1.A case of cutaneous T cell lymphoma (sezary syndrome).
Chang Hwan LEE ; Seong Hee LIM ; Wang Hee YOO ; Soo Mi CHOI ; Chang Yeol YIM
Korean Journal of Hematology 1993;28(1):171-177
No abstract available.
Lymphoma, T-Cell, Cutaneous*
2.Two Cases of Blepharoconjunctivitis Caused by Pubic Lice in a Family.
Journal of the Korean Ophthalmological Society 1979;20(3):385-389
Authors experienced two unusual cases of marginal blepharoconjunctivitis caused by infestion of pubic lice (Phthirus pubis) which were confirmed by slit lamp and light microscopic examination. The patients were forty-three year old Korean female who was infected from her husband and her six year old daughter who had used a same room with her father and mother. We could find pubic lice and ova on the cilia, pubic and axillar regions of female mother patient and cilia, eyeblow and head of her daughter and we could also find the pubic lice and ova on the pubic region of her husband. The prompt improvement of marginal blepharoconjunctivitis of both eyes of them were achieved by cutting of cilia and the use of topical antibiotics.
Anti-Bacterial Agents
;
Cilia
;
Fathers
;
Female
;
Head
;
Humans
;
Mothers
;
Nuclear Family
;
Ovum
;
Phthiraptera*
;
Spouses
3.A Case of Tuberculous Panophthalmitis.
Chul HONG ; Chang Yeol YOO ; Kyung Bae PAHK
Journal of the Korean Ophthalmological Society 1979;20(2):203-208
The tuberculous panophthalmitis is, at present, extremely rare. The authors experienced a case of left tuberculous pailOphthalmitis which is, we imagine, secondary to the minimal active pulmonary tuberculosis of right upper lung of 17 year old girl. Here we briefly report a case of tuberculous panophthalmitis, referring the literature relating to the ocular trberculosis.
Adolescent
;
Female
;
Humans
;
Lung
;
Panophthalmitis*
;
Tuberculosis, Pulmonary
4.Spinal Anesthesia with 0.5% Plain Bupivacaine: Effects of Patient's Posture and the Temperature of Bupivacaine.
Chang Yeol LEE ; Chung Yoo LEE ; Han Suk PARK ; Soo Il LEE
Korean Journal of Anesthesiology 1997;33(1):79-83
BACKGROUND: Many factors determine the distribution of local anesthetics in the subarachnoid space. These major factors are dosage of local anesthetics, baricity of local anesthetics, position of patient, contour of vertebral column. The temperature of local anesthetics alters the baricity of local anesthetics. At 20oC, the density of 0.5% plain bupivacaine is 1.0003 and generally act as isobaric solution in the CSF. As its temperature lowers, its baricity increases. METHODS: Forty patients (A.S.A I and II) scheduled for lower extremity operation under spinal anesthesia were randomized into four groups; group I (37oC 0.5% bupivacaine, sitting position), group II (37oC 0.5% bupivacaine, 15o head-down position), group III (4oC 0.5% bupivacaine, sitting position), group IV (4oC 0.5% bupivacaine, 15o head-down position). The patients were placed in the sitting position (Group I, III) or lateral decubitus (Group II, IV) and dural puncture was performed at the L3-4 interspace using a midline approach (25-gauge Quincke spinal needle). A free flow of clear cerebrospinal fluid was obtained before administration of drug (37oC 0.5% bupivacaine in Group I, II and 4oC 0.5% bupivacaine in Group III, IV). Patients remained in the sitting position or 15o head-down position for 3 minutes after injection. Patients in each group received a solution that had been previously equilibrated in a stove to 37oC and in a refrigerator to 4oC for more than 1 day. Syringes used to administer the bupivacaine solution were also equilibrated to 37oC and 4oC, respectively. We checked sensory block level using pin-prick test at every 5 minutes. RESULTS: There was statistic significance in sensory block level between Group I, IV and Group II, III. The maximum sensory block level and the time to maximum cephalad spread of analgesia was the T4 level and 9.6 minutes in Group I, the T5 level and 13.5 minutes in Group IV compared to the T9 level and 21 minutes in Group II, the T10 level and 18 minutes in Group III. CONCLUSIONS: The temperature of 0.5% plain bupivacaine affects sensory block level and time to block. It is concluded that the temperature of the injected solution plays an important role in the sensory spread of 0.5% plain bupivacaine.
Analgesia
;
Anesthesia, Spinal*
;
Anesthetics, Local
;
Bupivacaine*
;
Cerebrospinal Fluid
;
Humans
;
Lower Extremity
;
Posture*
;
Punctures
;
Spine
;
Subarachnoid Space
;
Syringes
5.A Study of The Relationship Between The Degree of Patient's Satisfaction with the Results of Aesthetic Operantion and Psychological Factors.
