• 제목/요약/키워드: internal medicine

검색결과 15,436건 처리시간 0.043초

Single Nodular Pulmonary Amyloidosis: Case Report

  • Lee, Seung Hyun;Ko, Young Chun;Jeong, Jong Pil;Park, Chan Woo;Seo, Seok Ho;Kim, Jong Taek;Park, Dae Won;Bak, Cheol Min;Moon, Seung Ki;Jo, Shin Hyoung;Kim, Se Mi;Jung, Ah Lon
    • Tuberculosis and Respiratory Diseases
    • /
    • 제78권4호
    • /
    • pp.385-389
    • /
    • 2015
  • Amyloidosis is defined as the presence of extra-cellular deposits of an insoluble fibrillar protein, amyloid. The pulmonary involvement of amyloidosis is usually classified as tracheobronchial, parenchymal nodular, or diffuse alveolar septal. A single nodular lesion can mimic various conditions, including malignancy, pulmonary tuberculosis, and fungal infection. To date, only one case of nodular pulmonary amyloidosis has been reported in Korea, a case involving multiple nodular lesions. Here, we report and discuss the case of a patient having single nodular amyloidosis.

보중익기탕(補中益氣湯) 복용 후 재발생한 미만성 간질성 폐렴 1예 (A Case of Recurrent Pneumonitis Caused by Bojungikgitang (Bu-Zhong-Yi-Qi-Tang))

  • 김승구;강건희;김준재;박현;백나나;최상봉;신은아;김정숙;박이내;정훈;허진원;이성순;이현경;김주인;이영민;이혁표;염호기;최수전
    • Tuberculosis and Respiratory Diseases
    • /
    • 제65권5호
    • /
    • pp.416-420
    • /
    • 2008
  • 한약은 폐 질환을 일으키는 드문 원인이나 현재 동, 서양을 막론하고 한약의 사용 증가를 고려하면 향후 더 많은 경우에서 본 사례와 같은 한약 유발성 폐 질환을 경험할 것으로 생각된다. 보중익기탕으로 인한 간질성 폐렴은 국내에서 아직 보고된 바가 없고 이런 경우에서 가능성을 의심하고 초기에 진단하여 더 이상의 복용을 회피하고 적절하게 치료한다면 좋은 예후를 보일 것으로 예상된다. 이에 문헌 고찰과 함께 본 증례를 보고하는 바이다.

만성폐쇄성폐질환 환자에서 Tiotropium 1일 1회, 1회 18㎍ 요법과 Ipratropium 1일 4회, 1회 40㎍ 요법의 치료효과 및 안전성 비교 (A Comparison of Tiotropium 18㎍, Once Daily and Ipratropium 40㎍, 4 Times Daily in a Double-Blind, Double-Dummy, Efficacy and Safety Study in Adults with Chronic Obstructive Pulmonary Disease)

