1.A case of Pilomatrixoma of the Eyelid.
Chang Hyun CHOI ; Hae Ran CHANG ; Moo Woong KIM
Journal of the Korean Ophthalmological Society 1992;33(2):180-184
Pilomatrixoma, a rare benign tumor which consists of basophils and shadow cells, has not been reported in Korea. It originates from a hair follicle and occurs commonly on eyelids and the eyebrow in children and young adults. We expoerienced a 7 year-old male who had a progressive growing palpable mass on the upper eyelid. The systemic steroid was administrated under the impression of hemangioma, but there was no effect. So, the mass was exploratorily excised and confirmed as pilomatrixoma by pathologic examinations. We present a case of pilomatrixoma on the upper eyelid in a child.
Basophils
;
Child
;
Eyebrows
;
Eyelids*
;
Hair Follicle
;
Hemangioma
;
Humans
;
Korea
;
Male
;
Pilomatrixoma*
;
Young Adult
2.Persistence of Group B Streptococcus in the Urogenital Area.
Won Hee CHOI ; Hyun Woong PARK ; Sunjoo KIM
Annals of Laboratory Medicine 2017;37(5):454-456
No abstract available.
Streptococcus*
3.A case report of insulin autoimmune syndrome in graves' disease.
Kyung Sang LEE ; Ji Hoon KIM ; Woong Hwan CHOI ; Tae Wha KIM ; Mok Hyun KIM
Journal of Korean Society of Endocrinology 1993;8(4):451-455
No abstract available.
Graves Disease*
;
Insulin*
4.Ocular Complications in Assault-Related Blowout Fracture.
Woong Kyu CHOI ; Young Joon KIM ; Sang Hyun NAM ; Young Woong CHOI
Archives of Craniofacial Surgery 2016;17(3):128-134
BACKGROUND: Blowout fracture is one of the most common facial fractures, and patients usually present with accompanying ocular complications. Many studies have looked into the frequency of persistent ocular symptoms, but there is no study on assault patients and related ocular symptoms. We evaluated the incidence of residual ocular symptoms in blow-out fractures between assaulted and non-assaulted patients, and sought to identify any connection among the degree of enophthalmos, defect size, and assault-related injury. METHODS: A retrospective review was performed for any patient who sustained a unilateral blowout fracture between January 2010 to December 2014. The collected data included information such as age, gender, etiology, and clinical ocular symptoms as examined by an ophthalmologist. This data was analyzed between patients who were injured through physical altercation and patients who were injured through other means. RESULTS: The review identified a total of 182 patients. Out of these, 74 patients (40.7%) have been struck by a fist, whereas 108 patients (59.3%) have sustained non-assault related injuries. The average age was 36.1 years, and there was a male predominance in both groups (70 patients [94.6%] in the assaulted group and 87 patients [80.6%] in the non-assault group). Diplopia and enophthalmos were more frequent in patients with assault history than in non-assaulted patients (p <0.05). Preoperatively, 25 patients (33.8%) with assault history showed diplopia, whereas 20 patients (18.5%) showed diplopia in the non-assaulted group (p <0.05). Preoperative enophthalmos was present in 34 patients (45.9%) with assault history, whereas 31 patients (28.7%) showed enophthalmos in the non-assaulted group (p <0.05). CONCLUSION: Patients with an assault history due to a fist blow experienced preoperative symptoms more frequently than did patients with non-assault-related trauma history. Preoperative diplopia and enophthalmos occurred at a higher rate for patients who were assaulted. Surgeons should take into account such characteristics in the management of assaulted patients.
Diplopia
;
Enophthalmos
;
Humans
;
Incidence
;
Male
;
Orbital Fractures
;
Retrospective Studies
;
Surgeons
;
Violence
5.Surgical Treatment of Pleural Aspergillosis: a case report.
