No abstract available.
Heart Arrest, Induced* ; Oxygen*

Although rare, agranulocytosis is the most serious, potentially fatal side effect of antithyroid drug. We experienced a 13-year-old girl who developed methimazole-induced agranulocytosis at 1 month after the initiation of treatment. Her granulocyte count recovered after discontinuation of methimazole and treatment with broad spectrum-antibiotics, G-CSF, and methylprednisolone. After recovery from agranulocytosis she was treated with radioiodine ablation therapy. Early detection and proper management of antithyroid drug-induced agranulocytosis is very important.
Adolescent ; Agranulocytosis* ; Female ; Granulocyte Colony-Stimulating Factor* ; Granulocytes* ; Humans ; Methimazole ; Methylprednisolone*

No abstract available.
Porokeratosis

To differentiate amebic and pyogenic liver abscesses, sonography(US) and CT findings of 21 amebic and 22 pyogenic liver abscesses were reviewed retrospectively. US was performed in all cases and CT in 15 cases of each group. Eleven cases of amebic abscesses had well defined margin which was observed in 10 cases of pyogenic abscessed. Amebic abscesses showed hyperechoic wall in 7 cases and calcification in 4 cases. Ten cases of pyogenic abscesses had mearby intrahepatic duct dilatation which was observed in 2 cases of amebic abscesses. Pneumobilia was seen in 6 cases of pyogenic abscesses. US findings of clear margin and hyperechoic wall, and CT findings of intrahepatic duct dilatation, pneumobilia, and calcification were helpful in differentation of amebic pyogenic liver abscesses.
Abscess ; Amebiasis ; Dilatation ; Liver Abscess, Pyogenic* ; Retrospective Studies

A clinical observation was made on patients of congenital adrenogenital syndrome who had been admitted to the Department of Urology, Chonnam University Medical School during the period from January 1972 to June 1984. The following results were obtained : 1. Cases of adrenogenital syndrome were 6 of 3,170 total urologic in-patients giving ratio of 0.2%. The ratio of female to male is 5: 1. 2. Presenting symptoms were enlarged clitoris or penis and abundant pubic hair in all cases, acne and deep voice in 4 cases, amenorrhea in 3 cases. 3. Blood pressure and serum level of sodium and potassium were within normal limit in all cases. 4. Urinary 17 ketosteroid was elevated in all cases. On dexamethasone suppression test the amount of urinary 17 ketosteroid dropped to a value below two-thirds of the pretest level in all cases 5. Vaginoplasty and clitoroplasty were performed at the same time in 5 of 6 cases. All cases were to be given dexamethasone for life time. 6. Menstruation and breast development occurred two months after initiation of dexamethasone therapy in 3 cases.
Acne Vulgaris ; Adrenogenital Syndrome* ; Amenorrhea ; Blood Pressure ; Breast ; Clitoris ; Dexamethasone ; Female ; Hair ; Humans ; Jeollanam-do ; Male ; Menstruation ; Penis ; Potassium ; Schools, Medical ; Sodium ; Urology ; Voice

