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과호모시스테인혈증 환자에서 발생된 폐색전증 1예

A Case of Pulmonary Thromboembolism in a Patient with hyperhomocysteinemia

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.62 no.3, pp.211-216
오숙의 (한림의대)
우경희 (성신여자대학교)
정재헌 (한림의대)
윤성보 (한림의대)
윤현영 (한림의대)
박종규 (한림의대)
이동훈 (한림의대)
홍성호 (한림의대)
최성훈 (한림의대)
이상학 (한림의대)
이남호 (한림의대)
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초록

저자들은 평소 건강하게 지내던62세 남자 환자에게서 발생한 우하지 심부정맥혈전증과 폐색전증의 원인으로 과호모시스테인혈증이 독립적인 위험인자로 작용한 것으로 생각되는 1예를 경험하였기에 문헌고찰과 함께 보고한다.

keywords
Hyperhomocysteinemia, Pulmonary embolism., Hyperhomocysteinemia, Pulmonary embolism.

Abstract

Hyperhomocysteinemia is an independent risk factor for cardiovascular, cerebrovascular and peripheral vascular diseases that are complicated by atherosclerosis and a thromboembolism. An increased level of plasma homocysteine develops from a genetic defect in the of enzyme for the homocysteine metabolism or a vitamin deficiency. Hyperhomocysteinemia has direct toxic effect on the vascular endothelium and causes damages to the antithrombotic action of vascular endothelial cells. Most cases of hyperhomocysteinemia are asymptomatic, but cardiopulmonary or cerebrovascular incidents developin rare cases. In the case of a thromboembolism with an unknown cause, hyperhomocysteinemia should be considered in a differential diagnosis. The authors report a case of pulmonary thromboembolism in a patient with hyperhomocysteinemia with a review of the relevant literature. (Tuberc Respir Dis 2007; 62: 211-216)

keywords
Hyperhomocysteinemia, Pulmonary embolism., Hyperhomocysteinemia, Pulmonary embolism.

참고문헌

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Tuberculosis & Respiratory Diseases