1.A Case of Fiddler's Neck.
Seung Kyung HANN ; Duck Hyun KIM ; Sung Nack LEE
Korean Journal of Dermatology 1986;24(5):671-673
Fiddler's neck was first described by Peachey and Matthews in 1978 to denote a condition characterized by focal lichenification and pigmentation on the left side of violinist and violist neck just below the angle of the jaw. The etiologic facters are friction, local pressure, occlusion, poor hygiene and sweating. In only a few cases has a specific hypersensitivity to one or more of the ch!n rest material(wood, lacquer, dye) or the metallic fixing been found responsible. We report a case of 15-year-old female patient with Fiddler's neck who has played the violin for 8 years.
Adolescent
;
Female
;
Friction
;
Humans
;
Hygiene
;
Hypersensitivity
;
Jaw
;
Lacquer
;
Neck*
;
Pigmentation
;
Sweat
;
Sweating
2.Patch Test in the Suspected Cosmetic Contact Dermatitis.
Duck Hyun KIM ; Hyung Il KIM ; Hee Young PARK ; Sung Nack LEE
Korean Journal of Dermatology 1987;25(2):161-168
Of the 166 cases of suspected cosmetic contact dermatitis, 92 showed positive reactions to one or more of the allergens of the commercial test kits or patients, own coametics by patch test. Tincture of benzoin, ammoniated mercury, cinnamic alcohol and benzyl salicylate were the most commonly identified agents. By product category, skin care produts dominated as the cause of the cosmetic conact dermatitis. However, it was suspected that the most common sensitizer may be present in the eye-make up preparations. The positive rate of foreign cosmetics was more than 2 fold higher than the domestic ones.
Allergens
;
Benzoin
;
Dermatitis
;
Dermatitis, Contact*
;
Humans
;
Patch Tests*
;
Skin Care
3.A Case of Unilateral Zosteriform Lichen Planus.
Sung Nack LEE ; Kwang Hoon LEE ; Duck Hyun KIM ; Byung Moon CHOI
Korean Journal of Dermatology 1984;22(3):314-317
A 44 year-old male without a specific past history demonstrated violaceous colored. angulated flat papules in a zosteriform arrangement along the medial aspect of left arm and upper anterior chest for 3 months. In addition, whitish patches with a lace-like pattern were seen on the buccal mucosa. The histopathologic findings were characteristic of lichen planus. The zosteriform lichen planus is a rare variant of lichen planus, Especially, it has been rarely observed in cases that developed without a previous history of herpes zoster or factors that lead to the Koebner phenoinenon In this context, it piqued our scientific curiousity enough to investigate it.
Adult
;
Arm
;
Herpes Zoster
;
Humans
;
Lichen Planus*
;
Lichens*
;
Male
;
Mouth Mucosa
;
Thorax
4.Humoral Immunity of Each Subgroup in Behcet's Syndrome.
Dong Sik BANG ; Kyu Kwang WHANG ; Duck Hyun KIM ; Sung Nack LEE ; In Joon CHOI
Korean Journal of Dermatology 1986;24(4):499-505
Various immunologic studies were performed for the investigation of humoral immunity in 30 patients with Behcet's syndrome who had been registered in Behcet Special Clinic of Severance Hospital: direct immunofluorescent staining, quantitation of serurn Ig, complement by immunoelectrophoresis and B-cell by EAC-rosette method. The results can be summerized as follows: 1. Direct immunofluorescent staining occurs in biopsies from patients with Behcets syndrome: 11 of the 30 patients(36. 7%). Among them, vascular fluorescene with C3 was noted in 10 of 11 patients (90. 9%), in addition of IgG, IgA, IgM, and fibrinogen on dermoepidermal junction or vessel. 2. The results of direct immunofluorescence staining showed different tendency according to biopsy sites and clinical types: 5 of 10(50%,) in the specimens from oral mucosa, 5 of 13(38.5%) from leg, 1 of 3(33.3%,) from genitalia, and 0 of 7(0%) from other sites: higher in complete and incomplete types than in suspected and possible types. 3. Immunofluorescent staining rates were statistically not significant according to sex, age and Lehner's classification. 4. Serum IgG, IgA, IgM, C3, C4 and B-cell were statistically not significant between DIF positive and negative groups. Therefore it is considered that vascular deposits of immune complexes and activation of complements by immune omplexes may be a role of pathogenetic mechanisms of Behcet's syndrorne.
