Journal of Yeungnam Medical Science

Jong Ha kim

2 Articles

Recurrent hemoptysis in a 26-year-old woman with a ground-glass opacity lesion of the lung: Jong Ha Kim, Sin-Youl Park; Yeungnam Univ J Med. 2020;37(1):59-62. Published online September 4, 2019; DOI: https://doi.org/10.12701/yujm.2019.00304

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Hemoptysis is a major reason for emergency department (ED) visits. Catamenial hemoptysis (CH), a rare condition of thoracic endometriosis, can cause recurrent hemoptysis but is difficult to diagnose in the ED due to the scarcity of cases and nonspecific clinical findings. We report a case of a 26-year-old woman who presented to the ED with recurrent hemoptysis since 2 years without a definite cause. Her vital signs and blood test findings were unremarkable. Chest computed tomography (CT) did not show any specific lesions other than a non-specific ground-glass opacity pattern in her right lung. She was on day 4 of her menstrual cycle and her hemoptysis frequently occurred during menstruation. Although there was no histological confirmation, based on her history of hemoptysis during menstruation and no other cause of the hemoptysis, the patient was tentatively diagnosed with CH and was administered gonadotropin-releasing hormone. She had no recurrence of hemoptysis for 3 months. While CH is difficult to diagnose in the ED, the patient’s recurrent hemoptysis related to menstruation was a clue to the presence of CH. Therefore, physicians should determine the relationship between hemoptysis and menstruation for women of childbearing age presenting with repeated hemoptysis without a definite cause.

Citations

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Thoracic Endometriosis: A Review Comparing 480 Patients Based on Catamenial and Noncatamenial Symptoms
Nura Fitnat Topbas Selcuki, Salih Yilmaz, Cihan Kaya, Taner Usta, Ahmet Kale, Engin Oral
Journal of Minimally Invasive Gynecology.2022; 29(1): 41. CrossRef
Characteristics and Outcomes of a Sample of Patients With COVID-19 Identified Through Social Media in Wuhan, China: Observational Study
Dong Liu, Yuyan Wang, Juan Wang, Jue Liu, Yongjie Yue, Wenjun Liu, Fuhai Zhang, Ziping Wang
Journal of Medical Internet Research.2020; 22(8): e20108. CrossRef
Cyclical Hemoptysis and Pelvic Pain in a Young Female: A Sign of Thoracic Endometriosis Syndrome
Areeg Bala, Raghda A Salim, Smit Deliwala, Michele Obeid, Ghassan Bachuwa
Cureus.2020;[Epub] CrossRef

Nephropathy related to computed tomography in emergency department patients with serum creatinine <1.5 mg/dL.: Jong Ha kim, Sin Youl Park, Chong Gun Kim; Yeungnam Univ J Med. 2015;32(2):90-97. Published online December 31, 2015; DOI: https://doi.org/10.12701/yujm.2015.32.2.90

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Abstract PDF: BACKGROUND
Contrast-induced nephropathy (CIN) can cause serious adverse effects. To reduce the occurrence of CIN related computed tomography (CT) in emergency patients, we assessed the respective roles of serum creatinine (SCr) alone and estimated glomerular filtration rate (eGFR) as an early predictor for CIN related CT. METHODS: For patients with SCr <1.5 mg/dL who underwent CT in emergency department (ED) between September 2012 and October 2013, we assessed the prevalence of CIN and its adverse effects. The Modification of Diet in Renal Disease Study (MDRD) and Cockcroft-Gault (CG) formula was used for the calculation of eGFR. Practical calculation was performed by electronic medical record (EMR) system for MDRD and internet calculating service for CG. And we investigated the prevalence of CIN in eGFR <60 mL/min/1.73 m2 before CT. RESULTS: A total of 1,555 patients were enrolled. The prevalence of CIN after CT was 4.6% and it showed correlation with renal deterioration, increased in-hospital mortality, and prolonged hospitalization. Despite baseline SCr <1.5 mg/dL, among enrolled patients, 11.3% as MDRD equation and 29.5% as CG formula were <60 mL/min/1.73 m2 and in this condition, the prevalence of CIN was significantly high (odds ratio was 2.87 [1.64-5.02] as MDRD equation and 2.03 [1.26-3.29] as CG formula). CONCLUSION: Just SCr <1.5mg/dL was not appropriate to recognize preexisting renal insufficiency, but eGFR using MDRD equation was useful in predicting the risk of CIN related CT in ED. Using EMR, calculation of eGFR can be easier and more convenient.

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