1.A Case of Antenatally Diagnosed Fetal Ovarian Cyst.
Chi Hun SONG ; Seo Yoo HONG ; Soo Mi CHUNG ; Kyung Chul HAN ; Chul Bum PARK ; Bong Gyu SHIN
Korean Journal of Obstetrics and Gynecology 1999;42(3):651-655
Ovarian cysts in the newborn are uncormnon. Fetal ovarian cysts are being diagnosed with inaeasing fiequency with development of obstetrical sonography. Most of these cysts are found within the first few months of life and have no clinical significance. But, a large ovarian cyst would be founded antenatally with sonography. A large ovarian cyst can cause life-theatening complications during parturition and in the neonatal period. We have experienced a case of fetal ovarian cyst in a 32-year-old primiparous woman with antenatal sonography and report our experience with a brief review of literatures.
Adult
;
Female
;
Humans
;
Infant, Newborn
;
Ovarian Cysts*
;
Parturition
;
Ultrasonography
2.A Case of Peripartum Cardiomyopathy.
Sang Bum HA ; Yong Suk CHOI ; Jong Oh KIM ; Seong Lim LEE ; Seung Gyu SONG ; Bong Choon JO
Korean Journal of Perinatology 2001;12(3):384-387
No abstract available.
Cardiomyopathies*
;
Peripartum Period*
3.Recurrent Partial Trisomy 1q in Maternal Balanced Translocation t(1;11)(q32;q23).
Geun A SONG ; Bong Gyu KWAK ; Moon Seok CHA ; Goo Hwa JE ; Jin Yeong HAN ; Lisa G SHAFFER
Korean Journal of Obstetrics and Gynecology 2000;43(2):338-342
Abnormal offsprings from balanced translocation carriers usually inherit only one of the translocated products and are therefore partially trisomic for one chromosome and partially monosomic for another. Partial trisomy 1q usually demonstrates fetal growth restriction and anomalies of head, face, urogenital tract, heart, finger and toes with a wide range of characteristics and severities. It has been reported in a few individuals in the world and this is the first report of partial trisomy 1q in Korea. We present the case of recurrent partial trisomy 1q in maternal balanced translocation which was prenatally diagnosed by amniocentesis with fluorescence in situ hybridization(FISH) based on abnormal ultrasonographic findings and poor obstetric history.
Amniocentesis
;
Fetal Development
;
Fingers
;
Fluorescence
;
Head
;
Heart
;
Korea
;
Prenatal Diagnosis
;
Toes
;
Trisomy*
4.Botulinum A toxin for the treatment of focal hyperhidrosis: 5 cases.
Song Ahm LEE ; Kwang Taik KIM ; Sung Min PARK ; Bong Gyu JUNG ; Hyoung Mook KIM ; Kyung SUN ; In Sung LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(3):268-272
Thoracic sympathicotomy has been used safely and successfully to treat essential hyperhidrosis. However, it has been difficult to treat compansatory hyperhidrosis after thoracic sympathicotomy and focal hyperhidrosis. The sweat glands were innervated by post-ganglionic sympathetic fibers with acetylcholic serving as the transmitter. Botulinum A toxin has been reported to block neuro-transmission at the cholinergic autonomic nerve terminals. Prospecting its effect for the sweat gland, we treated 5 patients with focal hyperhidrosis with botulinum A toxin. Three patients received bilateral thoracic sympathectomy (1 case) and sympathicotomy(2 case) via VAT. The hyperhidrosis area was marked with betadine and was subdivided into squares of 2x2 cm(4cm(2)) each. Botulinum A toxin was injected intracutaneously in a dosage of 2.5U/0.1ml(100U/4ml) /4cm(2). A total dose of 100U of Botulinum A toxin was injected into the affected sites. Subjective assessment of sweat production by the patients using a visual analogue scale showed a 20~70% improvement. During the follow-up period, no toxic effects were observed.
Adrenergic Fibers
;
Autonomic Pathways
;
Botulinum Toxins, Type A*
;
Follow-Up Studies
;
Humans
;
Hyperhidrosis*
;
Povidone-Iodine
;
Sweat
;
Sweat Glands
;
Sympathectomy
5.2mm Video Thoracoscopic Examination for Primary Spontaneous Peumothorax.
