2.Cystic Lesions in Os Calcis
Ki Ser KANG ; Han Koo LEE ; Sung Ho HAN
The Journal of the Korean Orthopaedic Association 1976;11(3):571-575
The authors experienced six patients who were admitted in Department of Orthopedic Surgery at Seoul National University Hospital during the period of March 1966 to February 1976 with cystic lesions in calcaneus by radiographic findings. The following results were obtained. Among the six patients, four were osteomyelitis, one was eosinophilic granuloma and the other was fibromyxoid sarcoma. They were all similar in radiographic findings, but were different each other in pathologic findings. 2. Diagnosis is very difficult only with the patients history, hematologic and radiographic findings and the pathologic findings is the most important in the final confirmative diagnosis from benign cystic lesions to malignant one. 3. We describe about the kinds and points of the differential diagnosis. of the other discases from the reported six cases.
Calcaneus
;
Diagnosis
;
Diagnosis, Differential
;
Eosinophilic Granuloma
;
Humans
;
Orthopedics
;
Osteomyelitis
;
Sarcoma
;
Seoul
3.A Case of Lymphocytoma Cutis Treated with CD2 Slush.
Han Sung PARK ; Hong Sang CHIN ; Chung Koo CHO
Korean Journal of Dermatology 1976;14(2):141-145
A case of lymphocytoma cutis, the circumscribed form in 9 year-old girl is reported. This is seldom conclusive without histological examinatien for a wide variety of conditions has to be considered. The circumscribed form usually responds rapidly to radiotherapy, although recurrence is possible and good results from the use of procaine penicillin especially in the disseminated form. In this case, I experienced good results from CO, slush and topical application of 0.25 % fluocortolone 3 times a day without recurrence in 3 months after treatment.
Child
;
Female
;
Fluocortolone
;
Humans
;
Penicillin G Procaine
;
Pseudolymphoma*
;
Radiotherapy
;
Recurrence
4.A Clinical Study of Urticaria.
Han Sung PARK ; Chung Koo CHO ; Tae Ha WOO
Korean Journal of Dermatology 1976;14(2):101-106
Urticaria is a common disease and a well known reaction pattern of the skin eharacterized by erythema or wheals and edema, that is the results of a local leakage ef plasma, from minute vessels into the connective tissue of the dermis. Seven hundred and sixty cases of urticaria visited to this department from January 1973 to December 1974 were studied clinically in various ways. Patients were classified as acute and chronic urticaria-acute form when the hives have been present for less than 8 weeks and chronic form when the hives lasted longer. In all patients, a detailed history, a complete physical examination, a total and differential leukocyte count, erythrocyte sedimentation rate and routine stool examination were performed. Foods were incriminated as the exciting causes of urticaria by history, diet elimination test and ingestion test. An ice cube test was done for corroboration of cold allergy. Cholinergic urticaria, was diagnosed by the appearance of small wheals surrounded by erythema after exercise, emotional disturbances or hot drinks. The diagnosis of urticaria due to drug was based on the history of urticaria following the taking of a certain drug. Infection as the inciting cause was determined by history and physical examination. The results: 1. The incidence of urticaria is 4. 6% to total number of dermatologic patients. 2. Among the 760 urticaria patients, acute cases were 498 which were 2 times more than chronic cases, and female patients were 474 cases that revealed marked high incidences than male patients. 3. The age of the patients ranged from 2 months to 87 years, and the patients between 20 and 39 years occupied more than half of the all patients. 4. Abnormal hematologic findings were more marked in acute form; leukocytosis and neutrophilia were dominate in acute form, and lymphocytosis and eosinophilia were more marked in chronic form. 5. Among the etiologic factors, the bacterial infection was the most frequent which occupied 22. 4% of the all urticaria patients. 6. Seven cases of urticaria due to parasites were clonorchis sinensis, in which I had experienced the complete recovery with the treatment of subcutaneous injection of clonorchis sinensis antigen (1: 10,000) 0.01- 0.1ml at the interval of one week. 7. In this study, the inciting or perpetuating causes could not be found in 50.8% of patients-46.2% of acute form and 59.5% of chronic form.
Affective Symptoms
;
Bacterial Infections
;
Blood Sedimentation
;
Clonorchis sinensis
;
Connective Tissue
;
Dermis
;
Diagnosis
;
Diet
;
Eating
;
Edema
;
Eosinophilia
;
Erythema
;
Female
;
Humans
;
Hypersensitivity
;
Ice
;
Incidence
;
Injections, Subcutaneous
;
Leukocyte Count
;
Leukocytosis
;
Lymphocytosis
;
Male
;
Parasites
;
Physical Examination
;
Plasma
;
Skin
;
Urticaria*
5.Melanosis Coli: Relation to Apoptosis in Pathogenesis.
