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Case Report
Pancreatic Metastasis and Obstructive Jaundice in Small Cell Lung Carcinoma
In Beom Jeong, Sun Moon Kim, Tae Hee Lee, Euyi Hyeog Im, Kyu Chan Huh, Young Woo Kang, Young Woo Choi
Korean J Intern Med. 2006;21(2):132-135. Published online June 30, 2006
Primary lung cancer frequently metastasizes to distant organs. The pancreas is a relatively infrequent site of metastasis. Furthermore, obstructive jaundice resulting from pancreatic metastasis is extremely rare. This paper examines the case of a 65-year-old woman with small cell lung cancer init..
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Case Report
Longlasting Remission of Primary Hepatic Mucosa-associated Lymphoid Tissue (MALT) Lymphoma Achieved by Radiotherapy Alone
Sang Yun Shin, Jin Seok Kim, Jong Keun Lim, Jee Sook Hahn, Woo Ick Yang, Chang Ok Suh
Korean J Intern Med. 2006;21(2):127-131. Published online June 30, 2006
Primary hepatic lymphoma is a rare disorder representing less than 1% of all extranodal lymphomas. Histological examination of a primary hepatic lymphoma usually reveals a diffuse large B-cell lymphoma; there have been few reports of primary hepatic mucosa-associated lymphoid tissue (MALT) lympho..
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Case Report
A Case of Primary Pancreatic Non-Hodgkin's Lymphoma
Myung-Kwon Lee, Seong-Woo Jeon, Young-Doo Lee, Hyang-Eun Seo, Chang-Min Cho, Sang-Gul Kim, Young-Kook Yoon
Korean J Intern Med. 2006;21(2):123-126. Published online June 30, 2006
Primary pancreatic lymphoma is rare, comprising 0.2~4.9% of all pancreatic malignancies and less than 1% of cases of non-Hodgkin's lymphoma. Many patients are diagnosed with lymphoma after radical resection. We report a rare presentation of diffuse large B cell lymphoma, appearing as a primary tu..
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Case Report
Thrombotic Thrombocytopenic Purpura after Percutaneous Coronary Intervention
Jung-Min Lee, Seung-Ho Hur, Chang-Wook Nam, Seung-Wook Han, Kee-Sik Kim, Yoon-Nyun Kim, Kwon-Bae Kim
Korean J Intern Med. 2006;21(2):120-122. Published online June 30, 2006
Thrombotic thrombocytopenic purpura (TTP) is a rapidly progressive hematological syndrome defined by the pentad of thrombocytopenia, microangiopathic hemolytic anemia, neurologic abnormalities, fever and renal dysfunction. TTP has been associated with major surgical procedures and specific medica..
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Case Report
Concurrence of Sjögren's Syndrome in a Patient with Chlamydia-induced Reactive Arthritis; An Unusual Finding
Hyun Kyu Chang, Ki Tae Bang, Bo Han Lee, Jung Hyuk Kim, Kang Woo Bae, Myong Jin Kim, Seong-Kyu Kim
Korean J Intern Med. 2006;21(2):116-119. Published online June 30, 2006
A 40-year-old Korean man presented with painful swelling and tenderness of both ankle joints as well as the plantar surfaces of both feet, along with inflammatory back pain, and a purulent discharge from the urethral orifice. The patient also complained of sicca-like symptoms including dry eyes a..
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Original Article
Impact of the Metabolic Syndrome and Its Components on Pulse Wave Velocity
Young-Kwon Kim
Korean J Intern Med. 2006;21(2):109-115. Published online June 30, 2006
BackgroundPulse wave velocity (PWV) reflects arterial stiffness and may provide an integrated index of vascular status and cardiovascular disease (CVD) risk. Although the individual components of the metabolic syndrome (MS) are well established cardiovascular risk factors, th..
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Original Article
Efficacy of Irbesartan on Left Ventricular Mass and Arterial Stiffness in Hypertensive Patients
Chang Gyu Park, Jeong Cheon Ahn, Soon Jun Hong, Eung Joo Kim, Seung Jin Lee, Sung Mi Park, Hong Seog Seo, Dong Joo Oh
Korean J Intern Med. 2006;21(2):103-108. Published online June 30, 2006
BackgroundIncreased aortic stiffness measured by pulse wave velocity (PWV) and left ventricular hypertrophy (LVH) are independent risk factors of cardiovascular events in hypertensive patients. We have conducted a prospective study to examine the effects of the angiotensin II..
