1.Evaluation of Functional Renal Volume with 99mTc-DMSA SPECT in Patients with Diabetes Mellitus.
Hyung In YANG ; Tae Won LEE ; Tae Hyung KIM ; Deog Yoon KIM ; Seong Pyo HONG ; Chun Gyoo IHM ; Myung Jae KIM
Korean Journal of Nephrology 1999;18(3):422-427
About 40% of patients with diabetes mellitus develops to diabetic nephropathy, and these patients show increment of glomerular filtration rate and renal volume at early phase. 99mTc-DMSA SPECT (single photon emission computed tomography) can measure a functional renal volume because 99mTc- DMSA it is taken up by the viable proximal tubular cells located in the renal cortex. To evaluate the renal volume in early diabetic nephropathy, we compared functional renal volume between diabetic patients and control, renal transplantation donor. 99mTc-DMSA was injected intravenously and SPECT was done after 2 hours in 15 diabetic patients, 18 renal transplantation donors, and 2 patients with end stage renal disease due to chronic glomerulonephritis. In diabetic patients with creatinine clearance more than 30ml/min and proteinuria, right and left renal volume were 247+/-22ml/BSA(m2), 256+/-37ml/BSA (m2), which were greater than those of diabetic patients with normal renal function and without proteinuria, or renal transplantation donors(P<0.05). In conclusion, we measured the functional renal volume by 99mTc-DMSA SPECT. Renal volume of diabetic patients with proteinuria were larger than the volume of control group or diabetic patients with normal renal function and without proteinuria. 99mTc-DMSA SPECT was thought to be useful test a for the measurement of functioning renal volume.
Creatinine
;
Diabetes Mellitus*
;
Diabetic Nephropathies
;
Glomerular Filtration Rate
;
Glomerulonephritis
;
Humans
;
Kidney Failure, Chronic
;
Kidney Transplantation
;
Proteinuria
;
Succimer
;
Technetium Tc 99m Dimercaptosuccinic Acid*
;
Tissue Donors
;
Tomography, Emission-Computed, Single-Photon*
2.Renal vein thrombosis in patients with nephrotic syndrome.
Deug Young NA ; Jae Hyung AHN ; Tae Won LEE ; Chun Gyoo IHM ; Myung Jae KIM
Korean Journal of Nephrology 1993;12(4):573-578
No abstract available.
Humans
;
Nephrotic Syndrome*
;
Renal Veins*
;
Thrombosis*
3.3 cases of tuberculous peritonitis complicating long-term CAPD.
Yi Sook HWANG ; Jae Hyung AHN ; Tae Won LEE ; Chun Gyoo IHM ; Myung Jae KIM
Korean Journal of Nephrology 1991;10(2):245-249
No abstract available.
Peritoneal Dialysis, Continuous Ambulatory*
;
Peritonitis, Tuberculous*
4.Immune complex-induced increases in collagen production by cultured mesangial cells modulated by dexamthasone and heparin.
Chun Gyoo IHM ; Jae Kyung PARK ; Jae Hyung AHN ; Tae Won LEE ; Myung Jae KIM
Korean Journal of Nephrology 1992;11(3):207-213
No abstract available.
Collagen*
;
Heparin*
;
Mesangial Cells*
5.Effects of glucose, insulin and somatostatin on collagen production by glomerular mesangial cell.
Chun Gyoo IHM ; Jae Kyung PARK ; Jae Hyung AHN ; Tae Won LEE ; Myung Jae KIM
Korean Journal of Nephrology 1992;11(3):200-206
No abstract available.
Collagen*
;
Glucose*
;
Insulin*
;
Mesangial Cells*
;
Somatostatin*
6.Change of thyroid functions in patients with end stage renal disease following renal transplantation.
In Sook WOO ; Jae Hyung AHN ; Tae Won LEE ; Chun Gyoo IHM ; Myung Jae KIM
Korean Journal of Nephrology 1991;10(2):209-215
No abstract available.
Humans
;
Kidney Failure, Chronic*
;
Kidney Transplantation*
;
Thyroid Gland*
7.Change of thyroid functions in patients with end stage renal disease following renal transplantation.
In Sook WOO ; Jae Hyung AHN ; Tae Won LEE ; Chun Gyoo IHM ; Myung Jae KIM
Korean Journal of Nephrology 1991;10(2):209-215
No abstract available.
Humans
;
Kidney Failure, Chronic*
;
Kidney Transplantation*
;
Thyroid Gland*
8.A Study of Demodex from Eyelashes.
