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Experience of primary intestinal lymphangiectasia in adults: Twelve case series from a tertiary referral hospital

World Journal of Clinical Cases 2024年第4期12卷 746-757页

作者： Ji Eun Na Ji Eun Kim Sujin Park Eun Ran Kim Sung Noh Hong Young-Ho Kim Dong Kyung Chang department of Internal Medicine Inje University Haeundae Paik HospitalBusan 48108South Korea department of Medicine Samsung Medical CenterSeoul 06351South Korea department of Pathology Samsung Medical CenterSeoul 06351South Korea

BACKGROUND While primary intestinal lymphangiectasia(PIL)is considered a rare condition,there have been several reported cases in ***,the absence of clear guidance from diagnosis to treatment and prognosis poses challenges for both physicians and *** To enhance understanding by investigating clinical presentation,diagnosis,treatment,complications,and prognoses in adult PIL *** We enrolled adult patients diagnosed with PIL between March 2016 and September *** primary outcome involved examining the diagnosis and treatment process of these *** secondary outcomes included identifying complications(infections,thromboembolism)and assessing prognoses(frequency of hospitalization and mortality)during the follow-up *** Among the 12 included patients,peripheral edema(100%)and diarrhea(75%)were the main presenting *** tests showed that all the pati-ents exhibited symptoms of hypoalbuminemia and ***,the predominant findings were edema of the small intestine(67%)and ascites(58%).The typical endoscopic finding with a snowflake appearance was observed in 75%of *** the 12 patients,two responded positive-ly to octreotide and sirolimus,and eight who could undergo maintenance therapy discontinued *** due to PIL led to infection in half of the patients,thromboembolism in three patients,and one *** PIL can be diagnosed in adults across various age groups,with different severity and treatment responses among patients,leading to diverse complications and ***,tailored treatments will be *** anticipate that our findings will contribute to the management of PIL,an etiology of protein-losing enteropathy.

关键词： Primary intestinal lymphangiectasia in adults Protein-losing enteropathy Diagnosis Treatment Prognosis

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Optimal sequential therapy using tyrosine kinase inhibitors as the first-line treatment in patients with metastatic renal cell carcinoma: A nationwide multicenter study

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Asian Journal of urology 2024年第3期11卷 450-459页

作者： Jung Ki Jo Seong Il Seo MinYong Kang Jinsoo Chung Cheol Kwak Sung-Hoo Hong Cheryn Song Jae Young Park Chang Wook Jeong Seok Hwan Choi Sung Han Kim Eu Chang Hwang Chan Ho Lee Hakmin Lee department of urology Medical and Digital EngineeringCollege of MedicineHanyang UniversitySeoulRepublic of Korea department of urology Samsung Medical CenterSungkyunkwan University School of MedicineSeoulRepublic of Korea department of urology National Cancer CenterGoyangRepublic of Korea department of urology Seoul National University HospitalSeoulRepublic of Korea department of urology Kangnam St Mary’s HospitalSeoulRepublic of Korea department of urology Asan Medical CenterSeoulRepublic of Korea department of urology Korea University Ansan HospitalAnsanRepublic of Korea department of urology Kyungpook National University HospitalDaeguRepublic of Korea department of urology Chonnam National University Hwasun HospitalHwasunRepublic of Korea department of urology Inje University Busan Paik HospitalBusanRepublic of Korea department of urology Seoul National University Bundang HospitalSeongnamRepublic of Korea

Objective:The purpose of the study was to identify the best sequence of therapy beginning with a tyrosine kinase inhibitor(TKI)as the first-line therapy for patients with metastatic renal cell carcinoma(mRCC)in terms of overall survival(OS),progression-free survival(PFS),and rates of discontinuation and adverse effects during the treatment ***:This is a retrospective,nationwide multicenter study of patients with mRCC after diagnosis at 10 different tertiary medical centers in Korea from January 1992 to December *** focused on patients at either“favorable”or“intermediate”risk according to the International mRCC Database Consortium criteria,and they were followed up(median 335 days).Finally,a total of 1409 patients were selected as the study *** generated a Cox proportional hazard model adjusted for covariates,and the different therapy schemes were statistically tested in terms of OS as well as *** addition,frequencies of discontinuation and adverse events were compared among the therapy ***:Of the primary patterns of treatment sequences(24 sequences),“sunitinib epazopanib”and“sunitinibeeverolimuseimmunotherapy”showed the most beneficial results in both OS and PFS with significantly lower hazards than“sunitinib”,which is the most commonly treated agent in *** that the“TKIeTKI”structure showed relatively higher discontinuation rates with higher adverse effects,the overall beneficial sequence would be“sunitinibeeverolimuseimmunotherapy”.Conclusion:Among several sequential therapy starting with TKIs,“sunitinibeeverolimuse immunotherapy”was found to be the best scheme for mRCC patients with“favorable”or“intermediate”risks.

