Vibrio damsela is a halophilic bacterium that has been reported to cause skin ulcers and death in damselfish (Chromis punctipinnis) as well as wound and soft-tissue infections in human. Most of the previously reported cases in humans haute involved wound infections associated with exposure to seawater or handling fish. We experienced a case of primary septicemia due to V. damsela after eating raw fists in a healthy 66-year-old woman who had neither wounds nor history of exposure to sea- water. She presented fever and diarrhea followed by rapidly pregressive bullae and painful edema on left band and forearm. The patient was Improved by intensive surgical debrldement of necrotic tissue and antibiotic therapy.
Aged ; Diarrhea ; Eating ; Edema ; Female ; Fever ; Forearm ; Humans ; Seawater ; Sepsis* ; Skin Ulcer ; Vibrio* ; Wound Infection ; Wounds and Injuries

The surgical correct1on of blepharoptosis is accomplished by utilizing certain materials, the levator, the frontalis or the superior rectus muscle. The perfect postoperative results are complete cover of the eye on lid closure, adequate mobility when blinking, normal lid fold and no diplopia. The authors obtained good results in two children of congenital ptosis by attaching medial one third of superior rectus muscle to lid margin which was reported by Motais in 1897. The operation which use the superior rectus muscle is not favored recently because of complicationals such as partial corneal exposure, vertical diplopia, difficulty in blinking, and partial obliteration of the upper conjunctival fornix. But, the results of these simple physiologic proceures for binocular paralytic ptosis were remarkable without any complications as the aboves for 3 months of follow up check.
Blepharoptosis ; Blinking ; Child ; Diplopia ; Follow-Up Studies ; Humans ; Telescopes

PURPOSE: Despite a high frequency of acquired nail disease, congenital absence of the nail, also called as anonychia, is a rare anomaly. It may be seen as an isolated of phalangeal bone(ectrodactyly), nail-patella syndrome, birth trauma, impaired peripheral circulation, alopecia areata, and pemphigus, idiopathic atrophy of the nail, bullous drug eruptions, periodic shedding, lichen planus, Stenvens-Johnson syndrome and so forth. METHODS: We have experienced a rare case of 40-day-old neonate, suffering from intrauterine growth retardation, but without familial history, chromosomal anomalies or any other diseases. RESULTS: There was no nail on left 5th finger and distal phalangeal bone of same finger. So, We diagnosed as Congenital Anonychia with ectrodactyly of 5th Finger. CONCLUSION: We report this case as congenital anonychia of 5th finger which have developed from underlying distal phalangeal ectrodactyly. We also review other reported cased in the literatures.
Alopecia Areata ; Atrophy ; Drug Eruptions ; Fetal Growth Retardation ; Fingers* ; Humans ; Infant, Newborn ; Lichen Planus ; Nail Diseases ; Nail-Patella Syndrome ; Parturition ; Pemphigus

Idiopathic scrotal calcinosis is rare entity, characterized by the presence of multiple, firm nodules within the dermis of scrotal skin. The lesions are evident as asymptomatic, round, firm, yellowish papules, from several millimeters up to 1 cm in diameter, with a tendency to occur symmetrically. Because polypoid formation of the calcified cysts is unusual in scrotal calcinosis, we report our experience of a case of scrotal calcinosis with cysts having polypoid appearence. A 34-year-old man was admitted to our department with painless, firm, widespread nodules within the scrotum. Patient started to have these lesions at puberty and progressed to a polypoid form over time. There was neither surgical nor medical treatment had been attempted before our treatment. Physical examination revealed localized polypoid cysts in addition to multiple small, firm nodules within the scrotal skin. No underlying anomalies were detected in the physical examination and laboratory analysis. We experienced the treatment of polypoid idiopathic scrotal calcinosis and a case is presented with the review of literatures.
Adolescent ; Adult ; Calcinosis* ; Dermis ; Humans ; Physical Examination ; Puberty ; Scrotum ; Skin

The eye tumors are divided into intraocular and extraocular, and mainly involve lids, conjunctiva, cornea, and orbit. The authors analysed histopathological and clinical review of 9 cases of eye tumors that had experienced.
Conjunctiva ; Cornea ; Orbit

