• 제목/요약/키워드: internal medicine

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자율신경 기능 이상을 동반한 Guillain-Barre 증후군 1례 (Report on the Guillain-Barre Syndrome with Autonomic Dysfunction(1 Case))

  • 김동웅;신선호;조권일;신학수;한명아;최진영;최우정;양재훈;정용준;김관식
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.453-458
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    • 2001
  • Guillain-Barre syndrome, or acute inflammatory demyelinating Polyradiculoneuropathy, is frequently accompanied by cardiac and autonomic dysfunction. We report a patient who had tachycardia, orthostatic hypotension, hypertension, pronounced blood pressure fluctuations, abnormal sweating, constipation and urinary frequency as well as qudriparesis. We thought that the GBS was incurred by Damp-Heat, used Heat-Clearing and Dampness-Transforming decoction(Chongjoo-tang) in the early stage. In the later stage, fortifying the Spleen and Boosting Qi plus Supplementing the Kidney decoction(Palmultang+chongawon) was used to remove low back pain and boost recovery. The patient reached the nadir 14 days after onset. He became bed-bound and autonomic dysfunction was very severe. From 3rd week, abnormalities of autonomic function and paresis impoved gradually and he could walk above 5m without walker or equivalent support at the 5th week after onset.

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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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    • 제78권3호
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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.

섬유근육통으로 의심되는 다발성 통증 및 신체기능장애를 호소하는 환자의 한방치험 1례 (A Case of Traditional Korean Medicine Patients Who Suffer from Multiple Pain and Physical Disorders Suspected of Fibromyalgia)

  • 강아현;정유진;최아련;한동근;서혜진;성재연;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제38권3호
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    • pp.376-382
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    • 2017
  • Objective: The cause of fibromyalgia is not defined precisely. Fibromyalgia has numerous symptoms that tend to vary from person-to-person. Several different treatments have emerged in recent times. This case will report on traditional Korean medicine patients who suffer from multiple pain and physical disorders when fibromyalgia is suspected. Method: During a hospitalization period, a patient was given a combination of traditional Korean medicine therapy (such as herbal medicine and acupuncture) and analgesic drugs. We measured the state and progress of this case using Numeric rating scale and EuroQol-5D. Results: After the treatments, the patient's pain was controlled and the NRS score decreased. The overall symptoms of the patient and the EQ-5D both improved positively. Conclusion: Traditional Korean medicine treatment helps to relieve the symptoms of fibromyalgia.

지주막하 출혈 후 발생한 심부정맥 혈전증 환자에 대한 한양방 병용치료 증례 보고 1례 (A Case Report of a Patient with Subarachnoid Hemorrhage and Deep Vein Thrombosis Treated with a Combination of East-West Medicine)

  • 배고은;최진용;심소현;서희정;서형범;홍진우;이인;김소연;최준용;한창우;윤영주;박성하;권정남
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.165-175
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    • 2018
  • Purpose: To report on a patient with subarachnoid hemorrhage and deep vein thrombosis treated with a combination of Korean and Western medicine. Methods: A patient diagnosed with subarachnoid hemorrhage and deep vein thrombosis was treated with herbal medicine (加減淸熱瀉濕湯 (Gagam-cheongyeolsaseub-tang)), acupuncture (GV2, GB20, LI11, LI4, TE5, GB34, ST36, SP9, ST38, GB39, SP6, LR3), moxibustion (CV6, CV9), and Western medicine for deep vein thrombosis and subarachnoid hemorrhage. To evaluate edema, one of the classic symptoms of deep vein thrombosis, we measured leg circumference at a specified time. Results: After taking Gagam-cheongyeolsaseub-tang and being treated with acupuncture, moxibustion, and Western medicine, the patient showed improvement in leg edema. The left calf circumference decreased from 37.5 cm to 34.5 cm. Conclusions: Korean medicine, acupuncture, moxibustion, and Western medicine may provide effective treatment for deep vein thrombosis in patients with subarachnoid hemorrhage, but further study is needed.

