• Title/Summary/Keyword: internal medicine

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MYH9 nephropathy

  • Oh, Taehoon;Seo, Hyun Jung;Lee, Kyu Taek;Kim, Han Jo;Kim, Hwi Jun;Lee, Ji-Hye;Cheong, Hae Il;Lee, Eun Young
    • Kidney Research and Clinical Practice
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    • v.34 no.1
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    • pp.53-56
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    • 2015
  • MYH9-related disorder is an autosomal dominant disease caused by a mutation in the MYH9 gene, which encodes nonmuscle myosin heavy chain IIA (NMMHC-IIA). This disease is characterized by giant platelets, thrombocytopenia, granulocyte inclusion bodies, proteinuria, and high-pitch sensorineural deafness. Nephropathy has been observed in 30% of patients with MYH9-related disorder. The characteristic features are early onset proteinuria and rapidly progressing renal disorder. However, the prognosis of MYH9 nephropathy remains unclear. Herein, we describe a 36-year-old woman who presented with proteinuria and was diagnosed with MYH9 nephropathy via renal biopsy and gene analysis. Her proteinuria improved after administration of an angiotensin II receptor blocker, but was aggravated after changing to a calcium channel blocker.

Synergic Effects of Eunkyo-san and Quinolones on 5 Strains of Aerobic Gram-negative Bacteria (은교산(銀翹散)과 Quinolone계 항생제의 병용(倂用)이 호기성 Gram(-) 세균주(細菌株)에 대한 시험관내(試驗管內) 항균력(抗菌力)에 미치는 영향)

  • Jeon, Kwi-Ok;Seo, Young-Ho;Kwon, Eun-Hee;Cho, Dong-Hee;Park, Mee-Yeon;Choi, Hae-Yun;Kim, Jong-Dae;Song, Kwang-Kyu
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.521-532
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    • 2005
  • Objectives & Methods : In order to evaluate the in vitro synergic effects or Eunkyo-san which is a traditional poly-herbal formula that has been used in the treatment of respiratory diseases in oriental medicine, and quinolone antibiotics, rufloxacin (RUFX) and iprofloxacin(CPFX), experimentation was designed to determine minimal inhibitory concentration(MIC), $MIC_{50}\;and\;MIC_{90}$ of single use of quinolones and concomitant treatment with Eunkyo-san against 5 strains of aerobic gram negative bacteria, Escherichia coli, Klebsiella peumoniae, Hemophilus influenzae, Citrobacter freundii and Pseudomonas aeruginosae. Result : In the case of aerobic gram negative bacteria, the MIC, $MIC_{50}\;and\;MIC_{90}$ against Klebsiella peumoniae and Citrobacter freundii significantly decreased in concomitant-treated groups with Eunkyo-san compared to those of single-treated groups of RUFX and CPFX, respectively. However, no significant changes were demonstrated against Echerichia coli, Hemophilus influenzae and Pseudomonas aeruginosae. Conclusion : According to these results, concomitant use of Eunkyo-san against some strains of aerobic gram-negative bacteria dramatically increases in vitro antibacterial activity of RUFX and CPFX, and the increase and selectivity of antibacterial activities against these strains is attributable to Eunkyo-san, and not RUFX or CPFX activity.

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Case Report of a Patient with Atypical Facial Pain Using Traditional Korean Medical Treatments (비정형안면통을 호소하는 환자에 대한 한방 치험 1례)

  • Choi, A-ryun;Kang, Kyung-rae;Lee, Min-su;Jung, You-jin;Han, Dong-geun;Kang, Ah-hyun;Song, Woo-sub;Lee, Hyung-chul
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.337-344
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    • 2016
  • Objective: This study reports on the efficacy of using traditional Korean medical treatments (herbal medicine, Shinbaro pharmacopuncture, and acupuncture) for atypical facial pain.Method: The patient was treated with herbal medicines (Chungsanggyuntong-tang and Yanghyeolgeopung-tang), acupuncture, and Shinbaro pharmacopuncture. The study was measured via the numerical rating scale (NRS) and the EuroQol five dimensions questionnaire (EQ-5D) to assess the treatments’ effectiveness.Results: After the treatments, the patient’s pain was controlled and the NRS score was decreased. The EQ-5D score also showed improvement.Conclusion: This case shows that traditional Korean medical treatments could be effective in easing the clinical symptoms of atypical facial pain.

