Autosomal dominant polycystic kidney disease (ADPKD) is a hereditary disorder characterized by renal cyst formation, hypertension, and end-stage renal disease. For many years, ADPKD was considered an adult disease. In fact, it may occur at any time in life including in utero. We experienced a case of ADPKD at 34 weeks of gestation. On ultrasound, both kidnies were enlarged and echogenic. Amniotic fluid index was normal. We discovered a family history of paternal origin. Sonographic findings of bilaterally enlarged and echogenic kidnies without oligohydroamniosis may suggest ADPKD. Renal ultrasound examination of parents is useful in the diagnosis of ADPKD.
Adult ; Amniotic Fluid ; Diagnosis* ; Female ; Humans ; Hypertension ; Kidney Failure, Chronic ; Parents ; Polycystic Kidney, Autosomal Dominant* ; Pregnancy ; Prenatal Diagnosis ; Ultrasonography

Pulmonary angiodysplasia indicates all forms of abnormal intrapulmonary arteriovenous comunication, usuallycalled pulmonary arteriovenous fistula. Most frequent form of pulmonary angiodysplasia is single or multiplediscrete nodular lesion, and diffuse telangiectatic type consists another variety. More than 50% of pulmonaryangiodysplasias are associated with hereditary hemorrhagic telangiectasia. And rearely chronic liver disease iscomplicated by pulmonary arteriovenous fistula which is called hepatogenic pulmonary angiodysplasia. Weexperienced 6 cases of pulmonary angiodysplasia confirmed by cardiac catheterization and angiography from 1977 to1983. 5 cases were children below 11 years of age exhibiting cyanosis except one who has pulmonary angiodysplasiasupplied by systemic arteries. 3 were hereditary hemorrhagic telangiectasia and one was hepatogenic pulmonaryangiodysplasia. Discrete nodular pulmonary lesion was present in 3 cases while remaining 3 cases were diffusetelangiectatic type. The clinical and radiological findings of pulmonary angiocysplasia is described with a briefreview of literature.
Angiodysplasia ; Angiography ; Arteries ; Arteriovenous Fistula ; Cardiac Catheterization ; Cardiac Catheters ; Child ; Cyanosis ; Humans ; Liver Diseases ; Telangiectasia, Hereditary Hemorrhagic

Radiation exposure dose for patients during brain CT scan with General Electric C.T./T.8800 was measured using CaF. :Mn thermoluminescent dosimeter chips. The skin dose in single slice scan was 1.26±0.1 0 rad, and that in 9 slice scan was 2.06±0.16 rad. So the ratio was 1.63. The surface dose in profile along axial distance in multiple slice scan was also measured, and was found to be low at the junction of 2 slices. The lens dose in multiple slice scan was 0.27±0.05 rad , too small to induce any pathologic condition. As noted from the above data, the radiation exposure dose during CT scanning is not high compared with other radiologic examinations.
Brain ; Humans ; Radiation Exposure ; Skin ; Tomography, X-Ray Computed

No abstract available.
Arnold-Chiari Malformation* ; Diagnosis* ; Prenatal Diagnosis* ; Ultrasonography*

OBJECTIVE: We investigated the expression of uPA and uPAR in eutopic endometrium of advanced stage endometriosis and control patients. METHODS: The 33 endometriosis patients and 32 controls were enrolled. Endometrial samples were obtained from 65 premenopausal women aged 29~44 years, undergoing laparoscopic surgery or hysterectomy for non-malignant lesions. Sufficient samples were collected from 33 patients with endometriosis stage III and IV and 32 controls without endometriosis confirmed by laparoscopic surgery. The mRNA expression of uPA and uPAR from eutopic endometrium were analyzed by RT-QC PCR. RESULTS: The mRNAs of uPA and uPAR were expressed in eutopic endometrium from endometriosis and normal controls throughout the menstrual cycle. Uterine endometrium from women with endometriosis expresses significantly (p<0.05) higher levels of u-PA mRNA than endometrium from normal women without endometriosis in the proliferative phase. There were no significant differences in expression of uPAR in eutopic endometrium between controls and endometriosis patients. CONCLUSION: These results suggest that eutopic endometrium from endometriosis patients may be more invasive and prone to peritoneal implantation because of greater u-PA mRNA expression than endometrium from women without endometriosis. Thus, increased proteolytic activity may be one etiology for the invasive properties of the endometrium resulting in the development of endometriosis.
Endometriosis* ; Endometrium* ; Female ; Humans ; Hysterectomy ; Laparoscopy ; Menstrual Cycle ; Polymerase Chain Reaction ; Proteolysis ; RNA, Messenger* ; Urokinase-Type Plasminogen Activator

