{"title":"Bilateral Adrenal Haemorrhages Presenting as Adrenal Insufficiency.","authors":"Kalyan Mansukhbhai Shekhda, Kerk Loon Avram Chua, Ali Rathore, Taofeek Ojewuyi","doi":"10.4068/cmj.2021.57.2.152","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.152","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.152 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:152-153 Corresponding Author: Kalyan Mansukhbhai Shekhda Department of Diabetes and Endocrinology, Southend University Hospital NHS trust, Prittlewell Chase, Westcliff-on-Sea SS0 0RY, United Kingdom Tel: +44-1702435555, Fax: +44-1702385856, E-mail: kalokly@gmail.com Article History: Received March 1, 2021 Revised April 1, 2021 Accepted April 5, 2021 FIG. 1. The coronal section of the CT scan of abdomen showing Bilateral Adrenal Haemorrhages. FIG. 2. Transverse section of CT scan of abdomen showing Bilateral Adrenal Haemorrhages. Bilateral Adrenal Haemorrhages Presenting as Adrenal Insufficiency","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"152-153"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/1a/cmj-57-152.PMC8167452.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.166
Jong Hwan Jung, Ju Hung Song, Seon-Ho Ahn
{"title":"Distal Renal Tubular Acidosis Accompanied by Severe Hypophosphatemia Mistaken as Fanconi Syndrome in a Kidney-Transplant Patient.","authors":"Jong Hwan Jung, Ju Hung Song, Seon-Ho Ahn","doi":"10.4068/cmj.2021.57.2.166","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.166","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.166 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:166-167 Corresponding Author: Jong Hwan Jung Division of Nephrology, Department of Internal Medicine, Wonkwang University School of Medicine, 895 Muwang-ro, Iksan 54538, Korea Tel: +82-63-859-2623, Fax: +82-63-855-2025, E-mail: chjh0502@gmail.com Article History: Received November 26, 2020 Revised December 16, 2020 Accepted December 17, 2020 FIG. 1. The white arrows indicate the margin of the allograft kidney and black arrow indicates the medullary calcified lesion in KUB. FIG. 2. Initial chest X-ray showed significant increase of pulmonary congestion on both lung fields. Distal Renal Tubular Acidosis Accompanied by Severe Hypophosphatemia Mistaken as Fanconi Syndrome in a Kidney-Transplant Patient","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"166-167"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/70/cmj-57-166.PMC8167442.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.144
Jeoung Woo Nam, Yeon Soo Kang, Mi Sun Sung, Sang Woo Park
{"title":"Clinical Evaluation of Unilateral Open-Angle Glaucoma: A Two-Year Follow-Up Study.","authors":"Jeoung Woo Nam, Yeon Soo Kang, Mi Sun Sung, Sang Woo Park","doi":"10.4068/cmj.2021.57.2.144","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.144","url":null,"abstract":"<p><p>To evaluate the clinical characteristics of unilateral open-angle glaucoma, patients diagnosed with unilateral open-angle glaucoma from January 2017 to October 2018 were divided into primary open-angle glaucoma and normal-tension glaucoma groups according to the type of glaucoma diagnosed. The glaucoma and the contralateral eyes were compared, and the contralateral eye was analyzed for conversion to glaucoma and its risk factors were assessed during the 2-year follow-up period. Among 99 patients, 36 were diagnosed with primary open-angle glaucoma and 63 with normal-tension glaucoma. When comparing the glaucoma eye with the contralateral eye, the visual field mean deviation value (all p<0.001), peripapillary retinal nerve fiber layer thickness (all p<0.001), macular ganglion cell layer-inner plexiform layer thickness (p<0.001, p=0.003), and optic nerve cup-disc ratio (p=0.005, p<0.001) were significantly different in both the primary open-angle glaucoma and normal-tension glaucoma groups. In normal-tension glaucoma, peripapillary retinal nerve fiber layer thickness was significantly thinner in the glaucoma conversion group than in the glaucoma non-conversion group (p=0.008). It was significantly associated with glaucoma conversion (odds ratio=0.97, p=0.023). In conclusion, in patients with unilateral open-angle glaucoma, the contralateral eye may develop glaucoma. In particular, if the peripapillary retinal nerve fiber layer thickness is decreased in normal-tension glaucoma, the possibility of glaucoma conversion is high; hence, careful examination is required.</p>","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"144-151"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/81/cmj-57-144.PMC8167448.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.139
Jang Bae Moon, Sang-Geon Cho, Su Woong Yoo, Hee-Seung Henry Bom
