A 33 years old house wife with accessory breast tissue is described and the literature is reviewed. The patient developed soft tumors in both axillae with axillary hair loss during the 8 th month of her 8 th pregnancy. This disorder is rather common in the literature but has been paied little attention dermatology.
Adult ; Axilla ; Breast* ; Dermatology ; Hair ; Humans ; Pregnancy ; Spouses

This study was carried out to evaluate the immunohistochemical expressions of p53, E-cadherin, and nm23 proteins in 114 cases of metastatic carcinoma of the neck lymph node (MTLNCA) and corresponding primary carcinoma (PRCA). The positive expressions of p53, E-cadherin, and nm23 proteins were 62.3%, 58.8% and 64.0%, respectively in PRCA, and 40.4%, 38.6%, and 43.9%, respectively in MTLNCA with significant down-regulation from PRCA to MTLNCA (p<0.05). The down-regulation was correlated with female gender, moderate and poor differentiation, and adenocarcinoma in p53 protein, female gender, respiratory and gastrointestinal carcinoma in E-cadherin protein, and female gender, respiratory carcinoma, moderate differentiation, and squamous cell carcinoma in nm23 protein (p<0.05). There was no significant relationship among expressions of p53, E-cadherin, and nm23 proteins (p<0.05). In conclusion, these results suggest that the expressions of p53, E-cadherin, and nm23 proteins seem to be down-regulated from PRCA to MTLNCA and this down-regulation may play a role in invasion and metastasis.
Adenocarcinoma ; Cadherins* ; Carcinoma, Squamous Cell ; Down-Regulation ; Female ; Humans ; Lymph Nodes* ; Neck* ; Neoplasm Metastasis

he carpal tunnel syndrome is the most common perripheral nerve entrapment syndrome. Many tests have been used for diagnosis of carpal tunnel syndrome. A new test, called the instrumented carpal tunnel and the Tinel percussion test, the Phalen wrist-flexion test, tourniquet test, and the trodiagnostically proved carpal tunnel syndrome and in a group of 49 patients(79 hands) during the period from October 1994 to July 1995. The results were as follows; 1. The sensitivity, specificity and accuracy results of each provocative test were 53%, 88%, 70% on Tinel test, 72%, 66%, 69% on tourniquet test, 62%, 91%, 76% on Phalen test, 85%, 95%, 90% on the instrumented carpal compression test. 2. For the diagnosis of carpal tunnel syndrome, the instrumented carpal compression test was found to be the most sensitive, specific and accuracy results. 3. As a results, the new, instrumented carpal compression test with Durkan's CTS gauge was thought to be the most useful provocative diagnostic method & a simple, rapid & inexpensive technique for screening for carpal tunnel syndrome, and consisted of lightweight device.
Carpal Tunnel Syndrome ; Diagnosis ; Mass Screening ; Methods ; Nerve Compression Syndromes ; Percussion ; Sensitivity and Specificity ; Tourniquets

The subluxation of the femoral head is one of important prognostic factors in LCPD and current treatment of LCPD is based on the premise that adequate containment of the vulnerable femoral head within the acetabulum during the process of repair should result in a more spherical femoral head and a more congruous joint than if treatments were not provided.We analised the arthrographic findings of 18 hips in unilateral LCPD in order to determine the changes of the femoral head and acetabulum, degree of the subluxation and containment of the femoral head in various position of hip. The results were as follows: 1. According to the result of sphericity, the femoral head was deformed mainly in coronal plane in LCPD. 2. Average medial joint space of normal hip was about 3.8mm in the AP view of hip, but it was more increased in any position of LCPD. 3. In abduction with internal rotation, average subluxation ratio was 7.5% in normal hip and 10.9% in LCPD. In abduction with external rotation, it was 8.3% in normal hip and 12.4% in LCPD. 4. In normal hip, the containment ratio was more than 1.0 in any position of hip, but the containment ratio was 1.03 in abduction with internal rotation and 0.95 in abduction with external rotation of hip in LCPD. 5. On the basis of these results, efficacy of the Scottish Rite orthosis was doubtful in most hips of LCPD.
Acetabulum ; Arthrography ; Containment of Biohazards ; Head ; Hip ; Joints ; Legg-Calve-Perthes Disease ; Orthotic Devices

