1.A Case of Erythema Elevatum Diutinum Occuring in a Child.
Sung Koan CHOI ; Sang Lip CHUNG ; Sung Hwa KIM ; Soon Bong SUH
Korean Journal of Dermatology 1989;27(1):59-63
We report a case of erythema elevatum ditinum in a 6-year-old girl. Th symmetrically distributed skin lesions consisted of elevated purplish annular plaques and nodules on the elbows, knees, ankles and buttocks, and some of the lesions showed vesicles, hemorrhagic crusts, and necroses. Biopsy specimens from the knee and ankle revealed typical leukocytoclastic vasculitis. Ve performed a Multites CMI, a test for delayed r.utaneous hypersensitivity, in which the patient showed positive reaction to streptococcal antigen(Lancefield group C). We tried oral prednisolone and dapsone seperately and could see a remarkable response to both drugs.
Ankle
;
Biopsy
;
Buttocks
;
Child*
;
Dapsone
;
Elbow
;
Erythema*
;
Female
;
Humans
;
Hypersensitivity
;
Knee
;
Necrosis
;
Prednisolone
;
Skin
;
Vasculitis
2.Compression Plate Fixation in the Treatment of Diaphyseal Fractures of the Radius and Ulna
Dae Kyung BAE ; Myung Chul YOO ; Bong Kun KIM ; Ihn Hwa CHUNG
The Journal of the Korean Orthopaedic Association 1980;15(1):43-50
From Oct. 1974 to Jun. 1979, 47 diaphyseal fractures of the forearm bones in 36 patients were treated with compression plates. Among them 36 diaphyseal fractures in 28 patients (23 with acute fractures. and 5 with non-union) followed for average 8.3 months from three months to thirty seven months were studied. 19 fractures of the radius and 17 fractures of the ulna were treated with compression plates. Fifteen fractures which were delayed for operation for more than 3 weeks or had severe comminution, had primary iliac bone grafts. The fracture unlon of the radius and ulna was obtained in all cases and average healing time for the radius was 11.9 weeks and for the ulna was 12.3 weeks. The final functional results were excellent, 16 and satisfactory,7. The over all rates of excellent and satisfactory results were 82.2 percent. Therefore compression plate is one of the excellent methods to treat diaphyseal fractures and non-union of the forearm bone.
Forearm
;
Humans
;
Radius
;
Transplants
;
Ulna
3.Posteromedial Release in Infancy for Resistant Congenital Clubfoot
Suck Hyun LEE ; Young Hak SONG ; Bong Keon KIM ; In Hwa CHUNG
The Journal of the Korean Orthopaedic Association 1981;16(1):113-120
Ten feet from 6 idiopathic congenltal clubfoot patients which had failed to respond to conservative mearsured were treated by aggreasive posteromedial release during infancy with generally good results. A modltication of Denis-Browne splint by splitting both aides and using dial lock to hold the foot still ln correeted position was found quite useful for post-operative maintenance.
Clubfoot
;
Foot
;
Humans
;
Splints
4.Laparoscopic colectomy of colonic intussusceptions in adults.
Byung Seup KIM ; Kyung Ho KANG ; Hyoung Chul PARK ; Bong Hwa LEE
Journal of the Korean Surgical Society 2012;83(6):397-402
Adult intussusception is a rare entity. Most adult intussusceptions require surgical intervention because they have a high rate of pathologic leading point. Mandatory laparotomy and en bloc resection is recommended in colonic intussusceptions due to the possibility of malignancy. We report herein 3 cases of adult colonic intussusceptions. The intussusceptions were located in the sigmoid and rectum, which were managed by laparoscopic colectomy. Case 1 was managed by laparoscopic anterior resection and diverting ileostomy combined with perineal reduction. Perineal approach facilitated laparoscopic reduction. In case 2, intraoperative colonoscopy was performed to determine the distal resection margin. Intraoperative colonoscopy showed edematous bowel mucosa as well as leading point after reduction of intussusceptions. Case 3 showed asymptomatic transient rectorectal colonic intussusceptions.
Adult
;
Colectomy
;
Colon
;
Colon, Sigmoid
;
Colonoscopy
;
Humans
;
Ileostomy
;
Intussusception
;
Laparoscopy
;
Laparotomy
;
Mucous Membrane
;
Rectum
5.Effects of Botulinum Toxin Combined with Diltiazem on Blepharospasm and Hemifacial Spasm.
