1.A Case of Patient with Common Variable Immunodeficiency.
Keun Cheon KIM ; Chang Gee KANG ; Chang Hyun YANG ; Dong Soo KIM ; Kir Young KIM
Journal of the Korean Pediatric Society 1989;32(8):1123-1127
No abstract available.
Common Variable Immunodeficiency*
;
Humans
2.Sinus Pericranii: A Case Report and the Literature Review.
Chang Hyun LEE ; Yoon Soo LEE ; Jeong Ho LEE ; Hyuk Gee LEE ; Kee Young RYU ; Dong Gee KANG
Korean Journal of Cerebrovascular Surgery 2009;11(4):174-178
Sinus pericranii is a rare vascular anomaly that's characterized by an extracranial vascular mass with anastomotic connections between the intracranial and extracranial systems via the diploic veins of the skull. Preoperative evaluations for making the diagnosis are important to help prevent unexpected intraoperative bleeding. We report here on a case of surgically treated sinus pericranii in a 20-year-old female following minor head trauma. The clinical manifestations, pathogenesis and managements are discussed, and we also review the relevant literature.
Craniocerebral Trauma
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Female
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Hemorrhage
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Humans
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Sinus Pericranii
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Skull
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Veins
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Young Adult
3.Lipoid Pneumonia.
Chang Gee KANG ; Ho Seong KIM ; Jung Tak KIM ; Dong Soo KIM ; Eun Kyung HAN ; Kwang Gil LEE ; In Joon CHOI
Journal of the Korean Pediatric Society 1990;33(3):393-397
No abstract available.
Pneumonia*
4.Transsphenoidal Meningoencephalocele in Association with Hypopituitarism ans Congenital Dysplastic Optic Disc: A Case Report.
Chang Gee KANG ; Jung Wan YOU ; Sung Chul SHIN ; Myung Goo MIN ; Duk Hi KIM ; Jin Guk KIM ; Oh Wong KWON ; Tae Sub CHUNG
Journal of the Korean Pediatric Society 1990;33(6):842-847
No abstract available.
Hypopituitarism*
6.A case of congenital anomalies in both twins ( Anencephaly-Down syndrome ).
Sun Hee HONG ; Jin Ho KIM ; Hye Young LA ; Yoong Jong HAN ; Chang Sung KANG ; Gee Bum AN ; Young Mi WANG ; Jong Gyu PARK
Korean Journal of Obstetrics and Gynecology 2000;43(11):2080-2082
Congenital anomalies occur in 2-3% of neonates and have unknown and variable causes. It's occurance rate is higher in twin gestations than in singleton gestations, especially in monozygotic twins. In most cases of twin anomalies, one fetus is normal and the other fetus is not. When an anomaly is found in one fetus, various tests, such as chorionic villus sampling, amniocentesis, and umbilical cord aspiration are strongly recommended in high risk groups of chromosmal anomaly for accurate diagnosis and proper treatments. A case of congenital anomalies in both twins diagnosed in a 35 year old multiparous woman is presented with brief review of literatures.
Adult
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Amniocentesis
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Anencephaly
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Chorionic Villi Sampling
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Diagnosis
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Down Syndrome
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Female
;
Fetus
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Humans
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Infant, Newborn
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Pregnancy
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Twins*
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Twins, Monozygotic
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Umbilical Cord
7.The Clinical Characteristics of Diffuse Alveolar Hemorrhage : A Retrospective Study of 21cases.