No abstract available.

No abstract available.
Osteochondroma*

2 Cases of primary lymphoma of brain are reported with brief review of literatures. Preoperative CT scans were performed and the correct diagnoses were made by operative biopsy. Initially the tumor masses were located in the periventricular white matter, in both cases. CT scans showed slightly high density areas with homogenous contrast enhancement. After local irradiation, these lesions disappeared completely. But soon after, well circumscribed homogenous contrast enhancing mass lesions recurred in the cerebellum.
Biopsy ; Brain ; Cerebellum ; Diagnosis ; Lymphoma ; Tomography, X-Ray Computed ; White Matter

Werniche's encephalopathy is clinically characterized by the acute onset of global confusion, ataxia, gaze paresis, and nystagmus. It result from a deficiency in thiamine, an essential coenzyme in intermediate carbohydrate metabolism. The prompt use of thiamine prevents progression of the disease and reverses those lesions that have not yet progressed to the point of fixed structural change. We experienced a case of Wemiches encephalopathy associated with hyperemesis gravidarum, which happens to the patient who are injected only dextrose without thiamine. Therefore, we emphasize the need of thiamine replacement in hyperemesis gravidarum.
Ataxia ; Carbohydrate Metabolism ; Female ; Glucose ; Humans ; Hyperemesis Gravidarum ; Paresis ; Pregnancy ; Thiamine

BACKGROUND/AIMS: Although functional abdominal pain disorders (FAPDs) are common in children, the accurate pathogenesis of FAPDs is not known yet. Micro-inflammation, particularly tissue eosinophilia of gastrointestinal (GI) tract, has been suggested as the pathophysiology observed in several GI disorders. We aimed to evaluate eosinophilic infiltration throughout the entire GI tract in children with FAPDs, compared to those with inflammatory bowel diseases (IBD) and to normal reference values. METHODS: We included 56 children with FAPDs, 52 children with Crohn’s disease, and 23 children with ulcerative colitis. All subjects underwent esophagogastroduodenoscopic and colonoscopic examination with biopsies. Tissue eosinophil counts were assessed in 10 regions throughout the GI tract. RESULTS: Eosinophil counts of the gastric antrum, duodenum, terminal ileum, cecum, and ascending colon were significantly higher in children with FAPDs compared to normal reference values. Eosinophil counts of the stomach and the entire colon were observed to be significantly higher in children with IBD than in those with FAPDs. Even after selecting macroscopically uninvolved GI segments on endoscopy in children with IBD, eosinophil counts of the gastric body, cecum, descending colon, sigmoid colon, and the rectum were also significantly higher in children with IBD than those with FAPDs. CONCLUSIONS: Significantly high eosinophil counts of the stomach and colon were observed in the order of IBD, followed by FAPDs, and normal controls, regardless of endoscopically detected macroscopic IBD lesions in children. This suggests some contribution of GI tract eosinophils in the intrinsic pathogenesis of FAPDs in children.
Abdominal Pain ; Biopsy ; Cecum ; Child ; Colitis, Ulcerative ; Colon ; Colon, Ascending ; Colon, Descending ; Colon, Sigmoid ; Duodenum ; Endoscopy ; Eosinophilia ; Eosinophils ; Gastrointestinal Diseases ; Gastrointestinal Tract ; Humans ; Ileum ; Inflammatory Bowel Diseases ; Pyloric Antrum ; Rectum ; Reference Values ; Stomach