We experience coronary artery aneurysm and coronary artery stenosis in an adult as complications of Kawasaki disease. The patient suffered from ischemic heart disease due to coronary artery aneurysm and stenosis, We carried out PTCA and stenting at stenotic coronary artery successfully. A brief review of related literature was made.
Adult* ; Aneurysm ; Angioplasty, Balloon, Coronary* ; Constriction, Pathologic ; Coronary Aneurysm* ; Coronary Stenosis* ; Coronary Vessels* ; Humans ; Mucocutaneous Lymph Node Syndrome* ; Myocardial Ischemia ; Stents

We report a case of 17-year-old female with juvenile onset systemic lupus erythematosus Who developed symptomatic unilateral sacroiliitis. She had neither HLA-DR3 nir B27 antigens. Though sacroiliitis have been reported in mail SLE patient. it has been rarely reported in female patients. The rare coexistence of SLE and sacroiliitis. described in this case. may not be determined soley by genetic factors; sacroiliitis may be just an infrequent manifestation of SLE.
Adolescent ; Female* ; HLA-DR3 Antigen ; Humans ; Lupus Erythematosus, Systemic* ; Postal Service ; Sacroiliitis*

No abstract available.
Humans ; Urethra* ; Urinary Bladder* ; Urinary Incontinence*

No abstract available.
Humans ; Urethra* ; Urinary Bladder* ; Urinary Incontinence*

Endometriosis is defined as the presence of endometrial tissue(gland and stroma) outside the uterus. The incidence of scar endometriosis is quite rare, and must differentiate with cellulitis and abscess. We have experienced one case of perineal endometriosis and one case of abdominal wall endometriosis at the site of postoperative wound scar. The possible pathogenesis of endometriosis and treatment were discussed.
Abdominal Wall ; Abscess ; Cellulitis ; Cicatrix* ; Endometriosis* ; Female ; Incidence ; Uterus ; Wounds and Injuries

No abstract available.
Female ; Germ Cells* ; Neoplasms, Germ Cell and Embryonal* ; Ovary*

PURPOSE: Salivary duct carcinoma(SDC) is uncommon but high grade adenocarcinoma arising in the ductal epithelium of salivary glands. SDC is characterized by distinctive clinical and pathologic features. The most important histologic aspect of this neoplasm is its resemblance to ductal carcinoma of the breast. Clinically SDC is defined by cervical lymph node involvement and distant metastasis with a high rate of recurrence and mortality. We described some of the clinical and pathological features of SDC and the management using case report for our patient. METHODS: We present a case of a 40-year-old male with 2-year history of a swelling arising in his left preauricular region. There was a single painless, firm and solid 2x1.5cm mass in the left parotid area. Facial nerve function was intact and no cervical lymph node were palpable. In August 2005, we found out 1.7x1.8cm sized cystic, nodular lesions that were located in the superficial lobe of left parotid gland through Computed tomography. And then superficial parotidectomy and postoperative radiation therapy were performed in Jan 2007. RESULTS: Pathologically, the specimen were consisted of homogeneous, chondoid to myxoid type of tissues. It was yellow mass that has multiloculated cystic lesions. In postoperative PET(Positiron emission tomography) CT, there was no evidence of uptaking FDG(Fluorodeoxyglucose) into the deep layers of parotid gland and distant metastasis were not seen. CONCLUSION: Salivary duct carcinoma(SDC) is a rare but high grade adenocarcinoma related to pleomorphic adenocarcinoma. The prognosis of SDC can be different according to the type of tumor such as mucoepidermoid adenocarcinoma, adenoid duct carcinoma and acinar cell carcinoma. So we need to study more carefully for accurate diagnosis in early stage of diagnosis. Although radiotherapy has not yet proven to be a significant factor in overall survival, the combination of parotidectomy and postoperative radiation therapy can lead to more favorable results in treating of SDC.
Adenocarcinoma ; Adenoids ; Adult ; Breast ; Carcinoma, Acinar Cell ; Carcinoma, Ductal ; Epithelium ; Facial Nerve ; Humans ; Lymph Nodes ; Male ; Neoplasm Metastasis ; Parotid Gland ; Prognosis ; Recurrence ; Salivary Ducts ; Salivary Glands

PURPOSE: To evaluate the usefulness of proximal femoral nail in the treatment of intertrochanteric fracture. MATERIALS AND METHODS: The authors investigated the classificaton of fracture, operation time, the amount of intraoperative and postoperative bleeding, the amount of transfusion, postoperative ambulation status, bone union time and the complication among 45 cases who were treated with proximal femoral nail from Jan. 2001 to June 2002. RESULTS: The mean operation time was 116 minutes, and the amount of bleeding was 524 ml in average. The amount of intraoperative transfusion was 1.4 pints and that of postoperative transfusion was 1.1 pints. The complications were the intraoperative penetration of antirotational screw through the femoral neck in 2 cases, separation of the fracture fragment while inserting the nail in 4 cases, irritation of skin by retropulsion of antirotation screw in 2 cases, and penetration of antirotation screw through femoral head in 1 case. CONCLUSION: Proximal femoral nail was effective for the treatment of intertrochanteric fracture, however the surgeon should be carful about collision of the insertion handle against pelvis when the fracture line coincides with the insertion point of nail, especially in obese patients.
Femur ; Femur Neck ; Head ; Hemorrhage ; Humans ; Pelvis ; Skin ; Walking

No abstract available.
Hyperthyroidism* ; Muscular Diseases*

Mumps orchitis occurs in 20 to 35% of cases of mumps in adolescent boys and young men. Spermatogenesis is irreversibly damaged in about 30% of testes involved in mumps orchitis and marked atrophy of the affected testis is the rule but there is no specific treatment. Therefore, we have investigated in a prospective study whether systemic interferon-alpha2B treatment may be considered a causal therapy for patients with mumps orchitis Ten patients with mumps orchitis ( unilateral 8, bilateral 2 ) received systemic treatment with interferon-alpha 2b ( 3xl0' IU per day ) for 7 days. Hormonal levels(LH, FSH, Testosterone, Prolactin, Estradiol) of pre and post-treatment with interferon were normal range. All acute symptoms of mumps orchitis disappeared within 2 to 3 days of treatment with interferon.Within 7 days the volume of the affected, enlarged testis returned to normal. In 3 of 4 patients pretreatment examination revealed asthenospermia, while 3 months after interferon treatment, as well as during the entire followup period normospermia was found. During 3 to 18 months of followup no incidence of testicular atrophy was observed. No severe adverse effects occurred during treatment. We conclude that systemic treatment with lnterferon-alpha2b appears to be highly effective in symptomatic treatment, as well as preventing sterility and testicular atrophy after mumps orchitis. Further investigation on larger populations should be performed to substantiate these results.
Adolescent ; Atrophy ; Follow-Up Studies ; Humans ; Incidence ; Infertility ; Interferon-alpha ; Interferons ; Male ; Mumps* ; Orchitis* ; Prolactin ; Prospective Studies ; Reference Values ; Spermatogenesis ; Testis ; Testosterone