• Title/Summary/Keyword: internal diseases

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A case of Bronchial Web (천식증상을 동반한 기관지 Web 1예)

  • Bae, Si-Hyun;Kim, Chi-Hong;Kim, Young-Kyoon;Kwon, Soon-Seog;Kim, Kwan-Hyoung;Han, Ki-Don;Moon, Hwa-Sik;Song, Jeong-Sup;Park, Sung-Hak
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.2
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    • pp.176-179
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    • 1992
  • Bronchial webs are rare lesions which often go unrecognized. A 36-year-old female was admitted to our hospital for recurrent cough and dyspnea. A diagnosis of bronchial asthma was made and she was treated with conventional therapy. She did not respond to drug therapy. On the physical examination, there was localized wheezing on the left lung field. By the bronchogram, we found a membrane-like structure in the left main bronchus. A bronchoplasty was performed and now the patient leads her normal life without any medications for asthma.

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A Case of Unilateral Hyperlucent Lung by Main Bronchus Obstruction (주가관지 폐쇄에 의한 일측정 방사선 과투과성을 보이는 1예)

  • Cho, Yong-Bum;Park, Kyeong-Soo;Jeon, Jeong-Bae;Ryu, Jeong-Seon;Moon, Tae-Hoon;Cho, Jae-Hwa;Kwag, Seung-Min;Lee, Hong-Ryeol;Cho, Cheol-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.2
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    • pp.268-273
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    • 2000
  • A 32-year-old woman complaining of cough, sputum, and chest discomfort for the past ten days was admitted to the hospital. The radiologic findings were transradiant left lung with reduced number and size of vessels, mediastinal shifting to the right at expiration, matched ventilation-perfusion defect on ventilation-perfusion scan, and diffuse hypoplasia of the left pulmonary artery and i1s branches on the pulmonary angiography. We describe a case of unilateral hyperlucent lung by main bronchus obstruction in a patient who presents a clinical picture suggestive of the Swyer-James syndrome.

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A case of mycoplasma pneumonia which progressed to ARDS (흉부 X-선상 속립성 결핵과 유사한 양상을 보인 Mycoplasma 폐렴에서 ARDS로 진행된 1예)

  • Kim, Eui Sook;Lee, Won Seok;Lee, Kang Ryung;Lee, Jeong Aa;Baek, Young Joo;Lee, Gwang Seob;Sunwoo, Incheol;Kim, Dae Ha;Jang, Jie Jeong
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.4
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    • pp.645-650
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    • 1996
  • Mycoplasma Pneumonia is a main cause of primary atypical pneumonia and may present in a variety of ways. One auther has stated that the infiltrate is of a lobar segmental type, while others have found the infiltrates to be mainly reticular or interstitial. We experienced a case of mycoplasama pneumonia, which progressed to ARDS pattern rapidly an6 recovered completely after ventilator care.

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Necrotizing Pneumonia Complicated by Streptococcus Pyogenes Bacteremia in Patient with COPD (만성 폐쇄성 폐질환 환자에서 Streptococcus Pyogenes 에 의한 균혈증을 동반한 괴사성 폐렴 1예)

  • Jung, In Sung;Bang, Do Seok;Park, Yol;Kim, Jae Su;Lee, Sung Hoon;Yoon, Young Gul;Bag, Beom Cheol;Kang, Ki Man;Na, Dong Jib
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.5
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    • pp.536-541
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    • 2004
  • Streptococcus pyogenes 는 지역 사회 폐렴의 드문 원인균으로 독감, 홍역, 만성 폐쇄성 폐질환등의 합병증으로 대부분 발생하고 진행 경과가 빠르며, 고령 및 패혈증을 동반한 경우 특히 사망률이 높다고 알려져 있다. 저자들은 만성 폐쇄성 폐질환 환자에서 균혈증을 동반한 Streptococcus pyogenes 폐렴 1 예를 보고한다.

Fistula Formation between Right Upper Bronchus and Bronchus Intermedius Caused by Endobronchial Tuberculosis: A Case Report

  • Kim, Mikyoung;Kang, Eun Seok;Park, Jin Yong;Kang, Hwa Rim;Kim, Jee Hyun;Chang, YouJin;Choi, Kang Hyeon;Lee, Ki Man;Kim, Yook;An, Jin Young
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.286-288
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    • 2015
  • Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

A Case of Endobronchial Aspergillosis Completely Obstructing Lobar Bronchus (기관지 폐쇄를 일으켜 폐암으로 오인한 기관지내 아스페르길루스증 1예)

  • Park, Byong Jo;Kim, Young Ki;Kim, Hansoo;Kim, YeeHyung;Lee, Hyang Ie;Kang, Hong Mo;Choi, Cheon Woong;Yoo, Jee Hong;Park, Myong Jae
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.3
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    • pp.311-314
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    • 2005
  • Pulmonary aspergillosis may present with three different features, according to the immune status of the host. These forms are invasive aspergillosis, allergic bronchopulmonary aspergillosis (ABPA) or aspergilloma. Bronchial involvement is an uncommon type of invasive pulmonary aspergillosis. We encountered an unusual case of an endobronchial aspergillosis that completely obstructed the left upper lobe, which was initially thought to be lung cancer. We report this case along with a review of the relevant literature.