关键词： Tyrosinekinase inhibitor Metastaticrenalcell carcinoma Overall survival Progression-free survival

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Neuralgic amyotrophy with hourglass-like constrictions:A case report

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World Journal of Clinical Cases 2024年第34期12卷 6728-6735页

作者： Mi-Hyeon Bang Ha-Lim Song Seok Hahn Wanil Kim Hwan-Kwon Do department of Physical Medicine and Rehabilitation Haeundae Paik HospitalInje University College of MedicineBusan 48108South Korea department of Radiology Haeundae Paik HospitalInje University College of MedicineBusan 48108South Korea Division of Biochemistry Department of Convergence Medical ScienceInstitute of Medical ScienceGyeongsang National University College of MedicineJinju 52727South Korea department of Physical Medicine and Rehabilitation Dongnam Institute of Radiological and Medical SciencesBusan 46033South Korea

BACKGROUND Neuralgic amyotrophy(NA)is a rare disease with sudden upper limb pain followed by affected muscle *** most commonly affected area in NA is the upper part of the brachial plexus,and the paraspinal muscles are rarely affected(1.5%),making these cases difficult to distinguish from cervical *** SUMMARY A 76-year-old male presented to the emergency department with left hip pain *** undergoing left femoral neck fracture surgery,he experienced sudden left shoulder pain for 10 days with subsequent left arm *** spine computed tomography revealed mild right asymmetric intervertebral disc bulging with a decreased C5-6disc *** weeks later,an electrodiagnostic study confirmed brachial plexopathy findings involving the cervical *** resonance neurography was performed for a differential *** enhancement was identified at the upper trunk of the brachial plexus,including the C5 nerve root.A suprascapular nerve hourglass-like focal constriction(HLFC)was also identified,confirming *** being diagnosed with NA,the patient received 15 mg prednisolone,twice daily,for 3 *** therapy was initiated,including left arm strengthening exercises and electrical stimulation *** shoulder muscle strength significantly improved one CONCLUSION NA's unique features like HLFC and paraspinal involvement are crucial for accurate diagnosis,avoiding confusion with cervical radiculopathy.

关键词： Neuralgic amyotrophy Cervical radiculopathy Hourglass-like focal constriction Paraspinal muscle Magnetic resonance neurography Case report

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Comparison of contrast sensitivity based on the surgical results for intermittent exotropia

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International Journal of Ophthalmology(English edition) 2019年第11期12卷 1725-1730页

作者： Hae Rang Kim Soo Jung Lee department of Ophthalmology Haeundae Paik Hospital Inje University College of Medicine

AIM: To compare contrast sensitivity(CS) based on the surgical results for intermittent exotropia(IXT) and to examine the relationship between CS and ***: Medical records of the patients who underwent bilateral lateral rectus muscle recession for IXT between 4 and 12 years old were reviewed retrospectively. They were categorized based on the surgical results;successful correction group(n=36) and overcorrection group(esotropia ≥10 PD at 3 mo postoperatively, n=18). Using CGT-2000 test for CS was performed binocularly, and subjective reports of photophobia was investigated preoperatively and at 3 mo postoperatively. Objective photophobia was defined as a significant decrease in CS in the presence of ***: Preoperatively, there was no difference in CS between the groups. Postoperatively, under mesopic conditions, significant improvement of CS was observed at 6.3°, 4°, and 2.5° in the successful correction group and at 6.3° and 4° in the overcorrection group, regardless of glare. Under photopic conditions, at all visual angles except 0.64°, improvement in CS was noted in both groups while CS worsened significantly at 0.64° in the overcorrection group postoperatively. At all visual angles under photopic conditions postoperatively, regardless of glare, CS in the overcorrected group was significantly worse than that in the successful correction group, and CS was significantly decreased by addition of glare in both groups. All patients except one(96.4%) in the successful correction group and 8 patients(61.5%) in overcorrection group showed improvement of photophobia postoperatively, which correlated with CS under photopic conditions(P=0.001, 0.03).CONCLUSION: After surgery for IXT, CS under photopic conditions improve at all visual angles except 0.64°, while CS is significantly worse in the overcorrection group postoperatively at 0.64°. Subjective photophobia havesignificant correlation with CS under photopic conditions, and may be used as an object

