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Journal of The Korean Geriatrics Society最新文献

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Muscle Cramps in Old Adults: Clinical Features and Pathophysiology 老年人肌肉痉挛:临床特征和病理生理学
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.171
J. Lee, Jae‐Young Lim
{"title":"Muscle Cramps in Old Adults: Clinical Features and Pathophysiology","authors":"J. Lee, Jae‐Young Lim","doi":"10.4235/JKGS.2013.17.4.171","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.171","url":null,"abstract":"Muscle cramps are defined as painful, spasmodic, involuntary skeletal muscle contractions during or immediately after physical exercise. Muscle cramps have a typical clinical presentation, as the definition and the diagnosis is made based on a typical history together with the findings on clinical examination. Muscle cramps are self-extinguishing within seconds to minutes or relieved by stretching, and is often accompanied by a palpable knotting of the muscle. Old adults are prone to get muscle cramps, which may occur in patients with diseases, but also occur often in healthy subjects with no history of nervous system or metabolic disorders. Comorbidity and multiple medications, including diuretics due to an underlying disease, can be a part of the reason in old adults. We reviewed articles regarding the etiology of muscle cramps and introduced a new hypothesis of ‘altered neuromuscular control’, which has been documented recently.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127785511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Primary Synovial Sarcoma of the Lung With Rapid Progression in an Old Age Female 老年女性原发性肺滑膜肉瘤进展迅速
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.234
J. W. Jeon, Y. Cho, Hyeon Jeong Yun, Min Gyu Kim
{"title":"Primary Synovial Sarcoma of the Lung With Rapid Progression in an Old Age Female","authors":"J. W. Jeon, Y. Cho, Hyeon Jeong Yun, Min Gyu Kim","doi":"10.4235/JKGS.2013.17.4.234","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.234","url":null,"abstract":"Synovial sarcoma comprises approximately 10% of soft tissue sarcomas. Primary pulmonary synovial sarcoma is a rare tumor. It makes up only 0.5% of all primary lung malignancies. It typically presents in adolescents and young adults. The usual progress of the tumor is unknown. We report the rapid progress of a primary pulmonary sarcoma that developed in a 67-year-old woman. In this case, metastatic sarcoma was excluded by positron emission tomography-computed tomography. Synovial sarcoma was histologically confirmed by a biopsy from the lung tissue. The patient had two masses located at the upper lobe of the lung. The patient refused all medical treatment and left our hospital. Two months later, she was readmitted and diagnosed with multiple metastases in the other lung and pancreas. She expired due to syndrome of inappropriate antidiuretic hormone secretion and superior vena cava syndrome four days after admission.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123314007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amiodarone Induced Multiorgan Toxicity in a Patient of Hypertrophic Cardiomyopathy With Atrial Fibrillation 胺碘酮诱导肥厚性心肌病合并心房颤动患者的多器官毒性
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.223
Dae Jung Kim, Sang Chil Lee, G. S. Park, G. Kim, W. Hwang, Chang Soo Lee, Moo Hyun Lee, D. H. Hahn, H. Koh
{"title":"Amiodarone Induced Multiorgan Toxicity in a Patient of Hypertrophic Cardiomyopathy With Atrial Fibrillation","authors":"Dae Jung Kim, Sang Chil Lee, G. S. Park, G. Kim, W. Hwang, Chang Soo Lee, Moo Hyun Lee, D. H. Hahn, H. Koh","doi":"10.4235/JKGS.2013.17.4.223","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.223","url":null,"abstract":"Amiodarone is an antiarrhythmic drug known to have adverse effects on multiple organs. Most studies have reported the side effects of the drug, which may result from rapid administrations or from long-term, high dosage administrations. However, toxicity issues have also been reported from patients administered with low doses of the drug for a long period of time. Here we report a case of an 82-year-old female who had shown symptoms and signs of pulmonary, hepatic, and neurotoxicity after taking amiodarone for 14 months in order to treat her atrial fibrillation without regular outpatient follow-up. We highlight the importance of the recommended evaluations, including lung, liver, and thyroid functions, as well as the neurological examinations in patients treated with amiodarone for a long period of time during regular follow-up.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116948214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hypothyroidism With Acute Renal Failure and Heart Failure 甲状腺功能减退伴急性肾功能衰竭和心力衰竭
