1.Heterotopic Pregnancy after In Vitro Fertilization and Embryo Transfer:The Role of Routine Transvaginal Ultrasonography.
Journal of the Korean Radiological Society 1994;30(2):353-359
PURPOSE: Spontaneous heterotopic pregnancy (HP) is a rare .condition, however, the rising incidence after in-vitro fertilization and embryo transfer (IVF-ET) may present serious problems as the diagnosis of this potentially fatal condition is often missed. The purposes of this study were to investigate the frequency of HP after IVF-ET, to analyze the clinical presentation and the outcome of coincidental intrauterine pregnancy, and to evaluate the value of routine transvaginal ultrasonography in early diagnosis and treatment of HP. MATERIALS AND METHODS: There were 11 cases of HP among 484 pregnancies after IVF-ET (The incidence was 2. 3%) in recent 2 years. We evaluated the clinical findings and the findings of transvaginal sonography in those 11 patients. RESULTS: The combined extrauterine pregnancies were tubal (n=9), cornual (n=l), and both the tubal and cornual (n=l). Vaginal bleeding was absent in 4 cases and one of them was asymptomatic. HP may be suspected if there was an elevated serum hCG in the absence of intrauterine multiple gestations. In all cases, the condition was diagnosed by transvaginal sonography performed prior to surgical intervention. The coincidental intr'auterine pregnancies were ended in successful full-term delivery in 7 cases, while one pregnancy was ongoing at that time. CONCLUSION: The incidence of HP was evidently higher in IVF-ET than in spontaneous pregnancies. Transvaginal sonography was useful in accurate diagnosis in clinically suspected cases and even in asymptomatic cases. Routine transvaginal sonography played an important role in early diagnosis and prompt management of HP.
Diagnosis
;
Early Diagnosis
;
Embryo Transfer
;
Embryonic Structures*
;
Fertilization
;
Fertilization in Vitro*
;
Humans
;
Incidence
;
Pregnancy
;
Pregnancy, Heterotopic*
;
Ultrasonography*
;
Uterine Hemorrhage
2.A case of multiple trichoepithelioma.
Korean Journal of Dermatology 1993;31(2):272-275
Multiple trichoepithelioma is an uncommon skin disease with autosomal dominant transmission. A 21-year-old female ahd asymptomatic, flesh-colored, firm papules and nodules on the face, chest and back. Histopathologic examination showed multiple horn cysts and tumor islands composed of basaloid cells.
Animals
;
Female
;
Horns
;
Humans
;
Islands
;
Skin Diseases
;
Thorax
;
Young Adult
3.A case of nodular amyloidosis.
Korean Journal of Dermatology 1993;31(2):241-244
Localized primary cuteneous nodular amyloidosis is the rarest form of the cutaneous amyloidosis, which appears as single or multiple nodules on the extremities, trunk, genitalia or face. A 44-Year-old woman had asymptomatic, translucent brown to pink papules and nodules on the toes for 5 years. Histopathologic exarnination showed deposition to pale, eosinophilic, amorphous material throughout the dermis, Under the electron microscope, the material consisted of straight, nonbranching, nonanastoimosing filaments. We thus made the diagnosis of nodular amyoidosis.
Adult
;
Amyloidosis*
;
Dermis
;
Diagnosis
;
Eosinophils
;
Extremities
;
Female
;
Genitalia
;
Humans
;
Toes
4.Allergic contact dermatitis to hydroquinone in bleaching cream.
Korean Journal of Dermatology 1992;30(3):381-384
Bleaching creams containing hydroquinone are modestly effective in treating some cutane ous pigmentary disorders. Hydroquinone creams frequently cause mild irritant reactions and postinflammatory hyperpigmentation, but rarely allergic reactions. A case of allergic contact dermatitis due to hydroquinone in a 21-year-old woman was confirmed by the patch test.
Dermatitis, Allergic Contact*
;
Female
;
Humans
;
Hyperpigmentation
;
Hypersensitivity
;
Patch Tests
;
Young Adult
5.Albumin as a Predictor of Survival in Ambulatory Community Dwelling Korean Elderly.
