Serum IgE values were determined in 100 patients vith atogic dermatitis in the Department of Dermatology at Severance Hospital, Yonsei University College of Medicine, from Oct. 1, 1978 to Mar. 31, 1980. Mean IgE value of patients is 293. 4 unit/ml which is significantly higher than reference value, and the following results were obtained. 1. The mean IgE value in adults with atopic dermatitis, 339.8 unit/ml, 30 cases: more tian 16 years old) was significantly higher than in children(251. 4 unit /ml, 70 cases). 2. Male patierts showed higher IgE va,lue (mean 324. 5 unit/ml, 62 cases,' than female patients (242.7 unit/ml, 38 cases). 3. No close correlation was demonstrated between IgE values and eosiniphils in blood. 4. Patients with parasitic infesta,tion (5 cases) showed relatively increased IgE values (mean; 116. 2 unit/ml;. 5. Patients wifh bronchial asthma (2 cases) showed high IgE values exceeding 1000 unit/ml, 6. IgE. values roughly correlated with severity of the dermatitis. Four cases with high IgE values exceeding 1000 unit/ml were included in the clinically severe group.
Adult ; Asthma ; Dermatitis ; Dermatitis, Atopic* ; Dermatology ; Female ; Humans ; Immunoglobulin E* ; Male ; Reference Values

No abstract available.
Maxillary Sinus* ; Maxillary Sinusitis*

No abstract available.
Neck*

A clinical observation was made on 47 patients of renal staghorn calculi who were admitted to the Department of Urology, Chonnam University Medical School during the 6 years period from January, 1977 to December 1982. The following results were obtained. 1. There were 24 men and 23 women with a ratio of 1.04:1. The age of three-fourths patients of renal staghorn calculi ranged from 40 to 59 years, with peak age incidence in the fifth decade. 2. Prominent symptomatology was present in 44 patients and 3 patients were asymptomatic. In the symptomatic group flank pain was present in 40 cases, hematuria in 13 and recurrent urinary tract infection in 2. Of the asymptomatic patients 2 had significant bacteriuria and 1 had a nonfunctioning kidney on excretory urogram. 3. The calculus was unilateral in 40 patients (right side in 26 and left side in 14) and bilateral in 7. 4. The majority of the patients with renal staghorn calculi showed abnormal urine; finding and relatively well preserved renal function on excretory' urogram. 5. Preoperative urine cultures yielded l0s colonies per ml. organisms in 15 of the 31 patients (48.4%): Escherichia coli in 4, Proteus & Pseudomonas in 3 respectively, Staphylococcus & Enterobacter in 2 respectively and Klebsiella in 1. 6. A total of 47 operations was done in 47 patients. Of the 47 operations 4 were nephrectomies. Stones were removed in 43 patients (43 kidneys). Of the 43 kidneys extended pyelolithotomy was done for 22, pyelonephrolithotomy for 14, anatrophic nephrolithotomy for 4 and nephrolithotomy for 3. 7. A nephrostomy extended into the upper ureter was located in 18 patients (41.9%), There was no difference in duration of nephrostomy tube inlaying between extended pyelolithotomy and pyelonephrolithotomy. 8. Postoperative complications included remnant stone in 14patients(32.6%), hematuria in 11, pyelonephritis in 5 and urinary leakage from nephrostomy site more than 2 weeks in 3. 9. A chemical stone analysis, available in 36 patients, revealed apatite in 20, struvite in 12 and calcium oxalate in 4. A combination of struvite with apatite was present in 8 and of apatite with calcium oxalate in 7 of these 36 cases.
Bacteriuria ; Calcium Oxalate ; Calculi* ; Enterobacter ; Escherichia coli ; Female ; Flank Pain ; Hematuria ; Humans ; Incidence ; Jeollanam-do ; Kidney* ; Klebsiella ; Male ; Nephrectomy ; Postoperative Complications ; Proteus ; Pseudomonas ; Pyelonephritis ; Schools, Medical ; Staphylococcus ; Ureter ; Urinary Tract Infections ; Urology

Nineteen patients of carcinoma of the prostate admitted to the Department of Urology, Chonnam University Medical School, between 1977 and 1981 were reviewed linically. The following results were obtained. 1. The average age of the patients was 68.6 years, with a range of 25 to 85 years. 2. The average duration from onset of the symptoms to admission was 8 months, with a range of 8 days to 4 years. The presenting symptoms were of prostatic obstruction in 17 cages (89.5%), gross hematuria in 3 cases (15.8%) and bone pain in 3 cases (15.8%). 3. Serum acid phosphatase level was elevated in 7 of 19 patients, 5 of whom had distant metastasis. Serum alkaline phosphatase level was elevated in 5 of 19 patients, 2 of whom had osteoblastic bony metastasis. 4. Biopsy of the prostate was performed by transrectal needle biopsy in 8 cases, transperineal needle biopsy in 2 cases and transurethral resection in 3 cages. All cases were revealed adenocarcinoma of the prostate. In 6 cases adenocarcinoma of the prostate was found within the hyperplastic benign prostatic lobes. 5. Orchiectomy was done in 5 cases and endocrine therapy was done in 13 cases. 6. Follow-up studies were performed clinically in 11 cages ranging in duration from 4 months to 42 months. During this period 3 patients died in 10 months, 11 months and 24 months after operation, respectively.
Acid Phosphatase ; Adenocarcinoma ; Alkaline Phosphatase ; Biopsy ; Biopsy, Needle ; Follow-Up Studies ; Hematuria ; Humans ; Jeollanam-do ; Neoplasm Metastasis ; Orchiectomy ; Osteoblasts ; Prostate* ; Prostatic Neoplasms ; Schools, Medical ; Urology

