1.Clinical Case Conference.
Yun Mi KIM ; In Hee CHO ; Yoo Sook JOUNG ; Geon Ho BAHN
Journal of Korean Neuropsychiatric Association 2011;50(2):80-89
No abstract available.
2.Diagnostic Outcomes of Patients Suspicious for Glaucoma Referred from The Company Health Screening.
Yun Suk CHUNG ; Joung Mok KIM ; Yong Ho SOHN
Journal of the Korean Ophthalmological Society 2006;47(9):1444-1448
PURPOSE: To evaluate the diagnostic outcomes of patients suspicious for glaucoma referred from the company health screening. METHODS: In this prospective study, 147 (87 male, 60 female) patients for glaucoma suspicious referred from the company health screening were enrolled. They underwent slit-lamp examination, Goldmann applanation tonometry, gonioscopy, optic disc examination, visual field examination and peripapillary retinal nerve fiber layer (RNFL) thickness measurement using optical coherence tomography (StratusOCT) and scanning laser polarimetry (GDx VCC). We analyzed their diagnostic outcomes. RESULTS: The mean age of patients was 43.8 9.6 years. Reasons for glaucoma suspicion and the number of referred patients were 111 (75.5%) high cup/disc ratio, 23 (15.6%) high intraocular pressure and 13 (8.8%) both of these. The diagnostic outcome was as follows: glaucoma, 26 (17.7%); glaucoma suspect, 4 (2.7%); ocular hypertension (OHT), 14 (9.5%); no glaucoma and no ocular hypertension, 89 (60.5%); and normal, 18 (12.2%). CONCLUSIONS: Glaucoma, glaucoma suspect and ocular hypertension were confirmed in 27.2% of patients suspicious for glaucoma referred from the company health screening. Thus, the company health screening appears to be relatively sensitive to detecting glaucoma patients.
Glaucoma*
;
Gonioscopy
;
Humans
;
Intraocular Pressure
;
Male
;
Manometry
;
Mass Screening*
;
Nerve Fibers
;
Ocular Hypertension
;
Prospective Studies
;
Referral and Consultation
;
Retinaldehyde
;
Scanning Laser Polarimetry
;
Tomography, Optical Coherence
;
Visual Fields
3.Respiratory Syncytial Virus Infection Complicated by Extrapulmonary Manifestations.
Jae Ho JUNG ; Yun Kyum KIM ; Hee Joung CHOI
Pediatric Infection & Vaccine 2017;24(3):188-192
Respiratory syncytial virus (RSV) typically causes lower respiratory tract infections in children, and most patients recover successfully. However, some infants and young children can have a severe course of disease with respiratory failure, and extrapulmonary manifestations can occur in severe RSV disease. We report one case of severe RSV bronchiolitis complicated with acute myocarditis, fulminant hepatic failure, and disseminated intravascular coagulation.
Bronchiolitis
;
Child
;
Disseminated Intravascular Coagulation
;
Humans
;
Infant
;
Liver Failure
;
Liver Failure, Acute
;
Myocarditis
;
Respiratory Insufficiency
;
Respiratory Syncytial Viruses*
;
Respiratory Tract Infections
4.Respiratory Syncytial Virus Infection Complicated by Extrapulmonary Manifestations.
Jae Ho JUNG ; Yun Kyum KIM ; Hee Joung CHOI
Pediatric Infection & Vaccine 2017;24(3):188-192
Respiratory syncytial virus (RSV) typically causes lower respiratory tract infections in children, and most patients recover successfully. However, some infants and young children can have a severe course of disease with respiratory failure, and extrapulmonary manifestations can occur in severe RSV disease. We report one case of severe RSV bronchiolitis complicated with acute myocarditis, fulminant hepatic failure, and disseminated intravascular coagulation.
Bronchiolitis
;
Child
;
Disseminated Intravascular Coagulation
;
Humans
;
Infant
;
Liver Failure
;
Liver Failure, Acute
;
Myocarditis
;
Respiratory Insufficiency
;
Respiratory Syncytial Viruses*
;
Respiratory Tract Infections
5.Do Knots Matter in Superior Labrum Anterior to Posterior Lesions Repair?.
