No Abstract Available.
Patellar Ligament*

No abstract available.
Trichomonas*

No abstract available.
Trichomonas*

No abstract available.

No abstract available.
Leiomyoma*

No abstract available.
Thyroid Gland* ; Thyroid Nodule*

We report a case of prenatal diagnosis of fetal congenital goiter at 31weeks of gestation by ultrasonogram and fetal hypothyroidism confirmed at birth as thyroid function test by umbilical cord blood sampling. Maternal Graves' disease and the drugs used to treat hyperthyroidism in pregnant women can affect the fetus, causing hyperthyroidism or hypothyroidism and goiter. Fetal hypothyroidism may be caused by transplacental passage of either maternal thyrotropic-binding inhibitory immunoglobulin(TBII) antibodies or maternal treatment with propylthiouracil(PTU). Untreated fetal hypothyroidism may result in mental retardation, perceptual-motor, visual-spatial, and language developmental problems. In this article fetal thyroid function was not assessed by cordocentesis, but fetal congenital goiter was detected ultrasound. Ultrasound should be used to detect fetal goiter from 20 weeks onward. Fetal goiter should resolve when maternal PTU treatment is decreased. We have diagnosed fetal hypothyroidism in utero by ultrasonography. Significance of in utero management of fetal hypothyroidism is discussed.
Antibodies ; Congenital Hypothyroidism ; Cordocentesis ; Female ; Fetal Blood ; Fetus ; Goiter* ; Graves Disease ; Humans ; Hyperthyroidism* ; Hypothyroidism ; Intellectual Disability ; Language Development ; Mothers* ; Parturition ; Pregnancy ; Pregnant Women ; Prenatal Diagnosis* ; Thyroid Function Tests ; Thyroid Gland ; Ultrasonography

No abstract available.
Leukemia, Plasma Cell* ; Plasma Cells* ; Plasma*

The paint gun is an industrial instrument which ejects paint through a small opening with pressure of l,500 to 3,000 Ib/inch. In case of the paint-gun injury, the paint penetrates through a tiny wound of skin and spreads widely along the fascial plane or tendon sheath. It destroys the tissues rapidly. Moreover, the toxicity of the paint material evokes acute inflammatory reaction which is accompanied by localized swelling, erythema, heat and sometimes generalized symptoms (i.e fever). Local toxic reaction leads to swelling, circulatory disturhance and foIlowed hy gangrene of the tissue. Sometimes tissue condition is too desperate to survive and bring about amputation unfortunately. Authors treated eleven patients of the paint gun injury f'rom March 1988 to April 1995. The paint materials were removed thoroughly via large skin incision as immediately as possible after the injury. Usually the wound is left to be open for seven to ten days and is followed by delayed primary wound closure. In our experience of three cases of delayed removal( two, five and seven days after injury), the outcomes were poor with problems of pain, sensory disturhance, limitation of finger motio, and two cases of digit amputation. On doing paint gun injection, right hand was used to hold the paint-gun and left hand was used to hold the cable. Our study showed right hands were injured mainly(nine cases). It means the paint gun injury is caused by inattention of work partner.
Amputation ; Erythema ; Fingers ; Gangrene ; Hand ; Hot Temperature ; Humans ; Paint* ; Skin ; Tendons ; Wounds and Injuries

PURPOSE: To investigate of the orbital manifestations and the changes in extraocular muscles of hyperthyroidism patients at the first visit to out-patient clinic. METHODS: We reviewed the orbital manifestation and extraocular muscle hypertrophy of the patient with the hyperthyroidism who are transfered from internal medicine to ophthalmology. We used the NOSPECS system to classify the patients and checked the orbital CT, schirmer test, visual field exam, and the Hertel's exophthalmometer for evaluation of ocular symptoms. RESULTS: Mean age of the group was 34.62 +/- 9.89 years. They were 5 males and 11 females. According to NOSPECS system, the change of eyelid and ptoptosis was 1.56 and 1.31, the change of extraocular muscle and the degree of corneal involvement was 0.56, sight loss due to optic nerve involvement was 0.25 in ophthalmic index. The thickness of the extraocular muscles measured by CT scan showed 4.40mm in the superior muscle group, 3.90mm in the inferior rectus muscle, 3.42mm in the medial rectus muscle, 3.40mm in the lateral rectus muscle. CONCLUSION: According to NOSPECS system, the ophthalmic index was 4.18. Especially, the changes of eyelid were remarkable(1.56) among the signs. The hypertrophy of superior muscle group(superior rectus and levator palpebral muscle) and inferior rectus muscle were eminent, measured by CT scan.
Eyelids ; Female ; Humans ; Hyperthyroidism* ; Hypertrophy ; Internal Medicine ; Male ; Muscles ; Ophthalmology ; Optic Nerve ; Orbit ; Outpatients ; Tomography, X-Ray Computed ; Visual Field Tests