Antigen-Antibody Complex
;
B-Lymphocytes
;
Behcet Syndrome*
;
Biopsy
;
Classification
;
Complement System Proteins
;
Fibrinogen
;
Fluorescent Antibody Technique, Direct
;
Genitalia
;
Humans
;
Immunity, Humoral*
;
Immunoelectrophoresis
;
Immunoglobulin A
;
Immunoglobulin G
;
Immunoglobulin M
;
Leg
;
Mouth Mucosa
5.Investigation of Cell Mediated Immunity in Patients with Behcet's Syndrome, Using the DNCB Sensitization.
Dong Sik BANG ; Sung Nack LEE ; Duck Hyun KIM ; In Whan NAM
Korean Journal of Dermatology 1985;23(6):769-773
Various immunologic investigations of 159 patients with Behqets syndrome undertaken included; the DNCB sensitization test, total T-cells and T-cell subsets and the lymphocyte transformation test using PHA. The percentage of positive esponsiveness to DNCB decreased in the order of possible (65%), suspected (60%), incomplete (37%) and complete type (37%), The number of patients with impaired LTT was larger in the group of patients with DNCB( + ) responsiveness (seventeen of 32) than in DNCB(+) group (six of 25), There was significant impairment of cell mediated immunity in Behcets syndrome compared to normal subjects, when analyzed by the impaired LTT and decreased proportions of helper T-cells.
Behcet Syndrome*
;
Dinitrochlorobenzene*
;
Humans
;
Immunity, Cellular*
;
Lymphocyte Activation
;
T-Lymphocyte Subsets
;
T-Lymphocytes
;
T-Lymphocytes, Helper-Inducer
6.Atrophoderma of pasini and pierini.
Chul Hyun YOON ; Sung Uk PARK ; Won Woo LEE ; Duck Ha KIM
Korean Journal of Dermatology 1993;31(1):105-108
We report a case of atrophoderma of Pasini and Pierini in which the characteristic soft atrophic patch with cliffdrop border developed on the neck and two well-demarcated indurated atrophic patches were on both shoulders. We took biopsies from centers and margins of each lesion. Histipathologic findings from atrophic center showed marked dermal atrophy comparing to that from margin of the lesion on the neck, but the atrophic center and margin of the lesion on the shoulder showed morphea-like features without, distinct differences between two.
Atrophy
;
Biopsy
;
Neck
;
Shoulder
7.The Discrepancy between Eipcondylar and Posterior Condylar Axis of Femur in Total Knee Arthroplasty.
Woo Shin CHO ; Soo Sung PARK ; Jung Hwan KIM ; Duck Hyun KIM ; Min Young KIM
Journal of the Korean Knee Society 1999;11(1):8-12
PURPOSE: This study was to measure the angle between the femoral epicondylar axis and the femoral posterior condylar axis, to clarify which axis can be used as a guideline to achieve proper rotational align- ment of femoral component in total knee arthroplasty. MATERIAL AND METHODS: From Jan. 1997 to Dec. 1998, the axial images of MRI of 121 patients who sustained acute knee injury were selected to measure the posterior-epicondylar angle(the angle between the femoral epicondylar axis and the femoral posterior condylar axis). Congenital anomaly or any fracture cases were all excluded. Comparisons were made according to gender and ages and the student t-test was used to evaluate the statistical differences. RESULTS: The mean posterior-epicondylar angle was a 4.8(+- 2.0) and there was no significant statisti- cal difference between gender and ages except 3rd decade. CONCLUSION: It can induce an insufficient external rotation of the femoral component in total knee arthroplasty, if we usually do 3 of external rotation of femoral component from the posterior condylar axis.
