OBJECTIVE: The goal of this study was to examine the association between IQ and suicide in psychiatric patients. METHODS: We conducted a nested case-control study using data obtained from psychiatric patients affiliated with a general hospital in Seoul, Korea. In a one-to-two ratio the psychiatric patients who died of suicide (Suicide Group; n=35) were matched to those who didn't (Non-suicide Group; n=70) by age, gender, psychiatric diagnosis and approximate time of first treatment. IQ was measured using the Korean version of the Wechsler Adult Intelligence Scale-Revised. RESULTS: There were no significant differences in any type of IQ between suicide patients and non-suicide patients. Logistic regression showed no evidence of an association between IQ and suicide. CONCLUSION: These results do not support the existence of an association between IQ and suicide.
Adult ; Case-Control Studies* ; Hospitals, General ; Humans ; Intelligence ; Korea ; Logistic Models ; Mental Disorders ; Retrospective Studies* ; Seoul ; Suicide*

Bone scan using 99m Tc-MDP is the most accurate and reliable method for the early detection of fracture, andgive the most accurate in formation about the healing process of fractured bone. Recent days, the medicolegalproblem about the injured time is frequently provoked in vertebral fracture patient by trauma. The authorsanalyzed the bone scan of vertebral fracture patients from March to Dec. 1983. The authors obtained results asfollows: 1. The minimum time for a fracture to return to normal on a bone scan was 4 month in cervical spine. 2.It was 12 month in thoracic spine. 3. It was 6 month in lumbar spine. 4. Surrounding soft tissue injury was healedwithin 10 days after trauma in our cases. 5. Focal hot uptake is persisted in case of callus deposition on plainfilm, although very small in amount. 6. Healing time is delayed in case of severely compressed vertebral body,belowed the half than normal height. 7. With bone scan it is possible to differentiate the fresh fracture from oldhealed, impossible by plain film. 8. Healing time is delayed in old age.
Bony Callus ; Humans ; Methods ; Soft Tissue Injuries ; Spine

Porokeratosis is a group of disorders characterized by epidermal keratinization associated with cornoid lamella. Porokeratosis has been described as having five distinct clinical subtypes: Mibelli or plaque type, disseminated superficial actinic porokeratosis, linear porokeratosis, punctate porokeratosis, porokeratosis palmaris et plantaris disseminata. We describe a 61-year-old Korean woman presented with porokeratosis palmaris et plantaris disseminata.
Female ; Humans ; Middle Aged ; Porokeratosis*

No abstract available.
Asian Continental Ancestry Group* ; Humans

Hidradenoma papilliferum is a rare benign neoplasm that occurs almost exclusively on the skin of the female anogenital region. It is usually a slow-growing cystic dermal mass that can be either asymptomatic or ulcerate and bleed, and represents an adenoma with apocrine differentiation. We present a case of hidradenoma papilliferum in a 46-year old woman with a erythematous to brownish papule on the left labium majora and the typical histopathologic findings.
Acrospiroma* ; Adenoma ; Female ; Humans ; Middle Aged ; Skin ; Ulcer

We report the case of a 48-year-old man presenting with a pubic nodule and multiple ulcers on penis and scrotum. He had a kidney transplantation two months ago and has been taking cyclosporine, prednisolone, and mycophenolate mofetil. The biopsy specimen from the nodule showed vasculitis and multiple cytomegalic cells in dermis. The biopsy specimen from the scrotal ulcer showed a cluster of multinucleated giant cells and acantholysis in epidermis and cytomegalic cells and vasculitis in dermis, suggestive of HSV infection in epidermis and CMV infection in dermis. Specific immunoperoxidase for CMV antigens positively stained cytomegalic endothelial cells and fibroblasts in both specimens. Evidence of CMV viremia as pp65 was detected in circulating polymorphonuclear leukocytes by immunocytochemical tests although there was no evidence of other organ involvement. Immediately, he was placed on intravenous ganciclovir therapy for 3 weeks. The lesions cleared leaving scars and he was discharged in good general condition.
Acantholysis ; Biopsy ; Cicatrix ; Cyclosporine ; Cytomegalovirus ; Dermis ; Endothelial Cells ; Epidermis ; Fibroblasts ; Ganciclovir ; Giant Cells ; Humans ; Immunocompromised Host* ; Kidney Transplantation ; Male ; Middle Aged ; Neutrophils ; Penis ; Prednisolone ; Scrotum ; Ulcer* ; Vasculitis ; Viremia

