1.A Case of Thrombocytopenia and Purpura Induced by Rifamnpin, Pyrazinamide, and Ciprofloxacin.
Hyung Dae SON ; Chang Sun KIM ; Mi Ran PARK ; Ji Yung SEO ; Nam Soo RHEU ; Dong ll CHO
Tuberculosis and Respiratory Diseases 1997;44(4):930-934
Drug-induced thrombocytopenia and purpura have boon developed by many various agents. Rifampin and Pyrazinamide have been known as bactericidal antituberculous drugs, but, the above side effects have been a problem. Especially, hematologic side effects art fatal to patients occasionally. Rifampin-induced thrombocytopenia and purpura have been well known, also, pyrazinamide-induced thrombocytopenia have been reported. A new quilonone agent Ciprofloxacin, has been commonly used in clinics now, but it's side effects are not known well. So, we report a case of a 23-year-old female with thrombocytopenia and purpura after taking Rifampin, Pyrazinamide, and Ciprofloxacin as antituberculous agents.
Ciprofloxacin*
;
Female
;
Humans
;
Purpura*
;
Pyrazinamide*
;
Rifampin
;
Thrombocytopenia*
;
Young Adult
2.Role of Thigh Muscle in the Carotid artery Intima-Media Thickness and Insulin resistance.
ll Jun HWANG ; Kyung Sun PARK ; Yun Tae CHAE ; Kyeh Dong SHI ; Soo Kyung KIM ; Seok Won PARK ; Yu Lee KIM ; Yong Wook CHO ; Young Kil CHOI ; Sang Jong LEE
Journal of Korean Society of Endocrinology 2005;20(5):452-459
BACKGROUND: There have been recent reports that the fat distribution within skeletal muscle and the amount of muscle mass are associated with insulin resistance and the development of type 2 diabetes mellitus (T2DM). This study evaluated the impacts of visceral fat and thigh muscle from patients with T2DM and healthy subjects on atherosclerosis and insulin resistance. METHODS: Forty-two patients with newly-developed T2DM and 11 healthy subjects were selected for the study. The diabetic patients were subdivided into two groups, those under 40 years of age, as the young T2DM (n=21) group, and 40 years-old or greater, as the old T2DM (n=21) group. CT scans were obtained for all patients at the L4-L5 level and at the mid-portion between the greater trochanter and upper margin patella. The carotid intima-media thickness (IMT) was also measured using high resolution B-mode ultrasonography. RESULTS: The mean visceral fat area (VFA) in the old T2DM group was 169.4+/-13.2cm2, which was significantly greater than that found in the healthy subjects (67.9+/-7.92cm2, P<0.001) and young T2DM group (127.1+/-10.4cm2, P<0.05). The mean visceral fat to normal density muscle area ratio (VMNR) in the old T2DM group was 1.50+/-0.19, which was greater than in the healthy subjects (0.46+/-0.52, P<0.001) and young T2DM group (1.01+/-0.10, P<0.05). The total thigh muscle areas in the young and old T2DM groups were smaller than that in the healthy subjects, but without statistical significance. VMNR showed a positive correlation with the IMT and HOMA-IR. However, the total thigh muscle area was negatively correlated with the IMT. The normal density muscle area also showed significant negative correlations with the IMT and HOMA-IR. In a multiple regression analysis, age and VMNR were the most important independent risk factors of an increased carotid IMT. CONCLUSION: This study showed that the role of thigh muscle, as well as that of visceral fat, played a very important role in the occurrence of atherosclerosis. VMNR was found to be an especially important independent factor for an increased carotid IMT.
Adult
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Atherosclerosis
;
Carotid Arteries*
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Carotid Intima-Media Thickness
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Diabetes Mellitus, Type 2
;
Femur
;
Humans
;
Insulin Resistance*
;
Insulin*
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Intra-Abdominal Fat
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Muscle, Skeletal
;
Patella
;
Risk Factors
;
Thigh*
;
Tomography, X-Ray Computed
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Ultrasonography