{"title":"Increasing Use of Cardiac PET/CT for Inflammatory and Infiltrative Heart Diseases in Korea.","authors":"Jang Bae Moon, Sang-Geon Cho, Su Woong Yoo, Hee-Seung Henry Bom","doi":"10.4068/cmj.2021.57.2.139","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.139","url":null,"abstract":"<p><p>Recently the incidence of inflammatory and infiltrative heart diseases is increasing in Korea. Cardiac PET/CT is a useful technology evaluating inflammatory and infiltrative heart diseases. This study analyzed trends in the use of cardiac PET/CT for evaluating inflammatory and infiltrative heart diseases in the Chonnam National University Hospital and Chonnam National University Hwasun Hospital. The general trend in Korea was also assessed based on the domestic nuclear medicine database. There was a common increasing trend in the number of F-18 FDG PET/CT for the evaluation of inflammatory and infiltrative heart diseases. A representative case with cardiac sarcoidosis is illustrated.</p>","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/75/cmj-57-139.PMC8167443.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.154
Yusaku Kajihara
{"title":"An Unusual Cause of Vomiting in the Elderly.","authors":"Yusaku Kajihara","doi":"10.4068/cmj.2021.57.2.154","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.154","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.154 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:154-155 Corresponding Author: Yusaku Kajihara Department of Gastroenterology, Fuyoukai Murakami Hospital, 3-3-14 Hamada, Aomori 030-0843, Japan Tel: +81-17-729-8888, Fax: +81-17-729-8887, E-mail: yukajihara-gi@umin.ac.jp Article History: Received October 2, 2020 Accepted October 14, 2020 FIG. 2. (A) Endoscopy confirming torsion of the stomach without mucosal ischemia. (B, C) Endoscopic reduction under X-ray guidance. FIG. 1. (A) Abdominal radiography showing massive gastric dilatation. (B, C) Computed tomography revealing displacement of the antrum (arrow) above the gastro-esophageal junction (arrowhead). An Unusual Cause of Vomiting in the Elderly","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"154-155"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/84/cmj-57-154.PMC8167441.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.160
Huang-Chung Chen, Wei-Chieh Lee, Morgan Fu
{"title":"Eggshell-Shaped Calcified Pericardium and Constrictive Pericarditis.","authors":"Huang-Chung Chen, Wei-Chieh Lee, Morgan Fu","doi":"10.4068/cmj.2021.57.2.160","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.160","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.160 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:160-161 Corresponding Author: Wei-Chieh Lee Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, No, 123, Ta Pei Road, Niao Sung District, Kaohsiung 833, Taiwan Tel: +886-7-7317123; +886-975056049, Fax: +886-7-7322402, E-mail: leeweichieh@yahoo.com.tw Article History: Received February 4, 2021 Accepted February 10, 2021 FIG. 1. (A, B) Posterior-anterior view and lateral view of chest radiography: Eggshell-shaped calcification of the pericardium was noted (black arrows), and bilateral pleural effusion. (C-F) Computed tomography: Diffusely calcific pericardium was like eggshell-shaped. (white arrows). (G) Fluoroscopy: Severe calcification with gray to black enhancement of the pericardium presented. (H) The hemodynamic study: A prominent x and y descents of the blood pressure curve of the right atrium, and equalization of the diastolic pressure in all four chambers with a “square root” sign presented. Eggshell-Shaped Calcified Pericardium and Constrictive Pericarditis","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"160-161"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/98/cmj-57-160.PMC8167450.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.108
Hoowon Kim, Ji Yeon Chung
{"title":"Pathobiolgy and Management of Alzheimer's Disease.","authors":"Hoowon Kim, Ji Yeon Chung","doi":"10.4068/cmj.2021.57.2.108","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.108","url":null,"abstract":"<p><p>Amyloid and tau protein abnormalities have been identified as the main causes of Alzheimer's disease but exact mechanisms remain to be revealed. Especially, amyloid beta and tau protein coupling and neuroinflammatory and neurovascular contributions to Alzheimer disease are quite mysterious. Many animal models and basic biological research are trying to solve these puzzles. Known as aging processes, autophagy, mitochondrial degeneration with generation of reactive oxygen species, and age-related epigenetic modifications are also known to be associated with development of Alzheimer's disease. Environmental factors such as bacterial and viral infections, heavy metal ions, diet, sleep, stress, and gut microbiota are also risk factors of Alzheimer's disease. Future development of preventive and therapeutic modalities may be dependent on the pathobiology of Alzheimer's disease.</p>","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"108-117"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/03/cmj-57-108.PMC8167446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39011212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.156