No abstract available.
Flail Chest*

No Abstract Available.
Hemangioma*

Reticulate acropigmentation of Kitamura (RAPK) is an autosomal dominant dermatosis comprising of reticulate slightly clepessed pigmentation of the extensor surfaces of the hands and feet with palmar pits. It has been suggested that this may be the same disease as Dawling Degos disease (DDD), an autosomal dorninant condition which is characterized by a reticulate pigmentation of flexures, comedo-like lesicns and pitted scars. We present a case of RAPK in a 49-year-old female who had reticulate, brownish, slightly depressed pigmentation on the extremities with t,he involvement of flexures, the predilection sites of DDD.
Cicatrix ; Dichlorodiphenyldichloroethane ; Extremities ; Female ; Foot ; Hand ; Humans ; Malignant Atrophic Papulosis ; Middle Aged ; Pigmentation ; Skin Diseases

The relative incidence of cerebral palsy has increased recently over that of poliomyelitis, due to the improvement in the social, medical, and economic status of our country. It is important to check the pathologic reflexes for diagnosis, treatment and prognosis of cerebral palsy. We studied 84 cerebral palsied patients, between 1 to 13 years old, who were treated at our Crippled Childrens Rehabilitation Center. The motor age and pathologic reflexes were checked, and pathologic reflexes were checked, and the relationship between pathologic reflexes and walking was compared. The following results were obtained. 1) With increasing of chronological age, there was a tendericy to increasing of motor age, but the mean motor age did not increase after 8 years in chronological age, and no more than to about 20 months. 2) With increasing of motor age, a tendency to decreasing of frequency of pathologic reflexes was shown. 3) The followings were the most important pathologic reflexes in non walking group: a) positive supporting reaction b) supine lying c) prone lying d) Moro reflex e) asymetrical tonic neck f) protective extensor thrust.
Cerebral Palsy ; Child ; Clinical Study ; Deception ; Diagnosis ; Humans ; Incidence ; Neck ; Poliomyelitis ; Prognosis ; Reflex ; Reflex, Startle ; Rehabilitation Centers ; Walking

No abstract available.
Audiometry, Speech* ; Otitis Media* ; Otitis*

BACKGROUND: Female diffuse hair loss is a common baldness with a multifactorial origin. In recent studies, it has been suggested that reduced or depleted iron stores are a cause of female diffuse hair loss. OBJECTIVE: We performed this study in order to elucidate the pathogenesis of female diffuse hair loss and to evaluate the differences in serurn iron levels between normal females and those with diffuse hair loss in Korea. METHODS: Blood levels of hemoglobin, iron, TIBC, ferritin, testosterone, thyroid function, ANA and Zn were examined in 30 patients with female diffuse hair loss and 20 normal females. RESULTS: 1) Serum Zn, testosterone, T4, TSH of the patient group were not statistically significant compared to those of the control group (p>0.05). 2) TIBC values were significantly increased, but serum ferritin levels were signifieantly decreased in the patient group (p<0.05). There were no significant differences in hemoglobin, serum iron in both groups (p>0.05). 3) No significant differences between clinical severity and the values of serum Zn, testosterone, T4, TSH, TIBC, serum femtin, hemoglobin and serum iron were observed (p>0.05). CONCLUSION: These findings suggested that the variations of TIBC, serum femtin levels may play a role in the pathogenesis of female diffuse hair loss, but further studies will be needed for evaluation of this condition.
Alopecia ; Female* ; Ferritins ; Hair* ; Humans ; Iron* ; Korea ; Testosterone ; Thyroid Gland