https://kumel.medlib.dsmc.or.kr/handle/2015.oak/3721 2026-04-04T17:36:56Z 2026-04-04T17:36:56Z 박혜진 https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15715 2023-01-26T18:11:59Z 2015-12-31T15:00:00Z

Title: 학생과 상호작용하기 - 질문법 Author(s): 박혜진

2015-12-31T15:00:00Z 정진웅 권준일 김성애 류영욱 https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15714 2023-01-26T18:11:58Z 2015-12-31T15:00:00Z

Title: 항암치료 후 면역억제자에서 심한 임상 경과를 보인 수두 1례 Author(s): 정진웅; 권준일; 김성애; 류영욱 Abstract: Chicken pox is highly contagious and occurs most often in childhood. In normal children, systemic symptoms are usually mild and serious complications are rare. But in adults, especially in immunocompromised patients, it is more likely to be associated with life-threatening complications such as pneumonia, encephalitis and sepsis. A 38-year-old woman was admitted due to headache, fever and multiple umbilicated vesicles on face, trunk and both extremities for 3 days. She underwent chemotherapy for the breast cancer 20 days prior to admission. Based on typical clinical presentation and skin biopsy, she was diagnosed with chicken pox. Despite 5 days of intensive intravenous antiviral therapy (Acyclovirⓡ 30 mg/kg/day), fever and headache continued and epigastric pain occurred. Finally, the patient was recovered from varicella after additional 7 days of antiviral therapy. Generally, old age or immunocompromised hosts have declined cellular immunity, so the incidence of chicken pox is higher and the clinical course is more severe. Herein, we report a case of chicken pox in the patient who underwent chemotherapy for breast cancer, requiring intensive treatment and close observation for systemic symptoms.

2015-12-31T15:00:00Z 변혜진 신택준 정원호 하지용 박철희 김천일 https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15713 2023-01-26T18:11:58Z 2015-12-31T15:00:00Z

Title: 거대 양성 전립선비대증 1례 Author(s): 변혜진; 신택준; 정원호; 하지용; 박철희; 김천일 Abstract: Benign prostatic hyperplasia (BPH) is one of the most common diseases in older men and it may be accompanied with significant problems in the quality of life. Histological changes of BPH is starting at the age of 35, and there is induced in 60% of 60-year-old men, 80% of 80-year-old men, in 50% of the patient group may lead to lower urinary tract symptoms (LUTS). A 74-year-old man with huge BPH visited outpatient clinic with severe LUTS of an year duration. He was diagnosed with BPH 11 years ago and underwent transurethral resection of prostate twice. However, the prostate grew up to remarkable size again, which lead to the bladder outlet obstruction (BOO) and renal failure. There is no report for huge BPH (above 300 g) in Korea, we report a case with huge prostate size that is measured 330 g and treated with suprapubic open prostatectomy.

2015-12-31T15:00:00Z 이지민 이소연 박명순 이예연 김지민 김상현 손창남 https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15712 2023-01-26T18:11:58Z 2015-12-31T15:00:00Z

Title: 인격변화 및 인지장애로 발현된 재발성 다발연골염 1례 Author(s): 이지민; 이소연; 박명순; 이예연; 김지민; 김상현; 손창남 Abstract: Relapsing polychondritis is a rare, multisystem autoimmune disease. It is characterized by recurrent inflammation of the cartilage and connective tissues in the body. In this paper, we described a case of relapsing polychondritis initially presented symptoms of cognitive dysfunction and personality changes. A 63-year-old male reprented fever, cognitive impairment and personality changes. Brain magnetic resonance imaging revealed leptomeningeal and periauricular hyperintensities. A cerebrospinal fluid examination showed aseptic meningitis. As he reprented hearing difficulties, audiometry showed the sensory neural hearing loss. On physical examination, erythematous swollen auricles were noted. Auricle biopsy consisted with inflammation with perichondritis. He was diagnosed with relapsing polychondritis accompanied by leptomeningeal meningitis, and treated with methylprednisolone (62.5 mg/day for 3 days) followed by prednisolone 60 mg/day and methotrexate 7.5 mg/week. Fever and painful swellings on the both ears subsided. He showed improvement in cognitive function and personality. Although relapsing polychondritis is rare, it should be considered to be a possible cause of leptomeningeal meningitis.

2015-12-31T15:00:00Z