1.Cloning of TLR3 Isoform.
Eun Jeong YANG ; Jeon Soo SHIN ; Hyemi KIM ; Hyoung Woo PARK ; Myoung Hee KIM ; Se Jong KIM ; In Hong CHOI
Yonsei Medical Journal 2004;45(2):359-361
Toll-like receptor (TLR) 3 is a member of the TLR family that confers innate immunity by recognizing viral pathogens. Herein, we report that the TLR3 isoform is expressed on human primary cells and cell lines. This isoform has 2, 520 bp cDNAs compared to the 2, 712 bp of full cDNA, is produced by deletion of an intron-like sequence within exon 4 and is co-expressed with wild type TLR3 in primary human astrocytes and glioblastoma cell lines. This finding suggests the TLR3 isoform in astrocytes may have a different immunological role for binding ligands during the immune response in brain.
Astrocytes/*physiology
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Cloning, Molecular
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Human
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Isomerism
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Membrane Glycoproteins/chemistry/*genetics
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Receptors, Cell Surface/chemistry/*genetics
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Support, Non-U.S. Gov't
2.Intestinal Obstruction Due to a Mesenteric Cyst.
Ibrahim BARUT ; Omer Ridvan TARHAN ; Metin CIRIS ; Yusuf AKDENIZ ; Mahmut BULBUL
Yonsei Medical Journal 2004;45(2):356-358
Mesenteric cysts are rarely thought of, may be difficult to diagnose, and are usually asymptomatic except when complicated. Intestinal obstruction is a rarely reported complication of these cysts. A case of mesenteric cyst that was causing obstruction of the large bowel is presented, along with a review of the literature.
Aged
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Human
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Intestinal Obstruction/*etiology/pathology
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Male
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Mesenteric Cyst/*complications/pathology
3.A Case of Adult-Onset Centronuclear Myopathy.
Sang Jun NA ; Tai Seung KIM ; Young Chul CHOI
Yonsei Medical Journal 2004;45(2):352-355
Centronuclear myopathy (CNM) is a rare congenital myopathy that is characterized by centrally placed nuclei in the muscle fibers. Based on the time of onset and the mode of inheritance, CNM can be divided into three distinct forms: the severe neonatal form, the childhood onset form, and the adult onset form. This paper describes the case of a female patient with CNM, in whom the disease manifested itself in the fifth decade of life, without any prior family history of such disorders. To the best of our knowledge, this is a rare case of late adult-onset CNM.
Age of Onset
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Female
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Human
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Middle Aged
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Myopathies, Structural, Congenital/genetics/*pathology
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Pedigree
4.A New Case of Fatal Pulmonary Thromboembolism Associated with Prolonged Sitting at Computer in Korea.
Yonsei Medical Journal 2004;45(2):349-351
A newly reported, variant form of venous thromboembolism (VTE), named as "eThrombosis", occurred in a patient who maintained a prolonged sitting position at a computer. The patient fortunately recovered from the disease through early diagnosis and treatment. Recently however, the author experienced a new case of a 24-year-old Korean man who died due to "eThrombosis" after playing an Internet computer game continuously for about 80 hours. Based on this case, the author would like to warn heavy computer users of the risk of "eThrombosis", as they might also be at risk. Sitting for a long time at the computer results in an immobility that is a new and large risk factor of life-threatening VTE.
Adult
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Computers
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Fatal Outcome
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Human
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Immobilization/*adverse effects
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Korea
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Male
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*Posture
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Pulmonary Embolism/*etiology
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Venous Thrombosis/*etiology
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Video Games/*adverse effects
5.Primary Malignant Melanoma of the Cervical Spinal Nerve Root.
Soon Chan KWON ; Seung Chul RHIM ; Deok Hee LEE ; Sung Woo ROH ; Shin Kwang KANG
Yonsei Medical Journal 2004;45(2):345-348
The authors report on a case of primary malignant melanoma of the 7th cervical spinal nerve root in a 45-year-old woman. Neuro-radiological features of this extra-dural mass were suggestive of a nerve sheath tumor. The lesion underwent total gross resection through the anterolateral approach. The patient's postoperative course was uneventful. Histopathological investigation confirmed malignant melanoma. There was no evidence of tumor recurrence or other melanotic lesions on regular follow-up examinations until the postoperative eighth month. When treating a common, benign-looking lesion of the cervical spinal nerve root, surgeons should be aware of the potential to encounter such a malignant tumor.
Cervical Vertebrae
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Female
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Human
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Melanoma/*pathology/surgery
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Middle Aged
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Nerve Sheath Tumors/*pathology/surgery
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Peripheral Nervous System Neoplasms/*pathology/surgery
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Spinal Nerve Roots/*pathology
6.Graves' Disease Associated with Klinefelter's Syndrome.
