• Title/Summary/Keyword: internal medicine

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Retroperitoneal Hemorrhage after Thrombolysis in ST Elevation Myocardial Infarction (ST분절 상승 심근경색증에서 혈전용해술 후 발생한 후복강 출혈 1예)

  • Moon, Min Young;Lee, Jong Young;Won, Sung Hyun;Kim, Jeong Seok;Nam, Kwang Woo;Kim, Chang Lae;Lee, Jin Seo;Ji, Won Jun
    • Journal of Yeungnam Medical Science
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    • v.29 no.2
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    • pp.125-128
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    • 2012
  • Bleeding is the most common and serious complication of thrombolysis in ST elevation myocardial infarction. Most bleeding cases are associated with an intervention or operation, but spontaneous bleeding such as gastro-intestinal bleeding or intracranial hemorrhage can happen. This is a report on the case of a 76-year-old female patient with retroperitoneal hemorrhage due to spontaneous right colic artery branch bleeding after thrombolysis in ST elevation myocardial infarction.

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A Case Report on a Patient with Guillain-Barre Syndrome Complaining of Quadriplegia and Paresthesia, Which Improved after Korean Medicine Treatment (사지마비와 저림을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례)

  • Lee, Hyun-seung;Kim, Du-ri;Shim, Sang-song;Baek, Dong-gi;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1210-1218
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    • 2019
  • Objective: This study is a report on a case of a Guillain-Barre syndrome patient with quadriplegia and paresthesia, whose condition was improved by Korean medicine treatment. Methods: A 71-year-old woman diagnosed with Guillain-Barre Syndrome was treated by acupuncture, electroacupuncture, Sambi-tang-gami, cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), the Numeric Rating Scale (NRS), the Modified Barthel Index (MBI), and the Functional Independence Measurement (FIM). Result: After treatment, clinical symptoms showed improvement. Conclusion: Korean medicine treatment could be effective in the treatment of Guillain-Barre syndrome patients with quadriplegia and paresthesia.

Primary Malignant Fibrous Histiocytoma of the Chest Wall Misdiagnosed as Traumatic Hemothorax

  • Hwang, Ki-Eun;Hwang, June-Seong;Kim, Kyung-Min;Jung, Jae-Wan;Oh, Su-Jin;Kim, Eun-Kyoung;Ryu, Dae-Woon;Choi, Keum-Ha;Jeong, Eun-Taik;Kim, Hak-Ryul
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.6
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    • pp.289-291
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    • 2014
  • Malignant fibrous histiocytoma (MFH), a type of sarcoma, is a malignant neoplasm with uncertain origins that arise from both the soft tissues and the bone. The occurrence of MFH on the chest wall is extremely rare. We hereby report a case of a 72-year-old woman who was incidentally detected with MFH after a traffic accident.

Osteochondroma of the Rib Mimicking a Mediastinal Mass: Unexpected Menifestation in Hereditary Multiple Exostoses

  • Bae, Sang-Kyun;Kang, Won-Sik;Yoo, Seung-Hoon;Cho, Jeong-Hyeon;Park, Kyung-Won;Lee, Bu-Hyun;Baek, Jung-Hun;Chung, Jae-Ho
    • Journal of Yeungnam Medical Science
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    • v.29 no.1
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    • pp.45-47
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    • 2012
  • Osteochondroma is a common bone tumor but a rare tumor in the rib. It is often asymptomatic and observed incidentally. This is a case report of a 49-year-old woman with an osteochondroma mimicking a mediastinal mass in hereditary multiple exostoses. The chest X-ray and computed tomography (CT) scans revealed the bony density feature of the mass. Surgical excision confirmed that the lesion was an osteochondroma.

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A Case Report on the Effect of a Short-Term Intensive Obesity Treatment on an Obese Patient (비만환자의 단기입원 집중치료 프로그램 효과에 대한 증례보고)

  • Lee, Da-eun;Yoo, Jung-hwa;Kim, Dong-hyeon;Ahn, Se-young;Lee, Byung-cheol;Ahn, Young-min
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.681-688
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    • 2017
  • An obese patient was treated with Korean medicine for a short-term period of seven days while under admission care. In this case report, we report the efficacy of a complex treatment comprising various Korean medicine methods by evaluating the differences in obesity-linked factors. The patient lost weight loss and showed decreases in fat mass and various indexes of obesity. Korean medicine could therefore represent a prompt and effective treatment for obese patients.

A Case of Multicentric Castleman's Disease Presenting with Follicular Bronchiolitis

  • HwangBo, Yup;Cha, Seung-Ick;Lee, Yong Hoon;Lee, So Yeon;Seo, Hyewon;Oh, Serim;Kim, Minjung;Choi, Sun Ha;Park, Tae In;Shin, Kyung-Min
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.1
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    • pp.23-27
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    • 2013
  • Multicentric Castleman's disease (CD) is a rare atypical lymphoproliferative disorder, which is characterized by various systemic manifestations. Some patients with multicentric CD may have concomitant lung parenchymal lesions, for which lymphoid interstitial pneumonia (LIP) is known to be the most common pathologic finding. Follicular bronchiolitis and LIP are considered to be on the same spectrum of the disease. We describe a case of multicentric CD with pulmonary involvement, which was pathologically proven as follicular bronchiolitis.

