• 제목/요약/키워드: Presenting

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심한 변비와 복부팽만으로 발견된 소아 크론병 1예 (Pediatric Crohn's Disease presenting as Severe Constipation and Abdominal Distension)

  • 성명순;강석정;최광해
    • Journal of Yeungnam Medical Science
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    • 제25권2호
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    • pp.139-144
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    • 2008
  • Crohn's disease is a chronic inflammatory bowel disease that mainly affects children and young adults. Its cause remains unknown. The incidence of pediatric Crohn's disease is increasing, so it is important for clinicians to be aware of the presentation of this disease in the pediatric population. The majority of patients complain of abdominal pain (72%), with only 25% presenting with the 'classical triad' of abdominal pain, weight loss, and diarrhea. Many children with Crohn's disease present in a 'non-classical' manner, with vague complaints such as lethargy or anorexia, which may be associated with only mild abdominal discomfort. Other symptoms include fever, nausea, vomiting, growth retardation, malnutrition, delayed puberty, psychiatric symptoms, arthropathy, and erythema nodosum. Severe constipation and abdominal distension are uncommon symptoms at diagnosis. We report a case of pediatric Crohn's disease, which was diagnosed after the patient presented with severe constipation and abdominal distension.

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호산구 증다증을 동반하지 않은 기무라병 1예 (A Case of Kimura's Disease Without Eosinophilia)

  • 김혜수;김선우;이진;이상혁
    • 대한두경부종양학회지
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    • 제36권1호
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    • pp.21-25
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    • 2020
  • Kimura's disease is a rare disease of unknown etiology, commonly presenting with slow-growing head and neck subcutaneous nodules. It primarily involves the head and neck region, presenting as deep subcutaneous masses and is often accompanied by regional lymphadenopathy and salivary gland involvement. Clinically it is often confused with a parotid tumor or lymph node metastasis. It is difficult to diagnose before surgery, and fine needle aspiration cytology has only limited value. Even though this disease has not shown any malignant transformation, it is often difficult to cope with because of its high recurrence rate. Surgery, steroids, and radiotherapy have been used widely as the first-line recommendation, but none of them is standard procedure until now because of high recurrence rates. The recurrence of the disease reported up to 62%. We recently experienced a case of Kimura's disease, not accompanying peripheral eosinophilia, on the parotid gland treated by surgical resection in an 82-year-old woman with polycythemia vera. Here, we report this case with a review of the literature.

청소년기 여아에서 만성적인 좌측 측복부 통증으로 진단된 골반울혈증후군 1례 (A Case of Pelvic Congestion Syndrome Presenting with Chronic Left Flank Pain in an Adolescent Girl)

  • 김성진;심혜선;강성길;손병관;이병익;조순구;이지은
    • Childhood Kidney Diseases
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    • 제11권1호
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    • pp.126-131
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    • 2007
  • 측복부 통증은 신, 상부 요로계 질환의 대표적인 척도로 여겨지나 드물게 골반울혈증후군도 감별해야 한다. 골반울혈증후군은 가임기 경산부 여성에서 호발하나 소아청소년기에 원인이 불명확한 측복부 통증을 호소할 때 고려해야 할 질환이다. 저자들은 청소년기 여아에서 만성적인 좌측측복부 통증으로 진단된 골반울혈증후군 1례를 경험하였기에 보고하는 바이다.

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Bronchial Artery Aneurysm Presenting as Hematemesis and Mediastinal Hemorrhage

  • Kim, Ji Sung;Lee, So Young;Son, Kuk Hui;Kim, Kun Woo;Choi, Chang Hu;Lee, Jae Ik;Park, Kook Yang;Park, Chul Hyun
    • Journal of Chest Surgery
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    • 제48권4호
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    • pp.298-301
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    • 2015
  • Hematemesis is a rare manifestation of a ruptured bronchial artery aneurysm (BAA) in the mediastinum. It is difficult to diagnose a ruptured BAA presenting as hematemesis, because it can be confused with other diseases, such as Boerhaave's syndrome, variceal disease, or a perforated ulcer. In this report, we describe a case of BAA resulting in hematemesis and mediastinal hemorrhage.

Erdheim-Chester Disease Presenting as an Anterior Mediastinal Tumor without Skeletal Involvement

  • Lee, Kanghoon;Kim, Hyeong Ryul;Roh, Jin;Ok, You Jung;Jeon, Bo Bae;Kim, Young Woong
    • Journal of Chest Surgery
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    • 제51권3호
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    • pp.223-226
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    • 2018
  • Erdheim-Chester disease (ECD) is a form of non-Langerhans cell histiocytosis that most commonly involves the skeletal system. We report an unusual case of ECD presenting as an anterior mediastinal tumor without skeletal involvement. A 60-year-old man with no remarkable medical history was referred for evaluation of a mediastinal mass. The patient underwent surgical excision of the tumor via video-assisted thoracoscopic surgery. Histologic examination revealed marked proliferation of atypical histiocytes with sclerosis, and the results of immunohistochemical staining were suggestive of ECD.