Endometriosis is defined as the abnormal growth of endometrial tissue outside the uterine cavity, but in rare cases may also occur on the skin. Cutaneous endometriosis frequently develops at the site of a prior abdominal or pelvic procedure, although apparent spontaneous occurrence has been reported. We present a case of non-symptomatic, cutaneous endometriosis in the episiotomy scar. The patient had no evidence of concurrent pelvic endometriosis.
Cicatrix* ; Endometriosis* ; Episiotomy* ; Female ; Humans ; Skin

BACKGROUND: The treatment of patients with lymphomatoid papulosis is unsatisfactory. Because a curative therapy is not available and none of the available treatment modalities affects the natural course of the disease, the short-term benefits of active treatment should carefully be balanced against the potential side effects. OBJECTIVE: The purpose of this study was to determine the effectiveness and safety of methotrexate in the treatment of lymphomatoid papulosis. METHOD: Twelve patients with a clinicopathological diagnosis of lymphomatoid papulosis were treated with low-dose methotrexate (5-20mg/week), and clinical efficacy and adverse effects were evaluated. RESULTS: The male-to-female ratio was 1: 1.4, and age distribution ranged from 11 to 65 years, with a mean age of 41 years. Histopathologic types classified by Willemze's classification included type A (10 cases), type B (0 cases), and type C (2 cases). All patients responded to low-dose methotrexate, and the level of control was judged to be `excellent' (no or rare lesions between doses), `good' (few lesions between doses), `fair' (improvement but new lesions continued to develop), or `poor' (no improvement observed) in 7 (58%), 2 (17%), 3 (25%), and 0 (0%) of patients respectively. All three patients in the `fair' group (the group relatively less responsive to methotrexate) were female and included both patients who were histopathologic type C. Adverse effects only included nonspecific gastrointestinal discomfort in two patients. CONCLUSION: Low-dose methotrexate (5-20mg/week) is effective and well-tolerated in most patients with lymphomatoid papulosis.
Age Distribution ; Classification ; Diagnosis ; Female ; Humans ; Lymphomatoid Papulosis* ; Methotrexate*

The lesions of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands clinically resembled those of Sweet's syndrome and showed similar histologic evidence of a dense dermal neutrophilic infiltrate. We, herein, present a case of neutrophilic dermatosis of the dorsal hands in a 70-year-old woman with bacterial endocarditis. The patient presented with hemorrhagic pustular blisters on the dorsal hands. Histopathologic findings were pseudoepitheliomatous hyperplasia, intraepidermal pustules, histiocytic infiltration and a few perivascular neutrophilic infiltrations. The skin lesion improved spontaneously.
Aged ; Blister ; Endocarditis, Bacterial ; Female ; Hand* ; Humans ; Hyperplasia ; Neutrophils* ; Skin ; Skin Diseases* ; Sweet Syndrome

The lesions of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands clinically resembled those of Sweet's syndrome and showed similar histologic evidence of a dense dermal neutrophilic infiltrate. We, herein, present a case of neutrophilic dermatosis of the dorsal hands in a 70-year-old woman with bacterial endocarditis. The patient presented with hemorrhagic pustular blisters on the dorsal hands. Histopathologic findings were pseudoepitheliomatous hyperplasia, intraepidermal pustules, histiocytic infiltration and a few perivascular neutrophilic infiltrations. The skin lesion improved spontaneously.
Aged ; Blister ; Endocarditis, Bacterial ; Female ; Hand* ; Humans ; Hyperplasia ; Neutrophils* ; Skin ; Skin Diseases* ; Sweet Syndrome