• 대한수의학회지
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• 제33권1호
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• pp.125-129
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• 1993

An acute fatal infectious disease in rabbits has been outbroken in Korea since 1985. This disease has been characterized as an acute hepatitis caused by viruses. However, viral pathogenesis in rabbit viral hepatitis leading to sudden death remain unclear. This report dealt with the electron microscopic findings on the spleen of experimentally infected rabbits, because spleen is one of the affected organs which have high titer of virus by a haemagglutination test. A typical crystalline array of virus was not found in the splenic cells of infected rabbits with acute hepatitis. Virus-like particles were seen within the phagosome of macrophages of the spleen. Ultrastructural changes in the spleen were severe with the lapse of time after inoculation. From these results, virus-like particles in the spleen were supposed to be phagocytosed by macrophage during viremia, while active replication of virus occurred in the liver. It was concluded that sudden death in this viral disease was caused by hepatic coma and/or circulatory disturbance.

• 대한한방내과학회지
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• 제11권1호
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• pp.29-40
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• 1990

In order to study the effect on liver diseases, Saenggan-tang has been applied to 26 patients of chronic hepatitis, 9 patients of liver cirrhosis, 5 patients of acute hepatitis, 8 patients of alcoholic liver diseases, 1 patient of hepatoma total 49 patients visiting the first internal medicine department of the hospital of Oriental Medicine, Kyung Hee University. The Saenggan-tang was taken every 4 weeks (ecept acute hepatitis every 2 weeks). 1. Saenggan-tang had decrease on activity of SGOTF SGPT, with the passage of time, 4, 8, and 12 weeks, showing statistically significant effect. 2. Saenggan-tang revealed sharp decrease on levels of total bilirubin and alkaline phosphatase no showing significance in relation to a few cases 3. Serum protein total and albumin levels were in normal limit before or after Saenggan-tang treatment 4. Triglyceride level was lowered remarkably after Saenggan-tang treatment, showing significance in alcoholic liver disease group whereas no significance in chornic hepatitis Judging from above results, it is proved that Saenggan-tang has curative effect of liver diseases such as acute, chronic hepatitis, liver cirrhosis, alcobolic liver diseases and so on.

• 농촌의학ㆍ지역보건
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• 제30권2호
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• pp.241-249
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• 2005

군소(Aplysia Kurodai, sea hare)의 내장 또는 알을 섭취한 후 아플리시아닌(aplysianin) 자연독에 의해 독성간염이 발생할 수 있다. 저자들은 경상북도 울릉군 울릉의료원을 방문한 군소 알을 섭취한 후 급성 독성간염이 발생한 2예를 경험 하였기에 문헌 고찰과 함께 보고하는 바이다. 환자 A는 47세 남자로 2003년 5월 17일 울릉도 바닷가에서 군소와 알을 직접 채취하여 내장을 제거하고 삶아 먹은 10시간 30분 후 구역 및 구토, 복통, 수양성설사와 급성 독성간염이 발생하였다. 환자 B는 48세 남자로 2004년 5월 16일 울릉도 바닷가에서 군소와 알을 직접 채취하여 내장을 제거하고 삶아 먹은 10시간 30분 후 구역 및 구토, 복통, 수양성설사와 급성 독성간염이 발생하였다. 환자들은 내원 당시 탈수 소견을 보여 수액공급 및 혈청 전해질 불균형을 교정하고 전격간염으로 진행 여부를 관찰하면서 보존적 치료를 시행하여 호전되었다. 저자가 파악하기로는, 본 사례 보고가 군소 알을 섭취한 후 독성간염이 발생한 국내 첫 보고이다. 군소의 내장 또는 알을 섭취한 후 중독증이 발생할 수 있다는 사실을 의료인과 일반인이 인지하고 정확한 진단과 예방을 위하여 노력하여야 할 것이다.

• Annals of Clinical Neurophysiology
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• 제19권1호
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• pp.50-53
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• 2017

An infection is less likely to elicit chronic inflammatory demyelinating polyneuropathy (CIDP) than Guillain-$Barr{\acute{e}}$ syndrome. We here report a case of acute-onset CIDP following hepatitis A virus infection and briefly comment on the potential mechanisms regarding the induction and chronicity of autoimmunity after a viral infection.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제15권2호
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• pp.111-116
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• 2012

Toxic hepatitis is a rare but devastating disease in children. Herbs are widely used in oriental medicine to treat various symptoms in Korea, however, several herbs have been reported to induce liver injury. We report a case of toxic hepatitis induced by Hovenia dulcis in a 3-year-old boy. He complained of nausea, abdominal discomfort, and jaundice. The patient had consumed water boiled with hovenia dulcis for about 1 year prior to presentation. A diagnosis of toxic hepatitis was made based on his history, laboratory data, viral markers, ultrasonography, and biopsied liver tissue. We administered supportive management for acute fulminant hepatitis but his symptoms and liver function progressed. He was transferred to another hospital for further evaluation and consideration for liver transplantation. Because acute liver failure due to herbs or dietary supplement taken for a long time is often fetal, it is important to make early diagnosis and stop taking the drug as soon as drug induced liver injury is suspected.

