| 영문 | chronic active hepatitis | 한글 | 만성활동간염 |
|---|---|---|---|
| 설명 | B형 간염이나 비A형－비B형 간염의 속발증으로 나타나는 간의 만성염증이다. 같은 형태의 병이 선천성 또는 후천감마글로불린결핍증이나 어떤 종류의 약물 투여에 수반해서 나타날 수도 있다. 특징적으로 문맥부에 형질세포와 큰포식세포의 침윤, 조각괴사(간소엽 주변부 간세포의 파괴) 및 섬유증 등의 조직소견을 나타낸다. 병의 경과는 매우 다양하며 장기간의 무증상기를 보일 수도 있고 그 사이 사이에 황달, 전신쇠약, 식욕부진 및 발열 등의 증상이 나타나는 수가 있으며, 또 무월경증, 관절염, 피부발진, 혈관염, 갑상샘염, 콩팥사구체염, 궤양성대장염, 쉐그렌증후군 등 간 이외의 증상이 나타나는 수도 있고, 간경화증과 간기능상실로 진행되는 수도 있다. 자가면역메커니즘이 관여되는 것으로 추측되고 있다. |
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| 영문 | fulminant hepatitis | 한글 | 전격간염 |
|---|---|---|---|
| 설명 | 바이러스 간염의 한 형으로 급성 황색위축증이라고도 부른다. 간세포의 대부분이 괴사상태로 되며 환자는 보통 사망한다. 황달이 나타나기 전부터 이미 증상은 현저히 진행하여 황달의 출현도 빠르고, 급성 발열을 수반하며 점막이나 피하출혈을 볼 수 있다. 간의 압통을 수반하는 수도 있다. 위축에 의하여 간은 자주 작아진다. 최후에는 의식장애를 초래하여 졸음이 오고 혼미상태로 되며 간성혼수로 진행하여 사망하게 된다. 증상이 시작되어 2~3주 내에 간뇌병증까지 진행하는 간기능 상실을 전격성 간기능상실이라고 부르며, 진행 속도가 빠르지 않아서 3개월에 이르러 간기능상실에 빠지는 것은 아급성 간기능상실이라고 부른다. 모든 간염 바이러스가 모두 일으키지는 않는다. 간염A바이러스와 간염E바이러스는 보유자 상태나 만성 간염을 거의 일으키지 않는다. 기타 다른 감염 또는 비감염성 원인, 특히 약물과 독소도 본질적으로 동일한 증후를 일으킬 수 있다. 그러므로 바이러스성 간염의 진단과 각 간염 바이러스를 구별하는데는 혈청학적 검사가 필수적이다. |
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| HIM | hepatitis-infectious mononucleosis; hexosephosphate isomerase |
|---|---|
| ICH | idiopathic cortical hyperostosis; infectious canine hepatitis; intracerebral hematoma; intracranial ... |
| IH | idiopathic hirsutism; idiopathic hypercalciuria; immediate hypersensitivity; incompletely healed; in... |
| IHH | idiopathic hypogonadotropic hypogonadism; idiopathic hypothalamic hypogonadism; infectious human hep... |
| CAH | chronic active hepatitis; chronic aggressive hepatitis; combined atrial hypertrophy; congenital adre... |
| vaccination, dt | DT (diphtheria and tetanus) vaccine does not protect from pertussis and is usually reserved for individuals who have had a significant adverse reaction to a dpt shot or who have a personal or family history of a seizure disorder or brain disease (12 Dec 1998) |
|---|---|
| vaccination, dtap | Like DPT, DTaP protects from diphtheria, pertussis (whooping cough) and tetanus. Dtap is the same as dtp, except that it contains only acellular pertussis vaccine which is thought to cause fewer of the minor reactions associated with immunization and is also probably less likely to cause the more severe reactions occasionally seen following pertussis vaccination. Dtap is currently recommended only for the shots given at 18 months and 4-6 years of age. (12 Dec 1998) |
| vaccination, german measles | See Vaccination, MMR. (12 Dec 1998) |
| vaccination, haemophilus influenzae type b | See vaccination, hib. (12 Dec 1998) |
| vaccination, hib | This vaccine is to prevent disease caused by the haemophilus influenzae type b (hib) bacteria. The h. Influenzae (h. Flu) bacteria can cause a range of serious diseases including meningitis with potential brain damage and epiglottitis with airway obstruction poisoning. The hib vaccine is usually given at 2, 4 and 6 months of age. A final booster is given at 12-15 months of age. Hib vaccine rarely causes severe reactions. (12 Dec 1998) |