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.249
Jae-Ha Kim, S. Hong, Yongsoo Park, C. Lee, Jae gon Lee, Eunseok Choi, Byung Sihk Kim
{"title":"Hypothyroidism With Acute Renal Failure and Heart Failure","authors":"Jae-Ha Kim, S. Hong, Yongsoo Park, C. Lee, Jae gon Lee, Eunseok Choi, Byung Sihk Kim","doi":"10.4235/JKGS.2013.17.4.249","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.249","url":null,"abstract":"Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea Here we report a 65-year-old male patient initially presented with dyspnea and chest discomfort. This patient was finally diagnosed with severe hypothyroidism accompanied by heart failure, pericardial effusion and acute renal failure. We suspected that heart failure, pericardial effusion and acute kidney injury were induced by severe hypothyroidism. Thus, we began thyroid hormone replacement therapy. After the therapy, the patient’s dyspnea and chest discomfort were improved. Hypothyroidism has many complications, such as myxedema, dyslipidemia, and depression. In contrast, heart failure, pericardial effusion, and acute kidney injury are very rare complications of hypothyroidism. Only a few cases of heart failure or renal failure combined with hypothyroidism have been reported. Our case suggests that severe hypothyroidism can lead to multiorgan failure, such as heart failure as well as renal failure. Moreover, congestive heart failure induced by severe hypothyroidism can be reversed by thyroid hormone replacement therapy.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134056434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and Efficacy of Percutaneous Nephrolithotomy for Staghorn Calculi in Patients 70 Years and Older 经皮肾镜取石术治疗70岁及以上鹿角型结石的安全性和有效性
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.205
W. Kwon, I. Seo, D. Han
{"title":"Safety and Efficacy of Percutaneous Nephrolithotomy for Staghorn Calculi in Patients 70 Years and Older","authors":"W. Kwon, I. Seo, D. Han","doi":"10.4235/JKGS.2013.17.4.205","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.205","url":null,"abstract":"","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130673033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amebic Liver Abscess Complicated With Inferior Vena Cava Obstruction 阿米巴肝脓肿合并下腔静脉梗阻
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.253
J. Cho, Min Sung Kim, J. Shin, Y. Jeong, G. Lim, N. Kang, Jae-phil Choi, Chul Hi Park, Min Young Kim
{"title":"Amebic Liver Abscess Complicated With Inferior Vena Cava Obstruction","authors":"J. Cho, Min Sung Kim, J. Shin, Y. Jeong, G. Lim, N. Kang, Jae-phil Choi, Chul Hi Park, Min Young Kim","doi":"10.4235/JKGS.2013.17.4.253","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.253","url":null,"abstract":"Amebic liver abscess (ALA) has been diagnosed in travelers to endemic areas or in patients with immunosuppression secondary to human immunodeficiency virus infection since the late 1990s. Further, it is a rare disease in Korea. ALA should be considered in patients present with fever and right upper quadrant pain along with a risk of exposure to amebiasis. We report an 82-year-old man with symptoms of fever, gross hematuria and severe renal impairment as having amebic liver abscess complicated with the obstruction of the inferior vena cava. Amebic liver abscess was successfully treated with antibiotics alone. Also, hematuria disappeared and renal dysfunction improved after treatment.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128144920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Myxedema Coma Successfully Treated by Low Dose Oral Levothyroxine 低剂量口服左甲状腺素成功治疗黏液性水肿昏迷
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.244
M. Park, K. Lee, H. Lee, E. Sim, J. Kang, C. Yeo
{"title":"Myxedema Coma Successfully Treated by Low Dose Oral Levothyroxine","authors":"M. Park, K. Lee, H. Lee, E. Sim, J. Kang, C. Yeo","doi":"10.4235/JKGS.2013.17.4.244","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.244","url":null,"abstract":"Department of Internal Medicine, Dae-Dong Hospital, Busan, Korea Myxedema coma is a severe life-threatening form of hypothyroidism that is associated with a high mortality rate. It is known to be common in the elderly, and is mainly accompanied with cardiogenic shock, respiratory failure, central nervous system dysfunction, and body temperature regulation defects. Thus, immediate management is required in order to prevent fatal complications in myxedema coma. However, early detection is difficult and further, it is easily misdiagnosed due to its low incidence rate and nonspecific symptoms. We report a case of myxedema coma which was misdiagnosed for heart failure. The patient was successfully treated with intensive care and oral low dose levothyroxine.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129796498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effectiveness Analysis Through Enzyme-Linked Immunosorbent Assay Examination of Antibody After Pandemic H1N1 2009 Influenza Vaccination 2009年H1N1流感疫苗接种后抗体酶联免疫吸附试验的有效性分析
Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.178
Ah-Young Ji, C. Kim, E. Hwang, In-Soo Kim, Young Ju Kim, Jung-Hee Lee, M. Jin, Changho Song, H. Park, Hyun-Ju Kim, S. Kim
{"title":"Effectiveness Analysis Through Enzyme-Linked Immunosorbent Assay Examination of Antibody After Pandemic H1N1 2009 Influenza Vaccination","authors":"Ah-Young Ji, C. Kim, E. Hwang, In-Soo Kim, Young Ju Kim, Jung-Hee Lee, M. Jin, Changho Song, H. Park, Hyun-Ju Kim, S. Kim","doi":"10.4235/JKGS.2013.17.4.178","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.178","url":null,"abstract":"Background: A pandemic influenza outbreak started in 2009 by the number of patients discharged each year. But the result of H1N1 influenza vaccination is maintained for research and less state. The purpose of this study was to measure the antibody titers after H1N1 influenza vaccination toestimate demands of different standard vaccination in patients with chronic diseases and elderly patients. Methods: From March 2010 to February 2011, we retrospectively reviewed the medical records of 55 patients admitted to a tertiary hospital. The H1N1 virus antibody titer of each patient was measured through enzyme-linked immunosorbent assay. Titers were measured post vaccination on day 1 and at 1, 3 and 6 months. Results: A total of 55 patients were enrolled in this study. The comorbidities looked at were malignancy, cardiovascular disease, diabetes mellitus, renal disease, cerebrovascular disease, hematologic disease and infectious disease. Five patients (9.1%) had no comorbidities. Patients in their 50’s had the highest positive response rate (58.3%). The antibody titers at 1 month after vaccination were not associated with the number of comorbidities. The ratio of positive response increased gradually at baseline (16.4%) to 1 month (47.8%). After 6 months, there remained no positive response. Conclusion: The H1N1 antibodies were unstable as the values of the titer changed at follow-up (1 month, 3 months, and 6 months). The positive response rates of those in their 50’s and those who had chronic diseases were higher than others. The positive response rates showed that the ability to generate antibodies did not decrease with age or disease conditions.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125316862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chief Complaints and Related Features of Elderly Patients Presenting to One Region Wide Emergency Medical Center With Medical Problems 以医疗问题到某地区急诊医疗中心就诊的老年患者主诉及相关特征
Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.118
S. Jeong, J. Lim, Sungyoup Hong, S. Choi, S. Choi
{"title":"Chief Complaints and Related Features of Elderly Patients Presenting to One Region Wide Emergency Medical Center With Medical Problems","authors":"S. Jeong, J. Lim, Sungyoup Hong, S. Choi, S. Choi","doi":"10.4235/JKGS.2013.17.3.118","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.3.118","url":null,"abstract":"","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115542323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Successful Fecal Transplantation by Enema for Recurrent and Refractory Clostridium difficile Infection 反复难治性难治性艰难梭菌感染的成功粪便移植灌肠
Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.152
K. Moon, K. Sohn, Bo-Mi Park, Y. Kim, S. Chun, Hyeon Jung, C. H. Song
{"title":"Successful Fecal Transplantation by Enema for Recurrent and Refractory Clostridium difficile Infection","authors":"K. Moon, K. Sohn, Bo-Mi Park, Y. Kim, S. Chun, Hyeon Jung, C. H. Song","doi":"10.4235/JKGS.2013.17.3.152","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.3.152","url":null,"abstract":"Clostridium difficile infection (CDI) is a common cause of antibiotic-associated diarrhea with an increase in severity and frequency in the recent times. CDI can be refractory and relapses, especially in the elderly or patients with significant comorbidities. Conventional treatments with antibiotics often fail to cure the infection. Even when successfully treated, recurrent infection is common. Some studies have reported that fecal transplantation may be effective and safe for the treatment of recurrent and intractable CDI. We present two CDI cases (one recurrent and one refractory) which were treated successfully by fecal transplantation using enema.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125078889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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