关键词： contrast sensitivity intermittent exotropia overcorrection photophobia success

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Coronary-Cameral Fistula appeared after coronary artery intervention

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Journal of Geriatric Cardiology 2019年第3期16卷 307-308页

作者： Yeo-Jeong Song Sang-Hoon Seol Yun-Seok Song Seunghwan Kim Dong-Kie Kim Ki-Hun Kim Doo-Il Kim department of Internal Medicine Inje University College of Medicine Haeundae Paik Hospital

A 63-year-old male with old myocardial infarction was referred to cardiology department with cardiac *** revealed Q wave in the precordial leads demonstrating ischemia of anterior left ventricular *** pulmonary edema was documented on chest *** echocardiography showed severely reduced left ventricular function (EF: 28%) with enlarged left atrium and *** angiography was performed showing a total occlusion of the proximal portion of the left anterior descending artery (LAD)(Figure 1) with chronic total occlusion in the proximal portion of right coronary *** stent 2.75 × 23 mm (Abbott) was implanted in the proximal LAD *** angiography after percutaneous coronary intervention (PCI) revealed no definite coronary fistula (Figure 2).Two weeks later,follow-up coronary angiography demonstrated multiple coronary-left ventricular fistulas (Figure 3) which were absent in the previous angiography.

关键词： Left anterior descending artery Myocardial infarction Percutaneous coronary intervention

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Pacemaker lead induced cardiac perforation presenting with pneumothorax

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Journal of Geriatric Cardiology 2019年第4期16卷 381-383页

作者： Yeo-Jeong Song Sang-Hoon Seol Yun-Seok Song Seunghwan Kim Dong-Kie Kim Ki-Hun Kim Doo-Il Kim department of Internal Medicine Inje University College of Medicine Haeundae Paik Hospital

An 87-year-old male with old myocardial infarction was referred to the hospital due to left femur neck fracture and intermittent dizziness. Significant 2:1 atrioventricular block was demonstrated on initial electrocardiogram (Figure 1). Transthoracic echocardiography showed reduced left ventricular function (LVEF = 47%) with regional wall motion abnormality of right coronary artery (RCA) and left circumflex coronary artery (LCx) artery. Coronary angiography showed patent previous proximal RCA and distal LCx stents. Temporary pacemaker was inserted initially and the patient was planned for permanent pacemaker insertion after the surgery.

关键词： Cardiac perforation Lead Pneumothorax

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Unilateral pleuroparenchymal fibroelastosis as a rare form of idiopathic interstitial pneumonia:A case report

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World Journal of Clinical Cases 2020年第18期8卷 4186-4192页

作者： Jae-Ha Lee Hang-Jea Jang Jin-Han Park Hyun-Kuk Kim Sunggun Lee Ji-Yeon Kim Seong-Ho Kim department of Internal Medicine Haeundae Paik HospitalInje University College of MedicineBusan 48108South Korea department of Pathology Haeundae Paik HospitalInje University College of MedicineBusan 48108South Korea

BACKGROUND Pleuroparenchymal fibroelastosis(PPFE)is a rare idiopathic interstitial pneumonia characterized by predominantly upper lobe involvement with pleural fibrosis and subjacent parenchymal ***,there have been increasing reports of PPFE,and PPFE might coexist with other interstitial lung diseases in the lower lobe and upper ***,cases of unilateral PPFE are *** SUMMARY A 75-year-old Korean male presented to our hospital with chronic dry cough and exertional *** patient’s symptoms started 6 mo previously and had been gradually *** the time of presentation,he felt dyspnea when walking at his own *** findings suggested PPFE,but the lesion was localized in the upper lobe of the right *** multidisciplinary discussion,a transbronchial lung biopsy in the right upper lobe revealed collapsed alveoli with parenchymal fibroelastosis,and elastic van Gieson staining demonstrated septal elastosis with intra-alveolar collagenosis,which met the histopathologic criteria of definite *** multidisciplinary discussion in an experienced interstitial lung disease center,we confirmed the diagnosis of unilateral ***,we confirmed the progression of PPFE on radiologic findings during the followup *** Clinicians should consider PPFE,even in cases with unilateral,predominantly upper lung involvement in interstitial lung disease patients through multidisciplinary discussion.