Jong Suk PARK ; Chul Sik KIM ; Joo Young NAM ; Dol Mi KIM ; Soo Jee YOON ; Chul Woo AHN ; Bong Soo CHA ; Sung Kil LIM ; Kyung Rae KIM ; Hyun Chul LEE ; Kap Bum HUH
Yonsei Medical Journal 2004;45(2):341-344
Klinefelter's syndrome is one of the most common forms of primary hypogonadism and infertility in males. It is characterized by small and firm testes, gynecomastia, azoospermia, and an elevated gonadotropin level. The frequencies of diabetes mellitus, breast cancer, and germ cell neoplasia increases in Klinefelter's syndrome. We report upon a 35 year-old male patient with Graves' disease in association with Klinefelter's syndrome; as confirmed by chromosome analysis. The patient is being treated with antithyroid medication for Graves' disease and by testosterone replacement for Klinefelter's syndrome.
Adult
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Graves' Disease/*etiology/radionuclide imaging
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Human
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Hypogonadism/*etiology/genetics/pathology
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Klinefelter Syndrome/*complications/genetics/pathology
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Male
7.Phenytoin-Induced Gingival Overgrowth in Un-Cooperated Epilepsy Patients.
Ismail MARAKOGLU ; Ulvi Kahraman GURSOY ; Hulya CAKMAK ; Kamile MARAKOGLU
Yonsei Medical Journal 2004;45(2):337-340
Phenytoin-induced gingival overgrowth is a well-known and frequently reported gingival lesion, which was first detected in 1939. However, there are conflicts in the literature about the agents which affect the severity of the lesion. Un-cooperative dental patients are one of the most unsuccessfully treated periodontal patient groups because of the difficulty in maintaining their oral hygiene. This case report consists of two cases with the same characteristics: phenytoin usage, comprehension and speech defects and poor oral hygiene, but each case differs in the duration of the phenytoin therapy. Both of the cases received scaling, root planning and a gingivectomy.
Adult
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Anticonvulsants/*adverse effects
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Epilepsy/*drug therapy
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Gingival Overgrowth/*chemically induced
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Human
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Male
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Oral Hygiene
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Patient Compliance
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Phenytoin/*adverse effects
8.First Turkish Patient with Floating Harbor Syndrome with Additional Findings: Cryptorchidim and Microcephaly.
Mukadder Ayse SELIMOGLU ; Erol SELIMOGLU ; Vildan ERTEKIN ; Ibrahim CANER ; Zerrin ORBAK
Yonsei Medical Journal 2004;45(2):334-336
We report the first Turkish patient with Floating Harbor Syndrome (FHS). The 12-year old male patient exhibited classical dysmorphic features of FHS, mental retardation, celiac disease and additional undescribed findings: microcephaly and cryptorchidism.
Abnormalities, Multiple/*pathology
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Child
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Cryptorchidism/*pathology
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Human
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Male
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Microcephaly/*pathology
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*Syndrome
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Turkey
9.Isolated Extramedullary Relapse of Acute Myelogenous Leukemia as a Uterine Granulocytic Sarcoma in an Allogeneic Hematopoietic Stem Cell Transplantation Recipient.
Hoyoung MAENG ; June Won CHEONG ; Seung Tae LEE ; Woo Ick YANG ; Jee Sook HAHN ; Yun Woong KO ; Yoo Hong MIN
Yonsei Medical Journal 2004;45(2):330-333
We report an unusual case of acute myelogenous leukemia in a patient who showed an extramedullary relapse in her uterus, without bone marrow recurrence, two years after an allogeneic bone marrow transplant. She complained of irregular vaginal spotting, and magnetic resonance imaging demonstrated a uterine mass. A biopsy revealed a massive infiltration of immature myeloid cells. A variable number of tandem repeats (VNTR) based on an examination of peripheral blood cells showed full donor chimerism. After receiving chemotherapy, her uterine mass had completely resolved. She has remained in complete remission for more than 6 months. This case suggests that physicians should be aware of the possibility of a uterine relapse in female bone marrow transplant recipients with acute myelogenous leukemia.
Adult
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Female
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Hematopoietic Stem Cell Transplantation/*adverse effects
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Human
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Leukemia, Myelocytic, Acute/*pathology/*therapy
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Neoplasm Recurrence, Local
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Sarcoma, Granulocytic/etiology/*pathology
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Uterine Neoplasms/etiology/*pathology
10.Occupational Asthma Due to Azodicarbonamide.
Cheol Woo KIM ; Jae Hwa CHO ; Jong Han LEEM ; Jeong Seon RYU ; Hong Lyeol LEE ; Yun Chul HONG
Yonsei Medical Journal 2004;45(2):325-329
Azodicarbonamide is a low molecular weight foaming agent for plastics and rubbers. Azodicarbonamide can elicit acute and chronic health related problems due to its potential for pulmonary and cutaneous sensitization. Some cases of occupational asthma associated with exposure to azodicarbonamide have been reported, of which only a few cases were confirmed by specific inhalation challenges. Here, the first case of occupational asthma due to azodicarbonamide in Korea, in which the diagnosis was confirmed by specific inhalation challenge, is reported.
Asthma/*chemically induced
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Azo Compounds/*adverse effects
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Human
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Immunosuppressive Agents/*adverse effects
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Inhalation Exposure
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Male
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Middle Aged
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Occupational Diseases/*chemically induced
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Occupational Exposure
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Support, Non-U.S. Gov't