1.A case of piroxicam-induced photosensitive dermatitis.
Ki Hong KIM ; Jong Cheul KIM ; Yong Myo PARK ; Dong Hoon SHIN ; Jong Soo CHOI
Yeungnam University Journal of Medicine 1991;8(1):215-219
We report a case of piroxicam-induced photosensitive dermatitis in a 54-year-old female. She had taken oral piroxicam and was exposed to the sunlight on her way home for a few minutes. Several hours after the sun-exposure she developed well-defined, confluent, erythematous plaques and numerous vesicobullae with pruritus and prickling sensation on the sun-exposed areas. A phototest was done on her first visit. The minimal erythemogenic dose (2 J/cm²) of ultraviolet (UV) A was markedly decreased whereas that of UVB was within a normal limit. Visible light irradiation for 30 minutes did not cause skin lesions. Six months after the initial skin lesions, a photopatch test with 1% and 10% piroxicam solution followed by UVA (10 J/cm²) irradiation showed positive responses on both concentrations.
Dermatitis*
;
Female
;
Humans
;
Light
;
Middle Aged
;
Piroxicam
;
Pruritus
;
Sensation
;
Skin
;
Sunlight
2.A case of homocystinuria.
Kang Seo PARK ; Kyu Sun CHOI ; Young Tack JANG ; Hong Cheul LEE ; Chun Hee LEE
Journal of the Korean Pediatric Society 1991;34(4):566-572
No abstract available.
Homocystine
;
Homocystinuria*
3.A Case of Sporotrichosis misdiagnosed as Lupus Vulgaris.
Ki Hong KIM ; Dong Hoon SHIN ; Yong Myo PARK ; Jong Cheul KIM ; Jong Soo CHOI
Yeungnam University Journal of Medicine 1990;7(1):191-195
A case of sporotrichosis misdiagnosed as lupus vulgaris was presented. A 56-year-old woman had been to pea sized, nontender pustules and a hypertrophic-scar-like nodule on the right thigh. She denied any trauma before the lesions developed. Histopathologic findings from the lesion showed tuberculosis-like granulomatous changes. And she was diagnosed as lupus vulgaris. She also had pulmonary tuberculosis and had been treated with antituberculous drugs for 1 year. But skin lesions was not cleared. We suspected the lesions as one of deep mycoses and could confirm sporotrichosis by mycologic studies. They showed characteristic gross colonies and microscopic findings of Sporothrix schenckii..
Female
;
Humans
;
Lupus Vulgaris*
;
Middle Aged
;
Mycoses
;
Peas
;
Skin
;
Sporothrix
;
Sporotrichosis*
;
Thigh
;
Tuberculosis, Pulmonary
4.Paget's Disease of the Male Breast.
Yong Myo PARK ; Jong Cheul KIM ; Jong Soo CHOI ; Ki Hong KIM
Annals of Dermatology 1992;4(1):32-36
Paget's disease of the breast occurs almost exclusively in women, and is characterized by a unilateral, sharply defined eczematous skin lesion caused by epidermal metastases from underlying ductal adenocarcinoma of the breast. Paget's disease of the male breast is extremely rare. A 61-year-old patient had a skin lesion on the right nipple for 1 year. The lesion was a well defined, brownish, crusted, and keratotic papule, and was associated with an underlying walnut sized, fixed, hard mass and a palpable ipsilateral axillary lymph node. Histologic findings were consistent with Paget's disease. Results of immunoperoxidase staining technigues for S-100 protein and carcinoembryonic antigen were negative. After a modified radical mastectomy and chemotherapy, the patient has been in remission for 12 months.
Adenocarcinoma
;
Breast*
;
Carcinoembryonic Antigen
;
Drug Therapy
;
Female
;
Humans
;
Juglans
;
Lymph Nodes
;
Male*
;
Mastectomy, Modified Radical
;
Middle Aged
;
Neoplasm Metastasis
;
Nipples
;
Paget's Disease, Mammary
;
S100 Proteins
;
Skin
5.A case of primary inoculation tuberculosis developed after intralesional injection of corticosteroid.
Jong Cheul KIM ; Yong Myo PARK ; Jong Soo CHOI ; Ki Hong KIM
Korean Journal of Dermatology 1991;29(6):827-831
No abstract available.
Injections, Intralesional*
;
Tuberculosis*
6.Computed tomography of pediatric abdominal trauma.
Cheul Ho SOHN ; Jin Kyoung LEE ; Hong KIM ; Seok Kil ZEON ; Soo Jhi SUH ; Woo Hyun PARK
Journal of the Korean Radiological Society 1991;27(6):881-887
No abstract available.
7.125 cases of clinical experiences of pelvic suegery in gynecology.
Wan Cheul HONG ; Jung Bum HWANG ; Jae Hi HAN ; Nong Sue PARK ; Tae Il CHO ; Eu Jin LEE
Korean Journal of Obstetrics and Gynecology 1993;36(5):720-724
No abstract available.
Gynecology*
8.A case of port site metastasis of unexpected gallbladder carcinoma after laparoscopic cholecystectomy.