Akira Hokama, Kazuto Kishimoto, Jiro Fujita
{"title":"<i>Campylobacter</i> Enterocolitis: A Characteristic Shallow and Large Ulcer on the Ileocecal Valve.","authors":"Akira Hokama, Kazuto Kishimoto, Jiro Fujita","doi":"10.4068/cmj.2021.57.2.156","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.156","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.156 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:156-157 Corresponding Author: Akira Hokama Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan Tel: +81-988951144, Fax: +81-988951414, E-mail: hokama-a@med.u-ryukyu.ac.jp Article History: Received January 29, 2021 Revised February 5, 2021 Accepted February 8, 2021 FIG. 1. A computed tomography scan showed marked circumferential thickening and stratification of the right colon (arrowhead), pericolic fat stranding, and enlarged lymph nodes (arrow) adjacent to ileocecal vessels. FIG. 2. Colonoscopy revealed an erythematous and edematous ileocecal valve with multiple aphthous ulcers and patchy erythema in the ascending colon. Campylobacter Enterocolitis: A Characteristic Shallow and Large Ulcer on the Ileocecal Valve","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"156-157"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/f5/cmj-57-156.PMC8167440.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.158
Chee Yik Chang
{"title":"Acute Diverticulitis: A Rare Complication of Dengue Fever.","authors":"Chee Yik Chang","doi":"10.4068/cmj.2021.57.2.158","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.158","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.158 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:158-159 Corresponding Author: Chee Yik Chang Department of General Medicine, Sarawak General Hospital, Kuching 93586, Sarawak, Malaysia Tel: +60-182856630, Fax: +60-82-242751, E-mail: ccyik28@gmail.com Article History: Received January 29, 2021 Revised February 6, 2021 Accepted February 8, 2021 FIG. 1. Computed tomography of the abdomen (A) axial view, (B) coronal view showing multiple outpouchings of colon (indicated by yellow arrows) at the hepatic flexure. Acute Diverticulitis: A Rare Complication of Dengue Fever","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"158-159"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/19/cmj-57-158.PMC8167449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chonnam Medical JournalPub Date : 2021-05-01Epub Date: 2021-05-24DOI: 10.4068/cmj.2021.57.2.162
Min Chul Kim, Youngkeun Ahn, Seok Oh, Young Joon Hong, Ju Han Kim, Myung Ho Jeong
{"title":"Two Cases of Single Coronary Artery Ostium Presenting with Acute Myocardial Infarction: Right Coronary Artery Arising from Left Anterior Descending Artery.","authors":"Min Chul Kim, Youngkeun Ahn, Seok Oh, Young Joon Hong, Ju Han Kim, Myung Ho Jeong","doi":"10.4068/cmj.2021.57.2.162","DOIUrl":"https://doi.org/10.4068/cmj.2021.57.2.162","url":null,"abstract":"https://doi.org/10.4068/cmj.2021.57.2.162 C Chonnam Medical Journal, 2021 Chonnam Med J 2021;57:162-163 Corresponding Author: Youngkeun Ahn Division of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebongro, Dong-gu, Gwangju 61469, Korea Tel: +82-62-220-4764, Fax: +82-62-224-4764, E-mail: cecilyk@hanmail.net Article History: Received May 20, 2020 Revised July 8, 2020 Accepted July 9, 2020 FIG. 1. Coronary angiography revealed critical in-stent restenosis in left circumflex artery (LCX; A, arrow) with anomalous artery from left anterior descending artery covering right coronary artery territory (A-C, arrow head). Percutaneous coronary intervention was done for LCX using a 2.75×19 mm bioabsorbable polymer drug-eluting stent (D, arrow). Cardiac computed tomography (E-H) demonstrated anomalous origin of right coronary artery from left anterior descending artery (arrow head). Two Cases of Single Coronary Artery Ostium Presenting with Acute Myocardial Infarction: Right Coronary Artery Arising from Left Anterior Descending Artery","PeriodicalId":10307,"journal":{"name":"Chonnam Medical Journal","volume":"57 2","pages":"162-163"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/63/cmj-57-162.PMC8167453.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}