뇌혈관질환 환자에 대한 청심연자탕(淸心連子湯), 도담탕(導痰湯), 혈부축어탕(血府逐瘀湯), 보신익뇌탕(補腎益腦湯)의 간기능과 신기능 안전성 평가 : 후향적 연구 (Hepatic/Renal Safety Evaluation of Cheongsimyeonja-tang (Qīngxīn Liánzǎo Tāng), Dodam-tang (Táodàn Tāng), Hyeolbuchukso-tang (Xuè Fǔ Zhú Yū Tāng), and Boshiniknai-tang (Bǔ Shèn Yì Nǎo Tāng) for Cerebrovascular Diseases : A Retrospective Study)

  • 김민화;조임학;남이랑;김마리아;구기범;이세연;권정남;이인;홍진우;윤영주;김소연;한창우;박소정;최준용;신현규
    • 대한한방내과학회지
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    • 제44권3호
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    • pp.439-454
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    • 2023
  • Objectives: As Korea transitions into an aging society, the incidence of cerebrovascular disease is expected to increase. Herbal medicine is commonly used in Oriental medicine to treat cerebrovascular disease. However, there is insufficient clinical evidence to actively support the safety of herbal medicine in clinical practice. Therefore, the aim of this study was to determine the toxicity and safety of four herbal medicines (Cheongsimyeonja-tang, Dodam-tang, Hyeolbuchukso-tang, and Boshiniknai-tang) in patients with cerebrovascular disease. Methods: This study used electronic medical records to analyze patients admitted to an oriental medicine hospital from April 1, 2017, to December 31, 2020. Liver and renal function values at the time of admission and discharge were compared. Results: A total of 25 patients were included in this study. We found no significant differences in various variables, such as complete blood count, liver-renal function test, and urine, before and after the administration of the four herbal medicines. Additionally, no significant adverse events related to herbal medicine were observed. Conclusions: This study confirmed the safety of the four herbal medicines in patients with cerebrovascular disease who were hospitalized in a single Oriental medicine hospital.

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

  • 박병조;김영기;김한수;김이형;이향이;강홍모;최천웅;유지홍;박명재
    • Tuberculosis and Respiratory Diseases
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    • 제59권3호
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    • pp.311-314
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    • 2005
  • 저자들은 좌상엽 기관지를 막아 종양을 형성하여 폐암으로 오인된 기관지내 아스페르길루스증 1예를 경험하였기에 보고하는 바이다.

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

  • 남승우;문두섭;이동석;김진호;박익수;윤호주;신동호;박성수;이정희
    • Tuberculosis and Respiratory Diseases
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    • 제41권4호
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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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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.

A Case of Pancytopenia with Hyperthyroidism

  • Kim, Tae Hoon;Yoon, Ji Sung;Park, Byung Sam;Lee, Dong Won;Cho, Jae Ho;Moon, Jun Sung;Kim, Eui Hyun;Won, Kyu Chang;Lee, Hyoung Woo
    • Journal of Yeungnam Medical Science
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    • 제30권1호
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    • pp.47-50
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    • 2013
  • There has been an increase in the number of reports of atypical manifestations of Graves' disease (GD), such as jaundice, anemia, thrombocytopenia and leukopenia. Pancytopenia also rarely occurs in GD. In this paper, a case of pancytopenia with GD that was successfully treated with an anti-thyroid drug is reported. In this case, a 69-year-old woman showed pancytopenia with a normal peripheral blood smear, bone marrow aspiration smear and bone marrow biopsy. Her thyroid function test and thyroid scintigraphy confirmed her hyperthyroid status. Her laboratory abnormality and clinical condition improved after she was treated with an anti-thyroid drug. This is a rare case of pancytopenia associated with GD.

Pandemic Influenza (H1N1) and Mycobacterium tuberculosis Co-infection

  • Park, Yehyun;Chin, Bum Sik;Han, Sang Hoon;Yun, Yujung;Kim, Young Ju;Choi, Jun Yong;Kim, Chang Oh;Song, Young Goo;Kim, June Myung
    • Tuberculosis and Respiratory Diseases
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    • 제76권2호
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    • pp.84-87
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    • 2014
  • We hereby observe four co-infection cases of pandemic influenza H1N1 and Mycobacterium tuberculosis with various clinical presentations. It may be prudent to consider M. tuberculosis co-infections when patients with pandemic influenza reveal unusual clinical features that do not improve despite appropriate treatments against the influenza, especially in Korea, in the endemic areas of M. tuberculosis.