Cutis marmorata telangiectatica congenita(CMTC) is a rare congenital cutaneous vascular anomaly. The major skin findings are persistent, fixed cutis marmorata, telangiectasia, and phlebectasia. In approximately 50 % of patients, the disorder tends to be associated with various con-genital anomalies. We describe in this report a 4-month-old male infant with CMTC. The patient had red or violet marbled patches, telangiectases, and atrophy on the right arm present at birth. During the follow up period of 12 months, there was no change in the cutis marmorata pattern and telangiectases, whereas the atrophy has been less prominent than at the initial visit.
Arm ; Atrophy ; Follow-Up Studies ; Humans ; Infant ; Male ; Parturition ; Skin ; Telangiectasis ; Viola

We report a case of subcutaneous fat necrosis associated with pancreatitis that may be the first case in Korean hterature as for we know. The patient was a 41-year-old man wbo presented erythema nodesum-like erythematous subcufaneous nodules on both lower extremities. Histopathologic findings showed subcutaneoms focal fat necrosis and ghoat-like cells. Granular basophilic material was deposited in and around the necrotic fat cells and stained positively with von Kossa stain. The lesioas subsided gradwdly without any specific treatment, as the underlying pancreatitis was ameliorated.
Adipocytes ; Adult ; Basophils ; Erythema ; Fat Necrosis ; Humans ; Lower Extremity ; Necrosis* ; Pancreatitis* ; Subcutaneous Fat*

Sternocostoclavicular hyperostosis is a rare syndrome characterized by hyperostosis and soft tissue ossification between the clavicle and the anterior part of the upper ribs. Since first reported in 1974, the syndrome has been noted predominantly in Japan(1). Our case report describes the disorder and its radiologic manifestations.
Clavicle ; Hyperostosis* ; Hyperostosis, Sternocostoclavicular ; Ribs

OBJECTIVE: To evaluate whether the basal serum luteinizing hormone (LH) levels in the presence of normal serum follicle stimulating hormone (FSH) are useful as a prognostic indicator of ovarian response to controlled ovarian hyperstimulation (COH). METHODS: From January 1997 to January 1999, 91 infertile women with tubal factor who had undergone in vitro fertilization and embryo transfer (IVF-ET) were enrolled in the present study. COH was performed using long protocol of gonadotropin-releasing hormone (GnRH) agonist. All patients included in this study had blood samples drawn on cycle day 2 or 3 prior to COH for measurement of basal FSH and LH. Women who had other infertility factors or high basal FSH levels (> or = 8.5 mIU/ml) were excluded from this study. The results of COH and IVF-ET were compared between two groups according to the level of basal LH (low LH group [< 3mIU/ml] vs. control group [> or = 3mIU/ml]). RESULTS: Patient's characteristics were comparable in both groups except basal LH level. The number of ampules and duration of exogenous gonadotropins required were significantly higher in the low LH group than those in the control group (p<0.001; p<0.005, respectively). The number of follicles > or = 14mm diameter on the day of human chorionic gonadotropin (hCG) injection was significantly less in the low LH group than that in the control group (p<0.001). The serum estradiol level on the day of hCG injection was also significantly lower in the low LH group, with 1115.5 +/- 380.9 pg/ml compared with 1340.6 +/- 403.0 pg/ml in the control group (p<0.005). There were significantly lower numbers in oocytes retrieved, oocytes fertilized and embryos frozen in the low LH group than those in the control group (< 0.001; < 0.001; <0.005, respectively). However, there was no difference in the fertilization rate between the two groups. The clinical pregnancy rate per cycle seemed to be lower in the low LH group, but the difference did not achieve significance (26.2% vs 39.7%). There were no differences in the miscarriage rate and multiple pregnancy rate between the two groups. CONCLUSION: This study demonstrates that the low basal LH levels ( < 3 mIU/ml) could be predictive of low ovarian response to COH and poor IVF results.
Abortion, Spontaneous ; Chorionic Gonadotropin ; Embryo Transfer ; Embryonic Structures ; Estradiol ; Female ; Fertilization ; Fertilization in Vitro ; Follicle Stimulating Hormone ; Gonadotropin-Releasing Hormone ; Gonadotropins ; Humans ; Infertility ; Lutein* ; Luteinizing Hormone* ; Oocytes ; Pregnancy ; Pregnancy Rate ; Pregnancy, Multiple

