1.A case of Behcet's disease with aneurysms of common carotid arteries and abdominal aorta
Yeon Myung CHOO ; Kee Hyun CHANG ; Sung Jae CHOI
Journal of the Korean Radiological Society 1984;20(2):286-290
One case of Behcet's disease with multiple aneurysms in both common carotid arteries and abdominal aorta is presented with brief review of the literatures. A 26-year-old woman had slowly enlarging pulsatile masses in both sides of neck and recurrent ulcerations in oral cavity and genitalia. One day prior to admission, aphasia, right facial nerve palsy and right hemiplegia suddently developed. Brain CT showed acute infarction in left basal ganglia. Both Carotid Angiography and abdominal Aortography demonstrated mulitple aneurysms in both common carotid arteries and abdominal aorta with organizion thrombi and thromboembolism of internal carotid artery.
Adult
;
Aneurysm
;
Angiography
;
Aorta, Abdominal
;
Aortography
;
Aphasia
;
Basal Ganglia
;
Brain
;
Carotid Artery, Common
;
Carotid Artery, Internal
;
Facial Nerve
;
Female
;
Genitalia
;
Hemiplegia
;
Humans
;
Infarction
;
Mouth
;
Neck
;
Paralysis
;
Thromboembolism
;
Ulcer
2.Little Leaguer's Elbow report of 4 Cases
Myung Sang MOON ; Ju Hae CHANG ; Yong Sam CHOI
The Journal of the Korean Orthopaedic Association 1985;20(3):515-519
Repeated throwing of baseballs by juvenile pitchers is known to cause damages to bone and cartilage as well as soft tissue in the involved upper extremity. Authors present 4 cases of osteochondral lesion at capitellum of the humerus as a result of repeated insult by throwing baseballs in the juvenile pitchers. Pain and limitation of extension of the affected elbow were the commonest symptoms. Cystic change or osteochondral loose body was found on plain X-ray. Treatment consisted of rest and analgesic administration in the patient who has no loose body, while in case of having loose body it was removed surgically without further treatment to the crater. In spite of the rapid relief of the pain by these treatment, limitation of extension persisted for considerable period of time. It is strongly suggested not to overlook elbow pain in young adolescent whose bone is still growing and who can hardly withstand repeated insult to prevent the development of baseball elbow.
Adolescent
;
Baseball
;
Cartilage
;
Elbow
;
Humans
;
Humerus
;
Osteochondritis
;
Upper Extremity
3.A Case of Angioma Serpiginosum.
Ka Yeun CHANG ; Yoo Won CHOI ; Yeon Soon LIM ; Hae Young CHOI ; Ki Bum MYUNG
Korean Journal of Dermatology 1998;36(3):520-523
Angioma serpiginosum is a rare acquired naevoid disorder, characterized by minute red or purple punta that are frequently arranged in serpiginous patterns in the lower extremities and buttocks. It usually begins in childhood and is more common in females. Histopathologically, thin-walled capillaries in the dermal papillae and the superficial reticular dermis are widely dilated without extravasation of red blood cells. We report a case of angioma serpiginosum on the lateral aspect of the right arm along the lines of Blaschko in a 36-year-old woman.
Adult
;
Arm
;
Buttocks
;
Capillaries
;
Dermis
;
Erythrocytes
;
Female
;
Hemangioma*
;
Humans
;
Lower Extremity
4.A Case of Pure Red Cell Aplasia.
Myung Sook CHOI ; Chae Hoon LEE ; Chang Ho CHEON ; Kyung Dong KIM ; Chung Sook KIM ; Myung Soo HYUN
Yeungnam University Journal of Medicine 1988;5(2):239-246
Pure red cell aplasia in uncommon disorder characterized by finding of anemia, absence of nucleated red blood cell in the marrow, absence of reticulocytes in the peripheral blood and normal peripheral platelet and leukocytes counts. We experienced one case of pure red cell aplasia associated with hemolytic anemia characterized by hemoglobinuria, reticulocytopenia, and erythroid hypoplasia of the bone marrow. The cause of the illness was not definitely identified, but we concluded that this patient had simultaneous occurrence of PRCA and hemolytic anemia following administration of diphenylhydantoin after craniotomy rather than virus or bacteria induced. The simultaneous occurrence of PRCA and hemolytic anemia in uncommon and the mechanism for diphenylhydantoin induced PRCA and hemolytic anemia is unclear.
