4.A Case of Primary Cutaneous Plasmacytoma.
Han Seung LEE ; Ho Jung LEE ; Jung Bin KIM ; Woo Ick YANG ; Seung Kyung HANN
Annals of Dermatology 1996;8(4):287-290
A 66-year-old female patient had a firm, non-tender, dome shaped mass on the scalp. The lesion had enlarged slowly for 2 years, and measured about 4 × 6 cm. The histologic finding of the skin biopsy specimen demonstrated an infiltration of immature plasma cells in the dermis, which express monoclonal cytoplasmic lambda light chain by immunohistochemical stainings, and staging work-up after the biopsy revealed no evidence of disease in other foci. The mass on the scalp was treated successfully by radiation therapy, with the diagnosis of primary cutaneous plasmacytoma.
Aged
;
Biopsy
;
Cytoplasm
;
Dermis
;
Diagnosis
;
Female
;
Humans
;
Plasma Cells
;
Plasmacytoma*
;
Scalp
;
Skin
5.Treatment of Bone Tumor with Free Vascularized Bone Graft
Han Koo LEE ; Moon Sang CHUNG ; Sung Il BIN ; Byung Ho SEO ; Chong Suh LEE
The Journal of the Korean Orthopaedic Association 1987;22(2):493-504
In certain low-grade malignant tumors such as chondrosarcoma and giant cell tumor, radical treatments may provide a good chance for cure. And large bony defect after the radical treatment can be filled with the massive bone graft. Recent advances in clinical microsurgery have made free tissue transfer a clinical reality, and Taylor in 1975, first reported the technique of free vascularized fibula graft for the reconstruction of large tibial defects with excellent clinical results. We tried wide excision and free vascularized bone graft in 6 patients with malignant or aggressive bone tumor from April 1981 to November 1985 and followed up for more one year. Mean follow up of free vascularized bone graft is 26.4 months and that of devascularized bone graft is 22.6 months. The results of the free vascularized bone graft were compared with 10 patients who were treated with the wide excision and the devascularized bone graft. In this analysis, free vascularized bone graft is superior to devascularized bone graft in bony union, complications and functional results.
Chondrosarcoma
;
Fibula
;
Follow-Up Studies
;
Giant Cell Tumors
;
Humans
;
Microsurgery
;
Transplants
6.The use of a pedicled temporal muscle and fascia for treatment of the tmj ankylosis
Chul Woo LEE ; Hwan Ho YEO ; Young Gyun KIM ; Hyo Bin LEE
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1993;15(1):11-20
No abstract available.
Ankylosis
;
Fascia
;
Temporal Muscle
;
Temporomandibular Joint
7.An Epidemiological Observation of Fire Accident in Korea.
Chong Dae LEE ; Seong Un HAN ; Soon Duk BIN ; In Ho CHU
Korean Journal of Preventive Medicine 1968;1(1):43-50
Epidemiological and statistical observations were made of fire hazards that occurred during the past 18 years, 1948 to 1965. Injury and mortality rates for all ages were computed chronologically. For the years of 1955, 1961 and 1965, all fire accidents were epidemiologically analysed to draw characteristic pattern in relation to the seasonal and 24 hour distribution, causes and sites of accidents etc.. Fire hazards observed herein are the categorys E 916 of the International Classification of Causes of Death, 1955, and includes all accidents caused by fire and explosion of combustible materials. The following conclusion was made: 1. The average umber of annual deaths due to fire was 183 and the number of the injured due to the same cause was 335. The mortality rate per 100,000 population was 0.8 and the ratio of injures per death was 1.8. 2. The casualty rate including both the dead and injured was 5.0 per 100,000 in Seoul, the highest among the provinces and followed by 3.4 in Cheju-Do, 2.1 in Kangwon-Do, 1.7 in Kyunggi-Do accordingly. The other provinces had a range of 0.6 to 1.2. 3. The monthly distribution of fire accidents showed that the winter months, December through February, had more frequent accidents, while the summer season, June through August had less. The 24 hour distribution of accidents showed more cases from 12:00 to 18:00 and less from 4:00 to 10:00 hours. 4. The per cent distribution of causes of accidents showed; 90.0% for careless, 10.0% for arson. The cause of carelessness was further breakdown into; 15.0% for kitchen fire places, 13.8% for fire playing, 9.4% for electrical heating and wires, 8.3% for fuels, 6.3% for matches, 5.2% for ash dumps and the remaining for others. 5. The accidents as classified by place revealed that 56.8% of the total occurred at the common dwelling houses, 11.3 at various industrial workshops, 9.3% at the street shops and the remaining at the miscellaneous places.
Cause of Death
;
Classification
;
Education
;
Explosions
;
Fires*
;
Firesetting Behavior
;
Gangwon-do
;
Gyeonggi-do
;
Heating
;
Hot Temperature
;
Jeju-do
;
Korea*
;
Mortality
;
Seasons
;
Seoul
8.Effect of Panax Ginseng Extracts on the Experimentally Induced Comedones.