Chang Wook KIM ; Jung Jae LEE ; Young Chun YOO ; Seog Keun YOO ; Sang Yeol LEE ; Min Cheol PARK
Journal of the Korean Society of Aesthetic Plastic Surgery 1999;5(1):69-75
No abstract available.
Psychology*
6.A case of gout with glycogen storage disease type Ia.
Hyun Kuk KIM ; Ji Yeol YOON ; Eun Young LEE ; Chang Keun LEE ; Joong Yeol PARK ; Bin YOO ; Hee Bom MOON
Korean Journal of Medicine 2002;63(4):421-425
Glycogen storage disease type Ia (GSD-Ia) is an autosomal recessive disorder that has defects in glucose-6-phosphatase (G6Pase) in liver, kidney and intestinal mucosa. The defect leads to inadequate conversion of glucose-6-phospate to glucose in the liver and thus makes affected individuals susceptible to fasting hypoglycemia, hyperuricemia, lactic acidemia and hyperlipidemia. Hyperuricemia has been observed in a considerable number of patients and in some of those, clinical gout has occurred. Inhibited tubular secretion of uric acid due to hyperlacticacidemia and ketonemia, and overproduction of uric acid have been postulated as a mechanism for hyperuricemia in patients with GSD-Ia. A 30-year-old male was admitted with fatigue, foot pain and multiple gouty tophi on knee, ankle, and elbow. GSD-Ia and gout were confirmed by analysis of the G6Pase gene and tophi aspiration respectively. He was treated with allopurinol and uncooked cornstarch. After treatment, foot pain improved and the number and size of tophi were decreased.
Adult
;
Allopurinol
;
Ankle
;
Elbow
;
Fatigue
;
Foot
;
Glucose
;
Glucose-6-Phosphatase
;
Glycogen Storage Disease*
;
Glycogen*
;
Gout*
;
Humans
;
Hyperlipidemias
;
Hyperuricemia
;
Hypoglycemia
;
Intestinal Mucosa
;
Ketosis
;
Kidney
;
Knee
;
Liver
;
Male
;
Starch
;
Uric Acid
7.A Case of Primary idiopathic Polymyositis with Hypoalbuminemia and Thrombocytopenia.
Sang Seuk PARK ; Wan Hee YOO ; Jae Hean KIM ; Hyun Mo SONG ; Chang Yeol YIM
Korean Journal of Medicine 1997;52(1):120-125
Primary idiopathic polymyositis is a condition of presumed autoimmune etiology in which the skeletal muscle is damaged by a nonsuppurative inflammatory process dominated by lymphocytic infiltration. We recently experienced a patient with primary idiopathic Polymyositis associated with hypoalbuminemia and thrombocytopenia. About 4 months prior to admission, he was diagnosed as primary idiopathic polymyositis, and improved by treatment with prednisolone 60 mg/day. During steroid tapering, muscle weakness was recurred and accompanied by hypoalbuminemia and thrombocytopenia. Despite retreatment with prednisolone 60 mg/day, muscle weakness, hypoalbuminemia and thrombocytopenia persisted. He was then started to administer methotrexate(MTX) 15 mg/week which resulted in prompt improvement of muscle weakness, hypoalbuminemia and thrombocytopenia. These findnigs suggest that primary idiopathic polymyositis is one of the cause of hypoalbuminemia and thrombocytopenia, and that the hypoalbuminemia and thrombocytopenia can be improved promptly by methotrexate treatment.
Humans
;
Hypoalbuminemia*
;
Methotrexate
;
Muscle Weakness
;
Muscle, Skeletal
;
Polymyositis*
;
Prednisolone
;
Retreatment
;
Thrombocytopenia*
8.Comparison of blood gas analyser, pH meter and pH Strip methods in the measurement of pleural fluid pH.
