No abstract available.
Seizures* ; Unconsciousness*

Electrical burns constitute a unique type of thermal injury. With the passage of high tension current through body surface, 2,500 to 3,000℃ heat was generated, and lead to coagulation of blood vessels, nerves, muscles, skin and other structures. Therefore, electrical burn differs from thermal burn in the point of extent, degree, fluid and electrolytes therapy. From February, 1979 to April, 1982, clinical study was performed in 17 patients with electrical burn of more than 20%, and formula used in thermal burn was modified, further then this modified formula was applied to the fluid and electrolytes therapy. The brief summary of observations were as follows: 1. Fluid loss below the necrotic limb was negligible, and only cut surface between the necrotic limb and viable limb was regarded as actual fluid loss area. 2. In many cases, amputation of extremities in electrical burn was inevitable due to irreversible changes in deep structures. 3. Amputation stump was not well fitted in most cases due to multiple skin damage and deep tissue injury in different levels of extremities.
Amputation ; Amputation Stumps ; Blood Vessels ; Burns ; Clinical Study ; Electrolytes ; Extremities ; Fluid Therapy ; Hot Temperature ; Humans ; Muscles ; Skin

No abstract available.
Arthroplasty, Replacement, Knee*

No abstract available.
Arthroplasty* ; Carbon* ; Knee*

The anterior cruciate ligament(ACL) is one of the main structures which have a stabilizing function of the knee. If a knee with a complete tear of ACL is not treated operatively, progressive instability develops, and the knee has a high risk of incurring meniscal is required. From March, 1989 to December 1992, we reconstructed ACL using patellar tendon with Kennedy-ligament augmentation device(LAD) in 26 patients. Nine patients had acute injuries and 17 patients had chronic rupture. In eleven patients operation was done arthroscopically, and in fifteen patients operation was done by arthrotomy. We used quadriceps tendon-patellar periosteum-patellar tendon in 16 cases and bone-patellar tendon-bone in ten cases. The length of follow-up ranged from 6 month to 33 months (mean; 10 months). We obtained satisfactory results in 22 cases.
Anterior Cruciate Ligament Reconstruction ; Anterior Cruciate Ligament ; Follow-Up Studies ; Humans ; Knee ; Patellar Ligament ; Rupture ; Tears ; Tendons

Cutaneous leishmaniasis is a self-limited infection of the skin caused by Leishmania tropica, a protozoan parasite transmitted by Phlebotomus sandfly. This disease is endemic in tropical and subtropical zone, but recently many cases of cutaneous leishmaniasis were reported in Korean among the peoples who had been worked in the Middle East. We experienced five cases of cutaneous leishmaniasis developed in Korean who had been worked in Saudi Arabia and Jordan. Skin lesions of various sized, central ulcerated and marginal elevated, with serosanguinous discharge and some crust were scattered on exposed area, especially both extremities. Histopathologic findings showed hyperkeratosis, acanthosis, pseudoepitheliomatous hyperplasia, dermal infiltration of histiocytes, lymphocytes, plasma cells and neutrophils, and numerous Leishman-Donovan bodies in and around histiocytes. About 1-4 months treatment with trimethoprim-sulfamethoxazole and metronidazole, two cases were healed with hyperpigmented scar and two cases were improved but one case was not responded.
Cicatrix ; Extremities ; Histiocytes ; Hyperplasia ; Jordan ; Leishmania tropica ; Leishmaniasis, Cutaneous* ; Lymphocytes ; Metronidazole ; Middle East ; Neutrophils ; Parasites ; Phlebotomus ; Plasma Cells ; Psychodidae ; Saudi Arabia ; Skin ; Trimethoprim, Sulfamethoxazole Drug Combination ; Ulcer

Paroxysmal Nocturnal Hemoglobinuria (PNH) is an uncommon hematologic disease characterized by an abnormal sensitivity of blood cells to the lytic action of serum complement. We experienced one case of PNH in Yeungnam University Hospital from May 1983 to May 1989. The patients was followed up without severe complications of 4 years since diagnosis with the only conservative treatments such as washed blood transfusion, adrenal corticosteroids, androgens, folate and iron preparation, intermittently.
Adrenal Cortex Hormones ; Androgens ; Blood Cells ; Blood Transfusion ; Complement System Proteins ; Diagnosis ; Folic Acid ; Hematologic Diseases ; Hemoglobinuria, Paroxysmal* ; Humans ; Iron

We experienced a case of Reiter's syndrome. A 20-year-old Korean male patient of Reiter's syndrome was reported. He had been suffered from mucopurulent urethral discharge, followed by white scaly patches on the skin, fever, transient conjunctivitis and arthralgia. Initially he was treated with sodium salicylic acid (Aspirin), indomethacin 150 mg/day for arthralgia and prednisolone 30mg/day. In accordance with improvement of symptom., prednisolone was tapered to 12. 5mg, when methotrexate 20mg/wk was added for the prevention of side effects of long term use of corticosteroids, Conjunctivitis, arthritis, and skin lesions cleared within 7 months. With improvement of symptoms, prednisolone was tapered and methotrexate also was tapered slowly. Physical therapy for joint stiffness was done.
Adrenal Cortex Hormones ; Arthralgia ; Arthritis ; Conjunctivitis ; Fever ; Humans ; Indomethacin ; Joints ; Male ; Methotrexate* ; Prednisolone* ; Salicylic Acid ; Skin ; Sodium ; Young Adult

A case of epidermodysplasia verruciformis associated with squamous cell carcinoma occurred in 21 years old male. He had extensive flat-topped papules on the face, neck and the upper trunk, and verrucous lesions on the extremities, especially on the dorsa of hands and feet for 15 years. Several peanut sized ulcerative lesions on the forehead were noticed for 1 year and identified as squarnous cell carcinomi. The akin test with dinitrochlorobenzene, tuberculin, phytohemagglutinin, candidin and dermatophytin showed alI negative. T and B-cell counts were within norrnal limits, but IgG and IgD levels in serurn were incresed.
B-Lymphocytes ; Carcinoma, Squamous Cell* ; Dinitrochlorobenzene ; Epidermodysplasia Verruciformis ; Extremities ; Foot ; Forehead ; Hand ; Humans ; Immunoglobulin D ; Immunoglobulin G ; Male ; Neck ; Tuberculin ; Ulcer ; Young Adult

In 1941, Jaffe and coworkers studied a lesion with histologic appearance of fibrous stroma, pigmented deposition and histiocytic infiltration as well as giant cell, for which they named pigmented villonodullar synovitis, bursitis and tenosynovitis. Thereafter many authors have disscussed etiology, clinical and radiological features, pathology and treatment regarding the disease. Recently we experienced a case of pigmented villonodular synovitis involving an hip joint which was treated by synovectomy and total hip replacement with good result.
Arthroplasty, Replacement, Hip ; Bursitis ; Giant Cells ; Hip Joint ; Hip ; Pathology ; Synovitis ; Synovitis, Pigmented Villonodular ; Tenosynovitis