Blow-out fracture is frequently encountered in facial bone trauma. And the frequency of medial orbital wall fracture in Asia is high. Various approaches have been reported for medial orbital wall fractures. The field of medial orbital surgery is difficult due to lack of visualization of fracture site, blind dissection of orbital wall, susceptibility of injury of orbital structures. Recently, endoscopic reduction of orbital wall was provided good fuctional and cosmetic results. In order to address this shortcoming we have explored the use of endoscopic external short scar approach in medial orbital wall dissection to allow direct visualization of orbital content and nearly whole fracture components. In this study a direct local approach through a 2cm, modified Z-shaped incision on superior medial orbital area was used as a consistent method to reconstruct medial blow-out fractures. The incision line consist 3 limbs. The angle of the limbs is to 110 degrees. First, 1cm sized line exsists frontonasal line. Second, 5mm sized 2 limbs of the incision line were placed parallel or oblique to the relaxed skin tension line. During the follow-up period of 6 to 12 months, excellent functional and cosmetic results were observed with an inconspicuous scar. Therefore, a direct external short scar incision approach with endoscope on the superior medial orbit may be a consistent method to gain the surgical goal in treatment of blow-out fractures of the medial orbital wall.
Asia ; Cicatrix* ; Endoscopes ; Extremities ; Facial Bones ; Follow-Up Studies ; Orbit* ; Orbital Fractures* ; Skin

PURPOSE: To report a case of valsalva hemorrhagic retinopathy. METHODS: A 14 year-old healthy man who presented with subhyaloidal and subretinal hemorrhages after blowing his nose over 30 times. RESULTS: Initial visual acuity was 20/20 and right fundal examination revealed peripapillary subhyaloidal and subretinal hemorrhages as well as vitreous hemorrhage. Fluorescein angiography demonstrated blocked fluorescences due to the hemorrhage and no leakage from the retinal vessels. At 4 week follow up, corrected visual acuity remained as 20/20 and subhyaloidal and vitreous hemorrhages were completely absorbed. Subretinal hemorrhage decreased significantly.
Adolescent ; Fluorescein Angiography ; Follow-Up Studies ; Hemorrhage* ; Humans ; Nose ; Retinal Vessels ; Visual Acuity ; Vitreous Hemorrhage

Retinitis pigmentosa without pigment is a varient of retinitis pigmentosa which is a hereditory disorder. It is characterized by decreased visual acuity, night blindness and contraction of visual field in both eyes. A 42-year old male patient was complained of decreased visual acuity and night blindness. And Pt was diagnosed as retinitis pigmentosa without pigment with clinical symptoms and signs, ophthalmoscopic findings, fluorescein angiography and electroretinogram. So authors report a case of retinitis pigmentosa without pigment and a brief reviews of literatures.
Adult ; Fluorescein Angiography ; Humans ; Male ; Night Blindness ; Retinitis Pigmentosa* ; Retinitis* ; Visual Acuity ; Visual Fields

Goldenhar's syndrome is a rare form of a hemifacial microsomia in which the facial and vertebral anomalies are frequently associated with cardiac, pulmonary and renal defects. Infants with Goldenhar's syndrome commonly have an airway that is difficulty to manage. A difficult tracheal intubation may be due to a combination of mandibular hypoplasia, macrognathia, palatal defects and vertebral anomalies. We report the successful anesthetic management of a 10-month-old girl with Goldenhar's syndrome for the excision of conjunctival lipodermoid. The use of remifentanil followed with an anesthetic induction dose of propofol provides adequate conditions for tracheal intubation without the use of neuromuscluar blocking agents in a patient with Goldenhar's syndrome.
Airway Management* ; Female ; Goldenhar Syndrome ; Humans ; Infant ; Intubation ; Propofol

Sunitinib, a multi-targeted tyrosine kinase inhibitor, is used for the treatment of renal cell carcinoma and gastrointestinal stromal tumors. Many adverse effects associated with sunitinib, including hypertension, proteinuria, and thrombotic microangiopathy, have been reported; however, the other forms of glomerulonephritis are very rare. We report a case of biopsy-confirmed immune complex glomerulonephritis in a patient with a gastrointestinal tumor who received sunitinib treatment. The proteinuria subsided partially after sunitinib was discontinued, but when the drug was reintroduced, it recurred.
Antigen-Antibody Complex ; Carcinoma, Renal Cell ; Gastrointestinal Stromal Tumors ; Glomerulonephritis ; Humans ; Hypertension ; Indoles ; Protein-Tyrosine Kinases ; Proteinuria ; Pyrroles ; Thrombotic Microangiopathies