关键词： Interstitial lung disease Pleuroparenchymal fibroelastosis Progression Unilateral Multidisciplinary discussion Case report

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Exercise improves the effects of testosterone replacement therapy and the durability of response after cessation of treatment： a pilot randomized controlled trial

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Asian Journal of Andrology 2017年第5期19卷 602-607页

作者： Dae-Yeon Cho Jeong Kyun Yeo Seung Ik Cho Jae Eun Jung Sang Jin Yang Doo Hwan Kong Jeong Ku Ha Jin Goo Kim Min Gu Park inje university Sanggye Paik Hospital Department of Urology Seoul Korea inje university Seoul Paik Hospital Department of Urology Seoul Korea KonKuk university Medical Center Department of Orthopedics Seoul Korea inje university Seoul Paik Hospital Department of Orthopedics Sports Medical Center Seoul Korea

The effects of the combination of exercise and TRT on symptoms of late-onset hypogonadism （LOH） and the durability of response after cessation of TRT were investigated. A total of fifty patients with erectile dysfunction （ED） who had a sedentary lifestyle and low serum total testosterone （T） levels were enrolled and followed for 20 weeks. Patients were randomly divided into two groups; all of them received T gel for 12 weeks and it was discontinued for 8 weeks. Patients assigned to Group II were offered a supervised exercise program for 20 weeks. Measurement of serological testing was performed and self-assessment questionnaires and Global Assessment Question （GAQ） were asked. Baseline characteristics and the initial symptom scores showed no significant difference between the two groups. Serum total T levels and the symptom scores were increased at 12 weeks in both groups, and Group II showed better results with statistical significance. There was a decrease in T levels and worsening of symptom scores at week 20 compared to week 12 in both groups, and Group II showed better results with statistical significance. On the GAQ, Group II showed higher ratio of ＂yes＂ at week 12 and the same tendency was sustained at week 20 with significant difference between two groups. The combination of exercise and TRT showed significant improvements in serum T levels and LOH symptoms compared to TRT alone. In addition, these improvements were maintained in the combination group with continuous exercise, even after cessation of TRT.

关键词： erectile dysfunction exercise hypogonadism testosterone

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Polymorphic ventricular tachycardia during phase Ⅱ cardiac rehabilitation in a patient with heart failure: a case report

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Journal of Geriatric Cardiology 2020年第1期17卷 64-66页

作者： Hee-Eun Choi Chul Kim Se-Heum Park Doo-Il Kim Ki-Hun Kim Dong-Kie Kim Seunghwan Kim Jino Park department of Rehabilitation Medicine Inje University College of MedicineHaeundae Paik HospitalBusanSouth Korea department of Rehabilitation Medicine Inje University College of MedicineSanggye Paik HospitalSeoulSouth Korea department of Internal Medicine Inje University College of MedicineHaeundae Paik HospitalBusanSouth Korea

A 67-year-old man with a history of a prior cardiac arrest with ventricular fibrillation(VF)due to myocardial infarction underwent phase I(inpatient)and II(outpatient)cardiac rehabilitation(CR)exercise *** the 33th CR session,15 min after the start of exercise training,the patient had syncope with evidence of a polymorphic and wide QRS complex tachycardia on electrocardiogram(ECG)*** initiation of a polymorphic ventricular tachycardia was evidenced by the coupled premature ventricular complex observed in the ECG monitoring screen(Figure 1).

关键词： Cardiac rehabilitation Heart failure Ventricular tachycardia

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Thyrotoxicosis induced cardiogenic shock rescued by extracorporeal membrane oxygenation

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Journal of Geriatric Cardiology 2018年第2期15卷 203-204页

作者： Seunghwan Kim Sang-Hoon Seol Yun-Seok Kim Dong-Kie Kim Ki-Hun Kim Doo-Il Kim department of Internal Medicine INJE University College of Medicine Haeundae Paik hospital Busan South Korea

Cardiomyopahty is one of complications of thyrotoxicosis. About 6% of thyrotoxic patients develop heart failure, but less than 1% of the patients progress dilated cardiomyopathy with systolic left ventricular dysthnct... 详细信息

关键词： Cardiogenic shock Extracorporeal membrane oxygenation Thyrotoxic cardiomyopathy

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