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1.
The Korean Journal of Helicobacter and Upper Gastrointestinal Research ; : 61-64, 2019.
Article in English | WPRIM | ID: wpr-738992

ABSTRACT

Chest pain in kidney transplant patients is usually caused by cardiac or pulmonary problems. However, it may be rarely caused by opportunistic esophageal infections. A 66-year-old female kidney transplant recipient was admitted because of chest pain. She had been treated with high-dose steroid and immunosuppressants for acute T-cell-mediated rejection. Cardiologic and pulmonary evaluations had normal results. Endoscopic examination revealed three clear ulcerative lesions in the esophagus. Histological and immunohistochemical staining of the endoscopic biopsy specimens revealed coinfection of herpes simplex virus and cytomegalovirus. The patient was treated with intravenous ganciclovir for 2 weeks. Her symptoms completely resolved, and follow-up endoscopy revealed complete healing of the previous ulcers. Viral esophagitis should be considered in the differential diagnosis in kidney transplant recipients presenting with chest pain.


Subject(s)
Aged , Female , Humans , Biopsy , Chest Pain , Coinfection , Cytomegalovirus , Diagnosis, Differential , Endoscopy , Esophagitis , Esophagus , Follow-Up Studies , Ganciclovir , Herpes Simplex , Immunosuppressive Agents , Kidney , Kidney Transplantation , Simplexvirus , Thorax , Transplant Recipients , Ulcer
2.
The Journal of Korean Academy of Prosthodontics ; : 254-262, 2019.
Article in Korean | WPRIM | ID: wpr-761432

ABSTRACT

As implant can be covered by National Health Insurance Service (NHIS), it was increased the interest in the removable partial denture (RPD) with the surveyed fixed prosthesis supported by implant fixture. To achieve predictable result, it needs the prudent implant planning by basic principles of RPD and patient's residual ridge. This 67 years old age male had a few unilateral remaining teeth, and hoped the treatment covered by NHIS. As using CAD software, the position of implant is planned with regarding to occlusal table of provisional denture, basic principles of RPD, and resorbed residual ridge. The definitive prostheses can ensure the stability and retention of removable prosthesis. When planning implant fixed prostheses, the digital technique was utilized to consider basic principle of RPD and resorbed residual ridge. As a result, it provided satisfactory prostheses.


Subject(s)
Humans , Male , Denture, Partial, Removable , Dentures , Hope , National Health Programs , Prostheses and Implants , Tooth
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