Anemia
;
Anemia, Hemolytic
;
Bacteria
;
Blood Platelets
;
Bone Marrow
;
Craniotomy
;
Erythrocytes
;
Hemoglobinuria
;
Humans
;
Leukocytes
;
Phenytoin
;
Red-Cell Aplasia, Pure*
;
Reticulocytes
5.A Case of Pelvic Lipomatosis Associated with Cystitis Glandularis.
Chang Hoon CHOI ; Joo Myung SIM ; Myung Seop BOO ; Ho Cheol CHOI ; Kweon Sik MIN ; Sung Hyup CHOI
Korean Journal of Urology 1997;38(7):771-774
Pelvic lipomatosis is a rare disease of unknown etiology characterized by overgrowth of mature, nonmalignant fat cells in the pelvis, especially in the perivesical and perirenal space. An overgrowth of fat surrounding the bladder and rectosigmoid colon produces a radiologic picture characterized by 1) radiolucent pelvic densities, 2) elevation and vertical elongation of the bladder, 3) straightening and elevation of the rectosigmoid colon and 4) absence of malignant vessels on pelvic angiography. Cystoscopy has shown a high incidence of cystitic changes: chronic inflammation, cystitis glandularis and cystitis cystica. We report a case of pelvic lipomatosis associated with cystitis glandularis.
Adipocytes
;
Angiography
;
Colon
;
Cystitis*
;
Cystoscopy
;
Incidence
;
Inflammation
;
Lipomatosis*
;
Pelvis
;
Rare Diseases
;
Urinary Bladder
6.Plasma Homocysteine, Folate and Vitamin B12 Concentrations in Coronary Artery Disease.
Chul Hyun KIM ; Tae Myung CHOI ; Sung Gun CHANG ; Sae Yong HONG
Korean Circulation Journal 1998;28(4):516-522
BACKGROUND: Elevated plasma homocysteine concentrations are an independent risk factor for vascular disease. The metabolism of homocysteine is closely related to vitamin B12 and folic acid. The purpose of this study is to evaluate the correlation between homocysteine and vitamin B12 as well as folic acid in patients with coronary artery disease. METHODS: Sixteen patients, in whom coronary angiography revealed more than 50% of stenosis at least in one coronary vessel, were enrolled as the patient group, and sixteen hypertensive subjects were selected as the control group. Blood was collected in the peripheral vein to measure the concentrations of homocysteine, vitamin B12, and folate. We evaluated the correlation between homocysteine, vitamin B12 and/or folate in both groups. RESULTS: Total plasma homocysteine concentrations were higher in the coronary artery disease group than in the control group. There were no significant differences in the folate and vitamin B12 levels between the coronary artery disease group and the control group. In the control group, the concentrations of homocysteine showed negative correlation with both vitamin B12 and folate concentrations, but similar trends were not observed in the coronary artery disease group.
Constriction, Pathologic
;
Coronary Angiography
;
Coronary Artery Disease*
;
Coronary Vessels
;
Folic Acid*
;
Homocysteine*
;
Humans
;
Metabolism
;
Plasma*
;
Risk Factors
;
Vascular Diseases
;
Veins
;
Vitamin B 12*
7.MR Findings of Carebrai Venous Sinus Thrombosis.
