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의식장애를 동반한 고암모니아혈증과 혈청 아미노산이상을 보인 원발성 유전분증 1예

Other Titles
 A Case of Serum Amino Acid Disturbance with Hyperammonemia in Patient with Primary Amyloidosis 
Authors
 김유리  ;  김진석  ;  박선영  ;  박인혜  ;  정준원  ;  이승태  ;  민유홍  ;  한지숙  ;  기정혜 
Citation
 Korean Journal of Hematology, Vol.40(1) : 54-57, 2005 
Journal Title
 Korean Journal of Hematology 
ISSN
 1738-7949 
Issue Date
2005
Abstract
There have been reports that hyperammonemia and amino acid disturbance can cause loss of consciousness in patients with multiple myelomas and normal liver function. We experienced a case of a 71-years-old female patient with amyloidosis, who had shown disturbance of consciousness. At that time, the serum ammonia level was elevated; serum amino acids disturbance was also noted. In particular, the decrease in branched-chain amino acids and increase in aromatic amino acids results in a low Fisher ratio. The Fisher ratio, the ratio of branched-chain to aromatic amino acids, has been suggested as an important indicator of consciousness disturbance. We report, for the first time in Korea, a case of amyloidosis, with mental disturbance due to serum amino acid disturbance.
Files in This Item:
T200500975.pdf Download
DOI
10.5045/kjh.2005.40.1.54 
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
기정혜(Kie, Jeong Hae)
김유리(Kim, Yu Ri) ORCID logo https://orcid.org/0000-0001-5505-0142
김진석(Kim, Jin Seok) ORCID logo https://orcid.org/0000-0001-8986-8436
민유홍(Min, Yoo Hong) ORCID logo https://orcid.org/0000-0001-8542-9583
박선영(Park, Sun Young)
박인혜(Park, In Hae)
이승태(Lee, Seung Tae)
정준원(Cheong, June-Won) ORCID logo https://orcid.org/0000-0002-1744-0921
한지숙(Hahn, Jee Sook)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150833
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