• 제목/요약/키워드: Skin abnormalities

검색결과 98건 처리시간 0.035초

일측 이하선염으로 발현한 가와사키병 1례 (Unilateral Parotitis and Kawasaki Disease in a Child)

  • 류수영;반길호;박수은
    • Pediatric Infection and Vaccine
    • /
    • 제21권3호
    • /
    • pp.214-218
    • /
    • 2014
  • 가와사키병은 일반적으로 특징적인 증상 또는 검사 기준에 근거하여 진단한다. 그러나 가와사키병의 전형적인 증상 없이, 드문 동반 증상으로 먼저 발현하는 경우에 가와사키병의 진단은 어렵다. 저자들은 일측 이하선염으로 발현한 가와사키병 1례를 경험하였다. 23개월 여아가 갑자기 발열과 일측 이하선의 부종과 압통이 있어 화농 이하선염으로 추정 진단받고 항생제로 치료받았으나 발열과 증상이 호전되지 않았다. 발열 8일째에 발진과 비화농성 결막충혈, 관상동맥 이상 등 가와사키병의 증상이 나타나기 시작하여 정맥주사용 면역글로불린과 salicylate를 투약받은 뒤 모든 증상이 호전되었다. 본 증례를 통해, 일측 이하선염은 가와사키병에서 매우 드물게 발생하는 증상이지만, 항생제 치료에도 호전이 없는 경우에, 반드시 가와사키병의 가능성을 고려하여야겠다.

In Vivo Wound Healing Activity of Crocodile (Crocodylus siamensis) Hemoglobin and Evaluation of Antibacterial and Antioxidant Properties of Hemoglobin and Hemoglobin Hydrolysate

  • Pakdeesuwan, Anawat;Araki, Tomohiro;Daduang, Sakda;Payoungkiattikun, Wisarut;Jangpromma, Nisachon;Klaynongsruang, Sompong
    • Journal of Microbiology and Biotechnology
    • /
    • 제27권1호
    • /
    • pp.26-35
    • /
    • 2017
  • The hydrolysis of proteins constitutes an invaluable tool, granting access to a variety of peptide fragments with potentially interesting biological properties. Therefore, a hemoglobin (Hb) hydrolysate of Crocodylus siamensis was generated by digestion under acidic conditions. The antibacterial and antioxidant activities of the Hb hydrolysate were assessed in comparison with intact Hb. A disc diffusion assay revealed that the Hb hydrolysate exhibited antibacterial activity against eight strains of gram-positive bacteria and showed a higher efficacy than intact Hb. Moreover, the antioxidant activity of intact Hb and its hydrolysate was evaluated using ABTS and DPPH radical scavenging assays. The Hb hydrolysate exhibited free radical scavenging rates of 6-32%, whereas intact Hb showed a slightly higher activity. In addition, non-toxicity to human erythrocytes was observed after treatment with quantities of Hb hydrolysate up to $10{\mu}g$. Moreover, active fragmented Hb (P3) was obtained after purifying the Hb hydrolysate by reversed-phase HPLC. Scanning electron microscopy demonstrated the induction of bacterial cell membrane abnormalities after exposure to P3. Antibacterial and antioxidant activities play crucial roles for supporting the wound healing activity. Consequently, an in vivo mice excisional skin wound healing assay was carried out to investigate the effects of intact Hb treatment on wound healing in more detail. The results clearly demonstrate that intact Hb is capable of promoting 75% wound closure within 6 days. These findings imply that intact Hb of C. siamensis and its acid hydrolysate may serve as valuable precursors for food supplementary products benefitting human health.

퀴놀론과 비스테로이드소염제 투여 후 발생한 급성 간질성 신염이 동반된 DRESS 증후군 (DRESS syndrome with acute interstitial nephritis caused by quinolone and non-steroidal anti-inflammatory drugs)

  • 김수진;남영희;정지영;김은영;이수미;손영기;남희주;김기호;이수걸
    • Journal of Yeungnam Medical Science
    • /
    • 제33권1호
    • /
    • pp.59-63
    • /
    • 2016
  • Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare and severe drug-induced hypersensitivity syndrome characterized by hematological abnormalities and multiorgan involvement. Liver involvement is the most common visceral manifestation. However, renal failure has been rarely described. The common culprit drugs are anticonvulsants and allopurinol. We experienced a patient with DRESS syndrome with acute interstitial nephritis caused by concomitant administration of quinolone and non-steroidal anti-inflammatory drugs (NSAIDs). A 41-year-old man presented with a diffuse erythematous rash and fever which developed after administration of quinolone and NSAIDs for a month due to prostatitis. He was diagnosed with DRESS syndrome. Skin rash, fever, eosinophilia, and elevations of liver enzymes improved with conservative treatment and discontinuation of the causative drugs. However, deterioration of his renal function occurred on day 8 of admission. The levels of blood urea nitrogen and serum creatinine increased and oliguria, proteinuria and urinary eosinophils were observed. Ultrasonography showed diffuse renal enlargement. The clinical features were compatible with acute interstitial nephritis. Despite intravenous rehydration and diuretics, renal function did not improve. After hemodialysis, his renal function recovered completely within 2 weeks without administration of systemic corticosteroid.

