1.IgG4-Related Sclerosing Sialadenitis: Report of Three Cases.
Ji Seon BAE ; Joo Young KIM ; Sang Hak HAN ; Seung Ho CHOI ; Kyung Ja CHO
Korean Journal of Pathology 2011;45(Suppl 1):S36-S40
Chronic sclerosing sialadenitis, Mikulicz disease or Kuttner tumor has been recently recognized as a spectrum of IgG4-related sclerosing disease. IgG4-related disease is characterized by a high serum IgG4 level and tissue infiltration of IgG4-positive plasmacytes. We report three cases of chronic sclerosing sialadenitis with variably associated systemic involvement. All patients presented with a submandibular mass or swelling, and all the resected submandibular glands showed diffuse lymphocytic infiltration, lymphoid follicles, and septal fibrosis. Two of the specimens revealed numerous IgG-positive plasma cells, most of which were IgG4-positive on immunohistochemical staining. One of them was associated with dacryoadenitis and hypophysitis. The other patient had ureterorenal lesions. Immunohistochemical study was unavailable in remaining one case, but the histologic features along with elevated IgG level and associated pancreatitis supported the diagnosis. All patients received steroid therapy postoperatively and are doing well. Salivary gland involvement in IgG4-related fibrosclerosis should be recognized in systemic medical pathology.
Dacryocystitis
;
Fibrosis
;
Humans
;
Immunoglobulin G
;
Mikulicz' Disease
;
Pancreatitis
;
Plasma Cells
;
Salivary Glands
;
Sialadenitis
;
Submandibular Gland
2.A Clinical Experience of Closed Intramedullary Nailing for Long Bone Fracture
Chang Uk CHOI ; Hak Hyun KIM ; Yon Il KIM ; Sa Sang CHANG ; Jae Quk JOO
The Journal of the Korean Orthopaedic Association 1982;17(6):1171-1180
The new trial to apply the closed I-M nailing for 23 cases of long bone fracture has been used our department, loss of hematoma, further damage to periosteum and soft tissue were prevented; the risk of infection was reduced; and the early functional use of extremities without additional superflous external fixation could be made. The results obtained were as follows; 1. There was no case of non-union or other complication. 2. The average bone union rate was 26.1 weeks in femur, 22 weeks in tibia, or 11.5 weeks in forearm. 3. The advantages is simple method and be able to do early ambulation without following muscular atrophy or ankylosis. 4. The patients were satisfactory about cosmetic problem after operation. 5. The merits of this operation were the short hospitalization and early adaptation of social activity. 6. In conclusion, closed I-M nailing is method of choice for long bone shaft fracture when internal fixation is indicated and our operative is useful and simple.
Ankylosis
;
Early Ambulation
;
Extremities
;
Femur
;
Forearm
;
Fracture Fixation, Intramedullary
;
Fractures, Bone
;
Hematoma
;
Hospitalization
;
Humans
;
Methods
;
Muscular Atrophy
;
Periosteum
;
Tibia
3.Relation between Coronary Artery Cross Sectional Area and Left Ventricular Wall Mass.
Doo Hong CHOI ; Hak Sun KIM ; Sun Ho CHANG ; Joo Young CHO ; Sung Gu KIM ; Young Joo KWON
Korean Circulation Journal 1990;20(4):748-752
The coronary artery cross sectional area (CSA) is proportional to LV mass. We have measured the cross sectional area of the left and right coronary arteries in patients with ischemic heart disease to see whether it is related to the change in the LV mass. The following results were obtained ; 1) There were no significant difference in mean CSA of coronary arteries and LV mass determined by echocardiography and cineangiography between control and ischemic heart disease. 2) There were significantly increased ratio of left ventricular mass by cineangiogram to CSA of left anterior descending coronary artery in patients with myocardial infarction as compared with control group. 3) A linear relation between LV mass by cineangiogram and CSA of left coronary artery was noted in control group (r=0.53, P<0.05) and ischemic heart disease group (r=0.51, P<0.05). 4) A linear relation between LV mass determined by echocardiography and CSA of left coronary artery was noted in control group (r=0.55, P<0.05).
Cineangiography
;
Coronary Vessels*
;
Echocardiography
;
Humans
;
Myocardial Infarction
;
Myocardial Ischemia
4.Objective Non-invasive Assessment of Irritant Patch-test Reactions with Laser Doppler Perfusion Imaging (LDPI).
Chan Woo JEONG ; Suk Jin CHOI ; Jae Hak YOO ; Joo Heung LEE ; Jun Mo YANG ; Eil Soo LEE
Annals of Dermatology 2001;13(4):222-227
BACKGROUND: Traditional visual reading of patch-test reactions is a rather subjective method, lacking the sensitivity and reproducibility needed in experimental studies. Recently the laser Doppler perfusion imaging (LDPI) has been used to measure objectively the increase in superficial blood flow which results in the appearance of erythema. OBJECTIVE: We designed this study to examine the relationship between the LDPI measurement and visual reading after patch test to several different irritants. METHODS: In this study, reading of erythema in experimentally-induced irritant contact dermatitis was performed visually and by laser Doppler perfusion imaging (LDPI). In addition, we investigated whether the LDPI measurement was appropriate in the routine patch test clinic. RESULTS: A close correlation was shown between the 2 methods (r=0.9046, p<0.001) and the LDPI producing mean adjusted perfusion values (APVs) was able to discriminate between the different visual grades. CONCLUSION: LDPI is a valuable instrument to objectively assess intensity of irritant patch-test reaction, and is indeed one of the few methods which overcomes the inter-individual variations in visual reading, but this instrument is not appropriate to use routinely in patch test clinic because of unacceptably long measurement time.