| vaccination, measles | See Vaccination, MMR. Vaccination, mmr: the standard vaccine given to prevent measles, mumps and rubella (german measles). The mmr vaccine is now given in two dosages. The first should be given at12-15 months of age. The second vaccination hould be given at 4-6 years (or, alternatively, 11-12 years) of age. most colleges require proof of a second measles or mmr vaccination prior to entrance. Most children should receive mmr vaccinations. Exceptions may include children born with an inability to fight off infection, some children with cancer, on treatment with radiation or drugs for cancer, on long term steroids (cortisone). People with severe allergic reactions to eggs or the drug neomycin should probably avoid the mmr vaccine. Pregnant women should wait until after delivery before being immunised with mmr. People with HIV or aids should normally receive mmr vaccine. Measles, mumps, and rubella vaccines may be administered as individual shots, if necessary, or as a measles-rubella combination. (12 Dec 1998) |
| vaccination, mumps | See Vaccination, MMR. Vaccination, pneumococcal pneumonia: this vaccine, which prevents one of the most common and severe forms of pneumonia, is usually given only once in a lifetime, usually after the age of 55, to someone with ongoing lung problems (such as chronic obstructive pulmonary disease (copd) or asthma) or other chronic diseases (including those involving the heart and kidneys). This vaccination would rarely be given to children. (12 Dec 1998) |
| vaccination, polio | The vaccines available for vaccination against polio are opv (oral polio vaccine) and ipv (inactivated polio vaccine). Opv is still the preferred vaccine for most children. As its name suggests, it is given by mouth. Ipv, or inactivated polio vaccine is given as a shot in the arm or leg. Infants and children should be given four doses of opv. The doses are given at 2 months, 4 months, 6-18 months and 4-6 years of age. Persons allergic to eggs or the drugs neomycin or streptomycin should receive opv, not the injectable ipv. Conversely, ipv should be given if the vaccine recipient is on long-term steroid (cortisone) therapy, has cancer, or is on chemotherapy or if a household member has aids or there is an unimmunised adult in the house. (12 Dec 1998) |
| vaccination, rubella | See Vaccination, MMR. (12 Dec 1998) |
| vaccination, varicella zoster | See Vaccineation, chickenpox. (12 Dec 1998) |
| varicella vaccination | See Vaccination, chickenpox. (12 Dec 1998) |
| polio vaccination | <virology> The vaccines available for vaccination against polio are opv (oral polio vaccine) and ipv (inactivated polio vaccine). Opv is still the preferred vaccine for most children. As its name suggests, it is given by mouth. Ipv, or inactivated polio vaccine is given as a shot in the arm or leg. Infants and children should be given four doses of opv. The doses are given at 2 months, 4 months, 6-18 months and 4-6 years of age. Persons allergic to eggs or the drugs neomycin or streptomycin should receive opv, not the injectable ipv. Conversely, ipv should be given if the vaccine recipient is on long-term steroid (cortisone) therapy, has cancer, or is on chemotherapy or if a household member has aids or there is an unimmunised adult in the house. (21 Jun 1999) |
| primary vaccination | <virology> First or principal vaccination with the introduction of a vaccine into the body for the purpose of inducing immunity. (18 Nov 1997) |
| DPT vaccination | <immunology> A vaccination administered to infants for protection against diphtheria, pertussis (whooping cough) and tetanus. Vaccinations are typically administered at 2, 4, 6 and 15 months. A final vaccination is now recommended at 4-6 years of age. (27 Sep 1997) |
| yellow fever vaccination | A live attenuated (weakened) viral vaccine recommended for people traveling to or living in tropical areas in the americas and africa where yellow fever occurs. (12 Dec 1998) |