Eun Ju LEE ; Moo Song LEE ; Young Soo LEE
Journal of the Korean Geriatrics Society 2002;6(2):121-129
PURPOSE: This study performed to identify the association between various nutritional indices including biochemical, anthropometric variables and mortality in Korean elderly. METHODS: Among a total of 151,000 subjects over 40 years of living in Jung-up district, 1051 was selected using a random cluster sample method. Between Dec 1996 and Feb 1997, they underwent the blood tests and anthropometric measurements. Three years later, on Dec 2000, we investigated the mortality of the 340 subjects that had been over 65 years at the enroll time. RESULTS: Of the 1051 subjects(M:F=410:641), 340 were over 65 years at the enroll time, 34(10%) had died by 3 years follow up. After adjustment of age and sex, decreased Hb, Hct, serum protein, albumin, increased serum creatinine were significantly associated with an increased risk of mortality(p<0.05) among the variables. Especially serum albumin remained strong predictors of mortality after cont rolling for other significant variables(RR=0.15, 95% CI=0.03-0.63, p=0.01). CONCLUSION: We confirmed the strong independent association with serum albumin and mortality in the rural community dwelling ambulatory elderly Koreans.
Aged*
;
Creatinine
;
Follow-Up Studies
;
Hematologic Tests
;
Humans
;
Jeollabuk-do
;
Mortality
;
Nutrition Assessment
;
Rural Population
;
Serum Albumin
6.A clinical evaluation of ectopic pregnancy.
Eun Ju PARK ; Ji Soo KIM ; Eun Hee LEE ; Gyu Mi SHIN ; Ju Yeob OH
Korean Journal of Obstetrics and Gynecology 1993;36(5):618-624
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*
7.Generalized Pseudoxanthoma Elasticum.
Ki Hong LEE ; Ju Eun LEE ; Ki Bum MYUNG
Annals of Dermatology 1993;5(1):38-40
We report a patient with a cutis laxa-like, generalized PXE without systemic involvement. A 28-year-old woman had loose, pendulous skin of the neck, axillae, thighs, trunk and body folds which resulted in a prematurely aged appearance. She had no family history of related diseases. Histological examination showed considerable accumulations of swollen and irregularly clumped fibers in the middle and lower dermis and von Kossa s stain revealed calcium deposits along the altered elastic fibers.
Adult
;
Axilla
;
Calcium
;
Dermis
;
Elastic Tissue
;
Female
;
Humans
;
Neck
;
Pseudoxanthoma Elasticum*
;
Skin
;
Thigh
8.Generalized Pseudoxanthoma Elasticum.
Ki Hong LEE ; Ju Eun LEE ; Ki Bum MYUNG
Annals of Dermatology 1993;5(1):38-40
We report a patient with a cutis laxa-like, generalized PXE without systemic involvement. A 28-year-old woman had loose, pendulous skin of the neck, axillae, thighs, trunk and body folds which resulted in a prematurely aged appearance. She had no family history of related diseases. Histological examination showed considerable accumulations of swollen and irregularly clumped fibers in the middle and lower dermis and von Kossa s stain revealed calcium deposits along the altered elastic fibers.
Adult
;
Axilla
;
Calcium
;
Dermis
;
Elastic Tissue
;
Female
;
Humans
;
Neck
;
Pseudoxanthoma Elasticum*
;
Skin
;
Thigh
9.Neurobehavioral Response of Newborn Infants Following Delivery by Normal Labor and Cesarean Section under General and Spinal Anesthesia.
Eun Ai LEE ; Jung Hee PARK ; Yoon Ju CHOI ; Seung Ju LEE ; Keun LEE
Journal of the Korean Pediatric Society 1982;25(10):1032-1038
No abstract available.
Anesthesia, Spinal*
;
Cesarean Section*
;
Female
;
Humans
;
Infant, Newborn*
;
Pregnancy
10.Clinical Evaluation of ASCUS.
Eun Ju CHOI ; Mi Sook KIM ; Tae Sung LEE
Korean Journal of Gynecologic Oncology and Colposcopy 2000;11(4):365-368
OBJECTIVE: To evaluate the significance of atypical squamous cells of undetermined significance(ASCUS) by following-up cervical cytologic smears or histologic finding. METHODS: Two hundred fifty three cases were diagnosed as ASCUS on cervical cytologic smears from January, 3, 1997 to september, 16, 1998 at cytopathology laboratory, College of Medicine, Keimyung Univemity. These cases were evaluated by cervical smears or subsequent biopsies. RESULTS: The results were as follows, On repeat cervical smears, inflammation was 19.7%, normal was 11,1% and HSIL was 1.6%. On histologic diagnosis, CIS was 13,4%, cervicitis was 12,6%, invasive cervical cancer was 4.0%, and severe dysplasia was 3.2%. CONCLUSION: A diagnosis of ASCUS on smears need careful follow-up.
Biopsy
;
Diagnosis
;
Follow-Up Studies
;
Inflammation
;
Uterine Cervical Neoplasms
;
Uterine Cervicitis
;
Vaginal Smears