Hyoung Suk HAM ; Gil Hwan ROH ; Eun Hae KANG ; Soo Jung KANG ; Chang Hyeok AN ; Gee Young SUH ; Man Pyo CHUNG ; Ho Joong KIM ; O Jung KWON ; Chong H RHEE
Tuberculosis and Respiratory Diseases 2000;49(5):614-623
BACKGROUND: Diffuse alveolar hemorrhage (DAH) is rare but often fatal. To determine the clinical manifestations of DAH, its etiology, clinical course and prognosis were studied. METHODS: A retrospective analysis was performed in 21 patients that were diagnosed as DAH. Diagnosis of DAH was based on the presence of the "classical triad" of hemoptysis, anemia, and rapidly progressive infiltrates on chest X-ray and a finding of bronchoalveloar lavage or lung biopsy. RESULTS: Thirteen patients (61.9%) had collagen vascular diseases (CVDs) as underlying disease and 10 patients had systemic lupus erythematosus. Females were more prevalent in CVD than in non-collagen vascular disease (NCVD). Otherwise, there were no significant differences between the two groups in terms of clinical manifestations. Dyspnea (95.2%), cough (76.2%), hemoptysis (61.9%), and fever (33.0%) were frequent symptoms. The initial creatinine level was higher in CVD than in NCVD (3.27±3.15 mg/dl vs. 1.19±0.94 md/dl, p=0.030). The corresponding drop in hemoglobin level was 2.69±1.26 g/dl. Maximal drop in hemoglobin preceded the progression of infiltrates on the chest radiograph by 1.38±4.22 days. The mortality rate was higher in the patients with NCVD than in those with CVD (50.0% vs. 23.1%). CONCLUSION: The DAH can occur not only in patients with CVD but also in those with NCVD. Higher creatinine level CVD in patients is associated with renal involvement in conjunction with DAH. The maximal drop in hemoglobin preceeding the progression of infiltrates on the chest radiograph suggests that the drop in hemoglobin is important for diagnosing DAH.
Anemia
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Biopsy
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Collagen
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Cough
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Creatinine
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Diagnosis
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Dyspnea
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Female
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Fever
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Hemoptysis
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Hemorrhage*
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Humans
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Lung
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Lupus Erythematosus, Systemic
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Mortality
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Prognosis
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Radiography, Thoracic
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Retrospective Studies*
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Therapeutic Irrigation
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Thorax
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Vascular Diseases
8.The Role of Resectional Surgery for the Treatment of Localized Multi-drug Resistant Pulmonary Tuberculosis.
Chang Hyeok AN ; Jong Woon AHN ; Kyeong Woo KANG ; Soo Jung KANG ; Young Hee LIM ; Gee Young SUH ; Man Pyo CHUNG ; Ho Joong KIM ; O Jung KWON ; Chong H RHEE
Tuberculosis and Respiratory Diseases 2000;49(6):676-683
BACKGROUND: Surgery may have a role when medical treatment alone is not successful in patients with multi-drug resistant (MDR) pulmonary tuberculosis (PTB). To document the role of resection in MDR PTB, we analyzed 4 years of our experience. METHODS: A retrospective review was performed on thirteen patients that underwent pulmonary resection for MDR PTB between May 1996 and February 2000. All patients had organisms resistant to many of the first-line drugs including isoniazid (INH) and rifampicin (RFP). RESULTS: The thirteen patients were 37.5±12.4 years old (mean±S.D.)(M:F=5:8), and their sputum was culture positive even with adequate medication for prolonged periods (109.7±132.0 months), resistant to 2-8 drugs including isoniazid and rifampin. All patients had localized lesion(s) and most (92.3%) had cavities. At least 3 sensitive anti-TB medications were started before surgery in all patients according to the drug sensitivity test. The preoperative FE1 was 2.37±0.83 L. Lobectomy was performed in 11 patients and pleuropneumonectomy in two. Postoperative mortality did not occur, but pneumonia occurred as a complication in one (7.7%). After 41.5±58.9 days (range 1~150 days) follow up, negative conversion of sputum culture was achieved in all patients within 5 months. Only one patient (7.7%) recurred 32 months after lung resection. CONCLUSION: When medical treatment alone is not successful, surgical resection can be a good treatment option in patients with localized MDR PTB.
Follow-Up Studies
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Humans
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Isoniazid
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Lung
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Mortality
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Pneumonia
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Retrospective Studies
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Rifampin
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Sputum
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Tuberculosis, Pulmonary*
9.Clinical differential diagnosis of usual interstitial pneumonia from nonspecific interstitial pneumonia.
