A study on the influence of epinephrine contained in dental local anesthetic agents on the blood sugar of diabetes during minor oral surgery

A Case of Duodenal Carcinoid Tumor / 대한소화기내시경학회지

Carcinoid tumors are well-differentiated epithelial neoplasms that usually can be diagnosed without difficulty based on their distinctive histologic patterns. These tumors are composed of variable numbers of calls that contain endocrine secretory granules in their cytoplasm, which can be identified by histochemistry, immunohistochemistry, and electron microscopy, Carcinoid tumors of the duodenum are relatively rare, the reported incidence being 2.0-8.9% of all gastrointestinal carcinoid tumors dianosed in Western countries. The rate of occurrence among all duodenal tumors is 3-5.5%. We experienced a case of carcinoid tumor of the duodenum in a 53 year-old male patient. He was admitted to our hospital because of epigastric pain. On the gastrofiberscopic examination, 0.7 cm sized Yamada type II polyp with central ulceration was noticed on the duodenal bulb. The biopsy specimen revealed carcinoid tumor. He was treated with polypectomy.

Hemolytic Uremic Syndrome In Adults / 대한신장학회잡지

Hemolytic uremic syndrome (HUS) occurs rarely in adults and its clinical manifestations are not well studied in Korea. We analyzed data from 14 adult patients admitted from 1987 to 1996 who fulfilled three criteria (Coombs negative microangiopathic hemolytic anemia, no artificial heart valve, and creatinine level>1.4mg/dL). No patient died, 3 patients needed dialysis for ESRD at first episode, 2 patients developed CRF, 1 patient had recurrence and progressed to ESRD at the second episode. 7 patients completely recovered their renal function without proteinuria nor hypertension. HUS secondary to other disease had the worst renal survival and patients with colitis had better renal survival. Patient age, sex, platelet counts, white blood cell counts, hemoglobin level, treatment modalities were not significantly associated with renal survival.