No abstract available.
Genes, ras* ; Humans*

No abstract available.
Humans ; Hypophosphatemia*

PURPOSE: To investigate the timing of colostomy closure and the associated risk factors that affect the development of complication after colostomy closure. METHODS: We have reviewed and analyzed the results of 28 patients with colostomy closure at the Kwangju Christian Hospital from January 1993 to December 1997. We investigated to associated literatures on this subject for timing of colostomy closure, preparing a patient for colostomy closure, suture technique, wound management, underlying disease process related to the incidence of complication and experience of surgeons. RESULT: Wound infection developed in 4 patients (14.4%). Anastomotic leakage occurred in one patient (3.6%). Small bowel obstruction developed in two patients (7.2%). Overall incidence of complication was 25%. The incidence of complications in patients with trauma who underwent colostomy was 44.4% and patients without trauma, 15.8%. Complication rate was 16.6% for loop colostomies and 40% for end colostomies. The morbidity was 40% for colostomies on the left side, 18.7% for transverse colostomies, and 0% for colostomies (2 ileostomies) on the right side. The morbidity rate for closures within 6 weeks for the initial operation was 50%; for those within 6 to 12 weeks, 8.3%; and for those after 12 weeks, 16.6%. CONCLUSION: The optimal timing of closure varies from patient to patient, but closure within 6 weeks of the initial operation significantly increased the morbidity. Colostomies on the left side are associated with a higher morbidity rate than transverse colostomies or colostomies on the right side.
Anastomotic Leak ; Colostomy* ; Gwangju ; Humans ; Incidence ; Risk Factors ; Suture Techniques ; Wound Infection ; Wounds and Injuries

BACKGROUND: Although the clinical and histopathological findings of pityriasis lichenoides(PL) are well known, there are few vailable data in Korea. OBJECTIVE: The purpose of this study was to evaluate the clinical and histopathologic features of pityriasis lichenoides(PL). METHOD: The clinical charts, photographies and skin biopsy slides of 86 patients who had been clinically diagnosed as PL at the initial visit were reviewed. Finally 49 patients were diagnosed as PL. They were classified into 5 groups(PLA, PLA>C, PLA=C, PLC>A, and PLC) according to the distribution ratio of acute and chronic lesions, and into 3 groups(diffuse, central, and pheripheral) by Gelmetti's method. And then the evaluation of age at onset, sex distribution, form and distribution of skin lesions, associated symptoms, clinical course, response to the treatment, and histopathologic features was conducted. RESULTS: 1. PL was more common in young adults(mean age 26.6 years) and males(male : female 2.5: 1). The trunk and proximal extremities were the predilection sites but also the acral(1) and facial(2) areas were involved. There were no specific symptoms in most cases, but, mild itching sensations in 7 cases and fever in i case. 2. The clinical course in 22 followed-up patients was 25.05+/-37.51months. The acute forms (PLA, PLA>C, and PLA=C) tended to run a fairly longer course than the chronic forms(PLC >A and PLC) but the statistical significance of these difference was low. 3. Most patients were improved by oral tetracycline, topical steroid application, and UVB therapy within the range of a few weeks to several months. But in 2 cases the lesions lasted over a year. 4. The histopathologic study of both PLA and PLC revealed the perivascular lymphocytic infiltration, obscuring of the dermo-epidermal junction by lymphocytic infiltration and exocytosis. In addition to the deeper and severe lymphocytic infiltration, the findings of dyskeratosis, epidermal necrosis, intraepidermal RBC trapping, RBC extravasation in dermis and papillary dermal edema were more prominent in PLA than PLC. 5. The diseases which were chnically confused with PL included the subacute or chronic dermatitis, insect bite, drug eruption, folliculitis, pityriasis rosea, etc. CONCLUSION: PL is an epidermal and dermal inflammatory condition that has a benign and self limited course in most cases. The classification according to the distribution ratio of acute and chronic lesions seems more useful in the evaluation of clinical type and course.
Biopsy ; Classification ; Dermatitis ; Dermis ; Drug Eruptions ; Edema ; Exocytosis ; Extremities ; Female ; Fever ; Folliculitis ; Humans ; Insect Bites and Stings ; Korea ; Necrosis ; Photography ; Pityriasis Lichenoides* ; Pityriasis Rosea ; Pityriasis* ; Pruritus ; Sensation ; Sex Distribution ; Skin ; Tetracycline

PURPOSE: The purpose of this study was to examine the significance of increased bone density according to whether bone grafts were applied using demographic data with Cone Beam Computed Tomography (CBCT) and to compare the bone densities between before and after implant prosthesis using the Hounsfield index. MATERIALS AND METHODS: Thirty-six randomly selected computed tomography (CT) scans were used for the analysis. The same sites were evaluated digitally using the Hounsfield scale with V-Implant 2.0(TM), and the results were compared with maxillary posterior bone graft. Statistical data analysis was carried out to determine the correlation between the recorded Hounsfield unit (HU) of the bone graft and implant prosthesis using a Mann-Whitney U test and Wilcoxon Matched-pairs test. RESULTS: The bone grafted maxillary posterior teeth showed an increase in the mean values from-157 HU to 387 HU, whereas non-grafted maxillary posterior teeth showed an increase from 62 HU to 342 HU. After implantation, the grafted and non-grafted groups showed significantly higher bone density than before implantation. However, the grafted group showed significantly more changes than the non-grafted group. CONCLUSION: Bone density measurements using CBCT might provide an objective assessment of the bone quality as well as the correlation between bone density (Hounsfield scale) and bone grafts in the maxillary molar area.
Bone Density ; Cone-Beam Computed Tomography ; Data Interpretation, Statistical ; Dental Implants ; Molar ; Prostheses and Implants ; Tooth ; Transplants