Sun Hee SUNG ; Hea Soo KOO ; Woon Sup HAN
Korean Journal of Pathology 1996;30(7):570-575
Melanosis coli is characterized by a dark brownish discoloration of the colonic mucosa. Its pathogenesis is still unknown. Recently it was proposed that the apoptosis of mucosal epithelium due to habitual use of laxatives play an important role for induction of melanosis coli. We studied clinicopathologic aspects of 12 cases of melanosis coli and analysed the histochemical and immunohistochemical characteristics of them. Results are as follows. : Mean patient's age was 53.5, and the male:female ratio was 4:8. Nine patients had a history of constipation, and all of these had administrated various kinds of laxatives. The severity of discoloration was correlated with the duration of constipation and age. There was no difference of anatomical distribution in colon. Other remarkable mucosal lesions were not accompanied. On pathologic examination, all cases showed frequent yellow-brown pigment laden cells in lamina propria. These pigments were positive for periodic acid Schiff stains, Fontana Masson stains, and Victoria blue stains, however they were negative for prussian blue stain. On immunohistochemical stainings pigmented cells were positive for CD68, and negative for S-100 protein and neuron specific enolase. These results indicate that they are macrophages. On ultrastructural examination pigmented cytoplasms were filled with variable sized electron dense granules including irregulary round deformed membranous structures, lipid vacuoles. Apoptosis of mucosal epithelium was noted in 5 cases. These findings suggest that apoptosis is the significant pathologic process in the progression of some cases of melanosis coli.
Female
;
Male
;
Humans
6.Bronchoscopic electrocautery for airway obstruction in the tumorous type of endobronchial tuberculosis.
Hee Soon CHUNG ; In Gyu HYUN ; Sung Koo HAN
Tuberculosis and Respiratory Diseases 1991;38(4):347-356
No abstract available.
Airway Obstruction*
;
Electrocoagulation*
;
Tuberculosis*
7.Monilethrix with Keratosis Pilaris.
Ji Ho KIM ; Han Sung PARK ; Chung Koo CHO
Korean Journal of Dermatology 1979;17(6):463-467
Monilethrix is a rare hereditary disorder of hair which was described by smith in 1879. The scalp hair is most frequently affected but the body or sexual hair are rarely affected. The affected hair shows periodic constrictions that break easily, so the hair could not grow more than a few millimetere long. It is thought that the node of the affected hair is normal and the thin internodal segment is deficient in hair matrix. Keratosis pilaris is generally an associated feature. We experienced a case of monilethrix with keratosis pilaris. The 4 years old male patient with monilethrix affected only scalp hair with keratosis. The family history was non-contributory.
Child, Preschool
;
Constriction
;
Hair
;
Humans
;
Keratosis*
;
Male
;
Monilethrix*
;
Scalp
8.Osteoblastoma: A Case Report
Han Koo LEE ; Chung Yong HONG ; Sung Ki KIM
The Journal of the Korean Orthopaedic Association 1979;14(1):129-132
Osteoblastoma is a benign lesion somewhat similar to ostoid osteoma histologically but different from it clinically, roentgenologically and grossly. The autors have experienced a case of benign osteoblastoma of the neural arch of the Iumbar spine, and treated the case by total laminectomy and conflrmed with biopsy.
Biopsy
;
Laminectomy
;
Osteoblastoma
;
Osteoma
;
Spine
9.Clinical Observations on Acute Pyogenic Osteomyelitis and Arthritis in Infancy
Han Koo LEE ; Byoung Wan AHN ; Ho Sung SONG
The Journal of the Korean Orthopaedic Association 1980;15(4):735-745
Clinical observations of 11 cases of acute pyogenic osteomyelitls and 14 cases of acute pyogenic arthritis in infancy during past 11 years were carried out and following results obtained. 1. The highest age incidence was less than 3 months after birth (70.6%). 2. Average duration of symptoms was 7.8 days. 3. The most important underlying cause was multiple femorai vessel puncture (23.5%). 4. The chief symptom or sign on admission was pseudoparalysis or limitation of motion (82.4%), and local swelling (82.4%). But high fever on admission was present in only 29.4% of cases. 5. The femur was the most common site in acute pyogenic osteomyelitis (36.4%), and the hip joint in acute pyogenic arthritis (42.9%). 6. Leucocyte count was Increased more than 20,000/mm in 60.0% of the cases. Erythrocyte sedimentation rate was increased more than 21 mm/hr in 72.0% of cases. The positive result on bacteriologic culture was 76.0%. Coagulase-positive Staphylococcus aureus was cultured in 4 cases of acute pyogenic osteomyelitis and 5 cases of acute pyogenic arthritls. a-hemolytic Streptococcus was cultured in 2 cases of acute pyogenic osteomyelitls and 1 case of acute pyogenic arthritis. Hemophilus influenzae was cultured in 1 case of acute pyogenic osteomyelitls and 2 cases of acute pyogenic arthritis. 7. 45.5% of acute pyogenic osteomyelitis was combined with acute pyogenic arthritis. 8. The longer the duration of symptoms was, the longer the abnormal hematologic picture lasted. Erythrocyte sedimentation rate was the most accurate index of activity in acute infection of bone and joint. 9. Shortening or deformity due to epiphyseal plate damage occured in 1 case of acute pyogenlc osteo-myelitis, and 3 cases of acute pyogenic arthritis. Those complications could be minimized wlth early diagnosis and treatment.
Arthritis
;
Blood Sedimentation
;
Congenital Abnormalities
;
Early Diagnosis
;
Femur
;
Fever
;
Growth Plate
;
Haemophilus influenzae
;
Hip Joint
;
Incidence
;
Joints
;
Osteomyelitis
;
Parturition
;
Punctures
;
Staphylococcus aureus
;
Streptococcus
10.Extraskeletal Ewing's Sarcoma: A Case Report
In KIM ; Seung Koo RHEE ; Han CHANG ; Sung JIN-HYOUNG
The Journal of the Korean Orthopaedic Association 1987;22(5):1170-1175
No abstract available.
Sarcoma, Ewing