  • 김승준;김명숙;이상학;김영균;문화식;박성학;이상엽;인광호;이창률;김영삼;김형중;안철민;김성규;김경록;차승익;정태훈;김미옥;박성수;최천웅;유지홍;강홍모;고원중;함형석;강은혜;권오정;이양덕;이흥범;이용철;이양근;신원혁;권성연;김우진;이철규;김영환;심영수;한성구;박혜경;김윤성;이민기;박순규;김미혜;리원연;용석중;신계철;최병휘;오연목;임채만;이상도;김우성;김동준;정성수;김주옥;고영춘
    • Tuberculosis and Respiratory Diseases
    • /
    • 제58권5호
    • /
    • pp.498-506
    • /
    • 2005
  • 연구배경 : 본 연구는 COPD환자를 대상으로 기관지확장제인 tiotropium 1일 1회, 1회 1캅셀 $18{\mu}g$과 ipratropium 1일 4회, 1회 2퍼프(퍼프당 $20{\mu}g$)의 유효성 및 안전성을 비교 평가하고자 하였다. 방 법 : 초기 선별방문 후, 환자는 2주간의 관찰기간에 들어갔으며, 이 기간을 마친 환자는 이중맹검, 무작위배정 하에 위약과 함께 1일 1회 tiotropium 또는 1일 4회 ipratropium을 투여 받았다. 유효성평가는 폐기능검사, 일중 PEFR측정, 환자평가 설문조사, 보조치료약물(살부타몰) 사용량으로 하였다. 폐기능검사는 치료시작 시(0일), 치료 14일후와 치료종료 시(28일)에 하였는데, 이때 투약 5분 전, 투약 후 30분, 60분, 120분 및 180분에 시행하였다. 결 과 : 16개 기관에서 134명의 환자가 분석되었다. 환자의 평균 (표준편차) 나이는 66 (7)세이었고 $FEV_1$은 예측치의 42 (12)%였다. 4주 치료 후 trough $FEV_1$ 반응은 ipratropium군에 비해 tiotropium군에서 유의하게 높았으며 PEFR경우에도 4주 동안 지속적으로 아침 흡입 전 측정한 PEFR이 tiotropium군에서 높게 나타났다(차이: 12.52-13.88 l/min). 4주 치료 기간동안 tiotropium은 좋은 내약성과 함께, ipratropium과 유사한 안전성을 나타냈다. 결 론 : 1일 1회 흡입용 항콜린제제인 tiotropium이 1일 4회 흡입용제제인 ipratropium에 비해 COPD환자를 치료하는데 더 우수한 기관지확장 반응을 보여주었고 안전성에서는 유사하였다.

한국에서의 미만성 침윤성 폐질환의 원인별 분포 (The Etiology of the Diffuse Infiltrative Disease of the Lung in Korea)

  • 김준희;최수전;김동순;유지홍;강흥모;유세화;조동일;김재원;한성구;김건열;김영순;박춘식;김우성;김원동;장준;이원영;최병휘;허성호;신동호;이정희
    • Tuberculosis and Respiratory Diseases
    • /
    • 제38권1호
    • /
    • pp.1-7
    • /
    • 1991
  • To study the frequency of the underlying disease of the diffuse pulmonary infiltrates in korea, we ansalyzed retrospectively 982 patients who were seen at nine university hospitals and one general hospital in Seoul area. The results are folloing: 1) Among the total 982 patients, 490 patients were male and 492 patients were female. The mean age was 44.3 years. 2) The most common etiology was milliary tuberculosis (38%), which was followed by, idopathic pulmonary fibrosis (27%), pulmonary fibrosis associated with collagen-vascular disease (15%), and diffuse pulmonary infiltrates by malignancy (10%). 3) Amon the connective tissue disease which was accompanied by the interstitial lung disease, rheumatoid arthritis was the most common disease (43%), systemic lupus erythematosus was the 2nd (28%), and progressive systemic sclerosis was the 3re (16%). 4) Among 101 cases of malignant disease, lung was the most frequent primary site (31%), which was followed by stomach (28%), thyroid (16%), and breast (6%). 5) For the diagnosis of the underlying disease of pulmonary infiltrates, the transbronchial lung biopsy was performed in 21% of the patients and open lung biopsy was done in 7%.

  • PDF

해마경화증 환자의 어지럼증 치험 1례 (Case report: Dizziness due to Hippocampal Sclerosis)

  • 이강욱;유주영;이혜윤;조현경;유호룡;설인찬;김윤식
    • 대한한방내과학회지
    • /
    • 제38권6호
    • /
    • pp.1049-1059
    • /
    • 2017
  • Objectives: The aim of this study was to evaluate the effect of Korean medicine on a patient with dizziness due to hippocampal sclerosis. Methods: A 51-year-old woman with dizziness, diagnosed with hippocampal sclerosis, was treated with herbal medication, acupuncture, and moxibustion. Her improvement was evaluated by a balance test, NRS, and the percentage of dizziness severity compared to that on her admission day. Results: Improvement in the balance test result and NRS, and a decrease of percentage of dizziness severity, were observed after treatment with Korean medicine. Conclusions: This study suggests that treatment with Korean medicine may be an effective therapy for dizziness due to hippocampal sclerosis.

