No abstract available.
Subclavian Artery* ; Thoracic Outlet Syndrome* ; Thromboembolism*

This report presents a case of a 17-year-old-girl who developed a, Kaposis varicelliforrn eruption(eczema herpeticum) during oral prednisolone therapy in order to control pemphigus foliaceus. Diagnosis was made by the history, clinical feature and histologic examination. Within 24 hours after the initiation of therapy with ribavirin(Viramid), new lesions had ceased to develop.
Diagnosis ; Kaposi Varicelliform Eruption* ; Pemphigus* ; Prednisolone

BACKGROUND: Even though there were developments in various treatment techniques for acute arterial occlusion this disease still has high rate of mortalities and limb amputations. We investigated the combined diseases symptoms location of occlusion type of treatment complication and prognosis in our patients. MATERIAL AND METHODS: This study recruited 48 patients (42 men, 6 women, mean age 57.7 years) who received the operation from January 1995 toDecember 1998. We investigated the post-operation course via medical record review or telephone interview with patients or their family members. RESULT: The most common combined diseases were atherosclerosis in 30 patients. other diseases were 17 diabetes mellitus 16 hypertension and 12 atrial firillation. Pain and clod sensation were noticed in all patients paresthesia in 5 patients fibrillation. Pain and cold sensation were noticed in all patients paresthesia in 5 patients and lower extremity paralysis in 11 patients. In 29 patients the time interval from the onset of symptom to admission was over 72 hours and 15 patients were admitted within 24 hours. The distribution of arterial occlusion location was at 28 femoral arteries 14 popliteal arteries and 6 iliac arteries. All the patients were received embolectomy and 5 patients were received additional bypass grafting. Postoperative complications were 12 reocclusions. 6 compartment syndromes 6 skin necrosis and 2 acute renal failure. The mortality rate was 16.7% (8/48) and the amputation rate was 25%. CONCLUSION: This study revealed 25% reocclusion 25% limb amputation and 16.7% mortaliyt. To improve the prognosis of acute lower extrements arterial occlusion early diagnosis and understand the underlying diseases prompt treatment and operation additional operation including interventional radiologic examination and thorough postoperative care would be appreciated.
Acute Kidney Injury ; Amputation ; Atherosclerosis ; Compartment Syndromes ; Diabetes Mellitus ; Early Diagnosis ; Embolectomy ; Extremities ; Female ; Femoral Artery ; Humans ; Hypertension ; Iliac Artery ; Interviews as Topic ; Lower Extremity ; Male ; Medical Records ; Mortality ; Necrosis ; Paralysis ; Paresthesia ; Popliteal Artery ; Postoperative Care ; Postoperative Complications ; Prognosis ; Sensation ; Skin ; Transplants

No abstract available.

No abstract available.
Hepatitis B Surface Antigens* ; Hospitals, General*

No abstract available.
Orthopedics*

Atlanto-axial dislocation with the fracture of the odontoid process has been considered as an uncommon lesion and a high incidence of nonunion of fractures of the odontoid process or high incidence of neurological involvement or death has been reported. With the advent of radiology, this fracture has been diagnosed early with increasing frequency. This paper is presented because very excellent result of union of the odontoid process treated with wiring and posterior atlanto-axial fusion by means of Brooks technic was obtained in our case.
Dislocations ; Incidence ; Odontoid Process

In recent years the rate of the spine frecture tends to be on the increase year by year as the rate of traffic and industrial accidents are increased. Realignment of the displaced vertebral column should be achieved for two reasons. It provedes better neural decompression than a laminectomy in most instances and permits stabilization of the axial skeleton in a position of function. One hundred and nine thoraco-lumbar spine fractures and fracture-dislocations out of 102 patients were evaluated from January, 1972 to December, 1977 in our study. 1. Out of the 102 patients, there were 89 male and 13 female cases. The ratio between male and female was 6.8: 1. The majority(77.1%) of the spine fractures was found in the age group of 20 to 50 years. 54.2% of the cases was caused by industrial accident. 2. The most Common site of the lesion occured between T 12 and L 2 vertebrae (82.6%) and the simple anterior wedge fracture (69.7%) was most common. 3. Thirty one cases of the total were complicated by paraplegia, of which 77.4% was caused by rotational fracture-dislocation and most common site of the lesion was between T 12 and L 2 vertebrae (93.8%). 4. Prognosis for neurological recovery in initially complete lesions was poor, regardless of treatment. About 10% of initially complete lesions showed partial neural recovery compared to 62.5% of initially incomplete lesions. 5. All 6 patients on bladder training with intermittent catheterization became catheter free within 3 months.
Accidents, Occupational ; Catheterization ; Catheters ; Clinical Study ; Decompression ; Female ; Humans ; Laminectomy ; Male ; Paraplegia ; Prognosis ; Skeleton ; Spine ; Urinary Bladder

The aspergillus tracheobronchitis is distinctive manifestation of invasive aspergillosis, in which infection is limited completely or predominantly to the tracheobronchial tree. It accounts for about 7 to 10 percent of cases of invasive disease. Grossly, such disease may take the mucosal exudate and obstruct partially the airway lumen or completely the occlusive mucous/fungus plugs. Microscopically, the superficial portion of the airway wall is acutely inflamed and contain fungal hyphae. However, infection is often limited to the mucosa. We report a case of aspergillus tracheobrochits in a 54 year-old man who presented cough, progressive dyspnea with wheezing, and mucus plug. Bronchoscopy showed mucosal exudate and plug.Bronchoscopic biopsy showed aspergillus hyphae and inflammation in the mucosa. He was successfully treated with itraconazole.
Aspergillosis ; Aspergillus* ; Biopsy ; Bronchoscopy ; Cough ; Dyspnea ; Exudates and Transudates ; Humans ; Hyphae ; Inflammation ; Itraconazole ; Mucous Membrane ; Mucus ; Respiratory Sounds ; Trees

PURPOSE: To evaluate the accuracy of CT using water as an oral contrast material in a prone position in determining the depth of tumor invasion in gastric cancer patients. MATERIALS AND METHODS: Thirty three patients(19 male, 14 female) with surgically confirmed gastric cancer were studied. We performed CT in a prone position after ingestion of 1 liter of pure water. CT findings were classified into 4 groups by the morphologic appearances of infiltrates in the perigastric fat plane :normal perigastric fat(SO), fine mottled densities(S1), irregular aggregated or linear densities(S2) and direct extension and invasion of tumor into contiguous structures(S3). Also we prospectively compared the CT staging with pathologic T staging according to the TNM systems. RESULTS: The overall accuracy of CT staging in determining the pathologic T factor was 69.6%. As we regarded T1 and T2 lesions as one group on CT, the accuracy of CT staging was increased to 80.2% because of a limitation of CT for distinguishing T1 from T2 lesions. CONCLUSION: Prone position CT using water as an oral contrast agent is quite accurate in determining the T staging of gastric carcinoma.
Eating ; Humans ; Male ; Prone Position* ; Prospective Studies ; Stomach Neoplasms ; Water*