No abstract available.
Liver Cirrhosis* ; Liver*

No abstract available.
Apgar Score* ; Humans ; Smoke* ; Smoking*

Aplasia cutis congenita is a rare disorder characterized by localized or generalized absence of skin at birth. The various hypothesis and classification are proposed. Type V in Frieden's classification, which is associated with fetus papyraceus or placental infarcts, occurs as a large cutaneous defect on the trunk and extremities. We experienced the patient had skin defect affecting the lower abdomen symmetrically, with no family history of the any disorders or chromosomal anomalies and associated anomalies. A twin fetus was died in utero. We report a case of aplasia cutis congenita associated with fetus papyraceus with the review of the associated literatures.
Abdomen ; Classification ; Ectodermal Dysplasia* ; Extremities ; Fetus ; Humans ; Parturition ; Skin ; Twins

No abstract available.
Hidrocystoma* ; Syringoma*

The present study was performed to evaluate the characteristics and incidence of the nail changes in chronic renal failure patients. Sixty-six patients who were admitted to the Department of Internal Medicine between March and December, 19R3 and thirtyn'ine patients who were receiving hemodialysis therapy at the hemodialysis unit during June, 1983 in Seoul National University Hospital, were examined. The results were as follows; 1. The brown band just proximal to the free margin of the nail is a frequent nail change in chronic renal failure patients. The term half-and-half nail can be used when the band is wide enough to call it half and the term brown distal arc may be apposite for the whole. 2 .Among the 66 admitted patients, 21 cases(31.8%,) had half-and-half nails,26 cases(39.5%) had brown arcs and 3 cases(4.5%) had white nails. Overall the brown distal arc was present in 47 cases(71.2%,). 3, Among the 39 patients receiving hemodialysis, 3 casesp. 7p,) had half-and-half nails, 9 cases(23. 1%) had brown arcs and 5 cases(23,l%) had white nails. The brown distal arc was present in 12 cases(30.8%) over all. 4. There was no correlation between the level of impaired renal function and the presence or the width of a brown distal arc.
Humans ; Incidence ; Internal Medicine ; Kidney Failure, Chronic* ; Renal Dialysis ; Seoul

No abstract available in English.
Methods ; Reference Values

Despite the availability of second-generation antipsychotic drugs, chlorpromazine is still commonly used in Korea and many other countries due to its cost effectiveness, particularly for patients experiencing psychomotor excitement. Adverse effects of chlorpromazine include photosensitivity and phototoxic and photoallergic skin reactions. We present a case of severe photoallergic skin reactions to chlorpromazine that developed 3 days after use of the drug. The skin lesions resolved completely within one week after stopping the drug. A previous history of exposure to chlorpromazine was unknown and the patient had never previously experienced any form of drug-induced photosensitivity. This case highlights the need for awareness of the cutaneous adverse effects of chlorpromazine and the importance of educating patients.

No abstract available.
Erythema Nodosum* ; Erythema*

BACKGROUND: An aggressive skin cancer on the nose, tends to have poorly defined clinical margins, and has a higher recurrence rate. A small tumor on the nose is usually easily treated by any of the standard methods. However, removal and reconstruction with preserved cosmesis is more laborous in a basal cell carcinoma larger than 10 mm in diameter. This is because the nose has complex contoures, unique skin color and texture, and the limited availability of mobile adjacent skin. When available Mohs micrographic surgery is the preferred treatment for these large tumors. OBJECTIVE: Our purpose was to investigate the preferred reconstruction method(especially, local flap reconstruction) by the cosmetic unit of the nose after Mohs micrographic surgery. METHODS: From March 1991 to February 1997, twenty-one patients were diagnosed with basal cell carcinoma on the nose at our department. All the tumors were removed with Mohs micrographic surgery, and then the defects were reconstructed with a primary closure, skin graft, and local flap.
Carcinoma, Basal Cell* ; Humans ; Mohs Surgery* ; Nose* ; Recurrence ; Skin ; Skin Neoplasms ; Transplants

PURPOSE: To evaluate abnormal neurosonographic (NSG) findings of thalami and basal ganglia in full term babies with hypoxic-ischemic encephalopathy and to correlate the findings with follow-up studies and prognosis. METHODS: We evaluated 13 full term babies with abnormal NSG findings of thalarni and basal ganglia. NSG was performed within 7 days after clinical abnormalities. Follow-up NSG was done in 11 cases; CT scan in 4 and MRI in 7. We classified NSG findings as diffuse, unilateral, and focal types according to increased echogenicity and evaluated prognosis based on follow-up studies and neurological sequelae. RESULTS: Nine cases of diffuse type had diffuse echogenic changes of bilateral thalami and basal ganglia, slit-like lateral ventricles suggesting cerebral edema, and increased parenchymal echogenicity. In diffuse type, follow-up studies showed more prominent echogencities and ventricular dilatations and cerebromalacia. One case of unilateral type caused by thromboembolism had unilateral echogenicity of right thalamus and basal ganglia with increased echogenicity of the ipsilateral cerebral hemisphere and compression of the lateral ventricle, suggesting cerebral infarction. Follow-up study showed unilateral cystic cerebromalacia. Three cases of focal type had a localized echogenic area in thalamus with lacunar infarction, which decreased in size during follow-up. Among nine cases of diffuse type, one died within 2 days, two were discharged against medical advice, and six had severe neurologic sequelae. One case of unilateral type had a moderate degree of neurologic sequelae. All 3 cases of focal type had normal development. CONCLUSION: Pattems of abnormal echogenicity in thalami and basal ganglia in fullterm infants with hypoxic-ischemic encephalopathy are correlated with the outcome and may be helpful for treatment planning.
Basal Ganglia* ; Brain ; Brain Edema ; Brain Ischemia* ; Cerebral Infarction ; Cerebrum ; Dilatation ; Encephalomalacia ; Follow-Up Studies ; Humans ; Hypoxia-Ischemia, Brain ; Infant* ; Lateral Ventricles ; Magnetic Resonance Imaging ; Prognosis* ; Stroke, Lacunar ; Thalamus* ; Thromboembolism ; Tomography, X-Ray Computed