Dermatitis, Contact
;
Erythema
;
Irritants
;
Methods
;
Patch Tests
;
Perfusion Imaging*
;
Perfusion*
5.Treatment of taeniasis with bithionol.
Byung Seol SEO ; Jin Hak CHOI ; Joo Soo YOON
The Korean Journal of Parasitology 1964;2(1):87-90
Ten cases infected with Taenia saginata were treated with Bithionol, 2, 2' thiobis (4,6-dichlorophenol) which is well known as an excellent anthelminthhic against paragonimiasis and their follow-up studies were carried on within 3 to 12 months after treatment. Bithionol, 50 mg dose per kg of body weight was divided into two equal dose and administered orally in 30 minutes intervals. Three hours later, this was followed with a sodium sulfate or magnesium sulfate purge. The strobilas without scolices were found in the stools after the medication and the follow-up studies have shown the complete deworming in all cases. It is well tolerated, toxic effects being uncommon and when present, limited to mild gastro-intestinal disturbances.
parasitology
;
helminth
;
cestoda
;
Taenia saginata
;
chemotherapy
;
bithionol
6.Evaluation of Corneal Biomechanical Properties Following Penetrating Keratoplasty Using the Ocular Response Analyzer.
Joo Young SHIN ; Jin Seok CHOI ; Joo Youn OH ; Mee Kum KIM ; Jin Hak LEE ; Won Ryang WEE
Korean Journal of Ophthalmology 2010;24(3):139-142
PURPOSE: To evaluate corneal biomechanical properties in eyes that had previously undergone penetrating keratoplasty (PK) using the ocular response analyzer (ORA). METHODS: We recruited 26 patients who had received unilateral PK. Corneal hysteresis (CH), corneal resistance factor (CRF), Goldmann-correlated intraocular pressure (IOPg), and cornea-compensated intraocular pressure (IOPcc) were measured with the ORA and were compared to the measurements from the contralateral eyes that did not undergo PK. RESULTS: The CH was 8.95+/-2.59 mmHg in eyes that underwent PK and 9.78+/-1.45 mmHg in the contralateral eyes that did not undergo PK (p=0.077). The CRF was 10.26+/-2.64 mmHg in post-PK eyes and 9.75+/-1.45 mmHg in the contralateral eyes (p=0.509), and the CH-CRF was significantly smaller in post-PK eyes (-1.31+/-2.32 mmHg in post-PK eyes vs. 0.03+/-0.88 mmHg in fellow eyes, p=0.016). The IOPg and IOPcc were significantly higher in the PK group than they were in the control group. The IOPcc's were 20.81+/-7.81 mmHg and 16.27+/-2.49 mmHg in post-PK and control eyes, respectively (p=0.011); and the IOPg's were 19.22+/-7.34 mmHg and 15.07+/-3.03 mmHg in post-PK and control eyes, respectively (p=0.019). The IOPcc-g's were 1.59+/-2.81 mmHg and 1.21+/-1.30 mmHg in post-PK and control eyes, respectively (p=0.412), and the central corneal thickness (CCT)'s were 489.11+/-90.60 microm and 556.24+/-42.84 microm in post-PK and control eyes, respectively (p=0.068). CONCLUSIONS: Following PK, CH tended to decrease while CRF tended to increase, significantly decreasing CH-CRF. A significantly higher intraocular pressure and a thinner CCT following PK may have contributed to the observed changes in these corneal biomechanical parameters.
Adolescent
;
Adult
;
Aged
;
Cornea/*physiopathology
;
*Diagnostic Techniques, Ophthalmological
;
Elasticity
;
Female
;
Humans
;
Intraocular Pressure
;
*Keratoplasty, Penetrating
;
Male
;
Middle Aged
;
Postoperative Period
;
Young Adult
7.Effects of 'Ubiquitous Healthcare' on the Ability of Self-Management in Elderly Diabetic Patients.