노인성 어지럼증 환자에 대한 신기환의 증례보고 1례 (1 Cases Study of The Effect of Jaeumgeonbi-tang Gamibang on the functional dizziness)

  • 조창환;김수진;이혜진;신현수;안정조;조현경;김윤식;설인찬;유호룡
    • 혜화의학회지
    • /
    • 제20권1호
    • /
    • pp.65-68
    • /
    • 2011
  • A Case of dizziness treated with Singi-hwan is reported. Singi-hwan is an herbal formula historically used for Jing(精) deficiency in Traditional Korean Medicine and dizziness is a common symptom presented in patients with Jing(精) deficiency. An elderly patient diagnosed with senile dizziness was treated using Singi-hwan for ten consecutive days in Dunsan Oriental Hospital, and has shown positive outcome.

보중익기탕가미방으로 치료한 만성 비세균성전립선염환자의 자각증상 및 백혈구수치변화에 대한 치험 1례 (A Case Report for subject symptom and WBC numerical index change of non-bacterial chronic prostatis disease by Bojungiki-Tang)

  • 조철준;구창모;김진원;이승진;선중기;박양춘;배한호;이정은;한영주;임도희
    • 대한한방내과학회지
    • /
    • 제25권1호
    • /
    • pp.149-157
    • /
    • 2004
  • The chronic non-bacterial prostatis disease is relatively incurable, chronic and recurrent. Due to its prostatis barrier, chronic non-bacterial prostatis disease is difficult to be penetrated with Medicine. Nevertheless, we obtained the desired results using the method of iki action by Bojungiki-tang. The purpose of this study is to evaluate the effect of treatment and change of WBC numerical index using Bojungiki-tang. We investigated one chronic non-bacterial prostatis disease for about one year with NIH chronic prostatis symptom index, expressed prostatic secretion(EPS). After the treatment, symptom index score was decreased from 27 to 1. Also WBC numerical index by EPS test was decreased to zero. These results indicate that oriental medical therapy is effective in treating chronic non-bacterial prostatis disease. Therefore further study of the effect of herb-medicine is necessary.

  • PDF

전신성 석회증을 동반한 부갑상선 암 1예 (A Case of Parathyroid Carcinoma with Systemic Calcification)

  • 김희식;이찬우;남상엽;박진철;윤지성;이재춘;원규장;조인호;김태년;이형우;현명수;이현우
    • Journal of Yeungnam Medical Science
    • /
    • 제14권2호
    • /
    • pp.459-466
    • /
    • 1997
  • 저자들은 원발성 부갑상선 기능 항진증과 함께 전신성 석회증을 동반한 부갑상선암 환자에서 부갑상선암 제거후 골 스캔상 폐와 위장의 전신성 석회화가 사라진 증례를 경험하여 보고하는 바이다.

  • PDF

탄화수소 흡인에 의한 화학성 폐렴 2예 (Two Cases of Chemical Pneumonitis Induced by Hydrocarbon Aspiration)

  • 노동효;김학렬;조경화;김동;신성남;신정현;송정섭;황기은;김소영;김휘정;양세훈;정은택
    • Tuberculosis and Respiratory Diseases
    • /
    • 제67권2호
    • /
    • pp.148-153
    • /
    • 2009
  • Chemical pneumonitis induced by hydrocarbon aspiration is rare in Korea. Kerosene is a petroleum distillate with low viscosity and high volatility. We report two adult cases of chemical pneumonitis caused by the accidental aspiration of kerosene. They were treated successfully with antibiotics and systemic corticosteroids, and recovered without complications.

갑상선기능저하증에 의한 흉막액 1예 (A Case of Pleural Effusion due to Hypothyroidism)

  • 오형중;박선영;변민광;정우영;박무석;문진욱;강신명;한창훈;김영삼;장준;김성규;김세규
    • Tuberculosis and Respiratory Diseases
    • /
    • 제59권3호
    • /
    • pp.321-325
    • /
    • 2005
  • 저자들은 복수나 심낭액, 심부전의 소견 없이 갑상선기능저하증에 의해 발생한 일측성 흉막액을 진단하고, levothyroxine sodium 치료로 호전을 보인 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.