Hyun Woong YANG ; Jong Bum CHOI ; Soon Ho CHOI
The Korean Journal of Thoracic and Cardiovascular Surgery 1997;30(5):544-547
We have experienced a case of pleural aspergillosis. A 50 year old female complained of malaise, anorexia, coughing with sputum, and right sided pleuritic chest pain of two weeks' duration. About ten years ago, she had been treated for pulmonary tuberculosis with medication. Chest radiography showed right pyopneumothorax with cavitation in the right upper lung and Chest computed tomography revealed right loculated pyopneumothorax with cavity formation suggesting bronchopleural fistula. Decortication and wedge resection with pleurectomy were performed. The postoperative course was satisfactory and has been in good condition up to now. Pleural aspergillosis is a very rare and potentially life-threatening disease, but we have had good results without significant complications by treatment with systemic antifungal drugs and surgical operation.
Anorexia
;
Aspergillosis*
;
Chest Pain
;
Cough
;
Female
;
Fistula
;
Humans
;
Lung
;
Middle Aged
;
Radiography
;
Sputum
;
Thorax
;
Tuberculosis, Pulmonary
6.A Case of Bullous Dermatomyositis.
Yeon Woong KIM ; Byeong Su KIM ; Jin Hwa CHOI ; Seung Hyun SOHNG ; Dong Hoon SHIN ; Jong Soo CHOI
Korean Journal of Dermatology 2015;53(6):485-487
No abstract available.
Dermatomyositis*
7.A Case of Erythroplasia of Queyrat Treated with Imiquimod 5% Cream and Excision.
Jee Woong CHOI ; Mira CHOI ; Kwang Hyun CHO
Annals of Dermatology 2009;21(4):419-422
Imiquimod is a new immunomodulating agent with antitumor and antiviral properties that has been shown to be clinically effective in various kinds of skin diseases, including precancerous dermatoses. Erythroplasia of Queyrat is a carcinoma in situ that mainly occurs on the glans penis. There are several non-invasive treatment options for erythroplasia of Queyrat such as photodynamic therapy, cryosurgery and applying various kinds of topical agents. We now report a case of typical erythroplasia of Queyrat on glans penis associated with human papillomavirus type 16 infection that was treated by imiquimod 5% cream and the subsequent excision of an imiquimod-resistant penile lesion.
Aminoquinolines
;
Carcinoma in Situ
;
Cryosurgery
;
Erythroplasia
;
Humans
;
Male
;
Penis
;
Photochemotherapy
;
Skin Diseases
8.Predictive Factors of the Outcome of Extracorporeal Shockwave Lithotripsy for Ureteral Stones.
Ji Woong CHOI ; Phil Hyun SONG ; Hyun Tae KIM
Korean Journal of Urology 2012;53(6):424-430
PURPOSE: Extracorporeal Shock Wave Lithotripsy (ESWL) has shown successful outcomes for ureteral stones. We investigated predictive factors for failure of ESWL for treating ureteral stones. MATERIALS AND METHODS: A total of 153 patients who underwent ESWL between July 2006 and July 2009 for ureteral stones diagnosed by non-enhanced spiral computed tomography were divided into two groups: (group A, stone size < or =10 mm; and group B, stone size >10 mm). The failure was defined as remnant stones >4 mm. We assessed age, sex, body mass index, stone size, laterality, location, skin-to-stone distance (SSD), Hounsfield unit, and the presence of secondary signs (hydronephrosis, renal enlargement, perinephric fat stranding, and tissue rim sign). We analyzed predictive factors by using logistic regression in each group. RESULTS: The success rates were 90.2% and 68.6% in group A and B, respectively. In the univariate analysis of each group, stone size, SSD, and all secondary signs showed statistically significant differences in terms of the outcome of ESWL (p<0.05). In the multivariate logistic regression, stone size (odds ratio [OR], 50.005; 95% confidence interval [CI], 6.207 to 402.852) was an independent predictive factor in group A. The presence of perinephric fat standing (OR, 77.634; 95% CI, 1.349 to 446.558) and stone size (OR, 19.718; 95% CI, 1.600 to 243.005) were independent predictive factors in group B. CONCLUSIONS: Stone size is an independent predictive factor influencing failure of ESWL for treating ureteral stones. In larger ureteral stones (>10 mm), the presence of perinephric fat stranding is also an independent predictive factor.
