No abstract available.
Pulmonary Embolism*

In children, snapping knee syndrome and joint pain with the loss of physiological hyperextension strongly suggests a diagnosis of a torn discoid meniscus. We performed arthroscopic meniscectomy to treat torn discoid lateral meniscus on 19 knees and open meniscectomy on 9 knees of 26 children(average age: 10.9 yrs) from September, 1983 to October, 1993 at Guro hospital. According to Ikeuchi's grading system', excellent results were obtained in 14, good in 11, fair in 2 knees and poor in 1 knee which was associated with osteochondritis dissecans. The knees treated by partial meniscectomy showed less Fairbank's radiologic changes than those by total meniscectomy during the average follow-up 4.2 years(minimum 1 year, maximum 7 year 11 months).
Arthralgia ; Child ; Diagnosis ; Follow-Up Studies ; Humans ; Knee ; Menisci, Tibial ; Osteochondritis Dissecans

197 spine CTs were performed from 29th, March 1982 to 7th March, 1984. Among them, 39 patients preoperatively diagnosed as herniated nucleus pulposus ar bulging disc with CT and myelography were operated. 43 disc spaces ofdisc disease were analysed in true positive and false negative cases. Finally the accuracy, sensitivity and specifictiy of spine CT and myelography ar calculated. The resuslts are as follows; 1. The CT findings of disc diseases are in order of frequency, asymmetrical obliteration of epidural fat (82%), ventral indentation orcompression on dural sac(72%), focal protrusion of disc(64%), root changs
Constriction, Pathologic ; Humans ; Hypertrophy ; Intervertebral Disc Displacement ; Methods ; Myelography ; Spine ; Vacuum ; Zygapophyseal Joint

No abstract available.
Cervix Uteri* ; Female

The study was undertaken to assess the CT density of the antibiotics solution. CT scan of six antibioticssolution-streptomycin, chloramphenicol, Na-penicillin, ampicillin, kanamycin and cefamezine-in concentration ofabout 33% (approximatly single dose of intramuscular injection) was performed, using plastic syringes. Variousconcentrations of striptomycin, chloramphenicol and Na-panicillin were also examined for evaluation of relationbetween concentration and the CT density of the antibiotics. In addition, relationship between CT number andmathematically calculated effective atomic number and electron density of the antibiotics was evaluated. Theresults are as follows; 1. The CT densities of all antibiotics reveal high density (CT number 80–150) inconcentration of single intramuscular injection dose. 2. CT number of striptomycin, chloramphenicol andNa-penicillin gradually increased with increase of concentration of the antibiotics, producing linear proportionto concentration, effective atomic number and electron density of the antibiotics. 3. Therefore, density ofantibiotics should be included in differential diagnosis when high density on CT scan is observed.
Ampicillin ; Anti-Bacterial Agents ; Chloramphenicol ; Diagnosis, Differential ; Injections, Intramuscular ; Kanamycin ; Plastics ; Syringes ; Tomography, X-Ray Computed

No abstract available.
Cleft Palate* ; Muscles* ; Palate, Soft*

BACKGROUND: In the skin, it is often difficult to differentiate lymphomas from reactive lymphoid lesions by light microscopic examination. OBJECTIVE: Our purpose was to determine whether immunologic data obtained from mutine-processed specimens could be used to further objective morphologic interpretations. METHODS: We conducted an immunohistochcmical staining in 44 cases of benign and malignant cutaneous lymphoproliferative lesions using nine antibodies, including anti-CD3, UCHL1, MT1, MT2, L26, MB2, BerH2, 123C3, and MIB1. RESULTS: 1. Immunophenotyping with anti-CD3, UCHL1, MT1, L26, and MB2 was useful for the diagnosis of T cell or B cell lymphoma. However, these antibodies showed a lack of specificity for neoplastic cells, 2. Antibody to CD56, 123C3 showed positivity in 4 cases of angiocentric lymphoma, but negativity in 8 cases showing angiocentric lymphoma-like pathology. 3. Antibody to CD30, BerH2 showed positivity in all 6 cases of CD30 positive large cell lymphoma, but negativity in 6 cases showing diffuse lymphoma-like pathology. 4. Antibody to Ki-67, MIB1 showed positivity in more than 30% of infiltrating cells in 6 cases of angiocentric lymphoma, 4 cases of diffuse B cell lymphoma, and in more than 60% of infiltrating cells in 6 cases of CD30 positive large cell lymphoma. CONCLUSION: These observations suggest that immunostaining may provide useful adjunctive information in distinguishing benign from malignant cutaneous lymphoproliferations in paraffin sections.
Antibodies ; Diagnosis ; Immunophenotyping ; Lymphoma ; Lymphoma, B-Cell ; Paraffin ; Pathology ; Pseudolymphoma* ; Sensitivity and Specificity ; Skin