Sung Bin IM ; Eung Ho CHOI ; Dong Sik BANG ; Soo Il CHUN ; Jung Bock LEE
Korean Journal of Dermatology 1990;28(4):434-440
In this animal study, comedones were induced by topical application of oleic acid onto the rabbit ear canal and the histopathologic and ultrastructural changes in response to topical application of HO and hexane extracts of red ginseng, and saponin were measured. No microscopical difference was observed between treatment groups. Nucle ir remnants were observed in the horny cell layer as well as the thinning of the granular cell layer. Scattered and decreased keratohyaline granules were also noted. Six weeks after initiation of treatment, we observed the thinning of epidermis and veappearance of granular cell layer with normal keratohyaline granules. After treatment, scanning electron microscopy showed a decrease in the size of comedones, and loosened and desquamating horny cells in the comedones. From the above results, it could be concluded that Panax ginseng extracts might have effects on the keratinization process of the skin.
Animals
;
Ear Canal
;
Epidermis
;
Microscopy, Electron, Scanning
;
Oleic Acid
;
Panax*
;
Saponins
;
Skin
9.A prevalence study of pulmonary tuberculosis in hospital visited diabetes patients
Ho Keun CHUNG ; Hang Young LEE ; Kyung Bin JOO ; Kun Sang KIM
Journal of the Korean Radiological Society 1983;19(4):693-696
We reviewed the records of randomly selected 320 diabetic out-patients af Eul-ji Hospital from April 1981through March 1983. Fasting blood sugar (FBS) of 140 mg/dl or more was taken as a criteria of diabetses accordingto the report of National Diabetes Data Group. The resuls are as follows: 1. Mean age of study group was 50.8years-old and the FBS mean value was 22.4 mg/dl. 2. There was no siginificant difference of FBS values oftuberculosis and non-tuberculosis patients . 3. Prevalence of pulmonary tuberculosis evaluated by chest films was13.4 percent in diabetes patients. This value is lower than those of other studies but higher than that of urbanpopulation in Korea (p<0.05).
Blood Glucose
;
Cross-Sectional Studies
;
Fasting
;
Humans
;
Korea
;
Outpatients
;
Prevalence
;
Thorax
;
Tuberculosis, Pulmonary
10.Clinical Features of Pulmonary Tuberculosis In The Elderly.
Jae Ho LEE ; Bin HWANGBO ; Chul Gyu YOO ; Chun Taek LEE ; Sung Koo HAN ; Young Soo SHIM ; Hee Soon CHUNG
Tuberculosis and Respiratory Diseases 2001;51(4):334-345
BACKGROUND: Pulmonary tuberculosis(TB) is still prevalent and remains a significant clinical problem for the elderly. However, the disease presents in many ways, and there are frequent adverse drug reactions that may prevent the early diagnosis and treatment of elderly TB patients compared to the young. The purpose of this study was to determine whether or not there are any differences in the clinical feature of pulmonary tuberculosis(TB) in both the diagnosis and treatment between the young (less than 64 years) and the elderly (65 years and more). METHODS: The medical records of 125 young and 70 elderly pulmonary TB patients, who were diagnosed with and treated for pulmonary TB at the Seoul Municipal Boramae Hospital from November 1991 to January 1997, were analyzed retrospectively. RESULTS: Anorexia(12% vs. 31.4%), general weakness (20.0% vs. 54.3%), dyspnea(21.6% vs. 37.1%) and an abnormal mentality (0.8% vs. 15.7%) were more frequent presenting symptoms in elderly TB patients, whereas hemoptysis (32.8% vs. 10.0%) and fever (BT>37℃ 58.4% vs. 35.7%) were more frequent in the young. The elderly had a higher number of cardiovascular and chronic obstructive pulmonary diseases as underlying illnesses. In chest PA, there were no differences in the location of the TB lesion, but the appearances were initially diagnosed more frequently as pneumonia or lung cancer (8.8% vs. 30.0%, p<0.05) in the elderly. There was no difference in the detection rate of acid fast bacilli(AFB) in the sputum between the two groups. There were no differences in the treatment response and follow-up loss. However, adverse drug reactions (13.6% vs. 45.7%, p<0.05), and changes in medication (4.9% vs. 25.7%, p<0.05) during treatment occurred more frequently in the elderly. One among the 125 young patients died from tuberculosis whereas 6 among the 70 elderly patients died from the disease. CONCLUSION: Because the clinical and radiological presentations were more atypical, a sputum AFB smear and culture should be done immediately in the elderly who are TB. The elderly experienced more frequent adverse drug reactions and mortality during treatment, but the response to treatment was good and rapid.
Aged*
;
Diagnosis
;
Drug-Related Side Effects and Adverse Reactions
;
Early Diagnosis
;
Fever
;
Follow-Up Studies
;
Hemoptysis
;
Humans
;
Lung Diseases, Obstructive
;
Lung Neoplasms
;
Medical Records
;
Mortality
;
Pneumonia
;
Retrospective Studies
;
Seoul
;
Sputum
;
Thorax
;
Tuberculosis
;
Tuberculosis, Pulmonary*