Dae Gyoo BYUN ; Hyung Ok KIM ; Baik Kee CHO ; Won Koo LEE
Korean Journal of Dermatology 1983;21(1):13-21
Demodex is easily found from eyelashes and suggested as the one of the causes of some eye diseases. This study was to investigate the occurence rate, and classification of Demodex from eyelashes, and its relationship with blepharitis. The data of this study were compiled from 27 blepharitis patients and 173 patients without blepharitis (control group) who had visited St. Paul's Hospital from October 1981 to December 1981. Three eyelashes from each eyelid-total 12 lashes from a patient-were extracted under the slit lamp, located on a slide glass and fixed with polyvinyl lactophenol mounting medium. (countinued..)
Blepharitis
;
Classification
;
Eye Diseases
;
Eyelashes*
;
Glass
;
Humans
;
Polyvinyls
9.Five Cases of Shiitake Dermatitis.
Ji Ho LEE ; Tae Yoon KIM ; Bo Hyung KIM ; Seung Cheol BAEK ; Dong HOUH ; Dae Gyoo BYUN
Korean Journal of Dermatology 1998;36(3):477-481
Shiitake (Lentinus edodes) is a kind of mushroom which is cooked and eaten as a food in Chinese, Japanese and Korean meals. It is nowadays the second most commonly produced edible mushroom in the world. In 1985, a case characterized by itchy skin eruptions after the ingestion of raw shiitake mushrooms was reported and was termed as toxicodermia. Here we report five cases of shiitake dermatitis which developed after ingestion of raw or cooked shiitake mushrooms. All patients complained of severe itching and showed linear grouped erythematous papules after scratching(Kobner phenomenon). To our knowledge, this is the first report of shiitake dermatitis in the Korean literature.
Agaricales
;
Asian Continental Ancestry Group
;
Dermatitis*
;
Eating
;
Humans
;
Meals
;
Pruritus
;
Shiitake Mushrooms
;
Skin
10.The Effect of Positive end Expiratory pressure on the Pulmonary Capillary Pressure in Acute Lung Injury Patients.
Byung Chun CHUNG ; Chang Gyoo BYUN ; Chang Youl LEE ; Hyung Jung KIM ; Chul Min AN ; Sung Kyu KIM ; Cheung Soo SHIN
Tuberculosis and Respiratory Diseases 2000;49(5):594-600
BACKGROUND: Positive end expiratory pressure (PEEP) ventilation is well established as an integral part of the management of patients with the acute lung injury. PEEP is a key element in the treatment of hypoxemia resulting from pulmonary edema. Pulmonary capillary pressure (Pcap) is the most important factor influencing lung edema formation, and an understanding of how Pcap is altered by variations of PEEP or pulmonary arterial occlusion pressure (PAOP) is important to improve the treatment of acute lung injury patients. This study was performed to evaluate the effects of PEEP on the pulmonary capillary pressure in acute lung injury patients. METHODS: This was a prospective study of 11 acute lung injury patients. The effect of PEEP on pulmonary circulation at four different levels (0,4,8, and 12cm H2O) was analyzed. Pcap was estimated visually at bed side with Swan Ganz catheters. The pulmonary vasculature was analyzed by calculating the pressure difference at the arterial and venous parts of the circulation. RESULTS: As PEEP increased from 0 to 12 cm H2O, the mean puhnonary arterial pressure (PAP) and Pcap increased respectively from 22.7 ± 7.4 to 25.3 ± 7.3 mmHg and 15.3 ± 3.3 to 17.8 ±3.2 mmHg (p<0.05). Similarly, PAOP increased from 9.8 ± 2.1 to 12.8 ± 2.1 mmHg and the central venous pressure increased from 6.1 ± 1.6 to 9.3 1: 2.3 mmHg(p<0.05). However, the pressure gradient at the arterial (PAP-Pcap) and venous (Pcap-Pcwp) part of pulmonary circulation remained unchanged at all evaluated PEEP levels. CONCLUSION: Although Pcap increasoo gradually with increased PEEP, the pressure gradient at the arterial and venous part of the pulmonary vasculature remained unchanged at all evaluated PEEP levels in acute lung injury patients.
Acute Lung Injury*
;
Anoxia
;
Arterial Pressure
;
Capillaries*
;
Catheters
;
Central Venous Pressure
;
Edema
;
Humans
;
Lung
;
Positive-Pressure Respiration*
;
Prospective Studies
;
Pulmonary Circulation
;
Pulmonary Edema
;
Ventilation