A clinical observation was made on 127 cases of benign prostatic hyperplasia, admitted to the Department of Urology, Chonnam National University Hospital during the period from January 1970 to August 1979. The results are summarized as follows: 1. There was an increasing tendency of annual distribution from 5 patients in 1970 to 32 patients in 1978. 2. Most of the patients were in the 7th and 8th decades of life (89%) with a mean age of 71.4 years old. 3. Seventy four patients (58.3%) suffered from acute urinary retention prior to admission. 4. Pyuria was revealed in 32 cases (25.2%), hematuria it 84 cases (66.1%), and azotemia in 4O cases (31.5%). 5. Associated conditions present were cardiovascular in 26 cases, respiratory in 21 cases, urologic in 15 cases, and miscellaneous in 6 cases. The most common associated conditions were hypertension in 20 cases and pulmonary tuberculosis in 15 cases. 6. Management was done with retropubic combined prostatectomy (RCP) in 12 cases, TURP in 33 cases. suprapubic transvesical prostatectomy (STP) in 23 cases, cystomy in 7 cases, and indwelling catheterization in 24 cases. 7. Prostatectomy was not performed in 31 cases because of patient refusal (14 cases) and associated conditions (17 cases) 8. The mean operating time was 87.5 minutes for RCP, 92.2 minutes for STP and 52.7 minutes for TURP. 9. The mean weight of the removed tissue was 48gm for open prostatectomy and 6.8gm for TURP. 10. The mean volume of transfused blood was 267ml for RCP, 591ml for STP and l45ml for TURP. 11. The mean period of postoperation was lO.6days for RCP, 11.7 days for STP and 4.6 days for TURP 12. The mean period of postoperative hospitalization was 13.4 days for RCP, 14.5 days for STP and 7.8 days for STP 7.8 days for TURP. 13. RCP postoperative complications were delayed healing with suprapubic urine leakage in 5 cases rebleeding in 2 cases, and acute epididymitis in 2 cases. STP postoperative complications were death due to hemorrhagic shock in 1 case, delayed healing with urine leakage in 2 cases, rebleeding in 3 cases, and prolonged gross hematuria more than 2 weeks in 2 cases. TURP postoperative complications were inability to void after removal of the urethral catheter in 1 case. prolonged gross hematuria more than two weeks in 1 case, and rebleeding in 3 cases.
Azotemia ; Catheters, Indwelling ; Disulfiram ; Epididymitis ; Hematuria ; Hospitalization ; Humans ; Hypertension ; Jeollanam-do ; Male ; Postoperative Complications ; Prostatectomy ; Prostatic Hyperplasia* ; Pyuria ; Shock, Hemorrhagic ; Transurethral Resection of Prostate ; Tuberculosis, Pulmonary ; Urinary Catheters ; Urinary Retention ; Urology

A clinical observation was made on 127 cases of benign prostatic hyperplasia, admitted to the Department of Urology, Chonnam National University Hospital during the period from January 1970 to August 1979. The results are summarized as follows: 1. There was an increasing tendency of annual distribution from 5 patients in 1970 to 32 patients in 1978. 2. Most of the patients were in the 7th and 8th decades of life (89%) with a mean age of 71.4 years old. 3. Seventy four patients (58.3%) suffered from acute urinary retention prior to admission. 4. Pyuria was revealed in 32 cases (25.2%), hematuria it 84 cases (66.1%), and azotemia in 4O cases (31.5%). 5. Associated conditions present were cardiovascular in 26 cases, respiratory in 21 cases, urologic in 15 cases, and miscellaneous in 6 cases. The most common associated conditions were hypertension in 20 cases and pulmonary tuberculosis in 15 cases. 6. Management was done with retropubic combined prostatectomy (RCP) in 12 cases, TURP in 33 cases. suprapubic transvesical prostatectomy (STP) in 23 cases, cystomy in 7 cases, and indwelling catheterization in 24 cases. 7. Prostatectomy was not performed in 31 cases because of patient refusal (14 cases) and associated conditions (17 cases) 8. The mean operating time was 87.5 minutes for RCP, 92.2 minutes for STP and 52.7 minutes for TURP. 9. The mean weight of the removed tissue was 48gm for open prostatectomy and 6.8gm for TURP. 10. The mean volume of transfused blood was 267ml for RCP, 591ml for STP and l45ml for TURP. 11. The mean period of postoperation was lO.6days for RCP, 11.7 days for STP and 4.6 days for TURP 12. The mean period of postoperative hospitalization was 13.4 days for RCP, 14.5 days for STP and 7.8 days for STP 7.8 days for TURP. 13. RCP postoperative complications were delayed healing with suprapubic urine leakage in 5 cases rebleeding in 2 cases, and acute epididymitis in 2 cases. STP postoperative complications were death due to hemorrhagic shock in 1 case, delayed healing with urine leakage in 2 cases, rebleeding in 3 cases, and prolonged gross hematuria more than 2 weeks in 2 cases. TURP postoperative complications were inability to void after removal of the urethral catheter in 1 case. prolonged gross hematuria more than two weeks in 1 case, and rebleeding in 3 cases.
Azotemia ; Catheters, Indwelling ; Disulfiram ; Epididymitis ; Hematuria ; Hospitalization ; Humans ; Hypertension ; Jeollanam-do ; Male ; Postoperative Complications ; Prostatectomy ; Prostatic Hyperplasia* ; Pyuria ; Shock, Hemorrhagic ; Transurethral Resection of Prostate ; Tuberculosis, Pulmonary ; Urinary Catheters ; Urinary Retention ; Urology