Hyeon Jang JEONG ; Ho Yun JOUNG ; Dae Ha KIM ; Sung Min RHEE ; Seok Hoon YANG ; Woo KIM ; Joo Han OH
Clinics in Shoulder and Elbow 2017;20(2):68-76
BACKGROUND: In general, the outcomes of arthroscopic repair for superior labrum anterior to posterior lesions (SLAP) are favorable, however, persistent pain and limitation of motion are not rare complications. One of the possible cause is a “knot-ache”. This study evaluated the results of reoperation of symptomatic recurrent SLAP lesions and asked whether the knot is associated with postoperative complications. METHODS: Between 2005 and 2015, a total of 11 patients who had undergone arthroscopic SLAP repair were reoperated for recurrent symptomatic SLAP lesion. By retrospective chart review, operative findings, the visual analogue scale for pain (pVAS), the range of motion (ROM), and functional scores were analyzed. RESULTS: The mean age of the study participants was 38.3 years, and the mean follow-up period was 42.5 months. In the primary operation, there were nine cases of repairs with conventional knot-tying anchors and three cases with knotless anchors. Impingement of the knots during abduction and external rotation of the shoulder was observed in the all cases with knot-tying anchors. The mean pVAS, ROM, and functional scores significantly improved with reoperation. At the final follow-up, the mean satisfaction VAS was 8.3. CONCLUSIONS: The knots of suture anchor maybe a possible etiology of the pain, which we termed a “knot-ache”. Considering that reoperation is performed due to pain after primary repair, the use of knotless suture anchor may have benefits of eliminating one of possible cause, “knot-ache”. Therefore, authors suggest the use of knotless anchors during reoperation for recurrent or recalcitrant pain after primary SLAP repair.
6.Clinical Features and the Natural History of Dietary Protein Induced Proctocolitis: a Study on the Elimination of Offending Foods from the Maternal Diet.
Seon Yun CHOI ; Moon Ho PARK ; Won Joung CHOI ; Una KANG ; Hoon Kyu OH ; Sin KAM ; Jin Bok HWANG
Korean Journal of Pediatric Gastroenterology and Nutrition 2005;8(1):21-30
PURPOSE: The aim of this study was to identify the clinical features and natural history of dietary protein induced proctocolitis (DPIPC) and to detect the causative foods of DPIPC, and to evaluate the effect of elimination of the foods on the course of the disease. METHODS: Between March 2003 and July 2004, data from 30 consecutive patients with DPIPC who were followed for over 6 months, was reviewed. The diagnostic criterion used for DPIPC was an increase in the number of eosinophils in the lamina propria (> or =60 per 10 high-power fields). In breast feeding mothers, 5 highly allergenic foods were eliminated from the maternal diet for 7 days, namely, allergenic food groups such as dairy products, eggs, nuts and soybean, fish and shellfish, and wheat and buckwheat. We observed the disappearance or appearance of hematochezia after elimination or challenge with the offending foods. RESULTS: Before diagnosis infants were breast-fed (93.3%) or formula-fed (6.7%). Mean age at symptom onset was 11.5+/-5.1 (5~24) weeks, and mean age at diagnosis was 17.8+/-9.5 (8~56) weeks. Duration from symptom onset to diagnosis was 6.3+/-6.7 (0~36) weeks. Mean peripheral blood eosinophil count was 478+/-320 (40~1,790)/mm3 and eosinophilia (>250/mm3) was observedin 90.0% of patients. None of patients were found to have an increased serum IgE level. Of 15 patients that received sigmoidoscopy, nodular hyperplasia with erosion was observed in 93.3%. Of 27 patients whose mother ate the diet eliminated the 5 food groups, hematochezia diappeared in 74.1% of patients. Offending foods were identified as dairy products (37.5%), wheat and buckwheat (27.5%), fish and shellfish (20.0%), nuts and soybean (7.5%) and eggs (7.5%). A free maternal diet without patient's clinical symptoms was achieved at 29.4+/-8.7 (9~44) weeks of patient's age, and a free baby diet without blood in stools was achieved at 37.5+/-9.7 (12~56) weeks of age. CONCLUSION: DPIPC commonly occurs in exclusively breast-fed babies. Elimination of the above-mentioned 5 hyper-allergenic food groups from the maternal diet for 7days enables the detection of the offending foods. DPIPC is a transient disorder and 96.0% of patients can tolerate the offending foods at 12 months of age.
Breast Feeding
;
Dairy Products
;
Diagnosis
;
Diet*
;
Dietary Proteins*
;
Eggs
;
Eosinophilia
;
Eosinophils
;
Fagopyrum
;
Gastrointestinal Hemorrhage
;
Humans
;
Hyperplasia
;
Immunoglobulin E
;
Infant
;
Mothers
;
Mucous Membrane
;
Natural History*
;
Nuts
;
Ovum
;
Proctocolitis*
;
Shellfish
;
Sigmoidoscopy
;
Soybeans
;
Triticum
7.Clinical Predictors of Obstructive Sleep Apnea.
