We observed clinical and microscopic features in 34 patients with dermatofibroma. Of these features, peculiar epidermal changes were observed in six (17.6%) cases. These were keratoacanthosis(1 case), acanthosis nigricans-like(2 cases), pseudoepitheliomatous hyperplasia.(1 case), hair follicle-like basal cell proliferation(1 case) and early basalioma-like(1 case) changes.
Hair ; Histiocytoma, Benign Fibrous* ; Humans

No abstract available.
Leukemia*

No abstract available.
Talus*

The spine can be divided into two structural columns; an anterior column consisting of vertebral bodies, discs and ligaments and a posterior column consisting of the neural arch, facet joints and interconnecting ligaments. Disruption of both anterior and posterior columns results in spinal instability. Laminectomy may produce greater spinal instability and will convert a stable injury into a unstable one. The compression that exists in these injury is anterior and therefore posterior laminectomy do little more than produce spinal instability. The technique of open reduction and Harrington rod fixation of unstable fractures improved nursing care, shortened rehabilitation and was effective in maintaining fracture reduction and promoting bony healing. Between 1978 and 1980, thirteen consecutive patient with unstable fractures and fracture-dislocations of thoracolumbar spine were treated by open reduction and spinal fusion with Harrington rod fixation at the Department of Orthopaedic Surgery of the Han Gang and Kang Nam Sacred Heart Hospitals. The following results were obtained from analysis of the cases. 1. The reduction and stability after reduction with Hsrrington instrumentation was excellent. 2. Laminectomy produced greater spinal instability. 3. Early ambulation was possible and the period of hospitalization was shortened. 4. Neurological recovery from incomplete neural deficit was good but from complete paraplegia was less effective.
Dislocations ; Early Ambulation ; Heart ; Hospitalization ; Humans ; Laminectomy ; Ligaments ; Nursing Care ; Paraplegia ; Rehabilitation ; Spinal Fusion ; Spine ; Zygapophyseal Joint

A case of hair strangulation on right toe of two months old female patient is reported together with a brief review of references in this paper. This hair strangulation was on the proximal interphanlangeal joint of the right third toe. The distal portion of the hair strangulation was discolored as black, swollon, cold and no evidence of circulation. Amputationon the metatarsophalangeal joint was done.
Female ; Hair ; Humans ; Joints ; Metatarsophalangeal Joint ; Toes

No abstract available.
Sarcoma*

Cutaneous leishmaniasis (oriental sore) is usually a self-limited infection of the skin caused by the protozoan Leishmania tropica. The disease is endemic to the Mediterranean, Asia, Africa, and the Middle East. It has been seen in this country among many Korean technical experts and labourers working in the endemic areas of the disease. Our patient had acquired cutaneous leishmaniasis in Saudi Arabia and it had remained active for six months. He had been treated with antimony and metronidazole but failed because of severe side effects. And then we treated the patient witb cryosurgery and the skin lesions were followed by resolution with cosmetically acceptable scar in 4 months. The brief review of literature on the treatment of cutaneous leishmaniasis was undertaken.
Africa ; Antimony ; Asia ; Cicatrix ; Cryosurgery ; Eczema* ; Humans ; Leishmania tropica ; Leishmaniasis, Cutaneous ; Metronidazole ; Middle East ; Saudi Arabia ; Skin

A clinical study was made on 108 patients with pelvic bone fractures and 37 patients with lower urinary tract injury in the Capital Armed Forces General Hospital during the period of 3 years from January, 1978 to December, 1980. Emphasis was placed on the mechanism of the bladder and urethral injuries. The results were summarized as follows: 1. The most common cause of pelvic bone fractures was traffic accident (88.0%). 2. 37 cases (34.3%) of the pelvic bone fractures were associated with lower urinary tract injuries. These included 17 ruptures of the urethra, 14 bladder injury and 6 bladder and urethral injuries. 3. Among the total bladder injuries (20 cases), we found 14 extraperitoneal ruptures of the bladder. 4 intraperitoneal ruptures and 2 bladder contusion. 4. Among the 23 urethral injuries, membranous urethral injuries were prominent, 19 membranous urethral ruptures and 4 bulbous urethral ruptures.
Accidents, Traffic ; Arm ; Contusions ; Hospitals, General ; Humans ; Pelvic Bones* ; Rupture ; Urethra ; Urinary Bladder ; Urinary Tract*

We experienced a case of primary hepatic actinomycosis which was initially diagnosed by means of fine needle aspiration. The patient was a 31-year-old emaciated man with a 2-month history of 10 kg weight loss, right upper quadrant pain and flank pain. The liver was palpable and tender on physical examination. Computerized tomography scan of the liver showed two ill-defined hypodense masses in gallbladder fossa and inferior pole of right lobe. Hepatocellular carcinoma was clinically suspected. A CT-guided fine needle aspiration was performed. Microscopically, smears showed numerous radiating clusters of filamentous bacteria with many neutrophils and monocytes in necrotic background. The symptoms were improved by incision and drainage and massive administration of penicillin.
Actinomycosis ; Adult ; Bacteria ; Biopsy, Fine-Needle ; Breast ; Carcinoma, Hepatocellular ; Diverticulum* ; Drainage ; Fibroadenoma ; Flank Pain ; Gallbladder ; Humans ; Infarction ; Liver ; Monocytes ; Neutrophils ; Penicillins ; Physical Examination ; Vesico-Ureteral Reflux* ; Weight Loss

No abstract available.