Chang Hyeok AN ; Young Min KOH ; Man Pyo CHUNG ; Gee Young SUH ; Soo Jung KANG ; Kyeong Woo KANG ; Jong Woon AHN ; Si Young LIM ; Ho Joong KIM ; Joung Ho HAN ; Kyung Soo LEE ; O Jung KWON ; Chong H RHEE
Tuberculosis and Respiratory Diseases 2000;48(6):932-943
BACKGROUND: Nonspecific interstitial pneumonitis (NSIP) is most likely to be confused with usual interstitial pneumonitis (UIP). Unlike patients with UIP, the majority of patients with NSIP have a good prognosis, with most patients improving after treatment with corticosteroids. Therefore it is clinically important to differentiate NSIP from UIP. UP to now, the only means of differentiating these two diseases was by means of surgical lung biopsy. American Thoracic Society (ATS) proposed a clinical diagnostic criterial for UIP to provide assistance to clinicians in its diagnosis without surgical lung biopsy. This study is aimed to investigate whether there were clinical and radiological differences between NSIP and UIP, and the usefulness of ATS clinical diagnostic criteria for UIP in Korea. METHODS: we studied 60 patients with UIP and NSIP confirmed by surgical lung biopsy. Clinical manifestations, pulmonary function test, arterial blood gas analysis, bronchoalveolar lavage (BAL), and high resolution computed tomography (HRCT) were evaluated and analyzed by Chi-square test or t-test. The clinical criteria for UIP proposed by ATS were applied to all patients with idiopathic interstitial pneumonia. RESULTS: Forty-two patients with UIP and 18 with NSIP were pathologically identified. Among the 18 patients with NSIP (M : F = 1 : 17), the mean age was 55.2± 8.4 (44~73)yr. Among the 42 patients with UIP (M : F = 33 : 9), the mean age was 59.5±7.1 (45~74) yr (p=0.0460. Fever was more frequent in NSIP (39%) (p=0.034), but clubbing was frequently observed in UIP (33%) (p=0.023). BAL lymphocytosis was more frequent (23%) (p=0.0001) and CD4/CD8 ratio was lower in NSIP (p=0.045). On HRCT, UIP frequently showed honeycomb appearance (36 of 42 patients) through not in NSIP (p=0.0001). Six of 42 UIP patients (14.3%) met the ATS clinical criteria for IPF, and 3 of 16 NSIP patients (18.8%) met the diagnostic criteria. CONCLUSION: Being a relatively young female and having short duration of illness, fever, BAL lymphocytosis, low CD4/CD8 ratio with the absence of clubbing and honeycomb appearance in HRCT increase the likelihood of the illness being NSIP. The usefulness of ATS clinical diagnostic criteria for UIP may be low in Korea.
Adrenal Cortex Hormones
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Biopsy
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Blood Gas Analysis
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Bronchoalveolar Lavage
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Diagnosis
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Diagnosis, Differential*
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Female
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Fever
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Humans
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Idiopathic Interstitial Pneumonias
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Idiopathic Pulmonary Fibrosis*
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Korea
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Lung
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Lung Diseases, Interstitial*
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Lymphocytosis
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Prognosis
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Pulmonary Fibrosis
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Respiratory Function Tests
10.Traumatic Entrapment of the Vertebrobasilar Junction Due to a Longitudinal Clival Fracture: A Case Report.
Joon CHO ; Chang Taek MOON ; Hyun Seung KANG ; Woo Jin CHOE ; Sang Keun CHANG ; Young Cho KOH ; Hong Gee ROH
Journal of Korean Medical Science 2008;23(4):747-751
Vertebrobasilar junction entrapment due to a clivus fracture is a rare clinical observation. The present case report describes a 54-yr-old man who sustained a major craniofacial injury. The patient displayed a stuporous mental state (Glasgow Coma Scale [GCS]=8) and left hemiparesis (Grade 3). The initial computed tomography (CT) scan revealed a right subdural hemorrhage in the frontotemporal region, with a midline shift and longitudinal clival fracture. A decompressive craniectomy with removal of the hematoma was performed. Two days after surgery, a follow-up CT scan showed cerebellar and brain stem infarction, and a CT angiogram revealed occlusion of the left vertebral artery and entrapment of vertebrobasilar junction by the clival fracture. A decompressive suboccipital craniectomy was performed and the patient gradually recovered. This appears to be a rare case of traumatic vertebrobasilar junction entrapment due to a longitudinal clival fracture, including a cerebellar infarction caused by a left vertebral artery occlusion. A literature review is provided.
Basilar Artery/*injuries
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Humans
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Male
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Middle Aged
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Skull Fractures/*complications/radiography
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Tomography, X-Ray Computed
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Vertebral Artery/*injuries