1.Erratum: Challenges and Considerations in Sequence Variant Interpretation for Mendelian Disorders
Young Eun KIM ; Chang Seok KI ; Mi Ae JANG
Annals of Laboratory Medicine 2019;39(6):606-606
This erratum is being published to revise the website address of the Korean Reference Genome Database (KRGDB) and correct two typographical errors in the article.
2.Anesthetic Management of Laparoscopic Adrenalectomy for Pheochromocytoma.
Eun Yong CHUNG ; Ae Ra KIM ; Seok Ho HAN
Korean Journal of Anesthesiology 2000;38(4):758-763
Currently-available imaging techniques provide accurate localization of a tumor in patients with pheochromocytoma. The precision of this information allows the use of a more selective surgical approach to the tumor, such as by laparoscopy. We describe a case of a 54-year-old female who underwent resection of pheochromocytoma by a laparoscopic approach. Two events resulted in significant hemodynamic changes; the creation of the pneumoperitoneum and adrenal gland manupulation. Preoperative preparation with alpha-adrenergic blocking agents and adequate fluid loading before insufflation attenuated intraoperative cardiovascular changes, while titration of sodium nitroprusside and phentolamine allowed easy and quick control of the hemodynamic aberrances related to these processes. As a result, the operation was carried out safely, and the postoperative course was unremarkable.
Adrenal Glands
;
Adrenalectomy*
;
Adrenergic alpha-Antagonists
;
Female
;
Hemodynamics
;
Humans
;
Insufflation
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Laparoscopy
;
Middle Aged
;
Nitroprusside
;
Phentolamine
;
Pheochromocytoma*
;
Pneumoperitoneum
3.A Comparative Study on Cerebral Infarction in Patient with Nonvalvular and Valvular Atrial Fibrillation.
Ae Young LEE ; Eun Seok JEON ; Chong Hun PARK ; Chin Sang CHUNG
Journal of the Korean Neurological Association 1991;9(1):11-17
To compare the features of stroke associated with nonvalvular and valvular atrial fibri!lation, we carried out a retrospective study on cerebral infarcts in 27 patients with nonvalvular atrial fibrillation (AF) and in 33 patients with valvular AF.Iwe analyzed the clinical courses, the underlying heart diseases, and the features of echocardiography and brain cornputed tomograpy, Thefollowing results were obtained; 1) Most strokes in nonvalvular AF occurred after 7th decade and the age of stroke onset in nonvalvular group was younger than that of nonvalvular group(p<.05).; 2) Echocardiographic studiesshowed that the left atriurn of the heart in the nonvalvular AF group was srnaller in size than the valvular group and that the left atrial thrombi were not detectable on conventional echoardiograrn in the nonvalvular irouP.: 3) Both groups showed sirnilar distribution in the sites, number, and nature of the brain lesions.; 4) Stroke recurred with sirnilar frequency in both groups and rnost of them occurred during the first year of the initial stroke.
Atrial Fibrillation*
;
Brain
;
Cerebral Infarction*
;
Echocardiography
;
Heart
;
Heart Diseases
;
Humans
;
Retrospective Studies
;
Stroke
4.Current Management of In-Stent Restenosis
Korean Circulation Journal 2018;48(5):337-349
Despite the advent of the drug-eluting stents (DES) and improved stent design, in-stent restenosis (ISR) remains a challenging problem. The currently available options for treatment of ISR include angioplasty alone, repeat stenting with DES or drug-coated balloons. Several recent studies have compared the available options for treating ISR in an attempt to identify the preferred therapeutic strategy. In this review, we will discuss the currently available therapeutic strategies for the management of patients with ISR and the evidence supporting their use.
Angioplasty
;
Drug-Eluting Stents
;
Humans
;
Stents
5.Current Management of In-Stent Restenosis
Korean Circulation Journal 2018;48(5):337-349
Despite the advent of the drug-eluting stents (DES) and improved stent design, in-stent restenosis (ISR) remains a challenging problem. The currently available options for treatment of ISR include angioplasty alone, repeat stenting with DES or drug-coated balloons. Several recent studies have compared the available options for treating ISR in an attempt to identify the preferred therapeutic strategy. In this review, we will discuss the currently available therapeutic strategies for the management of patients with ISR and the evidence supporting their use.
6.Two Cases of Slipped Capital Femoral Epiphysis in Children Receiving Growth Hormone Therapy.
Hwan Seok LEE ; Eun Ae YANG ; Eun Hui HONG ; Min Hyun CHO ; Cheol Woo KO
Journal of Korean Society of Pediatric Endocrinology 2009;14(2):163-167
Slipped capital femoral epiphysis is a rare hip disorder that mainly occurs in pubertal children. Although the exact cause of this disorder is unknown, it is known to be associated with obesity, trauma, delayed sexual development, delayed bone maturation, chronic renal failure, genetic diseases, endocrine disorders (growth hormone deficiency, hypothyroidism, hypogonadism), growth hormone therapy, and gonadotropin releasing hormone agonist (GnRH agonist) therapy. We report 2 cases of slipped capital femoral epiphysis in adolescent females who were receiving growth hormone therapy. The first case is of a 16 year-old-girl with chronic renal failure and renal osteodystrophy. The second case is of an 11 year-old-girl with idiopathic precocious puberty who had received GnRH agonist and growth hormone therapy. Unilateral or bilateral slipped capital femoral epiphysis developed at 1 year 3 months after treatment in both the cases. The chief complaints were pain in the hip joint and lower extremities. Growth hormone and/or GnRH agonist therapy was stopped, and in situ screw fixations of the involved hip epiphyses were performed.
