No abstract available.

No abstract available.
Humans

A 73-year-old female patient, who had been treated with antituberculous drugs for 4 months, was referred to our department because of generalized macules and papules present for 15 days. Clinical examination revealed polygonal, flat papules of erythematous to violaceous hue on the entire skin. Histopathologic findings were similar to those of lichen planus. In a provocation test with ethambutol, the skin lesions were aggravated and the new lesions developed. We considered this case to be a lichenoid drug eruption due to ethambutol. The skin lesions gradually cleared after ethambutol was eliminated from the patient's tuberculosis therapy.
Aged ; Drug Eruptions* ; Ethambutol* ; Female ; Humans ; Lichen Planus ; Skin ; Tuberculosis

No abstract available.

Background: Brain MRI may unexpectedly display abnormalities in splenium of the corpus callosum (SCC). However, the clinical implications of this lesion are unclear and are not always consistent with ischemic infarctions. We performed this study to clarify the clinical and radiological implications in patients with SCC lesions. Methods: We retrospectively reviewed consecutive patients with MRIreported SCC changes between 2009 and 2012. We analyzed clinical and radiological findings, etiologies, cognitive impairment, and clinical outcomes. Results: We found 30 patients (16 females; mean 50.5 years) who had SCC lesions on MRI. Confusion was the most common clinical finding in 50% of cases. Cerebral infarction was the most common etiology (50%). The most consistent SCC changes on MRI were low signal in T1WI, high signal on T2WI and FLAIR, and high signal on DWI. We classified SCC lesions into in situ SCC lesions (SCC only) and multiple (SCC plus) lesions for patients with multiple lesions. The clinical symptoms of SCC only lesions were relatively mild. Cognitive functions were evaluated by Mini Mental State Examination (MMSE) and clinical dementia rating (CDR) scale at the time of discharge and patients with SCC only lesions showed less impaired cognition compared with those with SCC plus lesions. Clinical outcomes were evaluated by the modified Rankin scale at 1 month and patients with SCC only lesions revealed good clinical outcomes compared with those with SCC plus lesions. Conclusions: MRI-reported SCC lesions may have heterogeneous etiologies and present with various symptoms. The clinical course and outcome are relatively good, particularly in small isolated and oval shaped SCC lesions.

Background & Objective: Hiccups is a disabling condition of lateral medullary infarction (LMI). Unlike other symptoms of LMI, the anatomical lesions of hiccups are not well known. Few studies have evaluated the relationship between the lesional location of LMI and hiccups. We performed this study to correlate hiccups and magnetic resonance imaging (MRI)-based lesional location in pure LMI. Methods: Between January 1997 and February 2013, we identified 24 patients with pure LMI who presented with hiccups in addition to typical lateral medullary syndrome. Sixty six pure LMI patients without hiccups were included as a control group. Clinical and radiologic findings were compared between the two groups. MRI-identified lesions were classified rostrocaudally as rostral, middle and caudal, and horizontally as typical, ventral, large, lateral and dorsal. Results: The pure LMI patients with hiccups had significantly more frequent aspiration pneumonia (P = 0.001) and longer hospital stay (P = 0.03). The patients with hiccups significantly more often had dorsal rather than ventral lesion at horizontal levels (P = 0.012). But, there were no rostro-caudal differences at vertical levels (P = 0.162). Conclusions: We suggest that pure LMI associated with hiccups often locates in the dorsal medulla at horizontal correlation. This MRI-based comparative study has advanced the understanding of the neural substrate for hiccups in LMI, and indicates that hiccups become predictable when specific lesional locations in the lateral medulla are considered.

No abstract available.
Pancreatic Diseases*

PURPOSE: Sling procedure has been performed mainly for stress urinary incontinence (SUI) in women because of its simplicity and good outcome. We compared the efficacy of pubovaginal sling using cadaveric fascia lata with tension-free vaginal tape(TVT) procedure. MATERIAL AND METHODS: Between May 2000 and January 2003, 96 patients with SUI who had undergone sling procedure were analyzed. We compared 45 women treated with pubovaginal sling using cadaveric fascia lata(Group A) to 51 women treated with TVT procedure(Group B). All patients were evaluated preoperatively with detailed history, pelvic examination, urinalysis, voiding diary, urodynamic study, pad test, Q-tip test, transperineal ultrasound, and cystoscopy. Parameters of comparison included operation time, mode of anesthesia, duration of catheterization, length of hospital stay, postoperative presence of urgency, success rate by satisfaction, and complication. RESULTS: In group A, 33 patients(73.3%) were cured and 9(20.0%) showed improvement within a mean follow-up of 1.3 years, whereas in group B, 35 patients(68.7%) were cured and 12(23.5%) showed improvement within 1.5 years. Complications developed in 7 patients(15.6%) in group A and 7(13.7%) in group B. CONCLUSIONS: Both procedures are equally effective surgical treatments for SUI in women. However, long-term follow-up is necessary to determine the endurance of good results.
Anesthesia ; Cadaver* ; Catheterization ; Catheters ; Cystoscopy ; Fascia Lata* ; Fascia* ; Female* ; Follow-Up Studies ; Gynecological Examination ; Humans ; Length of Stay ; Suburethral Slings* ; Ultrasonography ; Urinalysis ; Urinary Incontinence* ; Urodynamics

No abstract available.
Blood Transfusion* ; Humans ; Infant*

Dermoid tumors of tbe corneal limbus are failYly common congenital lesions. They are noted -at birth and may grow slowly in size and encroach upon the pupillary area occupying a site partly over the cornea and partly over the sclera. The tumors are yellowish, elevated and variable in size. Histologically the tumor consists of fibrofatty tissue covered by epidermoid epithelium and are invaded by ectodermal derivatives such as hair follicle, sebaceous and sweat glands. Trauma, irritation and puberty may hasten their growth. About 30% of patients with. corneal dermoid exhibit other congenital anomalies of ocular tissue, face, teeth, jaw, ear, spine, skull, and so on. Recently two cases of limbal dermoids were seen in our clinic. Histologically hair follicles and sebaceous glands are shown in one specimen, and cartHage and sebaceous glands in the other specimen.
Adolescent ; Cornea ; Dermoid Cyst* ; Ear ; Ectoderm ; Epithelium ; Hair Follicle ; Humans ; Jaw ; Limbus Corneae ; Parturition ; Puberty ; Sclera ; Sebaceous Glands ; Skull ; Spine ; Sweat Glands ; Tooth