1.A Case of Acute Generalized Exanthematous Pustulosis.
Dukyung KONG ; Hyejin KIM ; Taekyung KANG ; Sungchan OH ; Sukjin CHO ; Sanglae LEE ; Seokyong RYU
Journal of the Korean Society of Emergency Medicine 2011;22(4):387-389
Acute generalized exanthematous pustulosis is a rare, drug-induced disease that is occasionally accompanied by acute renal failure. It is characterized by the abrupt onset of widespread pustules on an erythematous base and rapid spontaneous healing. We report a case involving a 47-year-old male who presented with exanthematous pustules after taking medication. Azotemia was found in the resulting blood test. We were able to achieve the final diagnosis by skin biopsy. After instructing the patient not to take the previous medication, oral steroids were prescribed. He recovered within 2 weeks with just desquamations remaining.
Acute Generalized Exanthematous Pustulosis
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Acute Kidney Injury
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Azotemia
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Biopsy
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Hematologic Tests
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Humans
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Male
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Middle Aged
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Skin
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Steroids
2.A Case of Internal Iliac Artery Aneurysm as a Fatal Cause Resulting in Acute Urinary Retention.
Dukyung KONG ; Hyejin KIM ; Taekyung KANG ; Sungchan OH ; Sukjin CHO ; Sanglae LEE ; Seokyong RYU
Journal of the Korean Society of Emergency Medicine 2011;22(4):367-369
Internal iliac artery aneurysm (IIAA) is a type of abdominal aneurysm that is a rare cause of lower urinary tract symptoms because of its anatomic location. If diagnosed after rupture, it can be lethal and surgery is mandatory. A 57-year-old male presented with acute urinary retention and syncope. An intra-abdominal mass initially thought to be an aneurysm was apparent by ultrasound. A computed tomography scan of the abdomen confirmed an internal iliac artery aneurysm accompanied by rupture. The patient was discharged without any complications within 20 days after receiving a vascular graft and resection of the aneurysm.
Abdomen
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Aneurysm
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Humans
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Iliac Aneurysm
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Iliac Artery
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Lower Urinary Tract Symptoms
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Male
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Middle Aged
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Rupture
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Syncope
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Transplants
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Urinary Retention
3.A Case of Emphysematous Pyelonephritis Associated with Emphysematous Ureteritis and Cystitis.
Inchul CHOI ; Taekyung KANG ; Hyejin KIM ; Sungchan OH ; Sukjin CHO ; Sanglae LEE ; Seokyong RYU
Journal of the Korean Society of Emergency Medicine 2011;22(5):584-587
Emphysematous pyelonephritis (EPN) is a necrotizing infection of the renal parenchyma and its surrounding tissues that results in the accumulation of gas in the renal parenchyma, collecting system or perinephric tissue. EPN is a potentially life-threatening condition, which is most commonly associated with poorly controlled diabetes. We describe a case of emphysematous pyelonephritis associated with emphysematous ureteritis and cystitis in a 68-year-old diabetic woman, who was cured with medical treatment and surgical intervention.
Aged
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Cystitis
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Female
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Humans
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Pyelonephritis
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Ureter