No abstract available.
Humans

No abstract available.
Dermatitis, Allergic Contact* ; Rosa*

Cutaneous metastatic tumors on the scalp from the rectum are very A 66-year-old male presented a nodule and papule an his scalp three months after surgical removal of a rectal adenocarcinorna. Biopsy specien from the scalp showed adenocarcinoma which is similar to the primary rectal carcinoma.
Adenocarcinoma* ; Aged ; Biopsy ; Humans ; Male ; Rectum* ; Scalp*

Lymphangiectasia is a rsre occurrence, and may be due to an undgrlying disturbance of the lymph flow following surgery or irrediation. We present an unusual case of an extensive lymphangictasia of the vulva following radical abdominal hysterectomy and irradiation for cervical cancer.
Hysterectomy ; Uterine Cervical Neoplasms ; Vulva*

The paratertiary butylphenol formaldehyde resin(PTBP-FR) is commonly used in neoprene shoe adhesive to provide stability, durability, flexibility, and to stick quickly. We report here a case of allergic contact dermatitis in a 22-year-old female, who had well defined, pruritic, erythematous, and papulovesicular lesions on the lateral side of the left foot and ankle for 3 years. Patch test showed 2+(vesicular) reaction .to PTBP-FR(1% in petrolatum), a piece of leather shoes(as is), and a piece of leather watch strap(as is).
Adhesives ; Ankle ; Dermatitis, Allergic Contact* ; Female ; Foot ; Formaldehyde* ; Humans ; Neoprene ; Patch Tests ; Pliability ; Shoes ; Young Adult

No abstract available.
Cytarabine* ; Drug Therapy, Combination* ; Leukemia, Myeloid, Acute*

No abstract available.
Adult* ; Humans ; Mass Screening*

The kidneys play a vital role in the maintenance of normal body fluid volumes and in the composition of the extracellular fluid compartments. There are normally more than 2 million functioning glomeruli that regulate total body water and solute concentrations. As renal failure progresses, there is a decrease in the number of functioning nephrons. Chronic renal failure(CRF) is the consequence of a multitude of diseases that cause permanent destruction of the nephron. Azotemia is an elevation in blood urea nitrogen(BUN) and serum creatinine levels subsequent to a decreased glomerular filtration rate(GFR), which results in uremia. This loss of renal function can cause functional and metabolic abnomalities of body. For this problem, oral & maxillofacial surgeons have demanded to routinely treat patients with CRF. However, there has not been a reported case of orthognathic surgery by bilateral sagittal split ramus osteotomy(BSSRO) in patients with CRF, which can cause multiple complications in healthy patients. We report developmental mechanism of complication associated with CRF and preop. and postop. care of orthognathic surgery by BSSRO in ClIII patient with severe chronic renal failure.
Azotemia ; Body Fluids ; Body Water ; Creatinine ; Extracellular Fluid ; Filtration ; Humans ; Kidney ; Kidney Failure, Chronic* ; Nephrons ; Orthognathic Surgery ; Renal Insufficiency ; Urea ; Uremia

BACKGROUND: The regional variation in transepidermal water loss(TEWL) is related to the varying skin structure, particularly the epidermis and its horny layer, and the regional distribution of the eccrine sweat glands, which are concentrated on the palms and soles. OBJECTIVE: We tried to evaluate the TEWL values at various anatomic sites and compare of TEWL values between male and female, left and right, dominant and non-dominant forearm. METHODS: In this study 24 healthy volunteers(mean age 26.6 years, range 20-34 years, 14 males and 10 females) with no history of atopic dermatitis were included. Measurements were performed at various anatomical sites of the skin using Tewameter TM 210(R)(Courage+Khazaka, Koln, Germany). Prior to the measurement of TEWL values, subjects stayed still for 30 minutes in the room where the temperature was controlled(18-23degrees C) with a relative humidity of 35-45%. RESULTS: 1. TEWL values at various anatomical sites of the skin ranked as follows ; palm > sole > back = calf = chin > forearm. TEWL values of wrist forearm was statistically higher than those of proximal forearm and mid-forearm. 2. TEWL values at paim and sole were higher in male than in female(p<0.05), although we could not see any statistically significant difference in TEWL values between male and female at other sites of the skin. 3. Comparing TEWL values of right side of forearm, palm, and sole with those of left side, there were no statistical significance in differences. 4. There were no statisically significant differences in TEWL values at forearm between dominant portion(right handed person's right forearm in 20 persons and left handed person's left forearm in 4 persons) and non-dominant portion. CONCLUSION: There were significant variations in TEWL values at various anatomical site of the skin. It may be necessary to consider the anatomical site of the skin, when we compare the TEWL values which studying the irritant contact dermatitis.
Chin ; Dermatitis, Atopic ; Dermatitis, Contact ; Epidermis ; Female ; Forearm ; Hand ; Humans ; Humidity ; Male ; Skin* ; Sweat Glands ; Wrist

BACKGROUND: Video assisted thoracic sympathectomy or sympathicotomy is a safe and effective therapy for the treatment of palmar hyperhidrosis with immediate symptomatic imporvement. However the degree of satisfaction may diminish with time due to cmpensatory sweating or excessive hand dryness. Therefore by comparing and assessing the degree of symptomatic improvement or compensatory sweating following sympathectomy or sympathicotomy at various levels we aim to determine the optimal level of sympathetic nerve block which will result in minimal side effects and maximal benefit. MATERIAL AND METHOD: Among 194 patients having undergone video assisted thoracic sympathectomy or sympathicotomy between January 1996 and June 1999, 137 patients who responded to either telephone interview or questionnaire were included in the current study. The patients were divided into three groups. Group I(n=61) ; patients having undergone T2,3,4 sympathectomy group II(35) ; patients having undergone T2 sympathicotomy and group III(41) ; patients having undergone limited T2 sympathicotomy which consist of block of interganglionic neuronal fiber on the third rib. The parameters studied comprised of pre- and post-operative palmar temperature change treatment satisfaction the degree of compensatory sweating or discomfort from palmar dryness postoperative complication and changes in plantar sweating. RESULT: There was no difference in age and sex among the groups and the mean postoperative elevation in palmar temperature was 21.59degrees C without any differences among the groups. Patients expressing satisfaction were 65.6%, 62.9% and 90.24% in groups I, II and III, respectively(p<0.05) Moderate to severe compensatory sweating was present in 65.6% 51.4%, and 24.39%, in group I, II, and III, respectively (p<0.05) Slight but comfortable amount of palmar humidness was expressed in decreasing order group III(41.6%) group I(24.6%) and group II(5.7%) (p<0.05) Ineffectiveness or recurrence was present in 5patients in group I(8.2%) 1 patient in group II(2.9%) and none in group III. With regards to plantar sweating decrease in sweating was expressed in 43 patients(31.4%) while similar degree of sweating in 61 patients(44.5%) and increase in sweating in another 33 patinets(24.1%). CONCLUSION: Limited T2 sympathicotomy resection of the lower interganglionic neuronal fiber of the second sympathetic ganglion on the third rib showed immediate effect in palmar hyperhidrosis and caused lesser compensatory sweating and hand dryness.
Autonomic Nerve Block ; Ganglia, Sympathetic ; Hand ; Humans ; Hyperhidrosis* ; Interviews as Topic ; Neurons ; Postoperative Complications ; Surveys and Questionnaires ; Recurrence ; Ribs ; Sweat ; Sweating ; Sympathectomy