Adolescent
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Child
;
Endocrine System Diseases
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Epiphyses
;
Female
;
Gonadotropin-Releasing Hormone
;
Growth Hormone
;
Hip
;
Hip Joint
;
Humans
;
Hypothyroidism
;
Kidney Failure, Chronic
;
Lower Extremity
;
Obesity
;
Puberty, Precocious
;
Renal Osteodystrophy
;
Sexual Development
;
Slipped Capital Femoral Epiphyses
8.Clinical Usefulness of Serum Procalcitonin as a Biomarker of Acute Pyelonephritis.
Eun Ae YANG ; Jun Seok PARK ; Min Hyun CHO ; Sang Woo LEE
Korean Journal of Nephrology 2010;29(6):716-724
PURPOSE: The clinical usefulness of serum procalcitonin (PCT) was evaluated for the diagnosis of acute pyelonephritis (APN) in infants with urinary tract infections (UTIs). METHODS: A total of 46 infants (between 1 and 12 months of age) were enrolled in this study. Laboratory studies including the WBC count, erythrocyte sedimentation rate (ESR), serum C-reactive protein (CRP) and PCT were measured before initiation of intravenous antibiotic treatment and a (99m)Tc-DMSA renal scan was performed during treatment. RESULTS: There were no significant differences in the mean age, gender and microorganisms detected between the patients with a lower UTI and those with APN. The duration of fever before and after treatment was significantly longer in the APN group. Except for the WBC count, there was a significantly higher ESR, serum CRP and PCT levels detected in the APN group. Although the serum CRP and PCT showed similar sensitivity and specificity for the diagnosis of APN, simultaneous measurement of the ESR, serum CRP and PCT increased the specificity and accuracy for the diagnosis of APN. Furthermore, only the serum PCT showed a statistically significant difference between the groups with no or only a very mild renal lesion (group 1) and the groups with significant renal lesions (group 2). CONCLUSION: The serum PCT combined with the ESR and serum CRP was a helpful marker for the diagnosis of APN. In addition, the serum PCT could be a useful predictor of the severity of renal parenchymal involvement associated with APN.
C-Reactive Protein
;
Calcitonin
;
Erythrocyte Count
;
Fever
;
Humans
;
Infant
;
Protein Precursors
;
Pyelonephritis
;
Sensitivity and Specificity
;
Urinary Tract Infections
9.Masticator space abscess in a 47-day-old infant.
Eunhee KIM ; Ju Hee JEON ; Yoon Hee SHIM ; Kyu Seok LEE ; So Young KIM ; Eun Ryoung KIM
Korean Journal of Pediatrics 2011;54(8):350-353
A 47-day-old male infant presented with fever, poor oral intake, irritability, and right-sided bluish buccal swelling. Contrast-enhanced computed tomography of the neck showed a round mass lesion of about 2.0x1.5 cm that suggested abscess formation in the right masticator space. Ultrasound-guided extraoral aspiration of the abscess at the right masseter muscle was successful. Staphylococcus aureus was identified in the culture from the aspirated pus and blood. Appropriate antibiotics were given and the patient recovered. The patient underwent follow-up ultrasonography that showed an improved state of the previously observed right masseter muscle swelling at about 1 month after hospital discharge. A masticator space abscess usually originates from an odontogenic infection in adults. We report a case of masticator space abscess in a 47-day-old infant in whom septicemia without odontogenic infection was suspected.
Abscess
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Adult
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Anti-Bacterial Agents
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Bacteremia
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Fever
;
Follow-Up Studies
;
Humans
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Infant
;
Male
;
Masseter Muscle
;
Neck
;
Sepsis
;
Staphylococcus aureus
;
Suppuration
10.Glutathione S-transferase polymorphism of neonatal hyperbilirubinemia in Korean neonates.
Chang Seok KANG ; Seung Su HONG ; Ji Sook KIM ; Eun Ryoung KIM
Korean Journal of Pediatrics 2008;51(3):262-266
PURPOSE: Glutathione S-transferase (GST) is a polymorphic supergene family of detoxification enzymes that are involved in the metabolism of numerous diseases. Several allelic variants of GSTs show impaired enzyme activity and are suspected to increase the susceptibility to diseases. Bilirubin is bound efficiently by GST members. The most commonly expressed gene in the liver is GSTM1, and GSTT1 is expressed predominantly in the liver and kidneys. To ascertain the relationship between GST and neonatal hyperbilirubinemia, the distribution of the polymorphisms of GSTT1 and GSTM1 were investigated in this study. METHODS: Genomic DNA was isolated from 88 patients and 186 healthy controls. The genotypes were analyzed by polymerase chain reaction (PCR). RESULTS: The overall frequency of the GSTM1 null was lower in patients compared to controls (P=0.0187, Odds ratio (OR) =0.52, 95% confidence interval (CI), 0.31-0.88). Also, the GSTT1 null was lower in patients compared to controls (P=0.0014, OR=0.41, 95% CI=0.24-0.70). Moreover, the frequency of the null type of both, in the combination of GSTM1 and GSTT1, was significantly reduced in jaundiced patients (P=0.0008, OR=0.31, 95% CI=0.17-0.61). CONCLUSION: We hypothesized that GSTM1 and GSTT1 might be associated with neonatal hyperbilirubinemia. However, the GSTT1 and GSTM1 null type was reduced in patients. Therefore the null GSTT1, null GSTM1, and null type of both in the combination of GSTM1 and GSTT1 may be not a risk factor of neonatal jaundice.
Bilirubin
;
Chondroitin Sulfates
;
Disaccharides
;
DNA
;
Genotype
;
Glutathione
;
Glutathione Transferase
;
Humans
;
Hyperbilirubinemia, Neonatal
;
Infant, Newborn
;
Jaundice, Neonatal
;
Kidney
;
Liver
;
Odds Ratio
;
Polymerase Chain Reaction
;
Risk Factors