Congenital Anomalies of Lower Lacrimal Puncta and Nasolacrimal Duct Atresia in a Labrador Retriever Dog

  • Park, Eun-Jin;Kang, Seon-Mi;Park, Sang-Wan;Kwak, Ji-Yoon;Lim, Jae-Gook;Nam, Taek-Jin;Jeong, Seo-Woo;Seo, Kangmoon
    • 한국임상수의학회지
    • /
    • 제33권4호
    • /
    • pp.228-230
    • /
    • 2016
  • An 1-year-old, spayed, female Labrador Retriever was presented for bilateral epiphora. A complete ophthalmic examination was conducted, including Schirmer tear test, rebound tonometry, fluorescein staining, slit lamp biomicroscopy, and binocular indirect ophthalmoscopy. To determine the patency of the nasolacrimal duct system, a nasolacrimal flush and dacryocystorhinography were also performed. Although the nasolacrimal flush showed patency in the upper and lower lacrimal puncta in both eyes (OU), the lower lacrimal puncta were not found in the original palpebral conjunctiva, but on medial canthal skin with very small opening. Moreover, the nasolacrimal ducts in OU were not patent with flushing. Bilateral nasolacrimal duct atresia was confirmed by dacryocystorhinography. No other abnormalities of the eyes were found on complete ophthalmic examinations. Bilateral congenital anomalies of the lower lacrimal puncta and nasolacrimal duct atresia were diagnosed in this dog.

멘케스병에서 간비대를 보인 1례 (A case of Menkes disease with unusual hepatomegaly)

  • 정고운;조안나;황희;황용승;김기중;채종희;서정기
    • Clinical and Experimental Pediatrics
    • /
    • 제51권5호
    • /
    • pp.538-541
    • /
    • 2008
  • 멘케스병은 성염색체 열성으로 유전되는 질환으로 APT7A 유전자의 돌연변이에 의해 발생한다. 기전은 장에서의 구리 흡수와 운반에 결손이 있는 것으로 혈청 구리 및 ceruloplasmin 이 낮다. 특징적인 임상양상은 경련발작, 근육긴장저하, 저체온증을 나타내며 얼굴은 특징적으로 통통하며 저색소 피부색, 꼬이고 윤택이 없고 잘 부스러지는 머리카락을 보인다. 성장장애를 보이는 경우가 흔하며 심한 정신지체와 발달장애를 동반한다. 멘케스병에서 간비대가 간병증을 보이는 경우는 현재까지 보고되지 않았다. 저자들은 유전자 검사를 통해 멘케스병으로 확진된 4개월 소아가 영아연축, 발달장애, 머리카락 이상 외에도 이전에 잘 알려져 있지 않은 간비대를 보인 1례를 보고하는 바이다.

An Autochthonous Case of Canine Visceral Leishmaniasis in Korea

  • Bhang, Dong Ha;Choi, Ul Soo;Kim, Hyun Jeong;Cho, Kyoung-Oh;Shin, Sung-Shik;Youn, Hee-Jeong;Hwang, Cheol-Yong;Youn, Hwa-Young
    • Parasites, Hosts and Diseases
    • /
    • 제51권5호
    • /
    • pp.545-549
    • /
    • 2013
  • A 12-year-old spayed female mixed-bred dog presented with nasal bleeding of 2 days duration and a skin nodule in the left flank. No abnormalities were found in coagulation profiles and blood pressure. Cytological evaluation of the nodule revealed numerous characteristic round organisms having a nucleus and a bar within macrophages and in the background, consistent with leishmaniasis. In vitro culture was unsuccessful but PCR of the nodular aspirate identified the organisms as Leishmania infantum, and the final diagnosis was canine leishmaniasis. No history of travel to endemic countries was noted. Because the dog had received a blood transfusion 2 years before the illness, serological screening tests were performed in all donor dogs of the commercial blood bank using the commercial Leishmania ELISA test kit, and there were no positive results. Additional 113 dogs with hyperglobulinemia from Seoul were also screened with the same kits but no positive results were obtained. To the best of the author's knowledge this is the first autochthonous case of canine leishmaniasis in Korea.

BRAF 유전자의 돌연변이로 진단된 Cardiofaciocutaneous 증후군 1례 (A Case of Cardiofaciocutaneous Syndrome caused by BRAF gene mutation)

  • 이범희;김재민;이진주;김구환;유한욱
    • Journal of Genetic Medicine
    • /
    • 제6권1호
    • /
    • pp.87-90
    • /
    • 2009
  • Cardiofaciocutaneous (CFC) 증후군은 누난-관련질환중 하나로서, 심장기형, 특징적 얼굴형태, 피부이상과 발달지연이 동반되는 질환이다. CFC증후군은 성긴 두피, 옅은 눈썹, 안구 돌출이나 안구 진탕 등의 얼굴 형태와 과각화증, 어린선 등의 피부증상으로 다른누난 관련-질환과 임상적으로 구분을 할 수 있으나, 임상적인 구분이 모호한 경우도 있다. 최근 누난 증후군과 누난-관련 증후군의 원인유전자들이 밝혀짐에 따라 이들의 감별 진단에 도움을 받고 있다. 이에 본 저자들은 유전자 검사를 통하여 진단된 CFC증후군 1례를 보고하는 바이며, 누난 증후군과 누난-관련 질환의 유전형과 표현형의 다양성에 대해 논의하고자 한다.

