Journal of Yeungnam Medical Science

Case Report

Nephrology
A Case of Immunoglobulin A Nephropathy in a Patient with Kimura's Disease.: Hye Jung Park, Jae Kyung Kim, Hyun Ju Kim, Kwan Kyu Park, Yoon Sung Bae, Yong Kyu Lee, Beom Seok Kim; Yeungnam Univ J Med. 2013;30(2):149-151. Published online December 31, 2013; DOI: https://doi.org/10.12701/yujm.2013.30.2.149

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Abstract PDF: Kimura's disease is an angiolymphoid-proliferative disorder that manifests with benign subcutaneous swelling predominantly in the head and the neck. Kidney involvement, including proteinuria, occurs in 12-16% of patients with the disease, and 60-78% of such cases is nephrotic syndrome. Reported etiologies of nephrotic syndrome in Kimura's disease include membranous glomerulonephritis, mesangial proliferative glomerulonephritis, minimal-change disease, focal segmental glomerulosclerosis, diffuse proliferative glomerulonephritis and immunoglobulin A (IgA) nephropathy. There have been only two case reports of IgA nephropathy in Kimura's disease, in 1998. In this report, we present a third case of IgA nephropathy associated with Kimura's disease.

Original Article

Gastroenterology and Hepatology
Clinical Features of Clonorchiasis.: Kook Hyun Kim, Byung Ik Jang, Tae Nyeun Kim; Yeungnam Univ J Med. 2006;23(2):171-181. Published online December 31, 2006; DOI: https://doi.org/10.12701/yujm.2006.23.2.171

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BACKGROUND
Clonorchis sinensis is an important human parasite that is usually found in the biliary tract. It is widely distributed in East Asia in Taiwan, Japan, China and Korea. About 2 million people are estimated to be infected with C. sinensis in Korea. This study was conducted to evaluate the state of infestation and clinical aspects of C. sinensis. MATERIAL AND METHODS: We evaluate 1,063 patients with clonorchiasis retrospectively at Yeungnam University Hospital and Health Promotion Center from January 2001 to December 2003. All patients were diagnosed by a positive stool test for C. sinensis eggs. Clinical features, laboratory data and imaging studies were evaluated. RESULTS: The ratio between affected males and females was 3.6 : 1. The highest infection rate was noted in the 40-60 age groups regardless of sex. The infection rate of C. sinensis among the residents of urban areas was higher than in rural areas. There were 813 (76.5%) patients who were asymptomatic. Common symptoms included right upper abdominal pain in 7.6% and epigastric pain in 7.2%. For the laboratory studies, serum ALP and GGT levels were within normal limits in 85.2% and 56.0% respectively. Peripheral eosinophilia was noted in 66.1% of cases. Of the 83 cases undergoing ERCP, 27 cases (32.5%) showed peripheral dilatation of the intrahepatic duct. CONCLUSION: This study suggests that C. sinensis infection is still endemic even in rural areas of Korea and that asymptomatic infections are common. Further work should be focused on the early diagnosis and treatment of patients with subclinical infection.

Citations

Citations to this article as recorded by

Prevalence and Related Factors of Clonorchiasis among Five Major Riverside Residents in South Korea
Chunmi Kim, Kyung Ja June, Shin Hyeong Cho, Kyung Soon Park, Hung Sa Lee, Ji Yeon Park
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 346. CrossRef
A Study on the Prevalence of Clonorchis Sinensis and the Effects of Educational Program among Residents in the Basin of the Youngsan River, Korea
Chunmi Kim, Aeyoung So, Kyung-Ja June, Hee Young Jung
Journal of Korean Academy of Community Health Nursing.2011; 22(1): 56. CrossRef

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