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1.
Korean Journal of Medicine ; : 66-69, 2017.
Article in Korean | WPRIM | ID: wpr-155827

ABSTRACT

Takayasu's arteritis (TA) is an inflammatory disease involving large arteries and their branches. The etiology of TA is unknown, but infectious agents and genetic factors play a significant role in its pathogenesis. A relationship between TA and Mycobacterium tuberculosis infection has been suggested, since both diseases have similar chronic inflammatory lesions and the presence of occasional granulomas in arterial walls. Patients with TA have an increased immune response to Mycobacterium tuberculosis antigens, suggesting a role for this organism in the immunopathogenesis of the disease. Herein, we present a case of TA with active pulmonary tuberculosis in a Korean patient. A 21-year-old male presented with hypertension and active pulmonary tuberculosis. TA invading the renal artery was diagnosed while evaluating hypertension. The patient was treated with prednisolone, methotrexate, anti-hypertensive medications, and anti-tuberculosis medications.


Subject(s)
Humans , Male , Young Adult , Arteries , Granuloma , Hypertension , Methotrexate , Mycobacterium tuberculosis , Prednisolone , Renal Artery , Takayasu Arteritis , Tuberculosis , Tuberculosis, Pulmonary
2.
The Korean Journal of Gastroenterology ; : 150-152, 2016.
Article in English | WPRIM | ID: wpr-172540

ABSTRACT

Enterolith is a rare complication of Billroth II gastrectomy. Most enterolith cases have been reported in association with diverticula, tuberculosis, and Crohn's disease. We report the case of a huge enterolith that developed in the duodenal stump following common bile duct obstruction and cholangitis, necessitating surgery. The enterolith was clearly visible on the abdominal computed tomography. It was removed through a duodenotomy. The surgery was successful without any significant complications.


Subject(s)
Aged , Female , Humans , Abdomen/diagnostic imaging , Cholestasis/diagnosis , Duodenal Diseases/diagnosis , Gallstones/complications , Gastroenterostomy , Tomography, X-Ray Computed
3.
Korean Journal of Medicine ; : 68-71, 2016.
Article in Korean | WPRIM | ID: wpr-149385

ABSTRACT

Most patients with recurrent uterine cervical cancer have intra-pelvis metastasis with adjacent lymph node involvement, while a lone, distant metastasis is extremely rare. We report a 79-year-old woman with recurrent uterine cervical cancer that presented as thyroid mass with no intra-pelvic recurrence. Four years earlier, the patient had been diagnosed with uterine cervical cancer. She had undergone a course of concurrent chemoradiotherapy to the pelvis and had no subsequent evidence of recurrence. Several weeks before presenting, she had noticed a foreign body sensation in her throat and a palpable mass in the left side of her neck. Clinically, this was metastatic squamous cell carcinoma from the uterine cervix. Patients who present with swelling or palpable nodules in the neck with a previously diagnosed malignancy must be evaluated for metastatic disease, although metastasis from uterine cervical carcinoma to the thyroid gland is rare.


Subject(s)
Aged , Female , Humans , Carcinoma, Squamous Cell , Cervix Uteri , Chemoradiotherapy , Foreign Bodies , Lymph Nodes , Neck , Neoplasm Metastasis , Pelvis , Pharynx , Recurrence , Sensation , Thyroid Gland , Thyroid Neoplasms , Uterine Cervical Neoplasms
4.
The Korean Journal of Gastroenterology ; : 216-219, 2016.
Article in Korean | WPRIM | ID: wpr-22662

ABSTRACT

Entecavir (Baraclude®) is an oral antiviral drug used for the treatment of HBV. Entecavir is a reverse transcriptase inhibitor which prevents the HBV from multiplying. Most common adverse reactions caused by entecavir are headache, fatigue, dizziness, and nausea. Until now, there has been no report of peripheral neuropathy as a side effect associated with entecavir treatment. Herein, we report a case of peripheral neuropathy which probably occurred after treatment with entecavir in a hepatitis B patient. The possibility of the occurrence of this side effect should be carefully taken into consideration when a patient takes a high dose of entecavir for a long period of time or has risk factors for neuropathy at the time of initiating entecavir therapy.


Subject(s)
Humans , Male , Middle Aged , Administration, Oral , Antiviral Agents/adverse effects , Brain/diagnostic imaging , Drug Therapy, Combination , Duloxetine Hydrochloride/therapeutic use , Glucocorticoids/therapeutic use , Guanine/adverse effects , Hepatitis B, Chronic/drug therapy , Polyneuropathies/diagnosis , Prednisolone/therapeutic use , Pregabalin/therapeutic use , Tomography, X-Ray Computed
5.
Tuberculosis and Respiratory Diseases ; : 390-395, 2015.
Article in English | WPRIM | ID: wpr-20101

ABSTRACT

Primary anaplastic large cell lymphoma (ALCL) of the lung is highly aggressive and quite rare. We report here a case of anaplastic lymphoma kinase-positive endobronchial ALCL, that was initially thought to be primary lung cancer. A 68-year-old woman presented with hemoptysis, dyspnea, and upper respiratory symptoms persisting since 1 month. The hemoptysis and and bronchial obstruction lead to respiratory failure, prompting emergency radiotherapy and steroid treatment based on the probable diagnosis of lung cancer, although a biopsy did not confirm malignancy. Following treatment, her symptoms resolved completely. Chest computed tomography scan performed 8 months later showed increased and enlarged intra-abdominal lymph nodes, suggesting lymphoma. At that time, a lymph node biopsy was recommended, but the patient refused and was lost to follow up. Sixteen months later, the patient revisited the emergency department, complaining of persistent abdominal pain since several months. A laparoscopic intra-abdominal lymph node biopsy confirmed a diagnosis of ALCL.


Subject(s)
Aged , Female , Humans , Abdominal Pain , Biopsy , Diagnosis , Dyspnea , Emergencies , Emergency Service, Hospital , Hemoptysis , Lost to Follow-Up , Lung , Lung Neoplasms , Lymph Nodes , Lymphoma , Lymphoma, Large-Cell, Anaplastic , Radiotherapy , Respiratory Insufficiency , Thorax
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