Arthroplasty*
;
Axis, Cervical Vertebra*
;
Femur*
;
Humans
;
Knee Injuries
;
Knee*
;
Magnetic Resonance Imaging
8.Radiographic Measurement of Normal Adult Cervical Spinal Region in the Korean Population
Young LIM ; Hyun Duck YOO ; Sung Tai SHIN ; Byung Jik KIM ; Kwang Yoon SEO
The Journal of the Korean Orthopaedic Association 1987;22(1):159-162
Radiographic measurement of cervical spine is very important in cervical spine injury especially those without fracture. Authors measured the retropharyngeal space, retrotracheal space, lordortic curve and sagittal diameter of cervical spinal canal in 148 cases of normal adult male. The results are as follows: 1 . In normal Korean adult male maximum retropharyngeal space is 7mm in C, level and Smm in Cs level. Maximum retrotracheal space is 16mm in C, level. 3. Loss of normal lordotic curve is shown in 21 cases(14.2%), 4. Average sagittal diameter of C, level is 21.27mm-it's the largest of all the cervical spinal cana1s, and that of C, level is 16.15mm-it's the smallest.
Adult
;
Humans
;
Male
;
Spinal Canal
;
Spine
9.Clinical study of pancreatic cancer.
Hee Duck KIM ; Byung Ki LEE ; Kyung Hyun CHOI ; Sung Do LEE ; Jae Kwan SEO ; Young Hoon PARK
Journal of the Korean Surgical Society 1992;42(2):179-189
No abstract available.
Pancreatic Neoplasms*
10.The risk of seizure recurrence of pediatric epileptic patients while receiving anticonvulsant drugs treatment.
Dae Sung HWANG ; Byung Hyun KIM ; Kwang Soo OH ; Yeon Kyun OH ; Hyang Suk YOON ; Jong Duck KIM
Journal of the Korean Pediatric Society 1993;36(9):1271-1278
To evaluate the risk and factors associated with seizure recurrence in children with epilepsy while receiving the adequate anticonvulsant treament, we studied 58 patients with newly diagnosed epilepsy who were followed prospectively for a median of 26 months (range 7 to 54). The results were as follows: 1) Forty-four of the 58 patients (75.9%) had recurrence of seizure. 2) The rate of recurrence according to type of seizure was observed to be 22 patients (68.8%) in generalized tonic-clonic seizure, 6 patients (85.7%) in simple partial seizure, 5 patients (83.3%) in complex partial seizure, 3 patients (100%) in mixed seizure, 2 patients (100%) in absence, 3 patients (100%) in infantile spasm, 1 patient (100%) in atonic seizure, 2 patients (50%) in secondary generalized seizure. There was no significant difference in the risk of recurrence observed among these seizure types. 3) The risk of recurrence varied according to the history of seizure, seizure recurrence was observed in 100% of the cases with history of neonatal seizure, 72.7% of the cases with febrile convulsion, and 73.3% of the cases with non-specific history. No significant difference was observed among these past history of seizure. 4) The rate of seizure recurrence according to electroencephalographic abnormalities did not differ significantly. Seizure recurrence was noted in 13 of the 18 patients with mildly disordered tracings (72.2%), 15 of the 20 patients with moderate abnormality (75.0%), and 12 of the 16 patients with severe abnormality (75.0%). 5) Recurrence rate according to cause of seizure was more significantly frequent in those with symptomatic epilepsy than in those with idiopathic type (100% vs 70.2%, p<0.05). 6) The frequency percentage of seizure recurrence by age groups of below 1 year, 1 to 3 years, 4 to 6 years, and above 6 years at onset of seizure were 100, 66.7, 57.1, and 72.7, respectively. The rate of seizure recurrence was significantly highest in patients aged below 1 year at onset of seizure. 7) There was significant difference in seizure recurrence between those with and without abnormalities as shown by neurologic examination (100% vs 70.8%, p<0.05). 8) There was no consistent difference in valproic acid serum levels between those who had a recurrence and those who did not. The patients receiving phenobarbital had significantly high serum levels of the phenobarbital in recurrent groups than those who had no recurrence. In conclusion, factors associated with an increased risk of seizure recurrence were early age at onset of epilepsy, symptomatic epilepsy, and neurologic abnormalities. We found no associations between risks of recurrence and types of epilepsy, or electroencephalographic abnormalities.
Anticonvulsants*
;
Child
;
Epilepsy
;
Humans
;
Infant
;
Infant, Newborn
;
Neurologic Examination
;
Phenobarbital
;
Prospective Studies
;
Recurrence*
;
Risk Factors
;
Seizures*
;
Seizures, Febrile
;
Spasms, Infantile
;
Valproic Acid