Hea Won KONG ; Hun Jae LEE ; Yoon Seok CHOI ; Joung Ho RHA ; Choog Kun HA ; Dae Ung HWANG ; Yeon Ok KIM ; Chang Ho YUN
Journal of the Korean Neurological Association 2005;23(3):324-329
BACKGROUND: Obstructive sleep apnea (OSA) is a common sleep disorder that causes daytime dysfunction and cardiovascular diseases. Nocturnal polysomnography (NPSG) is the standard method of evaluating OSA; however, it is time-consuming, inconvenient, and expensive. Selective performance of NPSG would be possible if we could better predict those who are more likely to have clinically significant OSA. The aim of this study is to define clinical and anthropometric predictors of OSA. METHODS: We included 100 consecutive patients in whom OSA was clinically suspected. Structured sleep interview, anthropometric measurement, and NPSG were performed in all subjects. Presence of OSA was defined when the apnea-hypopnea index was five or more. Parameters from sleep interview and anthropometric data were investigated with multiple logistic regression using the SAS program (ver 8.1, USA) to identify independent predictors of OSA. RESULTS: OSA was diagnosed in seventy-six patients after NPSG. Univariate analysis showed that the male sex, co-existing diabetes, overweight (BMI>or=25), habitual alcohol drinking, large neck circumference (>or=40 cm), high waist circumference/hip circumference (WC/HC) ratio (>or=0.94), and observed apnea were significantly more frequent in OSA patients (p<0.05). Using multivariate analysis, large neck circumference (>or=40 cm) (adjusted OR=4.43, 95% CI: 1.05~18.61) and high WC/HC ratio (adjusted OR=3.48, 95% CI: 1.12~10.80) were found to be the independent predictors of OSA on the NPSG. CONCLUSIONS: We report the predictors of OSA that could be easily identified by clinical and anthropometric evaluations before performing NPSG. This might aid the clinical decision whether or not to perform NPSG in subjects with clinically suspected OSA syndrome.
Alcohol Drinking
;
Apnea
;
Cardiovascular Diseases
;
Humans
;
Logistic Models
;
Male
;
Multivariate Analysis
;
Neck
;
Overweight
;
Polysomnography
;
Sleep Apnea, Obstructive*
;
Waist-Hip Ratio
8.Cerebral Venous Thrombosis in the Inferior Sagittal Sinus.
Chang Seok SONG ; Hee Kwon PARK ; Joung Ho RHA ; Seong Hey CHOI ; Chang Ho YUN ; Jeong Jin PARK ; Na Young RYOO ; Im Tae HAN ; Chang Gi HONG ; Choong Kun HA
Journal of the Korean Neurological Association 2011;29(4):393-395
No abstract available.
Angiography, Digital Subtraction
;
Venous Thrombosis
9.Inferior Mesentery Artery and Internal Iliac Artery Preservation with Covered Self-Expanding Stents during Endovascular Aneurysm Repair.
Yun Gyu SONG ; Hong JANG ; Hyun Oh PARK ; Seong Ho MOON ; Jong Woo KIM ; Sung Hwan KIM ; Jun Ho YANG ; Joung Hun BYUN
Vascular Specialist International 2016;32(4):190-194
We report an endovascular aneurysm repair in a patient with isolated bilateral common iliac artery aneurysms, a prominent inferior mesentery artery (IMA), and bilateral proximal internal iliac artery (IIA) aneurysms using covered self-expanding stents to preserve the IMA and bilateral internal iliac arteries. A follow-up computed tomography angiography was obtained at 1 month. Pelvic circulation was well preserved without bowel ischemia. IMA and bilateral IIA preservation with covered self-expanding stents during endovascular aneurysm repair is a safe and effective method.
Aneurysm*
;
Angiography
;
Arteries*
;
Follow-Up Studies
;
Humans
;
Iliac Artery*
;
Ischemia
;
Mesenteric Arteries
;
Mesentery*
;
Methods
;
Stents*
10.A Case of an Atypical Carcinoid Tumor Arising in Ulcerative Colitis.
Yong Hee JOUNG ; Hyo Jong KIM ; Kyeong Jin KIM ; Seok Ho DONG ; Yun Hwa KIM ; Byung Ho KIM ; Young Woon CHANG ; Jung Il LEE ; Ju Hue LEE ; Ring CHANG
Korean Journal of Gastrointestinal Endoscopy 2000;20(3):213-217
Ulcerative colitis is a chronic inflammatory bowel disease manifested by diffuse continuous mucosal and submucosal inflammation. Adenocarcinoma of the colon may be complicated in the long-standing, extensive ulcerative colitis. But the case of an atypical carcinoid tumor arising in the chronic ulcerative colitis has been very rarely reported. A case was experienced involving a 54-year-old woman with chronic ulcerative pancolitis that was complicated by an atypical carcinoid tumor of the sigmoid colon. A small, flat, elevated lesion was found at the sigmoid colon, 8 years after the initial diagnosis of ulcerative colitis had been made. The microscopic finding of the lesion showed the nest of moderately differentiated, medium sized cells with large nuclei. The immunohistochemical stains for cytokeratin, NSE, chromogranin A, and synaptophysin were positive.The patient was treated with a total colectomy accompanied with an ileostomy, and is now in a very favor able state of recovery.
Adenocarcinoma
;
Carcinoid Tumor*
;
Chromogranin A
;
Colectomy
;
Colitis, Ulcerative*
;
Colon
;
Colon, Sigmoid
;
Coloring Agents
;
Diagnosis
;
Female
;
Humans
;
Ileostomy
;
Inflammation
;
Inflammatory Bowel Diseases
;
Keratins
;
Middle Aged
;
Synaptophysin
;
Ulcer*