Efficacy and safety of intragastric balloon for obesity in Korea

  • Kwang Gyun Lee;Seung-Joo Nam;Hyuk Soon Choi;Hang Lak Lee;Jai Hoon Yoon;Chan Hyuk Park;Kyoung Oh Kim;Do Hoon Kim;Jung-Wook Kim;Won Sohn;Sung Hoon Jung
    • Clinical Endoscopy
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    • v.56 no.3
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    • pp.333-339
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    • 2023
  • Background/Aims: Intragastric balloon (IGB) is the only available endoscopic bariatric and metabolic therapy in Korea. End-ball (Endalis) has the longest history of clinical use among the IGBs available in Korea. However, little clinical data on this system have been reported. In this study, we aimed to evaluate the efficacy and safety of End-ball in Korea. Methods: We performed a retrospective cohort study of patients who underwent IGB insertion (End-ball) from 2013 to 2019. Demographic and anthropometric data were collected. The efficacy and safety of IGB treatment were analyzed. Results: In total, 80 patients were included. Mean age was 33.7 years and 83.8% were female. Initial body mass index was 34.48±4.69 kg/m2. Body mass index reduction was 3.72±2.63 kg/m2 at the time of IGB removal. Percent of total body weight loss (%TBWL) was 10.76%±6.76%. Percentage excess body weight loss was 43.67%±27.59%. Most adverse events were minor, and 71.4% of participants showed nausea, vomiting, or abdominal pain. Conclusions: IGB treatment showed good efficacy and safety profile in Korean patients with obesity. In terms of %TBWL and percentage excess body weight loss, the efficacy was similar to that in the Western population.

Two cases of Patients with Nonspecific Symptoms Diagnosed as Ischemic Heart Disease (비특이적인 증상을 나타내는 허혈성(虛血性) 심질환(心疾患) 진단 2례)

  • Baik, Jong-Woo;Jung, Ki-Yong;Hsia, Yu-Chun;Park, Jong-Hyeong;Jeon, Chan-Yong;Choi, You-Kyung
    • The Journal of Internal Korean Medicine
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    • v.29 no.4
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    • pp.1130-1137
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    • 2008
  • Objectives : Oriental medical doctors usually use the three-finger pulse diagnosis method to observe disease. Since it is difficult to diagnose ischemic heart disease (IHD) objectively by this diagnostic method, we performed the study to diagnose it as soon as possible by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram(ECG). Methods : Patients who had abdominal discomfort were observed by Yuk Bu Jung Wee Jin Mac(六部定位診脈) and we presumed they had heart disease and checked them with electrocardiogram(ECG). Results : We diagnosed it early by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram (ECG). Conclusions : The study suggests that it is easy to diagnose IHD early using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and ECG. More data related to IHD is needed.

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Retrospective Study for Safety of Xie-xia Fa (瀉下法) by Euphorbia kansui Radix: Analysis of Clinical Features, Liver and Kidney Functions (감수(甘遂)를 이용한 사하법(瀉下法)의 안전성에 대한 후향적 연구: 임상반응, 간기능, 신기능을 중심으로 한 평가)

  • Lee, Seung-Wook;Kwon, Oh-Jun;Na, Hyun-Young;Ahn, Young-Min;Lee, Byung-Cheol;Ahn, Se-Young
    • The Journal of Internal Korean Medicine
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    • v.35 no.4
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    • pp.472-482
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    • 2014
  • Objectives: The purpose of this study was to report the safety of diarrhea-inducing treatment (Xie-xia Fa, 瀉下法) by Euphorbia kansui Radix, especially in the respect of clinical features, liver and kidney functions. Methods: Patients who were treated with Euphorbia kansui Radix powder between September 2013 and September 2014 were assessed retrospectively. Results: Less than 6 grams dosage of Euphorbia kansui Radix can induce several mild intestinal reactions but have no harmful effects on liver and kidney functions. Conclusions: Through this study, diarrhea-inducing treatment by less than 6 grams of Euphorbia kansui Radix can considered safe enough to be used in local clinics, but a cautious approach is needed.

Two Cases of Insomnia in Stroke Patiens Treated with Changpoulgeumtang (창포울금탕(菖蒲鬱金湯)으로 호전된 중풍환자 불면증(不眼症) 치험 2례)

  • Oh Yong-Seong;Lim Myung-Hyun;Jang Woo-Seok;Lee So-Yeon;Park Chi-Sang;Park Chang-Gook
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1055-1061
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    • 2003
  • Insomnia is a disorder of initiation and maintenance of sleep that is derived from multiple factors such as psychologic, physiological and environmental problems. A number of stroke patients suffer from insomnia classified as one of the sleep disorders associated with physical illness and on the contrary insomnia may have profound deleterious effects on the natural course of stroke. Sedative-hypnotics including benzodiazepine and non-benzodiazepine have widely been used in chronic insomniacs. However, most hypnotics cause dependence, tolerance, impaired daytime function and rebound insomnia. Therefore, we are looking forward to proposing an effective oriental treatment for insomnia. We report two cases of insomniacs, treated with Changpoulgeumtang. After the treatment, insomnia and other accompanied symptoms were improved.

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