Body Mass Index
;
Humans
;
Lithotripsy
;
Logistic Models
;
Shock
;
Silver Sulfadiazine
;
Tomography, Spiral Computed
;
Treatment Outcome
;
Ureter
;
Ureteral Calculi
9.Recanalization of Chronic Total Occlusion of Coronary Arteries by Prolonged Intracoronary Urokinase Infusion.
Dong Gu CHOI ; Yeon Suk KIM ; Min Su SOHN ; Hyun Sik JEONG ; Young Hoon PARK ; Jae Woong CHOI ; Tae Hoon AHN ; In Suck CHOI ; Eak Kyun SHIN
Korean Circulation Journal 1995;25(4):747-755
BACKGROUND: PTCA is often unsuccessful in a patient with chronic total occlusion of coronary arteries with success rates varying from 60 to 70%. Success rates are related to the duration of total occlusion, longer occlusions being associated with lower success rates. Chronic total occlusion may be associated with thrombi superimposed on the stenotic lesion. We used an intra-coronary bolus of urokinase followed by a prolonged urokinase infusion in an attempt to lyse the lesion and allow for passage of the PTCA wire during subsequent angioplasty. The purpose of prolonged durokinase infusion was to reduce the clot sufficiently to recanalize the coronary artery and make it more amenable to PTCA. METHODS: Study patients: We were included six patients who developed total occlusion for more than 3 weeks and good collateral channels of Grade 2 or more and previous attempts at angioplaty had failed. Procedures: All patients underwent dual catheter system and incremental dose protocol of intracoronary urokinase infusion. RESULTS: The mean duration of occlusion was calculated to be 65.3+/-2.7 weeks and urokinase dose ranged from 130,000 to 200,000U/hr and treatment lasted 21.7+/-1.4 hours in our study. The prolonged urokinase infusion resulted in reperfusion of the occluded dvessel in 5 of the 6 patients(83%), with or without the complementary balloon inflation. One patient failed to recanalize the occluded vessel because cardiac tamponade was developed during the prolonged urokinase infusion. CONCLUSION: We concluded that the prolonged urokinase infusion in occluded coronary artery appeared to increase the likelihood of successful PTCA in patients with chronic total occlusion of coronary arteries.Also, in carefully selected patients, prolonged urokinase infusion in occluded coronary artery was relatively safe and well tolerated.
Angioplasty
;
Cardiac Tamponade
;
Catheters
;
Coronary Vessels*
;
Humans
;
Inflation, Economic
;
Reperfusion
;
Urokinase-Type Plasminogen Activator*
10.Intraocular Pressure Measurements Using Dynamic Contour Tonometer After Photorefractive Keratectomy.
Hyun Joon CHOI ; Sun Woong KIM ; Tae Im KIM ; Eung Kweon KIM
Journal of the Korean Ophthalmological Society 2008;49(4):577-582
PURPOSE: To assess the performance of the dynamic contour tonometer (DCT) in eyes undergoing excimer laser photorefractive keratectomy (PRK). METHODS: Intraocular pressure (IOP) was measured in 30 eyes after first time excimer laser PRK pre and three months post operatively using Goldmann applanation tonometer (GAT), noncontact air tonometer (NCT), and the DCT. RESULTS: There was significant correlation between central corneal thickness (CCT) and IOP measurements by GAT and NCT (CCT vs GAT: r2=0.31, p<0.01, CCT vs NCT: r2=0.39, p<0.01). However, the correlation between CCT and IOP measurements by DCT was not significant (CCT vs DCT: r2=0.14, p=0.32). After PRK, the mean change in CCT and IOP measurements using GAT, NCT, DCT were 73.70+/-26.92 micrometer (mean+/-SD), 2.43+/-2.86 mmHg (p<0.01), 3.83+/-2.34 mmHg (p<0.01) and 0.44+/-1.51 mmHg (p=0.125), respectively. The preoperative and postoperative DCT measurements did not differ significantly. CONCLUSIONS: The reduction in CCT induced by PRK doesn't appear to influence DCT measurements; therefore, DCT may be better suited over GAT or NCT for monitoring IOP in eyes that underwent refractive surgery.
Eye
;
Intraocular Pressure
;
Lasers, Excimer
;
Peptides
;
Photorefractive Keratectomy
;
Refractive Surgical Procedures