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Original Article
An Increased Monocyte Count Predicts Coronary Artery Spasm in Patients with Resting Chest Pain and Insignificant Coronary Artery Stenosis
Kyeong Ho Yun, Seok Kyu Oh, Eun Mi Park, Hyun Jung Kim, Sung Hee Shin, Eun Mi Lee, Sang Jae Rhee, Nam Jin Yoo, Nam-Ho Kim, Jin-Won Jeong, Myung Ho Jeong
Korean J Intern Med. 2006;21(2):97-102. Published online June 30, 2006
BackgroundCoronary atherosclerosis with inflammation gives rise to coronary vasospasm in the patients with coronary vasospastic angina. We have postulated that the peripheral leukocyte count and the differential count are associated with vasospastic angina.
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Original Article
The Incidence of Gastro-Esophageal Disease for the Patients with Typical Chest Pain and a Normal Coronary Angiogram
Chang-Wook Nam, Kee-Sik Kim, Young-Soo Lee, Sang-Hoon Lee, Seong-Wook Han, Seung-Ho Hur, Yoon-Nyun Kim, Kwon-Bae Kim, Byoung-Kuk Jang
Korean J Intern Med. 2006;21(2):94-96. Published online June 30, 2006
BackgroundAlthough patients may present with typical chest pain and exhibit ischemic changes on the cardiac stress test, they are frequently found to have a normal coronary angiogram. Thus, we wanted to determine which procedures should be performed in order to make an adequat..
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Original Article
Effect of Fenofibrate in Combination with Urate Lowering Agents in Patients with Gout
You-Hyun Lee, Chan-Hee Lee, Jisoo Lee
Korean J Intern Med. 2006;21(2):89-93. Published online June 30, 2006
BackgroundTo assess the efficacy of fenofibrate treatment in combination with urate lowering agents in patients with gout. MethodsFourteen male patients with chronic tophaceous or recurrent acute attacks of gout were evaluated in an open-label p..
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Case Report
A Case of Pulmonary Cryptococcosis by Capsule-deficient Cryptococcus neoformans
Won Seok Cheon, Kwang-Seok Eom, Byoung Kwan Yoo, Seung Hun Jang, Joon-Woo Bahn, Dong-Gyu Kim, Ki-Suck Jung
Korean J Intern Med. 2006;21(1):83-87. Published online March 30, 2006
Pulmonary infection by capsule-deficient Cryptococcus neoformans (CDCN) is a very rare form of pneumonia and it is seldom seen in the immunocompetent host. The authors experienced a case of pulmonary cryptococcosis by CDCN in 25-year-old woman who was without any significant unde..
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Case Report
Hemobilia from Ruptured Hepatic Artery Aneurysm in Polyarteritis Nodosa
Sung Soon Park, Byeong Uk Kim, Hye Suk Han, Ja Chung Goo, Joung Ho Han, Il Hun Bae, Seon Mee Park
Korean J Intern Med. 2006;21(1):79-82. Published online March 30, 2006
Hemobilia, in patients with the diagnosis of polyarteritis nodosa, is rare at clinical presentation and has a grave prognosis. We describe a case of massive hemobilia, due to aneurysmal rupture, in a patient with polyarteritis nodosa. A 39-year-old man was admitted to the hospital with upper abdo..
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Case Report
A Patient with Primary Squamous Cell Carcinoma of the Thyroid Intermingled with Follicular Thyroid Carcinoma that Remains Alive more than 8 Years after Diagnosis
Tae Sik Jung, Young Lyun Oh, Young-Ki Min, Myung-Shik Lee, Moon-Kyu Lee, Kwang-Won Kim, Jae Hoon Chung
Korean J Intern Med. 2006;21(1):73-78. Published online March 30, 2006
Primary squamous cell carcinoma of the thyroid is an extremely rare tumor with a highly aggressive clinical course. We report here on a patient with primary squamous cell carcinoma of the thyroid who remains alive more than 8 years after diagnosis. A 56-year-old man presented with a hoarse voice ..
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Case Report
Delayed Puberty due to Pituitary Stalk Dysgenesis and Ectopic Neurohypophysis
Hye Jin Yoo, Kyung Mook Choi, Ohk Hyun Ryu, Sang Il Suh, Nan Hee Kim, Sei Hyun Baik, Dong Seop Choi
Korean J Intern Med. 2006;21(1):68-72. Published online March 30, 2006
Hypopituitarism is not a common cause of delayed puberty. A 22 year old man was referred to our clinic because of the absence of the development of secondary sexual characteristics. The patient had no complaints of physical discomfort. Random serum testosterone and luteinizing hormone level were ..
