A case of stent-graft insertion for treatment of localized aortic dissection developed during medical treatment of aortic intramural hematoma / 대한내과학회지

Aortic intramural hematoma, a variant form of classic aortic dissection, has been accepted as an increasingly recognized and potentially fatal entity of acute aortic syndrome. Although favorable clinical course and resorption of hematoma has been reported with medical treatment, it can progress to development of typical aortic dissection in a localized aortic segment. The standard treatment option for this lesion has not been established. We report a case of a 50 year-old male who developed localized aortic dissection during medical treatment for distal aortic intramural hematoma and was successfully treated with a stent-graft.

Two different cases of episodic angioedema with eosinophilia / 대한내과학회지

Episodic angioedema with eosinophilia (Gleich's syndrome) is characterized by recurrent angioedema, fever, weight gain and peripneral eosinophilia. The symptoms and clinical course differ markedly from the idiopathic hypereosinophilic syndrome, including an absence of end organ involvement and a better prognosis. A transient variant, mainly reported in Japan, which is limited to a single attack, is usually less severe than the episodic type. Here we describe two young patients, one of those is the episodic type and the other is the transient type. We suggest that episodic angioedema with eosinophilia is not rare, and should be widely recognized as a new clinical entity for accurate and prompt diagnosis. Awareness and distinction from the hypereosinophilic syndrome is important because of the favorable prognosis and rapid response to corticosteroid therapy.