- Graves' disease Associated with Idiopathic Thrombocytopenic Purpura and Iron Deficiency Anemia.
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Jong Myung Kim, Sung Chul Yun, Soo Bong Choi, Hyun Woo Lee, Kyeong Dong Kim, Chung Sook Kim, Hei Joo Nam, Won Hee Choi, Tae Sook Lee
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Yeungnam Univ J Med. 1988;5(1):173-179. Published online June 30, 1988
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DOI: https://doi.org/10.12701/yujm.1988.5.1.173
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 Abstract
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- Since 1931, sporadic reports have appeared noting an apparent association between hyperthyroidism and idiopathic thrombocytopenic purpura. Recent various studies suggested that these two diseases may share a similar immunologic background, but the exact mechanism is still a matter of speculation. This 22-year-old female patient visited this hospital because of general weakness and purpura of legs for 2 months. The laboratory findings were compatible with Graves' disease associated with idiopathic thrombocytopenic purpura. The platelet count was 16000/mm³, hemoglobin was 10.9 g/dl and MCV was 60.1fL. T3 was 490.53 ng/dL, T4 was 24 ug/dL and free T4 was 5.66 ng/dL. Antiplatelet antibody and antimicrosomal antibody were positive. The bone marrow findings were compatible with iron deficiency anemia and idiopathic thrombocytopenic purpura. The thyroid biopsy showed adenomatous goiter. She was administered with propylthiouracil, Beta-blocker, iron and prednisolon. On the 10th hospital day, platelet count was 184000/mm³, hemoglobin was 12.0 gm/dL and MCV was 67.5 fL. On the 20th hospital day, T4 was 10.35 ug/dL and free T4 was 2.30 ng/dL. Therefore she was discharged and followed up.
- Chronic Dissecting Aortic Aneurysm with Right Coronary Artery Perfused Solely by False Lumen of Asceading Aorta.
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Myeong Gu Go, Jong Myung Kim, Kwan Ho Lee, Young Jo Kim, Bong Sup Shim, Hyun Woo Lee, Mi Soo Hwang
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Yeungnam Univ J Med. 1988;5(1):159-166. Published online June 30, 1988
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DOI: https://doi.org/10.12701/yujm.1988.5.1.159
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Abstract
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- Dissecting aortic aneurysm is relatively rare in those under 40 years of age without high risk factors. After dissecting aortic aneurysm is occurred, the coronary artery is rarely perfused by false lumen. We present a thirty two-year-old man who showed Debakey type 1 dissecting aortic aneurysm with right coronary artery perfused by false lumen of ascending aorta and with congestive heart failure due to aortic insufficiency without discernible risk factor. Medical and surgical treatment (Modified Bentall's operation) were successfully performed. The pathologic report showed combined cystic medial necrosis. Now he is well tolerated and stable only with anticoagulation during follow up 18 months.
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Yeungnam University College of Medicine