A Case of Cerebellar Infarction Patient with Ataxia and Vertigo prescribed by Chukdam-tang (운동실조와 현훈을 주소로 한 소뇌경색 환자의 척담탕 치험 1례)

  • Choi, In-Young;Kim, Mi-Kyung;Kim, Bo-Ram;Choi, Dong-Jun;Han, Chang-Ho;Jung, Seung-Hyun;Shin, Gil-Jo;Lee, Won-Chul
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.9 no.1
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    • pp.33-39
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    • 2008
  • Ataxia and vertigo are frequent clinical findings in cerebellar infarction patients. In severe cases, they cannot achieve normal activity in daily life. A 65-year-old man was admitted with ataxia and vertigo diagnosed as acute cerebellar infarction. We prescribed for Chukdam-tang to treat the phlegm disease. After this treatment, ataxia and vertigo improved. We suggest Chukdam-tang is significantly effective on the treatment of cerebellar infarction.

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A Case of Paraneoplastic Limbic Encephalitis Associated with Small Cell Lung Cancer

  • Ryu, Ja Young;Lee, Seung Hyeun;Lee, Eun Joo;Min, Kyung Hoon;Hur, Gyu Young;Lee, Sung Yong;Kim, Je Hyeong;Lee, Sang Yeub;Shin, Chol;Shim, Jae Jeong;In, Kwang Ho;Kang, Kyung Ho;Yoo, Se Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.73 no.5
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    • pp.273-277
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    • 2012
  • Paraneoplastic limbic encephalitis (PLE) is a rare syndrome characterized by memory impairment, affective and behavioral disturbances and seizures. Among many different neoplasms known to cause PLE, small cell lung cancer (SCLC) is the most frequently reported. The pathogenesis is not fully understood but is believed to be autoimmune-related. We experienced a patient with typical clinical features of PLE. A 67-year-old man presented with seizure and disorientation. Brain magnetic resonance imaging demonstrated high signal intensity in the bilateral amygdala and hippocampus in flair and T2-weighted images suggestive of limbic encephalitis. Cerebrospinal fluid tapping revealed no evidence of malignant cells or infection. Positron emission tomography/computed tomography showed a lung mass with pleural effusion and a consequent biopsy confirmed the diagnosis of PLE associated with SCLC. The patient was subsequently treated with chemotherapy and neurologic symptoms gradually improved.

A Case of Atypical Bronchial Carcinoid Treated by Cryotherapy (냉동치료로 치료된 비전형적 기관지 유암종 1예)

  • Kim, Hye-Ok;Kim, Se-Joong;Lee, Seung-Hyeun;Lee, Eun-Joo;Hur, Gyu-Young;Lee, Sung-Yong;Lee, Sang-Yeub;Kim, Je-Hyeong;Shin, Chol;Shim, Jae-Jeong;In, Kwang-Ho;Kang, Kyung-Ho;Yoo, Se-Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.6
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    • pp.521-525
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    • 2011
  • Bronchial carcinoid tumors are relatively uncommon neoplasms that are considered to be malignant tumors of low to intermediate grade. They are classified by pathologic features as typical or atypical carcinoids and have distinctly different prognoses and therapeutic options. Surgery is the treatment of choice in typical and atypical carcinoid tumors but the approach has been changing. Recently, several studies have described experiences using other technologies as adjuncts to bronchoscopic resection, technologies such as laser and cryotherapy with curative intent in endoluminal typical carcinoids. Here we present a case of atypical bronchial carcinoid that was treated with bronchoscopic cryotherapy.

Two Cases of Diagnosis and Removal of Endobronchial Hamartoma by Cryotherapy via Flexible Bronchoscopy

  • Sim, Jae Kyeom;Choi, Jong Hyun;Oh, Jee Youn;Cho, Jae Young;Moon, Eul Sun;Min, Hye Sook;Lee, Byung Hyun;Park, Min Seon;Hur, Gyu Young;Lee, Sung Yong;Shim, Jae Jeong;Kang, Kyung Ho;Min, Kyung Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.3
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    • pp.141-145
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    • 2014
  • Although endobronchial hamartoma is a rare benign tumor, most patients with endobronchial hamartoma have respiratory symptoms such as obstructive pneumonia, hemoptysis, cough, or dyspnea due to bronchial obstruction. It can cause irreversible post-obstructive pulmonary destruction, thus early diagnosis and treatment is very important. Recently, there have been cases of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and electrocautery procedures for bronchoscopic treatment of malignant or benign central airway obstruction with comparable therapeutic efficacy and few complications. Bronchoscopic cryotherapy is a newly developed technique for management of central airway obstruction. Moreover, it provides diagnostic methods with improving diagnostic yield and safety. We report two cases of endobronchial hamartoma, each diagnosed and definitively treated with bronchoscopic techniques. Endobronchial biopsy and removal was successfully performed by cryotherapy via flexible bronchoscopy without notable complications. Follow-up bronchoscopic examinations excluded residual or recurrent disease.