- A Case of Graves' Disease Associated with Recurrent Myasthenia Gravis
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Dong Hyun Lim, Suk Yung Kwon, Sang Jung Kang, Jin Ku Kim, Young Sik Choi, Yo Han Park, Kwang Soo Kim, Hee Kyung Chang
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Kosin Med J. 2000;15(1):98-102.
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- A case of Behcet's syndrome with multiple pulmonary infarct, superior vena cava syndrome, and mediastinal lymphadenopathy
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Seong Hoon Chang, Ho Sung Son, Yeon Soon Jung, Jin Ku Kim, Se Jin Oh, Moo In Park, Seon Ja Park, Ja Young Koo
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Kosin Med J. 1999;14(1-2):157-163.
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- Idiopathic scoliosis with recurrent dyspnea and wheezing in an otherwise healthy female adolescent: a case report
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Jin Ku Kim, Yoon Ha Hwang
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Received August 20, 2024 Accepted October 23, 2024 Published online February 7, 2025
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DOI: https://doi.org/10.7180/kmj.24.135
[Epub ahead of print]
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 Abstract
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- A 15-year-old female visited our hospital’s outpatient and emergency department several times due to recurrent paroxysmal dyspnea for 6 months. Based on the clinical symptoms, the researchers diagnosed the patient with bronchial asthma and treated her with oral steroids and inhaled corticosteroid agents, but her patients did not significantly improve. At that time, thoracic scoliosis was observed in previous chest X-ray images. Previous records showed that the scoliosis had progressed during the rapid growth period in 2018 (patient age 10 years) and 2023 (patient age 15 years). As the symptoms did not improve despite medication, a further evaluation was performed. Contrast-enhanced chest computed tomography revealed the T8 vertebral body compressing the right bronchus intermedius. The patient rarely wore an existing brace due to discomfort, but a new custom brace was prescribed after confirmation using chest computed tomography. Since then, the patient's compliance with treatment has improved, and she has gradually increased the amount of time she wears the brace. In addition, her Cobb’s angle and pulmonary function tests have improved in outpatient follow-up. The researchers initially considered the patient's recurrent dyspnea and wheezing to be an asthma exacerbation and treated her with medication, but the symptoms did not improve. Therefore, when a patient does not respond well to asthma medications, the possibility of dyspnea or wheezing due to causes other than asthma should not be ruled out. Evaluation for scoliosis should also not be neglected, especially in growing adolescents.
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KOSIN UNIVERSITY COLLEGE OF MEDICINE