  • PDF

Chromosome Aberrations in Porcine Embryo Produced by Nuclear Transfer with Somatic Cell

  • Ah, Ko-Seung;Jin, Song-Sang;Tae, Do-Jeong;Chung, Kil-Saeng;Lee, Hoon-Taek
    • 한국수정란이식학회:학술대회논문집
    • /
    • 한국수정란이식학회 2002년도 국제심포지엄
    • /
    • pp.73-73
    • /
    • 2002
  • Nuclear transfer (NT) techniques have advanced in the last years, and cloned animals have been produced by using somatic cells in several species including pig. However, it is difficult that the nuclear transfer porcine embryos development to blastocyst stage overcoming the cell block in vitro. Abnormal segregation of chromosomes in nuclear transferred embryos on genome activation stage bring about embryo degeneration, abnormal blastocyst, delayed and low embryo development. Thus, we are evaluated that the correlations of the frequency of embryo developmental rates and chromosome aberration in NT and In viかo fertilization (IVF) derived embryo. We are used for ear-skin-fibroblast cell in NT. If only karyotyping of embryonic cells are chromosomally abnormal, they may difficultly remain undetected. Then, we evaluate the chromosome aberrations, fluorescent in situ hybridization (FISH) with porcine chromosome 1 submetacentric specific DNA probe were excuted. In normal diploid cell nucleus, two hybridization signal was detected. In contrast, abnormal cell figured one or three over signals. The developmental rates of NT and IVF embryos were 55% vs 63%, 32% vs 33% and 13% vs 17% in 2 cell, 8 cell and blastocyst, respectively. When looking at the types of chromosome aberration, the detection of aneuploidy at Day 3 on the embryo culture. The percentage of chromosome aneuploidy of NT and IVF at 4-cell stage 40.0%, 31.3%, respectively. This result indicate that chromosomal abnormalities are associated with low developmental rate in porcine NT embryo. It is also suggest that abnormal porcine embryos produced by NT associated with lower implantation rate, increase abortion rate and production of abnormal fetuses.

  • PDF

고혈압과 뇌혈관염이 동반된 상태에서 뇌증을 보인 Henoch-Schonlein Purpura Nephritis 1례 (A Case of Henoch-Schonlein Purpura Nephritis Complicating Encephalopathy Accompanied by Hypertension and Cerebral Vasculitis)

  • 최희라;김어진;최명범;임재영;박찬후;우향옥;윤희상
    • Clinical and Experimental Pediatrics
    • /
    • 제46권10호
    • /
    • pp.1040-1043
    • /
    • 2003
  • 저자들은 9세 남아에서 고혈압과 뇌혈관염이 동반된 상태에서 뇌증을 보인 HSP 신염 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Chromosome Aberrations in Porcine Embryo Produced by Nuclear Transfer with Somatic Cell

  • K. S. Chung;Ko, S. A;S. J. Song;J. T. Do;Park, Y. S.;Lee, H. T.
    • 한국가축번식학회지
    • /
    • 제26권4호
    • /
    • pp.385-394
    • /
    • 2002
  • This study was constructed the correlations of the embryonic developmental rates and the frequency of chromosome aberration using ear-skin-fibroblast cell in nuclear transfer (NT) derived embryos. Karyoplast-oocyte complexes were fused and activated simultaneously, then cultured for seven days to assess development. The developmental rates of NT and in vitro fertilization (IVF) embryos were 55.4% vs 63.5%, 31.7% vs 33% and 13.4% vs 16.8% in 2 cell, 8 cell and blastocyst, respectively. Firstly, the frequency of chromosome aberrations were evaluated using fluorescent in situ hybridization (FISH) technique with porcine chromosome 1 submetacentric specific probe. Chromosome aberration was detected at day 3 on the embryo culture, the percentages of chromosomal aneuploidy in NT and IVF embryos at 4-cell stage were 40%, 31.3%, respectively. Secondly, embryonic fragmentation was evaluated at 4-cell stage embryo. Frequency of embryonic fragmentations was in 51.3% of NT, 61.3% of IVF, 28.9% of parthenogenetic activation at 4-cell stage. The proportion of fragmentation in NT embryos was higher than activation embryos. This result indicates that chromosomal abnormalities and embryonic fragments are associated with low developmental rate in porcine NT embryo. It is also suggest that abnormal porcine embryos produced by NT related with lower implantation rate, increased abortion rate and production of abnormal fetuses.