A Case of Chemical Pneumonitis Caused by Acetic acid Fume Inhalation (초산(Acetic Acid) 증기 흡입에 의한 화학성 폐렴 1예)

  • Nam, Seung-Ou;Moon, Doo-Seop;Lee, Dong-Suck;Kim, Jin-Ho;Park, Ik-Soo;Yoon, Ho-Joo;Shin, Dong-Ho;Park, Sung-Soo;Lee, Jung-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.4
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    • pp.424-428
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    • 1994
  • Many organic and nonorganic agents can cause chemical pneumonitis. Chemical pneumonitis induced by inhalation of acetic acid is a rare clinical condition. As acetic acid is a water soluble agent, it causes chemical irritation to respiratory tract and causes variable symptoms. We experienced a case of acute lung injury due to inhalation of acetic acid fume. A 56-year-old male patient was admitted due to dyspnea with vomiting for one day. After he inhaled acetic acid fume in occupational situation, he had chest tightness, chilling sense, and productive cough. Our case was good response to oxygen inhalation, antibiotics, and systemic steroids.

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Two Cases of Microscopic Polyangiitis with Honeycomb Lung (봉소상 폐(Honeycomb Lung) 소견을 보인 현미경적 다발성 혈관염 2예)

  • Hahn, Hye-Sook;Hwang, Jun-Kyu;Jung, Hyuk-Sang;Song, Suk-Ho;Joo, Kwon-Wook;Park, Gye-Young;Lee, Jong-Ho;Oh, Young-Ha;Lee, Hyoun-Joo
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.5
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    • pp.550-556
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    • 2002
  • Microscopic polyangiitis is a systemic small-vessel vasculitis that is associated primarily with necrotizing glomerulonephritis and pulmonary capillaritis. A recurrent and diffuse alveolar hemorrhage due to pulmonary capillaritis is the main clinical manifestation of lung involvement. Recently, and interstitial lung disease that mimics idiopathic pulmonary fibrosis was reported to be rarely associated with microscopic polyangiitis. Here we report two patients with microscopic polyangiitis who showed a honeycomb lung at the time of the initial diagnosis with a brief review of relevant literature.

A Case of Diffuse Nodular Pulmonary Ossification (미만성 결절성 폐 골화증(Diffuse Nodular Pulmonary Ossification) 1예)

  • Choi, Seung-Ho;Yoon, Ho-Il;Lee, Sang-Min;HwangBo, Bin;Yoo, Chul-Gyu;Lee, Choon-Taek;Kim, Young-Whan;Han, Sung-Koo;Shim, Young-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.6
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    • pp.856-860
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    • 1999
  • Diffuse pulmonary ossification is rare disease of unknown etiology. Since the first description by Luschka in 1856, about 140 cases have been reported worldwide, but no such case has been reported in Korea yet. We report 40-year-old woman who was diagnosed as diffuse nodular pulmonary ossification on open lung biopsy. She has no respiratory symptoms & physical findings and no previous disease history. She was incidentally found to have multiple pulmonary nodules on roentgenographic examination. Open lung biopsy was done for above lesion and She was proven to have diffuse nodular pulmonary ossification. She was followed by roentgenographic examination and showed no progression.

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A Case of Bronchiectasis with High Serum CA19-9 (혈중 CA19-9이 지속적으로 상승되었던 기관지 확장증 환자 1예)

  • Huh, Jung Hun;Lee, Su Mi;Koo, Tae Hyoung;Shin, Bong Chul;Um, Soo Jung;Yang, Doo Kyung;Lee, Soo-Keol;Son, Choonhee;Rho, Mee Sook;Kim, Ki Nam;Lee, Ki Nam;Choi, Pil Jo
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.5
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    • pp.383-386
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    • 2008
  • An elevated serum CA19-9 level is an indication of pancreatic and biliary tract cancer. However, it has recently become known that nonmalignant gastrointestinal diseases and a variety of nonmalignant respiratory diseases, such as idiopathic interstial pneumonia, collagen vascular disease associated lung diseases, diffuse panbronchiolitis and bronchiectasis, can also show an elevated serum CA19-9 level. We recently encountered a case of bronchiectasis with persistently elevated serum CA19-9, but without any evidence of malignant disease in endoscopic retrograde pancreatocholangiography, abdominal computed tomography, and positron emission tomography. After serial follow-up of 3 years and 10 months, there was still no evidence of cancer. It is believed that the elevated serum CA19-9 level was due to bronchiectasis. An elevated serum CA19-9 level should be interpreted carefully with the patients' clinical condition.