Bong Hyun KIM ; Cheol Hwa SONG ; Jae Chan KIM
Journal of the Korean Ophthalmological Society 1995;36(10):1643-1648
We investigated whether symptom-free period(mean response time) could be prolonged when diltiazem, one of the calcium-channel blocker, as a adjuvant was administered with botulinum toxin in blepharospasm and hemifacial spasm. The patients were 10 blepharospasms and 20 hemifacial spasms who had been treating with botulinum toxin injection in our hospital. When they received only botulinum toxin for treatment of blepharospasm and hemifacial spasm, their mean response times were 126.94 +/- 42.74 and 167.32 +/- 52.90 days, respectively. After start combination therapy of diltiazembotulinum toxin, mean response times were prolonged to 163.83 +/- 53.07 (p=0.0446) in patients with blepharospasm, on the other hand, 154.21 +/- 43.36(p=0.2156) days in patients with hemifacial spasm. This study suggests that a combination treatment of diltiazem and toxin may be effective especially when the mean response time is decreased due to antibody production and the local complications are possibly expected in some patients. Present study is meaningful in that it provides a new treatment modality for blepharospasm and hemifacial spasm.
Antibody Formation
;
Blepharospasm*
;
Botulinum Toxins*
;
Diltiazem*
;
Hand
;
Hemifacial Spasm*
;
Humans
;
Reaction Time
6.Segmental Cystic Disease of the Kidney: A Case Report.
Soo Bong HAN ; Sung Hwa CHUNG ; Jae Ho CHO
Journal of the Korean Radiological Society 2008;58(6):613-616
Segmental cystic disease of the kidney is a rare form of cystic disease of the kidney that manifests as variable sized, numerous cysts that are localized in a segment of one kidney. Morphologically and pathologically, it is indistinguishable from autosomal dominant polycystic kidney disease except for its unilateral localization, the lack of an autosomal dominant genetic background and the progressive deterioration of the renal function. We experienced a case of surgically confirmed segmental cystic disease of the kidney in a 49-year-old patient and we report on its ultrasonographic and CT findings, along with a brief review of the relevant literature.
Humans
;
Kidney
;
Kidney Diseases, Cystic
;
Middle Aged
;
Polycystic Kidney Diseases
;
Polycystic Kidney, Autosomal Dominant
;
Tomography, X-Ray Computed
7.HYPOPHARYNGO-ESOPHAGEAL RECONSTRUCTION WITH FREE FLAPS.
Jae Hwa LEE ; Hoon Bum LEE ; Joo Bong KIM ; Sug Won KIM ; Woon Kyu CHUNG ; Dong Kyun RHA ; Jung Pyo BONG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(6):1453-1463
No abstract available.
Free Tissue Flaps*
8.Correlation between Steroid Hormone Metabolites and Leiomyomas of Uterus.
Sang Wook BAI ; Byung Hwa JUNG ; Bong Chul CHUNG ; Jin Dong JEON ; Hyun Jung LEE ; Han Sung KWON ; Kyung Ah CHUNG ; Sei Kwang KIM ; Ki Hyun PARK
Korean Journal of Fertility and Sterility 2001;28(4):279-286
OBJETIVE: To elucidate 1) whether there are any differences in the urine concentrations of steroid hormone metabolites between patients with leiomyoma and normal controls 2) the correlation between urinary profiles of steroid hormones and leiomyomas of the uterus according to their type, location, volume, and weight. MATERIALS OF METHODS: The study population consisted of 37 premenopausal patients with uterine leiomyoma and the control group consisted of 25 premenopausal normal volunteer women without uterine leiomyoma. Confirmation of the existence of uterine leiomyoma was done by ultrasonography and histopathological examination after surgery. The volume of the leiomyoma was estimated by trans-abdominal and/or trans-vaginal ultrasonography. The Leiomyomas were divided into 3 types (subserosal, intramural and submucosal). Seventeen patients had subserosal type of leiomyoma, 10 with the intramural type and 10 with the submucosal type. The locations of the leiomyoma were also divided into 3 groups (fundus, body and isthmus). Seventeen patients showed a fundus location, 10 in body, and 10 in isthmus. We compared urinary profiles of the endogenous steroids between patients with leiomyomas and normal controls, and also investigated the relationship between urinary profiles of the endogenous steroids and leiomyomas according to their type, location, volume and weight by using highly sensitive Gas Chromatography-Mass Spectrometry (GC-MS) system. RESULTS: The mean ages of the patients with leiomyomas and the control group were 43.1+/-5.6 and 40.6+/-7.2 years, the weights were 63.4+/-7.3 and 59.4+/-8.1 kg, and their heights were 155.4+/-4.8 and 159.3+/-4.8 cm respectively. Seventeen patients had subserosal, 10 had intramural, and 10 had submucosal leiomyomas. There were 17 patients with leiomyoma located in fundus, 10 in body and 10 in isthmus. 17beta-estradiol, 5-AT, 11-keto ET, 11beta-hydroxy An, 11beta-hydroxy Et, THS, THA, THE, alpha-cortolone, alpha-cortol, beta-cortol, 11beta-OH Et/11beta-OH An and E2/E1 were significantly increased in patients with leiomyoma than in the control group. 17beta-estradiol was significantly increased in the intramural and the submucosal types than in the subserosal type. There was no significant difference in the concentrations of urinary steroids according to the locations of leiomyomas. There was no significant relationship between the concentration of urinary steroids and the volume of the leiomyomas. 17beta-estradiol significantly decreased as the weight of uterus increased (r=-0.322, p=0.04). CONCLUSION: The concentrations of steroid hormone metabolites were generally increased in patients with leiomyoma but were not significantly related to the volume and weight of the leiomyomas. Our study suggests that steroid hormones may be involved in the initiation of leiomyomas but may not be involved in their progression. In addition, the concentrations of steroid hormone metabolites are not related to the leiomyoma type and location.
