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의식장애를 동반한 고암모니아혈증과 혈청 아미노산 이상을 보인 다발성골수종 1례
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 정준원 | - |
dc.date.accessioned | 2016-05-16T11:00:28Z | - |
dc.date.available | 2016-05-16T11:00:28Z | - |
dc.date.issued | 2002 | - |
dc.identifier.issn | 1125-0546 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/143583 | - |
dc.description.abstract | Hyperviscosity and hypercalcemia are the common causes of disturbance of consciousness in patients with multiple myeloma (MM). However, there have been anecdotal reports of disturbance of consciousness in MM due to hyperammonemia and serum amino acid disturbance without possible causes such as liver failure. A 45-year-old female patient with MM was admitted due to general weakness. On 7th hospital day, she showed somnolence and disorientation. On the assumption of hyperviscosity syndrome, plasma exchange was performed immediately, but no effect. At that time, serum ammonia level was 431㎍/㎗, and serum glycine level was abnormally elevated. This type of serum amino acid disturbance was different from that usually found in chronic liver disease. After vincristine, adriamycin, and dexamethasone chemotherapy, serum ammonia level was restored to the normal range followed by improved mental status. We report, first in Korea, a case of MM with mental disturbance due to hyperammonemia and serum amino acid disturbance. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 84~87 | - |
dc.relation.isPartOf | Korean Journal of Hematology (대한혈액학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 의식장애를 동반한 고암모니아혈증과 혈청 아미노산 이상을 보인 다발성골수종 1례 | - |
dc.title.alternative | A Case of Serum Amino Acid Disturbance with Hyperammonemia in a Patient with Multiple Myeloma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 이재훈 | - |
dc.contributor.googleauthor | 고윤웅 | - |
dc.contributor.googleauthor | 맹호영 | - |
dc.contributor.googleauthor | 정준원 | - |
dc.contributor.googleauthor | 김진석 | - |
dc.contributor.googleauthor | 장준호 | - |
dc.contributor.googleauthor | 김윤재 | - |
dc.contributor.googleauthor | 최성우 | - |
dc.contributor.googleauthor | 이승태 | - |
dc.contributor.googleauthor | 민유홍 | - |
dc.contributor.googleauthor | 한지숙 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03729 | - |
dc.contributor.localId | A01017 | - |
dc.contributor.localId | A01407 | - |
dc.relation.journalcode | J02034 | - |
dc.subject.keyword | Multiple myeloma | - |
dc.subject.keyword | Hyperammonemia | - |
dc.subject.keyword | Amino acid disturbance | - |
dc.contributor.alternativeName | Cheong, June Won | - |
dc.contributor.affiliatedAuthor | Cheong, June-Won | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 37 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 84 | - |
dc.citation.endPage | 87 | - |
dc.identifier.bibliographicCitation | Korean Journal of Hematology (대한혈액학회지), Vol.37(1) : 84-87, 2002 | - |
dc.identifier.rimsid | 38280 | - |
dc.type.rims | ART | - |
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