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    • v.11 no.2
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    • pp.133-135
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    • 2013
  • Poisoning by Phytolacca esculenta commonly occurs by misidentification as other edible plants. The root of Phytolacca esculenta is similar to other roots, such as kudzu, balloon flower, codonopsis lanceolata, and ginseng. The author experienced four cases of Phytolacca esculenta intoxication due to misidentification as a ginseng. We report on these cases with a review of the literature.

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Three Cases with Manic Symptoms and Cognitive Dysfunction after Wild Plant Ingestion (산나물 섭취 후 조증과 지남력 장애를 보인 환자 3례)

  • Lee, Doo Hyun;Kim, Gi Joong;Kim, Ga Eul;Chung, Dae Jin;Lee, Jun Yeol;Bae, Joon Ho;Kim, Yoon Seong;Park, Chan Woo;Lee, Hui Young;Cho, Jun Hwi
    • Journal of The Korean Society of Clinical Toxicology
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    • v.11 no.2
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    • pp.130-132
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    • 2013
  • Distinguishing wild plants in spring from ingestible plants is difficult. Differentiation of budding plants from other plants is particularly difficult. Many people want to find edible plants for health during the spring season. Scopolia japonica can cause symptoms of mania. The author experienced three cases of poisoning by Scopolia japonica. We reported on the cases with literature reviews.

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Spontaneous Splenic Rupture as a Paradoxical Reaction during Treatment for Splenic Tuberculosis

  • Yeo, Hye Ju;Lee, Soo Yong;Ahn, Eunyoung;Kim, Eun Jung;Rhu, Dae Gon;Choi, Kyoung Un;Lee, Seung Eun;Cho, Woo Hyun;Jeon, Doosoo;Kim, Yun Seong
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.5
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    • pp.218-221
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    • 2013
  • This report describes a rare case of a patient with splenic tuberculosis (TB) who developed spontaneous splenic rupture after 10 weeks of antituberculous chemotherapy. The patient responded well to the antituberculous regimen prior to the spontaneous splenic rupture. We considered a paradoxical reaction as a cause of the splenic rupture. The patient underwent splenectomy and continuously received initial antituberculous drugs without change. To the best of our knowledge, this is the first report of spontaneous splenic rupture as a paradoxical reaction to antituberculous chemotherapy in an immunocompetent host with splenic TB.