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Case Report
A Case of Gastric Tuberculosis Mimicking Advanced Gastric Cancer
Seong-Eun Kim, Ki-Nam Shim, Su Jin Yoon, Sung-Ae Jung, Tae Hun Kim, Kwon Yoo, Il Hwan Moon
Korean J Intern Med. 2006;21(1):62-67. Published online March 30, 2006
Tuberculosis of the stomach is quite rare, both as a primary or secondary infection. It can present as a facet of a multiorgan disease process or may result from immunodeficiency. Here, we report a rare, interesting case of gastric tuberculosis which morphologically mimicked advanced gastric canc..
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Case Report
Peripheral T-cell Lymphoma-Unspecified (PTCL-U) Presenting with Hypereosinophilic Syndrome and Pleural Effusions
Won Choi, Yeon Hee Park, Kwang Hyun Paik, Yoon Hwan Chang, Seung-Sook Lee, Baek-Yeol Ryoo, Sung Hyun Yang
Korean J Intern Med. 2006;21(1):57-61. Published online March 30, 2006
Hypereosinophilic syndrome (HES) is a clinical disorder characterized by persistent eosinophilia and systemic involvement, in which a specific causative factor for the eosinophilia cannot be verified during a certain period of time. There have been only a few reported cases of this syndrome assoc..
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Case Report
A Case of Behçet's Disease with Pericarditis, Thrombotic Thrombocytopenic Purpura, Deep Vein Thrombosis and Coronary Artery Pseudo Aneurysm
Chang Mo Kwon, Seung Hyun Lee, Jin Ho Kim, Kyu Hyung Lee, Hyun Do Kim, Yeong Hoon Hong, Choong Ki Lee
Korean J Intern Med. 2006;21(1):50-56. Published online March 30, 2006
Behçet's disease with concomitant thrombotic thrombocytopenic purpura (TTP), coronary artery stenosis and coronary artery pseudo aneurysm is rare. Here we report a case of Behçet's disease with several cardiovascular complications, namely: pericarditis, deep vein thrombosis (DVT), TTP, coronary..
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Case Report
Epstein-Barr virus-associated Hodgkin's disease following renal transplantation
Jung-Hye Choi, Myung-Ju Ahn, Young-Ha Oh, Sang-Woong Han, Ho-Jung Kim, Young-Yeul Lee, In-Soon Kim
Korean J Intern Med. 2006;21(1):46-49. Published online March 30, 2006
Post-transplant lymphoproliferative disorders (PTLD) have been recognized as a complication of immunosuppression and occur with a reported incidence of 1 to 8% of recipients receiving solid organ transplantation. PTLD are classified into two major categories, polymorphic and monomorphic PTLD. The..
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Case Report
Unpredicted Severe Toxicity after 5-Fluorouracil Treatment due to Dihydropyrimidine Dehydrogenase Deficiency
Jin Ho Baek, Jong Gwang Kim, Shi Nae Kim, Dong Hwan Kim, Sang Kyun Sohn, Young Jun Hong, Kyu Bo Lee
Korean J Intern Med. 2006;21(1):43-45. Published online March 30, 2006
Dihydropyrimidine dehydrogenase (DPD) is the initial and rate-limiting enzyme in the catabolism of 5-fluorouracil (5-FU). Thus, patients with a DPD deficiency are at risk of developing severe 5-FU-associated toxicity. A 37-year-old female with gastric cancer underwent a curative operation, ..
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Case Report
Acute Respiratory Failure Associated with Cryptococcal Pneumonia and Disseminated Cryptococcosis in an AIDS Patient
Kyoung-Hwan Lee, U-Im Chang, Hyung-Wook Kim, Guilsun Kim, Sung Kyoung Kim, Jinyoung Yoo, Seong-Heon Wie
Korean J Intern Med. 2006;21(1):39-42. Published online March 30, 2006
A 36-year-old homosexual Mexican man was admitted to our hospital, with a 30-day history of fever and headache. Upon cerebrospinal fluid examination, the patient's white blood cell count was 1,580/L, total protein was 26 mg/dL, sugar was 17 mg/dL, and his intracranial pressure was 23 cmH2
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