Two cases of the tumor of the renal pelvis which occurred in boys of the age of 12 and 13 years respectively, having only the chief complaint of intermittent gross hematuria, were herein presented with brief review of literature.
Child* ; Hematuria ; Humans ; Kidney Pelvis*

A case of intraneural ganglion, 5cm×2cm×1.5cm, which was located between the funiculi of the common peroneal nerve was excised completely under the operative microscope. There was no communication with adjacent bursa or joint.
Ganglion Cysts ; Joints ; Peroneal Nerve

Vitamin D deficient ricket is now a rare disease in the developed countries because of the generally improved nutrition and medical awareness but occasional cases are found in the special susceptible populations. The ricket is characterized pathophysiologically by a failure of the normal mineralization of bones and epiphyseal cartilages and is susceptible to the fractures because of the weakness and increased plasticity of bones. The fractures occurred in rickets are known to be delayed in union but it should be normal if the ricket is effectively treated. Authors reviewed 7 cases of fractures occurred in the vitamin D deficient rickets which were managed at Daegu Fatima Hospital during the years from 1980 to 1986 and the following results were obtained. 1. The cases were 4 boys and 3 girls having ages from 6 to 11 years who were all in the same group of restricted population of poor nutrition. 2. 10 fractures noted in 7 cases including two cases of multiple fractures and a case of refracture and most of the fractures occurred in femurs except for a humerus and a forearm bones. 3. The causes of fractures were uncertain because the definite histories were unable to obtain but any violent trauma was not suggested. 4. The fractures were treated by the usual methods of skin tractions or cast immobilizations and daily doses of 2,000 U. or 5,000 U. of vitamin Dwere given as soon as the rickets are recognized. 5. The normal healing of the fractures and rickets occurred in the cases who were given vitamin D initially when the diagnosis of rickets were made. 6. The healing of fractures were very delayed in 2 cases who were missed to recognize the rickets initially and vitamin D was not given.
Daegu ; Developed Countries ; Diagnosis ; Female ; Femur ; Forearm ; Fractures, Multiple ; Growth Plate ; Humans ; Humerus ; Miners ; Plastics ; Rare Diseases ; Rickets ; Skin ; Traction ; Vitamin D ; Vitamins

PURPOSE: It is not clear that the development of glomerular injury and aggravation by tumor necrosis factor alpha (TNF-alpha) is related to intrarenal or serum concentration of TNF-alpha. So, we studied the relationship between the concentration of TNF-alpha and aggravation of glomerular damage in the Henoch-Schonlein nephritis(HSN) and idiopathic nephrotic syndrome(INS). METHODS: We collected the sera and urines of 21 patients with Henoch-Schonlein purpura(HSP) and 22 patients with INS visited Chungbuk National University hospital from March 1998 to March 2001. The concentration of TNF-alpha in the sera and urines were measured by sandwich ELISA. RESULTS: Serum TNF-alpha levels in the HSP patients with renal involvement were significantly higher than those without renal involvement(P=0.009). But urine TNF-alpha levels have no correlation with renal involvement(P=0.088). In the HSN patients, proteinuria have a significant correlation with serum TNF-alpha levels(P=0.004) but less correlation with urine TNF-alpha levels(P=0.053). Otherwise, proteinuria have no correlation with serum TNF-alpha levels(P=0.763) but have a significant correlation with urine TNF-alpha levels(P=0.007) in INS. CONCLUSION: These result suggest that the serum concentration of TNF-alpha would be important to glomerular involvement in HSP. And, it is interesting that proteinuria shows a significant relation with serum TNF-alpha levels in the HSN, but with urine TNF-alpha levels in the INS. This means the major production of TNF-alpha may be originated by extrarenal inflammation in the HSN and by intrarenal tubulo-interstitial damage due to proteinuria in the INS.
Chungcheongbuk-do ; Enzyme-Linked Immunosorbent Assay ; Humans ; Inflammation ; Nephritis* ; Nephrotic Syndrome* ; Proteinuria* ; Tumor Necrosis Factor-alpha*

Retinoblastoma is the most common intraocular malignant tumor in childhood. The early diagnosis can be made in children having strabismus, decreased visual acuity, or family history of retinoblastoma. As the tumor grows larger, it produces leukocoria, iris heterochromia, secondary neovascular glaucoma due to rubeosis iridis, ocular protrusion due to mass, optic nerve extension and distant metastasis. Rarely, this tumor shows spontaneous regression to induce phthisis. We recently experienced a case of bilateral retinoblastoma in a 2 year old girl who presented with the protruded right eyeball due to the massive growth of retinoblastoma, simultaneously with the phthisicae left eyeball due to spontaneous regression of retinoblastoma.
Child ; Child, Preschool ; Early Diagnosis ; Female ; Glaucoma, Neovascular ; Humans ; Iris ; Neoplasm Metastasis ; Optic Nerve ; Retinoblastoma* ; Strabismus ; Visual Acuity