Song Ahm LEE ; Kwang Taik KIM ; Sung Min PARK ; Bong Gyu JUNG ; Kyung SUN ; Hyoung Mook KIM ; In Sung LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(4):306-309
BACKGROUND: The purpose of this study was to evalute the diagnostic value of 2mm video thoracoscopy for primary spontaneous penumothorax. MATERIAL AND METHOD: During the period of March to June 1999, we prospectively analyzed 33 consecutive patients suffering from primary spontaneous pneumothorax. 2mm video-assisted thoracoscopy was compared with the operative finding. We observed recurrence during the mean follow-up of 3months. RESULT: Blebs were present in 24 patient(73%: 24/33). These were treated by 10mm video-assised thoracoscopic stapling. Nine pateints with no bleb were treated with pleural drainage. There were no significant differences in the bleb finding. No recurrence occurred during the follow-up period. CONCLUSIONS: A 2mm video thoracoscopic examination for primary spontaneous pnumothorax is a useful alternative in deciding the operative indication.
Blister
;
Drainage
;
Follow-Up Studies
;
Humans
;
Pneumothorax
;
Prospective Studies
;
Recurrence
;
Thoracoscopy
6.A case of pulmonary hypersensitivity reaction associated with etodolac.
Jong Hyeok KIM ; Ki Suck JUNG ; Hee Bong PARK ; Sook Hee SONG ; Dong Kyu KIM ; Myung Koo LEE ; Ho Joong KIM ; In Gyu HYUN ; Ji So RYU
Korean Journal of Medicine 1993;45(2):277-281
No abstract available.
Etodolac*
;
Hypersensitivity*
7.Immunoglobulin G4-Related Inflammatory Pseudotumor Presenting as a Solitary Mass in the Stomach.
Hong Ryeol CHEONG ; Bong Eun LEE ; Geun Am SONG ; Gwang Ha KIM ; Sung Gyu AN ; Won LIM
Clinical Endoscopy 2016;49(2):197-201
Immunoglobulin G4 (IgG4)-related disease (IgG4RD) is a relatively recently recognized entity that is histopathologically characterized by an extensive infiltration of lymphocytes and IgG4-positive plasma cells with dense fibrosis. IgG4RD is now known to affect any organ system, and a few cases of gastrointestinal lesions have also been reported. However, solitary IgG4RD of the stomach is still very rare. Furthermore, as it can mimic malignant conditions, it is important to recognize this disease to avoid unnecessary surgery. Herein, we present a case of IgG4RD presenting as an isolated subepithelial mass in the stomach.
Fibrosis
;
Granuloma, Plasma Cell*
;
Immunoglobulins*
;
Lymphocytes
;
Plasma Cells
;
Stomach*
;
Unnecessary Procedures
8.Plasmodium vivax Infection in a Patient with Systemic Lupus Erythematosus.
Woo Gyu KIM ; Nam Gyu PARK ; Young Mi CHOI ; Yun Jong LEE ; Eun Bong LEE ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 2002;9(4):347-352
Malaria was rarely reported in patients with systemic lupus erythematosus (SLE). We report a case of P. vivax infection in a patient with SLE. A 42-year-old woman was admitted to the hospital because of fever, anemia, and severe thrombocytopenia and had transfusion of multiple blood products including 16 units of red blood cells (RBC). The patient was diagnosed as having SLE complicated with antiphospholipid syndrome. From the 96th hospital day, the patient had cyclic high fever for 4~5 hours, myalgia and shaking chills, follwed by generalized diaphoresis and resolution of fever. Examination of her peripheral blood smear showed gametocytes of P. vivax. She received hydroxychloroquine of a total dose of 25 mg/kg orally over 3 days and then oral primaquine 15 mg/day for 14 days. Blood donors were traced retrospectively. The 13 RBC products were negative for malaria but other three RBC products could not be checked on P. vivax. The patient was presumed to have acquired malaria from infected blood products. Relapse did not occur 1 year later. In conclusion, malaria should be considered in the differential diagnosis of persistent fever in a patients with SLE who received multiple blood products in Korea.
Adult
;
Anemia
;
Antiphospholipid Syndrome
;
Blood Donors
;
Chills
;
Diagnosis, Differential
;
Erythrocytes
;
Female
;
Fever
;
Humans
;
Hydroxychloroquine
;
Korea
;
Lupus Erythematosus, Systemic*
;
Malaria
;
Myalgia
;
Plasmodium vivax*
;
Plasmodium*
;
Primaquine
;
Recurrence
;
Retrospective Studies
;
Thrombocytopenia
9.Reduced Th1 Response with Herpes Simplex Virus Type 1 in Behcet's Disease.