Moon Hee HAN ; Choong Gon CHOI ; Kee CHANG ; Myung Kwan LIM
Journal of the Korean Radiological Society 1994;31(4):627-632
PURPOSE: To describe MR findings of cerebral venous sinus thrombosis. MATERIALS AND METHODS: We reviewed 11 MR images of six patients with cerebral venous sinus thrombosis. The MR images were retrospectively analyzed in terms of location and signal intensity of the thrombi, parenchymal lesions such as hemorrhage and edema, and changes in follow-up study obtained in 4 patients. RESULTS: The thrombus in venous sinus was visualized on MRI in all six patients. The most frequently involved sites were superior sagittal sinus(n=4) and left transvere sinus(n=4). Signal intensity of the thrombus was isointense or hyperintense on both T1 - and T2-weighted images with loss of normal signal void of the sinus on all sequences in all patients. Parenchymal lesion was present in five of six cases, manifested as local hemorrhage in three and edema in three cases(one case overlapped). Local edema seen in three patients was completely resolved on follow-up study of seven to 29 days intervals. CONCLUSION: It is concluded that iso- or high signal intensity with loss of signal void in venous sinus is virtually diagnostic of venous sinus thromosis. If there are local parenchymal lesions such as hemorrhage and/or edema of unknown causes, cerebral venous sinus thrombosis should be included in differential diagnosis.
Diagnosis, Differential
;
Edema
;
Follow-Up Studies
;
Hemorrhage
;
Humans
;
Magnetic Resonance Imaging
;
Retrospective Studies
;
Sinus Thrombosis, Intracranial*
;
Thrombosis
8.Analysis of the Results of Blood Cultures, 1984~1987 at Yeungnam University Hospital.
Chung Sook KIM ; Chae Hoon LEE ; Myung Sook CHOI ; Chang Ho CHEON ; Kyung Dong KIM
Yeungnam University Journal of Medicine 1988;5(1):49-60
Reviewing the results of the blood cultures performed at Yeungnam University Hospital during 4-year-period through January, 1, 1984 to December 31, 1987, the following results were obtained. 1) Out of 8083 blood specimens cultured microorganisms grew in 582 specimens with positivity rate of 7.20%. Polymicrobial bacteremia was found in 16 patients. 2) Among 582 positive specimens, Gram-positive cocci grew in 189 specimens, and Gram-negative bacilli, in 393 specimens. Clinically significant microorganisms consisted of 82 Staphylococcus aureus, and 20 Streptococcus species in Gram-positive cocci group, 80 Salmonella typhi, 72 Escherichia coli, 72 Salmonella paratyphi A in Enterobacteriaceae, and 46 Pseudomonas cepacia, and 16 Pseudomonas aeruginosa in glucose non-fermenting microorganisms. 3) Increasing incidence of Serratia, Acinetobacter and Pseudomonas species as major nosocomial infection source is noteworthy. They showed increased tendency from 6.3% of 1984 to 17.7% of 1987 of total positive blood cultures. 4) High isolation rate of Pseudomonas species and Aeromonas hydrophila was noted in summer, while Salmonella typhi showed high prevalence from May to September and in January. 5) In susceptibility tests of isolated organisms, staphylococcus aureus was sensitive to basic antimicrobial agents except for ampicillin. The glucose non-fermenting microorganisms showed high resistance to basic antimicrobial agents in 32.2%. In conclusion, considering the relatively higher incidence of growth of Staphylococcus epidermidis than ideal level indicates that sampling technique should be improved. Secondly, all the hospital staffs in cooperation with Hospital Infection Committee are desirable to pay efforts to decrease the nosocomial infection.
Acinetobacter
;
Aeromonas hydrophila
;
Ampicillin
;
Anti-Infective Agents
;
Bacteremia
;
Burkholderia cepacia
;
Cross Infection
;
Enterobacteriaceae
;
Escherichia coli
;
Glucose
;
Gram-Positive Cocci
;
Humans
;
Incidence
;
Prevalence
;
Pseudomonas
;
Pseudomonas aeruginosa
;
Salmonella paratyphi A
;
Salmonella typhi
;
Serratia
;
Staphylococcus aureus
;
Staphylococcus epidermidis
;
Streptococcus
9.The clinical studies on acute poisoning of infants and children visited the emergency room in rural area.
Chang Hi LEE ; Gyu Dong CHOI ; Hyeon Soo HAN ; Hye Heon HWANG ; Myung Ho CHO
Journal of the Korean Academy of Family Medicine 1991;12(2):40-46
No abstract available.
Child*
;
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Infant*
;
Poisoning*
10.A Clinical Studey on Reye Syndrome.
Myung Ho OH ; Hung Sub CHOI ; Chang Hwi KIM ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1987;30(11):1243-1251
No abstract available.
Reye Syndrome*