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1.
The Journal of the Korean Rheumatism Association ; : 45-52, 2003.
Article Dans Coréen | WPRIM | ID: wpr-10665

Résumé

OBJECTIVE: To investigate the association between bone mineral density (BMD) and osteoporotic compression fractures in radiographic spinal osteoarthritis (OA) patients. METHODS: Subjects were 382 female patients (ages 45 to 85) from outpatient clinic for osteoporosis and rheumatic diseases. BMD was measured at lumbar spine and hip by dual X-ray absorptiometry (Hologic QDR 2000). The standard anteroposterior and lateral plain radiographs of thoracic and lumbar spine were taken to define spinal OA and vertebral compression fractures. Radiographic spinal OA was defined by grade of disc degeneration and facet joint degeneration. Frequency of vertebral fractures was compared between spinal OA and control patients in relation to their BMD, age, weight, body mass index (BMI) and years post menopause. RESULTS: Higher proportion of fracture cases were observed in spinal OA patients than non-spinal OA patients (34.1%, 44/129 vs. 18.2%, 46/253, p<0.001) despite comparable mean BMD (0.836+/-0.152 vs. 0.834+/-0.185, p=0.89) and older mean age (65.8+/-8.5 vs. 57.8+/-10.3, p<0.001). In subjects of ages from 65 to 74, spinal OA patients showed significantly higher BMD than non-spinal OA patients (0.784+/-0.125 vs. 0.719+/-0.119, p=0.007), but the frequency of fractures seems to be higher than that of non-spinal OA patients (44.9%, 22/50 patients vs. 34%,19/55 patients, p=0.58). When all study subjects were stratified according to their spine BMD (normal, osteopenia, and osteoporosis), significantly higher proportion of vertebral compression fractures was noted in spinal OA than non-spinal OA patients in osteopenia group (38.5% vs. 13.5%, p<0.001). CONCLUSION: Higher BMD does not seem to be translated directly into decreased risk of osteoporotic compression fractures in spinal OA patients. Careful assessment of risk factors for osteoporotic fractures and newer methods for assessing bone strength in this group of patients are needed.


Sujets)
Femelle , Humains , Absorptiométrie photonique , Établissements de soins ambulatoires , Poids , Densité osseuse , Maladies osseuses métaboliques , Fractures par compression , Hanche , Dégénérescence de disque intervertébral , Ostéoarthrite vertébrale , Ostéoporose , Fractures ostéoporotiques , Post-ménopause , Rhumatismes , Facteurs de risque , Rachis , Articulation zygapophysaire
2.
Korean Journal of Gastrointestinal Endoscopy ; : 480-483, 2002.
Article Dans Coréen | WPRIM | ID: wpr-47196

Résumé

Ischemic colitis generally develops in the elderly patients with concomitant cardiovascular condition, diabetes mellitus, and renal insufficiency. This disease predominently occurs in the left colon, particularly splenic flexure and sigmoid colon. The most frequent symptoms include abdominal pain, diarrhea, alteration in bowel functions and hematochezia. Blood loss is usually minimal in most patients. Herein, we report a case of ischemic colitis which developed on ascending colon with massive bleeding. A 48-year-old man was admitted because of massive lower gastrointestinal bleeding for 7 days. He has underwent hemodialysis for thirteen years. Colonoscopy showed a circular ulcer on the ascending colon with partial stenosis and mass-like oozing lesion distal to the stenotic area. We performed right hemi-colectomy. Grossly, colon showed shallow ulceration and congested ileocecal valve coated with hemorrhage. Microscopically, ulcer bed showed thickened and fibrotic submucosa which had nearly obliterated atherosclerotic vessels.


Sujets)
Sujet âgé , Humains , Adulte d'âge moyen , Douleur abdominale , Colite ischémique , Côlon , Côlon ascendant , Côlon sigmoïde , Côlon transverse , Coloscopie , Sténose pathologique , Diabète , Diarrhée , Oestrogènes conjugués (USP) , Hémorragie gastro-intestinale , Hémorragie , Valvule iléocaecale , Dialyse rénale , Insuffisance rénale , Ulcère
3.
Tuberculosis and Respiratory Diseases ; : 453-461, 2001.
Article Dans Coréen | WPRIM | ID: wpr-196388

Résumé

Pulmonary carcinosarcoma(Sarcomatoid carcinoma of the lung) is a rare pulmonary malignancy, which is defined as having an admixtture of both carcinomatous and sarcomatous components. Pulmonary carcinosarcoma occurs most frequentlly in males between 50 and 80 years of age. It predominantly affects the upper lobe and/or the principal bronchi, and is associated with a history of smoking. Here, we report a case of pulmonary carcinosarcoma with a left lobe atelectasis due to an endobronchial mass in a 56-year-old male. After a left pneumonectomy, the pathologic stage was IIb (T3N0M0). Four months later, an abdominal mass was observed and exploratory laparotomy revealed metastases of the pulmonary carcinosarcoma to the pelvic cavity.


Sujets)
Humains , Mâle , Adulte d'âge moyen , Bronches , Carcinosarcome , Laparotomie , Métastase tumorale , Pneumonectomie , Atélectasie pulmonaire , Fumée , Fumer
4.
Korean Circulation Journal ; : 232-232, 2000.
Article Dans Coréen | WPRIM | ID: wpr-94643

Résumé

Primary tumors of the heart are rare, three quarter of the tumors are benign, and nearly half of the benign heart tumors are myxomas. Cardiac myxoma usually originate in the left atrium about 75 percent, however, only 3 to 4 percent of myxoma are detected in the left ventricle. We report on a 32 years old woman with left ventricular myxoma who presented with shortness of breath, chest tightness, and general weakness. Acute pulmonary embolism and left ventricular myxoma were found on a perfusion lung scan and echocadiogram. A mass located on septal wall of left ventricle was excised en bloc. The patient recovered uneventfully and careful follow up has be performed periodically.


Sujets)
Adulte , Femelle , Humains , Dyspnée , Études de suivi , Coeur , Atrium du coeur , Tumeurs du coeur , Ventricules cardiaques , Poumon , Myxome , Perfusion , Embolie pulmonaire , Thorax
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