Eun Bong LEE ; Kwang Yong KIM ; Su Yeon KIM ; Eung Soo HWANG ; Chung Gyu PARK ; Chang Yong CHA ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 2006;13(2):132-139
OBJECTIVE: To investigate the interaction of herpes simplex virus type 1 antigen and T cells in Behcet's disease. METHODS: Intracellular interferon-gamma response of T cells was measured before and after stimulation with herpes simplex virus type 1 in 17 patients with Behcet's disease and 20 healthy controls. The proliferation rate and the changes of CD4+/CD8+ T cell subsets were also measured. RESULTS: In the basal status, the proportions of interferon-gamma producing CD4+ or CD8+ T cells were higher in patients with Behcet's disease than healthy controls. The number of interferon-gamma producing CD4+ or CD8+ T cells in patients with Behcet's disease was significantly decreased after stimulation with herpes simplex virus (mean+/-SD, 14.6+/-6.4 % vs 10.0+/-4.7%, p=0.0052 for CD4+ T cells; 29.5+/-14.2% vs 21.2+/-11.8%, p=0.045 for CD8+ T cells), while it did not change in healthy controls (11.5+/-7.4% vs 11.2+/-6.3%, p=0.88 for CD4+ T cells; 19.8+/-15.2 vs 20.7+/-10.8, p=0.84 for CD8+ T cells). There was no difference in the proliferation rate or CD4+/CD8+ subset changes between patients with Behcet's disease and healthy controls. CONCLUSION: The stimulation of peripheral blood mononuclear cells with herpes simplex virus type 1 leads to the reduction of interferon-gamma producing T cells in patients with Behcet's disease. These findings suggest that the stimulation with herpes simplex virus type 1 antigen may reverse the interferon-gamma dominant status of the Behcet's disease.
Herpes Simplex*
;
Herpesvirus 1, Human*
;
Humans
;
Interferon-gamma
;
Simplexvirus*
;
T-Lymphocyte Subsets
;
T-Lymphocytes
10.Effect of Pulsed Electromagnetic Fields in the Treatment of Knee Osteoarthritis. Report of Double-blind, Placebo-controlled, Randomized Trial.
Jung Chan LEE ; Jeong Jin PARK ; Dong Hyuk SHEEN ; Young Mi CHOI ; Nam Gyu PARK ; Woo Kyu KIM ; Yun Jong LEE ; Eun Bong LEE ; Yeong Wook SONG
The Journal of the Korean Rheumatism Association 2004;11(2):143-150
OBJECTIVE: To determine the effectiveness of pulsed electromagnetic fields (PEMF) in the treatment of knee osteoarthritis (OA). MEHTODS: In this randomized, placebo-controlled, double-blind trial, 51 patients with knee OA, diagnosed according to the criteria of the American College of Rheumatology, were treated with PEMF or placebo. Eleven patients failed to attend after screening and were excluded from analysis. Treatment consisted of 3 half-hour periods of exposure per week over 6 weeks in a specially designed cylindrical device that emits low-frequency pulsed electromagnetic fields (25 gauss, 12 Hz). The primary outcome measure was reduction in pain on movement using a 10 cm visual analog scale. Secondary outcome measures included joint swelling and tenderness, the Lequesne index, and overall evaluations of improvement by the patient and examining physician. Evaluations were made at baseline, 3 week and 6 week during treatment and 4 weeks after finishing treatment. RESULTS: There were no significant differences between PEMF and placebo groups in respect of any outcome measures after treatment. Range of motion and knee swelling tended to be improved in the PEMF group. There were no clinically relevant adverse effects attributable to PEMF treatment. CONCLUSION: These results suggest that the PEMF treatment has no clinically significant benefits in patients with knee OA resistant to conventional treatment. The larger studies are needed to confirm the efficacy of PEMF therapy in knee OA.
Electromagnetic Fields*
;
Humans
;
Joints
;
Knee*
;
Magnets*
;
Mass Screening
;
Osteoarthritis, Knee*
;
Outcome Assessment (Health Care)
;
Range of Motion, Articular
;
Rheumatology
;
Visual Analog Scale