A Case of Mycobacterium kansasii Pulmonary Disease Presenting as Endobronchial Lesions in HIV-Infected Patient

  • Kim, Moon Sung;Han, Ji Won;Jin, Su Sin;Lee, Jong Min;Hah, Jick Hwan;Kim, Youn Jeong;Kim, Seung Joon;Kang, Moon Won;Kang, Ji Young
    • Tuberculosis and Respiratory Diseases
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    • 제75권4호
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    • pp.157-160
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    • 2013
  • Incidence of nontuberculous mycobacterium (NTM) pulmonary disease is increasing with the wider recognition and development of diagnostic technology. Mycobacterium kansasii is the second most common pathogen of NTM pulmonary disease in human immunodeficiency virus (HIV)-infected patients. However in Korea, the incidence of M. kansasii pulmonary disease is relatively low, and there has been no report of M. kansasii pulmonary disease with bronchial involvement in HIV patients, to the best of our knowledge. We report a case of M. kansasii pulmonary disease presenting with endobronchial lesions in an HIV-infected patient complaining of chronic cough with bilateral enlargements of hilar lymph nodes on chest X-ray.

안검개방실행증의 임상양상을 보인 검판전부의 안검경련 1례 (A Case of Pretarsal Blepharospasm Presenting as Apraxia of Lid Opening)

  • 김준태;김병채;황인용;이성민;최성민;손의주;김명규;조기현
    • Annals of Clinical Neurophysiology
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    • 제4권1호
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    • pp.63-66
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    • 2002
  • Blepharospasm and apraxia of lid opening(ALO) are non-paralytic causes of involuntary eyelid closure. Clinically it is difficult to differentiate blepharospasm and ALO, and these two conditions are sometimes associated. We report a case of pretarsal blepharospasm presenting as apraxia of lid opening. 55-year-old woman was noted to have voluntary eye opening difficulty. We synchronously record the electromyographic(EMG) from the levator palpebrae superioris and the orbicularis oculi muscles in this patient. This results suggested that she has a variant of blepharospasm due to abnormal contraction in the pretarsal orbicularis oculi.

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단순안면열상환자에서 발생한 창상치유지연 및 상대정맥혈전증을 동반한 베체트병 : 증례보고 (BEHCET DISEASE WITH SUPERIOR VENA CAVA THROMBUS IN A PATIENT PRESENTING DELAYED FACIAL WOUND HEALING : A CASE REPORT)

  • 최선미;하주효;김선애;최미라;정수진;이현수;양수남
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권2호
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    • pp.198-204
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    • 2008
  • Behcet Disease is a multisystem inflammatory disorder of unknown orign. It is characterized by recurrent oral ulcer, genital ulcer, skin lesions and ocular inflammation, and which may involve the joints, skin, central nervous system and gastrointestinal tract. Because Behcet Disease dose not have any specific symptoms and laboratory findings, the diagnosis is made on the basis of the criteria proposed by the the International Study Group for Behcet Disease. Behcet Disease is affecting both arteries and veins, and clinically manifest large vessel involvement occurs in between 7 and 49% of patients. Superior vena cava thrombosis is a rare but well-recognized manifestation of Behcet disease. We report a case of a Behcet Disease with superior vena cava thrombosis in a patient presenting delayed facial wound healing.

Epidermoid Tumors in the Cerebellopontine Angle Presenting with Trigeminal Neuralgia

  • Son, Dong-Wuk;Choi, Chang-Hwa;Cha, Seung-Heon
    • Journal of Korean Neurosurgical Society
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    • 제47권4호
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    • pp.271-277
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    • 2010
  • Objective : The purpose of this study is to evaluate the clinical characteristics and surgical outcome of cerebellopontine angle (CPA) epidermoids presenting with trigeminal neuralgia. Methods : Between 1996 and 2004, 10 patients with typical symptoms of trigeminal neuralgia were found to have cerebellopontine angle epidermoids and treated surgically at our hospital. We retrospectively analyzed the clinico-radiological records of the patients. Results : Total resection was done in 6 patients (60%). Surgical removal of tumor and microvascular decompression of the trigeminal nerve were performed simultaneously in one case. One patient died due to postoperative aseptic meningitis. The others showed total relief from pain. During follow-up, no patients experienced recurrence of their trigeminal neuralgia (TN). Conclusion : The clinical features of TN from CPA epidermoids are characterized by symptom onset at a younger age compared to TN from vascular causes. In addition to removal of the tumor, the possibility of vascular compression at the root entry zone of the trigeminal nerve should be kept in mind. If it exists, a microvascular decompression (MVD) should be performed. Recurrence of tumor is rare in both total and subtotal removal cases, but long-term follow-up is required.

해체주의의 차연을 응용한 업스타일의 조형성 연구 - 업스타일의 표현기법에 따라서 - (The Study on the Formativity of Up Style Applied Deconstructive Differance - Based on the Expressive Techniques of Up Style -)

  • 양미숙;김성남
    • 한국패션뷰티학회지
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    • 제5권2호
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    • pp.75-84
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    • 2007
  • All styles began to coexist by recognizing diversity and changeability instead of an absolute value system of beauty or truth in the general culture field of modern society. In other words, the characteristic of deconstructism, which breaks down the boundary between order, balance, style and genre within the texture, is brought out. This characteristic is also having an effect on the field of up style in a hair genre to secure the beauty of incompletion as the beauty of the present time, involving the beauty of ugliness in the boundary of beauty. This study aims at presenting new vision by applying deconstuctism to the up style to express as an original and experimental formative art with various expressive methods. In addition, it aims at being perfect for presenting the creativity and artistry through expressive techniques by formative factor of deconstructive up style to find new methods and directions to design concept with main expressive ability of deconstructive up style.

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