Female
;
Gas Chromatography-Mass Spectrometry
;
Healthy Volunteers
;
Humans
;
Leiomyoma*
;
Steroids
;
Ultrasonography
;
Uterus*
;
Weights and Measures
9.Role of Double-Phase Spiral CT for T Staging of Gastric Cancer: Radiologic-Pathologic Correlation.
Jin Hwa LEE ; Jong Cheol CHOI ; Kyung Jin NAM ; Jou Yeoun KIM ; Yi Tae KIM ; Bong Sig KOO ; Duck Hwan CHUNG
Journal of the Korean Radiological Society 1996;35(4):523-529
URPOSE: To evalvate the role of double-phase spiral CT for T staging of gastric cancers with radiologic-pathologic correlation. MATERIALS AND METHODS: Double-phase spiral CT images of 44 patients of gastriccancers proved by pathologic examination were retrospectively evaluated. We retrospectively classified spiral CTimages of gastric cancers ; classification was from S 0 to S 4 and was based on the degree of change in three multilayered patterns shown in normal gastric wall and whether or not tumor cells had invaded perigastric fattissue. Pathologic classification was based on the T staging of TNM classification for gastric cancers, and wethen correlated these results. RESULTS: In group S1, all of three cases(100%) were proved to be T1 and in groupS2, five(45.5%) of 11 cases were T2. Of five cases with S3 CT findings, three(60%) were proved to be T3s andtwo(40%) were T2. Of 22 cases with S4 CT findings, 19(86.4%) were T3p. Overall sensitivity, specificity, and accuracy were 60.3%, 88. 5%, and 86.9%, respectively. In 35 (79.5%) of the total of 44 cases, the lesions were more enhanced on venous than on arterial phase. CONCLUSION: The accuracy of double-phase spiral CT for T staging of gastric cancers was 86.9%, and in contrast to previous results for conventional or dynamic CT, this level of accuracy was thought to be relatively high. In conclusion, double-phase spiral CT images of gastric cancers were helpful in the diagnosis of T staging.
Classification
;
Diagnosis
;
Humans
;
Retrospective Studies
;
Sensitivity and Specificity
;
Stomach Neoplasms*
;
Tomography, Spiral Computed*
10.A Survey on the Demand for Home Care of the mother's of the Hospitalized Children.
Young Hae KIM ; Bong Sook KWON ; Soon Og PARK ; Young Soon BAE ; Young Eun LEE ; Ji Won LEE ; Hwa Ja LEE ; Gyung Ae CHUNG
Korean Journal of Child Health Nursing 1997;3(1):99-107
The subjects of the study were the 120 mothers who had children hospitalized in 6 hospitals in P city during the period from Feb. 1. to May 30. 1996. The purpose of the study are (1) the problem encountered when they carried out Home Care after discharge and (2) the degrees of demand that they had against Home Care Services. In order to investigate the purpose above-mentioned the researchers used the 55 items of Home Care services belonging to 10 areas selected by Korea Home-Care Association in 1994. The items were modified and supplemented to 4-point scale. The selected data were analyzed by SPSS:PC+ and the following results were derived. 1. The subjects payed great attention to 5 items such as "pain control, OPD visits, diet-control problems" among the 15 sources of anxiety that they had against Home Care services after discharge. Especially, "OPD visits and knowledge deficit" would to be overcome by the nursing activities of the Home Care Nurses. 2. The acknowledge level of the subjects to the Home Care Project that governmental plans to carry out was surveyed and found as under : 50.0% responded they heard about Home Care Nursing System. 60.8% said that they thought the system was "very necessary" and "somewhat necessary". 65.0% said they would like to use the system. However, the acknowledge level of 50.0% is still low and is thought to need further national promotion and propagation. 3. The demand of the subjects against 55 Home Care Services was investigated and found as