Sung Hoon YU ; Sun Hee KIM ; So Yeon KIM ; Sung Hee CHOI ; Soo LIM ; Yoon Seok CHANG ; Hak Jong LEE ; Young Joo PARK ; Hak Chul JANG
Korean Diabetes Journal 2009;33(1):58-64
BACKGROUND: The need for a new healthcare system is growing due to the paradigm shift from health supervision to health maintenance. Previously, we performed a pilot study that examined the effectiveness of a ubiquitous healthcare (U-healthcare) diabetes management program which consists of self-monitoring of blood glucose (SMBG) and mobile phone services for elderly patients with type 2 diabetes mellitus. In this study, we investigated the effect of a diabetes management program using U-healthcare based on the self-care skills of elderly patients with diabetes mellitus. METHODS: From July to October 2005, 17 patients were recruited and provided with a blood glucometer with the ZigBee module and a mobile phone. In addition, the patients' understanding of diabetes self-care skills was examined at the beginning and end of the study. At the end of the study, we determined the level of patient satisfaction regarding U-healthcare services. RESULTS: The patients' test scores on their understanding of diabetes mellitus improved from 57.2 +/- 20.7 to 72.7 +/- 13.4%. Specifically, patient knowledge of the basic principles for a proper diabetic diet (52.9% vs. 82.4%, P = 0.046), foods that influence blood sugar level (41.2% vs. 76.5%, P = 0.007) and the influence of beverage choice (41.2% vs. 64.7%, P = 0.007), all increased. In addition, a significant increase in knowledge of living standards regarding diabetes mellitus was observed (64.7% vs. 88.2%, P = 0.0032). CONCLUSION: We conclude that the U-healthcare incorporating SMBG could be promising, as it improves self-management skills of diabetes mellitus patients, as well as their understanding of the disease.
Aged
;
Beverages
;
Blood Glucose
;
Blood Glucose Self-Monitoring
;
Cellular Phone
;
Delivery of Health Care
;
Diabetes Mellitus
;
Diabetes Mellitus, Type 2
;
Diet, Diabetic
;
Health Services Research
;
Humans
;
Organization and Administration
;
Patient Satisfaction
;
Pilot Projects
;
Self Care
;
Socioeconomic Factors
8.Gastroscopic Observation of Duodenal Tuberculosis.
Young Woon CHANG ; Jeong Taek WOO ; Hak Lim CHOI ; Joo Hee CHANG ; Choong Kee PARK ; Ik Soo BANG ; Rin CHANG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 1985;5(1):49-52
Today, the duodenal tuberculosis is a very rare disease. Final diagnosis of duodenal tuberculosis is difficult due to inconsistent symptoms and nonspecific duodenal lesions. We found 2 cases of duodenal tuberculosis by gastrascopy. In gastroscopic findings, there were undetermined ulcers and irregular nodular mucosal changes.
Diagnosis
;
Rare Diseases
;
Tuberculosis*
;
Ulcer
9.Clinical Experiences of Facial Asymmetries in Zygomaticomaxillary Complex Bone Fracture Patients.
Nak Heon KANG ; Seung Han SONG ; Sang Mun CHOI ; Joo Hak KIM ; Sang Ha OH
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(2):161-165
PURPOSE: Zygomaticomaxillary complex(ZMC) fracture is one of the most common facial injuries after facial trauma. As ZMC composes major facial buttress, it is a key element of the facial contour. So, when we treat these fractures, the operator should have a concern with the symmetry to restore normal appearance and function. But sometimes, unfavorable results may occur. The aim of this study is to analyze the unsatisfied midfacial contour after ZMC fractures reduction retrospectively and to point out the notandum. METHODS: 369 patients, treated for fractures of the ZMC were included in the study. After the operation, such as open reduction and internal fixation(ORIF with titanium or absorbable materials), open reduction, and closed reduction, midfacial contour was evaluated with plain films and 3-dimensional computed tomography. And unfavorable asymmetric midfacial contours were correcterd by secondary correction and re-evaluated. Gross photographs were obtained at outpatient clinic. RESULTS: Total of 38 patients had got a facial asymmetry and among of them 24 patients were treated secondary revisional ORIF operations for correction of unfavorable result of after primary reduction. Two of them had received tertiary operations, three patients had got osteotomy more than after one year and six patients had got minor procedures. The etiology of asymmetry were lateral displaced simple fracture of arch(n=2), lateral displaced comminuted fracture of arch(n=6), comminuted arch fracture combined posterior root fracture(n=9), and communited arch and body fracture(n=12), severely contused soft tissue(n=9). After the manipulations outcomes were acceptable. CONCLUSION: To prevent the asymmetry in ZMC fracture reduction, complete analysis of fracture, choice of appropriate operation technique, consider soft tissue, and secure of zygoma position are important. Especially, we should be more careful about communited fracture of zygomatic body and lateral displacement, root fracture of zygomatic arch. Because they are commom causes that make facial asymmetry. To get optimal result, ensure the definite bony reduction.
Dietary Sucrose
;
Displacement (Psychology)
;
Facial Asymmetry
;
Facial Injuries
;
Fractures, Bone
;
Fractures, Comminuted
;
Humans
;
Osteotomy
;
Outpatients
;
Retrospective Studies
;
Titanium
;
Zygoma
10.Two cases of thymolipoma.
Rhie CHOI ; Young Chang KIM ; Hak Joo CHA ; Sang Jhoo LEE ; cheol Sae LEE ; Jung Ki RO ; Seung Ha YANG ; Chang Jin KIM
Journal of the Korean Pediatric Society 1991;34(11):1605-1611
No abstract available.