Kyung Wook KIM ; Cheul Hong KIM ; Jae Hong PARK ; Min Jae LEE ; Yoon Shig YANG ; Jung Kun YOON
Korean Journal of Medicine 2004;67(Suppl 3):S722-S726
Laparoscopic cholecystectomy (LC) is considered as the gold standard operation for the removal of a nonmalignant, diseased gallbladder. With the increasing number of LCs, a number of gallbladder carcinomas have been unexpectedly found either during or following this procedure. The removal of unexpected gallbladder carcinomas by LC can cause also a new complication, port site metastasis (PSM), which is developed by the implantation of tumor cells into the abdominal wall at the port site. We report a rare case of PSM of gallbladder carcinoma which was unsuspected at the time of LC. A 65-year-old man underwent LC at another hospital for calculous cholecystitis. The histologic examination revealed an adenocarcinoma of the gallbladder infiltrating the muscle wall. Despite the surgeon's advice, the patient refused any additional treatment. Ten months after surgery, he visited our hospital because of a painful and palpable subcutaneous mass at the scar of the periumbilical trocar incision. The mass was biopsed and histological examination confirmed metastasis from the gallbladder carcinoma.
Abdominal Wall
;
Adenocarcinoma
;
Aged
;
Cholecystectomy, Laparoscopic*
;
Cholecystitis
;
Cicatrix
;
Gallbladder*
;
Humans
;
Neoplasm Metastasis*
;
Surgical Instruments
9.The Effect of Calcium Chloride on Hemodynamic Responses to Protamine Sulfate in the Dog.
Kyung Yeon YOO ; Cheol Won JEONG ; Jong Un PARK ; Seong Wook JEONG ; Cheul Hong PARK ; In Ho HA
Korean Journal of Anesthesiology 2003;45(3):377-384
BACKGROUND: Protamine sulfate (PS), used to neutralize the effect of heparin, is often associated with systemic hypotension. The present study was aimed to investigate the protective effects of CaCl2 on adverse hemodynamic reaction to PS. METHODS: Forty-six dogs of three groups were studied. Animals were randomly allocated to receive either; saline 10 ml (controls, n = 26), CaCl2 5 mg/kg (n = 10) or 10 mg/kg (n = 10), added to PS 3 mg/kg given intravenously 5 min after heparin (300 IU/kg, iv). Mean aortic pressure (MAP), mean pulmonary arterial pressure (MPAP), left ventricular end-diastolic pressure (LVEDP), LVdP/dtmax, and -LVdP/dtmin, and pulmonary artery (cardiac output) and left circumflex blood flow (LCX flow) were recorded up to 15 min after PS. RESULTS: PS caused significant reductions in MAP (-49%), cardiac index (CI, -66%), systemic vascular resistance index (SVRI, -22%), LVEDP (-67%), LVdP/dtmax (-36%), and LVdP/dtmin (-55%), but increased MPAP (39%) and PVRI (3.8 fold), which all increases and reductions peaked 1-3 min after PS injection in the control group. The addition of CaCl2 to PS significantly attenuated reductions of MAP (-35 and -26% in CaCl2 5 and 10 mg/kg treated dogs, respectively), CI (-34 and -37%), LVdP/dtmax (-14, -11% ), and -LVdP/dtmin (-34, -21%), and increases in PVRI (1.8 and 2.4 fold). However, both doses of CaCl2 increased MPAP (48, 82%), but not SVRI (-28, -21%) or LVEDP (-73, -75%). LCX flow increased similarly in all groups (75-137%). CaCl2 5 and 10 mg/kg iv increased plasma Ca2+ by 0.23 and 0.36 mM, respectively. CONCLUSIONS: These results suggest that the simultaneous administration of CaCl2 attenuates the adverse hemodynamic effects of PS, used to reverse heparin anticoagulation in the dog.
Animals
;
Arterial Pressure
;
Calcium Chloride*
;
Calcium*
;
Dogs*
;
Hemodynamics*
;
Heparin
;
Hypotension
;
Plasma
;
Protamines*
;
Pulmonary Artery
;
Vascular Resistance
10.A Case of Nonfunctioning Paraganglioma of the Posterior Mediastinum.
Young Chul MUN ; Sung Keun YU ; Hye Jung PARK ; Kyeong Cheol SHIN ; Choong Ki LEE ; Jin Hong CHUNG ; Kwan Ho LEE ; Mee Jin KIM ; Jung Cheul LEE
Yeungnam University Journal of Medicine 2000;17(2):155-160
Paraganglioma is a tumor from the extra adrenal paraganglion system and is rarely observed in the mediastinum. The authors experienced a case of nonfunctioning paraganglioma of the posterior mediastinum. The patient was 34-years-old male in whom abnormal mass lesion was nites in chest radiograph with hemoptysis. His blood pressure and serologic examination were within normal range upon admission to our hospital. Chest CT revealed a tumor in the left lower lobe. Diagnostic thoracoscopy was performed and diagnosed a posterior mediastinal mass. Surgical resection was them performed. Posterior mediastinal mass was removed successfully and histological examination of the surgical specimen diagnosed paraganglioma. He received radiotherapy after surgery and was followed up. Related literature are reviewed.
Blood Pressure
;
Hemoptysis
;
Humans
;
Male
;
Mediastinum*
;
Paraganglioma*
;
Radiography, Thoracic
;
Radiotherapy
;
Reference Values
;
Thoracoscopy
;
Tomography, X-Ray Computed