• Journal of Yeungnam Medical Science
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• 제29권1호
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• pp.28-30
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• 2012

A 48-year-old male visited the emergency room of the authors' hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase (CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal functions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.

• 대한핵의학회지
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• 제15권2호
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• pp.59-66
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• 1981

Serum HBsAg and Anti-HBs obtained by radioimmunoassay were studied in 109 cases of various liver diseases who visited or were admitted to National Medical Center from December, 1980 to July, 1981. The results were as follows; 1) HBsAg was detected in 67.0% of total 109 cases; 71.9% of 32 cases with acute viral hepatitis, 71.4% of 14 cases with chronic hepatitis, 65.2% of 46 cases with liver cirrhosis and 58.8% of 17 cases with hepatoma. 2) Anti-HBs was detected in 32.1% of total 109 cases; 37.0% of 46 cases with liver cirrhosis, 29.4% of 17 cases with hepatoma, 28.6% of 14 cases with chronic hepatitis, 28.1% of 32 cases with acute viral hepatitis. 3) HBsAg or Anti-HBs, the markers of Hepatitis B virus was detected in 89.0% of total 109 cases; 93.6% of 32 cases with acute viral hepatitis, 89.1% of 46 cases with liver cirrhosis, 85.7% of 14 cases with chronic hepatitis and 82.4% of 17 cases with hepatoma, which strongly suggested that the various liver diseases were associated with hepatitis B virus infection.

• 대한의생명과학회지
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• 제25권1호
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• pp.54-59
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• 2019

Hepatitis refers to inflammation of hepatocytes and liver tissue, and is mainly caused by viruses, alcohol, and drugs. Forsythiae Fructus has traditionally been used as a diuretic, anti-inflammatory and antipyretic. Research on rengyolone, a bioactive substance extracted from Forsythiae Fructus, is rarely found in Korea and abroad. First, an acute animal toxicity test for rengyolone was conducted for the animal experiment. 4 week-old SD rats were injected intraperitoneally with acetaminophen for 2 weeks to induce chronic liver inflammation. Rengyolone was orally administered into two groups during 4 weeks: pre-inflammatory group and post-inflammatory group. Oral doses were also divided into 1 mg/kg and 5 mg/kg. Liver function tests (ALT, AST, ALP), western blot analysis of liver tissue, and level of inflammatory cytokine were performed to evaluate the improvement of hepatitis. Experimental results showed that rengyolone inhibited the development of acute inflammation and thus could reduce hepatitis symptoms.

• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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• pp.254.1-254.1
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• 2003

CCl4 has been known as typical chemical which induce acute hepatitis accompanying increase in the levels of acute phase proteins in serum. In this study, after acute liver damage was induced by CCl4 in Sprague-Dawley rats, the levels of serum acute phase proteins were examined using 2-dimensional electrophoresis and lactic dehydrogenase (LDH), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels in blood were also examined at 1, 2, 3 days after the induction to confirm acute hepatitis. (omitted)

• Journal of Yeungnam Medical Science
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• 제24권2호
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• pp.170-178
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• 2007

성인에서 항체 보유율이 급감하는 것에 비례하여 급성 A형 간염 환자는 증가하고 있다. 대구지역에서의 급성 A형 간염의 역학과 임상 양상에 관한 자료를 얻고자 하였다. 1998년 1월부터 2007년 6월까지 영남대학교병원에 급성 간염으로 입원하여 IgM anti-HAV 양성으로 급성 A형 간염이 확진된 55명의 환자들(남/녀 34/21)의 의무기록을 후향적으로 검토하였다. 평균 연령은 $29.7{\pm}10.3$세(범위 17~65세)였고, 20대와 30대에 78.2%가 발생하였다. 만성 B형 간염이 4명 (7.3%)에서 동반되어 있었으나, 모두 비증식상태로 임상경과는 양호하였다. 1998년부터 2002년 사이에 9.1%가 발생한 데 반해 2003년부터 2007년 6월까지 90.1%가 발생하였고, 계절적으로는 3~6월 사이에 31명 (56.1%)으로 가장 많이 발생하였다. 여행력이 있는 7명(12.7%)을 제외하고는 감염원을 추정하기가 힘들었다. 임상증상은 식욕부진과 오심, 구토38예(69.1%), 열/오한 27명(49.1%), 전신근육통 26명(47.3%), 체중감소 26명(47.3%), 피로감 22명(40.0%), 복통이 20예(36.4%), 설사 5명(9.1%), 소양감 3명(5.5%) 등이었다. 54명은 합병증 없이 자연회복되었으나 1명은 전격성 간염이 발생하여 간이식을 받고 회복되었다. 평균 재원일은 $8.6{\pm}3.4$일(범위 3~20일)이었다. 성인에서의 급성 A형 간염은 입원으로 인한 사회, 경제적 비용이 적지 않고 때로는 치명적인 결과를 초래할 수도 있으므로 능동면역을 받지 않은 30대 이전의 젊은 연령에서는 항체의 확인과 함께 능동면역을 고려해야 할 것으로 생각한다.