Hyun Suk JEE ; Yong Bum PARK ; Jae Chol CHOI ; Chang Hyuk AHN ; Ji Hoon YOO ; Jae Yeol KIM ; In Won PARK ; Byoung Whui CHOI
Tuberculosis and Respiratory Diseases 2000;48(5):773-780
BACKGROUND: pH measurement is an important test in assessing the etiology of pleurisy and in identifying complicated parapneumonic effusion. Although the blood gas analyzer is the' gold standard method' for pleural pH measurement, pH meter & pH strip methods are also used for this purpose interchangably. However, the correlation among the pH data measured by the three different methods needs to be evaluated. In this study, we measured the pH of pleural fluid with the three different methods respectively and evaluated the correlation among the measured data. METHODS: From August 1999 to March 2000, were measured the pleural fluid pH in 34 clinical samples with three methods-blood gas analyzer, pH meter, and pH strip. In the blood gas analyzer and pH meter methods, the temperature of plerual fluid was maintained around 0℃ in air-tight condition before analysis and measurement was performed within 30 minutes after collection. As for the pH strip method, the pleural fluid pH was checked in the ward immediately after tapping and in the clinical laboratory of our hospital. This part is unclear. RESULTS: The causes of pleural effusion were tuberculosis pleurisy in 16 cases, malignant pleural effusion 5 cases, parapneumonic effusion 9 cases, empyema 3 cases, and congestive heart failure 1 case. The pH of pleural fluid (mean±SD) was 7.34±0.12 with blood gas analyser, 7.52±0.25 with pH meter, 7.37±0.16 with pH strip of immediate measurement and 6.93±0.201 with pH strip of delayed measurement. The pH measured by delayed pH strip measurement was lower than those of other methods(p<0.05). The correlation of the results between the blood gas analyzer and pH meter(p=0.002, r=0.518) and the blood gas analyzer and pH strip of immediate measurement(p<0.001, r=0.607). CONCLUSION: In the determination of pH of pleural fluid, pH strip method could be a simple and reliable method under immediate measurement conditions after fluid tapping.
Empyema
;
Heart Failure
;
Hydrogen-Ion Concentration*
;
Methods*
;
Pleural Effusion
;
Pleural Effusion, Malignant
;
Pleurisy
;
Tuberculosis
9.A Clinical Study on the Incompetent Internal Os of Cervix.
Chang Heon KIM ; Kye Hyun KIM ; Kuol HUR ; Hee Chul KIM ; Keun Jai YOO ; In Ok SONG ; Jyung Yeol HAN ; Jae Hyug YANG ; Bum Chae CHOI
Korean Journal of Perinatology 2000;11(2):197-203
No abstract available.
Cervix Uteri*
;
Female
10.IL-2 Induced Nitric Oxide Synthesis by Tumor Cells in Corultures of Lymphocytes and Tumor Cells.
Chang Yeol YIM ; Sang Youel PARK ; Wan Hee YOO ; Jae Yong KWAK ; Soo Teik LEE ; Myung Hee SOHN ; Dae Ghon KIM ; Deuk Soo AHN
Journal of the Korean Cancer Association 1999;31(2):339-347
PURPOSE: Nitric oxide (NO) synthesis has been known to be induced during interleukin-2 (IL-2) therapy. The present study was designed to elucidate mechanisms and roles of IL-2-induced NO synthesis in tumor cells. MATERIALS AND METHODS: Mechanisms of IL-2-induced NO synthesis were evaluated using in vitro culture systems of BALB/c mouse splenic lymphocytes and Meth-A tumor cells. Effects of IL-2-induced NO synthesis by Meth-A tumor cells on the tumor cell proliferation were also evaluated using an NO synthase inhibitor, N -monomethyl- L-arginine (MLA). RESULTS: Cultures of both lymphocytes alone and Meth-A tumor cells alone did not produce any significant amounts of nitrite, a stable metabolite of NO during IL-2 stimulation. In contrast, cocultures of lymphocytes and Meth-A tumor cells produced a large amount of nitrite during IL-2 stimulation. Addition of culture supernatants of lymphocytes incubated with IL-2 induced nitrite production in Meth-A tumor cell cultures. However, addition of culture supernatants of Meth-A tumor cells incubated with IL-2 did not induce nitrite production in lymphocyte cultures. Nitrite accumulation was markedly inhibited by addition of anti-interferon-y antibody, confirming the role of the cytokine in mediating tumor cell NO synthesis. MLA inhibited nitrite production by Meth-A tumor cells in a dose-dependent manner in the presence of culture supernatants of lymphocytes incubated with IL-2. Meth-A tumor cell nitrite production in the presence of increasing concentrations of MLA correlated inversely with tumor cell proliferation. CONCLUSION: NO synthesis can be induced by tumor cells by the secondarily released cytokines from lymphocytes during IL-2 stimulation. Autologous NO synthesized by tumor cells during IL-2 stimulation inhibits proliferation of tumor cells themselves.
Animals
;
Arginine
;
Cell Culture Techniques
;
Cell Proliferation
;
Coculture Techniques
;
Cytokines
;
Interleukin-2*
;
Lymphocytes*
;
Mice
;
Negotiating
;
Nitric Oxide Synthase
;
Nitric Oxide*