Peyronie's disease is an idiopathic disorder of the penis that is unusually associated with erectile dysfunction. We treated 7 cases of Peyronie's disease associated with erectile dysfunction by implantation of malleable penile prostheses(AMS 600) and multiple full thickness transverse incision of the tunica albuginea corresponding to fibrotic plaque. Postoperatively the penile curvatures were corrected in all patients, who were able to engage in sexual intercourse as well . There were no complications such as pain or recurrence of penile curvature. Therefore, we recommend the incision of plaque and implantation of penile prostheses as the worth surgical methods in treatment of patients with Peyronie's disease associated with erectile dysfunction.
Coitus ; Erectile Dysfunction* ; Humans ; Male ; Penile Induration* ; Penile Prosthesis* ; Penis ; Recurrence

Recent studies suggest that apolipoproteins may be better predictor of ischemic heart disease than are plasma lipids, such as total cholesterol and high density lipoprotein cholesterol(HDL-C). To examine this hypothesis, plasma levels of major lipids and major apolipo-proteins were measured and their derivatives were calculated in 30 male patients with ischemic heart disease(16 angina pectoris and 14 old myocardial infarction) and 30 age-matched male healthy controls. Plasma levels of lipids were obtained by conventional methods and apolipoproteins by Rocket immunoelectrophoresis. Levels of HDL-C, HDL2-cholesterol(HDL2-C), and apolipoprotein-AII, and ratios of HDL-C/total cholesterol, HDL2-C/total cholesterol, and apolipoprotein-AI/apolipoprotein-B were lower in the group of patients than in controls. Levels of low density lipoprotein cholesterol(LDL-C) and apolipoprotein-B, and ratios of lDL-C/HDL-C and apolipoprotein-AI/apolipoprotein-AII were higher in the group of patients. There were no statistically significant differences in the levels of total cholesterol and apolipoprotein-AI between the two groups. Stepwise discriminators analysis showed that apolipoprotein-B and apolipoprotein-AII were better discriminators than plasma lipids for identifying those with ischemic heart disease. One could correctly classify 78% of the cases by using the levels of the two apolipoproteins. By using the level of apolipoprotein-B, one could correctly classify 73% of the cases. There were no correlations between the levels of total cholesterol and HDL-C in the controls whereas there were positive correlations between the levels in the group of patients. In conclusion, this study showed that apolipoprotein-B was the best single discriminator for identifying the patients with ischemic heart disease, followed by apolipoprotein-AII.
Angina Pectoris ; Apolipoproteins A* ; Apolipoproteins* ; Cholesterol ; Heart ; Humans ; Immunoelectrophoresis ; Lipoproteins ; Male ; Myocardial Ischemia* ; Plasma* ; Risk Factors*

The immunologic properties of the male accessory sexual glands have been the subject of intensive research in the recent years. Hence, the ability of the male accessory sexual gland autoantigens to induce a specific humoral response seems to be fairly well investigated. In contrast, few studies on delayed hypersensitivity and specific tissue damage have been reported. The present work was undertaken to study the immunopathologic effects of the homologous prostatic extract on the male sexual and accessory sexual glands in rat. White rats were immunized with homologous prostatic extract and equal amount of the complete Freund`s adjuvant. Testes, epididymides, prostates and seminal vesicles of the immunized rats were histologically observed. Serum acid phosphatase and fructose of the seminal vesicular fluid were measured in both immunized rats and normal control rats The results were as follows: 1. The level of serum acid phosphatase; The mean value of the immunized rats (1.208+/-0.4 BU/L) was significantly decreased, as compared with that of the normal control rats (1.842+/-0.221 BU/L). 2. The level of fructose of the seminal vesicular fluid; The mean value of the immunized rats (63.1+/-18.1 mg/dl) was significantly decreased, as compared with that of the normal control rats (140.4+/-33.0 mg/dl) 3. Histologic findings of testes, epididymides, prostates and seminal vesicles; The testes and epididymides were not affected in all the immunized rats. The prostates and seminal vesicles showed similarly limited or extensive immunopathologic lesions in all the immunized rats. The lesions were mainly represented by mononuclear cells infiltration and an increase in the fibrous stroma, and flattening, vacuolization, atrophy or desquamation of the epithelial cells. The result indicates that the prostate has strong antigenicity and seems to have antigens which cross-react to seminal vesicular tissue.
Acid Phosphatase ; Animals ; Atrophy ; Autoantigens ; Epithelial Cells ; Fructose ; Humans ; Hypersensitivity, Delayed ; Male* ; Prostate ; Rats* ; Seminal Vesicles ; Testis