No abstract available.
Chondrodysplasia Punctata*

PURPOSE: The differentiation between renal cell carcinoma(RCC) and transitional cell carcinoma(TCC) is important due to the different methods of treatment and prognosis. But occasionally it is difficult to draw a distinction between the two diseases when renal parenchyme and renal collecting systems are invaded simultaneously. MATERIAL AND METHOD: We reviewed CT scans of 37 cases of renal cell carcinoma and 12 cases of transitional cell carcinoma which showed involvement of renal parenchyma and renal sinus fat on CT. Retrospective analysis was performed by 3 abdominal radiologists. Check points were renalcontour bulging or reniform shape, location of mass center, intact parenchyme overlying the tumor, cystic change, calcification, LN metastasis, vessel invasion, and perirenal extention. RESULT:There were renal contour bulging due to the tumor mass in 33 out of 37 cases of renal cellcarcinima, wherea and nine of 12 cases of transitional cell carcinoma maintained the reniform appearance. This is significant statiscal difference between the two(p<0.005). Center of all TCCs were located in the renal sinus, and 24 out of 35 cases of RCC were located in the cortex(p<0.005). Thirty-six out of 37 cases of RCC lost the overlying parenchyma, whereas 4 out of 9 cases of well enhanced TCC had intact overlying parenchyma(p<0.005) RCC showed uptic change within the tumor mags in 31 cases which was significanity higher than the 4 cases in TCC(p<0.05). CONCLUSION: CT findings of renal cell carcinoma are contour bulging, peripheral location, obliteration of parenchyma, and cystic change. Findings of transitional cell carcinoma are reniform appearance, central location within the kidney, intact overlying parenchyma, and rare cystic change.
Carcinoma, Renal Cell* ; Carcinoma, Transitional Cell* ; Kidney ; Neoplasm Metastasis ; Pelvis* ; Prognosis ; Retrospective Studies ; Tomography, X-Ray Computed

The purpose of this study was to evaluate the effect of the alginic acid sodium salt on the delayed adjustable strabismus surgery by preventing the post operative tissue adhesion. 30 eyes of 15 rabbits had received an adjustable suture surgery. The alginic acid sodium salt of 4% was used during operation in 16 eyes among them by injecting it around the muscle, between the sclera and the conjunctiva. In the 3rd, 5th, 7th, 10th, and 14th day postoperatively, we measured the pulling forces and the moving distances of the muscles during the adjustment. Then the eyes were enucleated and the histopathologic changes of the eyes were determined using the light microscope. The pulling forces and the moving distances of the muscles during the adjustment were significantly different between the alginic acid sodium salt free group and the alginic acid sodium salt used group. In the alginic acid sodium salt used group, the pulling forces were decreased and the moving distances were increased than those of the alginic acid sodium salt free group. The light microscopic examination showed more fibrosis in the alginic acid sodium salt free group than in the alginic acid sodium salt used group. These results suggest that the alginic acid sodium salt is an effective substance for the delayed adjustable suture surgery.
Conjunctiva ; Fibrosis ; Muscles ; Rabbits ; Sclera ; Sodium* ; Strabismus* ; Sutures ; Tissue Adhesions