1.Four Cases of Unusual Pigmentation after UVB Phototherapy for Psoriasis.
Korean Journal of Dermatology 1986;24(3):386-390
The ability of photochemotherapy(PUVA) or UVA phototherapy to stimulate melangenesis is well known. It is now recognized that the PUVA lentigines, irregular in outline and often more darkly and unevenly pigmented than solar lentigines, are related to the additional pigmentary effects of the PUVA therapy. We present herein four cases of unusual pigmentation after one month of UVB irradiation. Raticulated dark brown pigmentation appeared on the lower extremities of the patients. Histopathologicially, an increase in melanin in the basal layer was found, but no dysplasia or malignant change. We suggest UVB as the cause of this unusual hyperpigmentation.
Humans
;
Hyperpigmentation
;
Lentigo
;
Lower Extremity
;
Melanins
;
Phototherapy*
;
Pigmentation*
;
Psoriasis*
;
PUVA Therapy
2.Ipilateral Fracture of Femur and Tibia
Chang Dong HAN ; Hyung Joo KIM
The Journal of the Korean Orthopaedic Association 1985;20(5):919-926
Seventy consecutive ipsilateral fracture of the femur and tibia in sixty-eight patients from December 1974 through December 1984 treated at Severance Hospital were analysed in clinical and radiological aspect. 1. Fifty-nine patients were male and nine patients were female. The male patients were more injured in the ratio of 6: 1. The avarage age was 34. 2. The main cause of injuries were traffic accidents; 59 patients. (86.8%). 3. The majority of the fractures were shaft fracture; for example, femur shaft 57% and tibia shaft 47%, The open fracture of the tibia was 34% and the femur was 17%. 4. There were 24 cases of concomitant fracture and dislocation of other sites. A fat embolism was disgnosed in 4% of the patients. Four patients had died one month after sustaining injuries. 5. Over-all, a good or excellent functional result was achieved in 76% of the patients treated with internal fixation of both fracture, 65% of the patients with intexnal fixation for the femur fracture only and 35% of the patients managed conservatively.
Accidents, Traffic
;
Dislocations
;
Embolism, Fat
;
Female
;
Femur
;
Fractures, Open
;
Humans
;
Male
;
Tibia
3.Dupuytren's contracture: Report of 12 cases
Eung Shick KANG ; Hyung Joo KIM
The Journal of the Korean Orthopaedic Association 1986;21(2):347-352
We experienced 12 cases of 8 patients Duputren's contracture, which is a rare disease entity and characterized by proliferative fibroplasia of the subcutaneous palmar aponeurosis and contracture of the palmar fascia and result in the deformity of the hand and fingers. Among 12 cases, we operated 11 cases and the result was excellent in 2 cases and good in 6 cases, and there were no evidence of recurrence over the follow-up period, average 4.1 years.
Congenital Abnormalities
;
Contracture
;
Dupuytren Contracture
;
Fascia
;
Fingers
;
Follow-Up Studies
;
Hand
;
Humans
;
Rare Diseases
;
Recurrence
4.A Clinical Study for the Treatment of the Lower Extremity Fracture Concomitant with Head Injury
The Journal of the Korean Orthopaedic Association 1987;22(1):241-249
The head patient with musculoskeletal trauma is a challenge to the orthopedic surgeon and its incidence is increasing markedly with the development of modern culture and a high velocity motor vehicle. So, for the purpose of studying the difference between lower extremity fracture concomitant with head injury and only lower extremity fractured patients, we studied the radiologic bone union time, serologic test and heterotopic ossification. For the control group we analysed each 10 patients of only femur and tibia fractures. The following clinical results were obtained by analysis of 46 patients of lower extremity fracture concomitant with head injury, experienced in the Department of Orthopedic Surgery, Yonsei University College of Medicine in past 5 years from Jan. 1980 to Dec. 1984. 1. The mean age was 24.5 yrs old (2~6 yrs old) and the prevalent age was 1st and 3rd decade, and the sex ratio between males and females was 2.8: l. 2. The most common mode of injury was auto-pedestrian injury (84.8%) and the other was falling down injury(15.2%) . 3. The common brain injuries were cetebral contusion with skull fracture (37.0%) and cerebral contusion only(34.8%) . Among 26 patients whos mental states were not alert, 23 patients recovered mental states completely. 4. Serum Calcium, Phosphate, and Alkaline Phosphatase level were no difference between the head injury with lower extremity fractured patients and only lower extremity fractured patients. 5. There were no evidence of early bony union in the patients with head injury. 6. The formation of callus were abundant in the patients of lower extremity fracture with head injury rather than the only lower extremity fractured patients. 7. The incidence of heterotopic ossification was 10.9% and all patients with heterotopic ossification were treated with physiotherapy and all patients recovered fully. 8. The incidence of complication was 17.3% and there was no fat embolic patients. In conclusion, there was no evidence of early bony union, but the callus formation was abundant in the patients of lower extremity fracture concomitant with head injury.
Accidental Falls
;
Alkaline Phosphatase
;
Bony Callus
;
Brain Injuries
;
Calcium
;
Clinical Study
;
Contusions
;
Craniocerebral Trauma
;
Female
;
Femur
;
Head
;
Humans
;
Incidence
;
Lower Extremity
;
Male
;
Motor Vehicles
;
Orthopedics
;
Ossification, Heterotopic
;
Serologic Tests
;
Sex Ratio
;
Skull Fractures
;
Tibia
5.A Clinical Study on Free Flaps in Young Children
The Journal of the Korean Orthopaedic Association 1987;22(6):1367-1378
The treatment of extensive soft tissue injury is a chsllenge to Orthopedidic Surgeon especially in young children and at present reconstructive surgery with free flap is being employed under microscopy actively. The author present 27 cases of free flaps in young children below 6 years old, which were performed from March 1983 to December 1986. The results are as followes ; 1. The mean age was 4.9 years old. 2. The mechanism of injuries were all pedestrian injury. 3. We performed 27 cases of free flaps, among them 24 cases of flap were survived(88.9 %) with good functional and cosmetic result. 4. The vessels were larger in these young children than we expected. It is apparent that in a healthy child even though below 6 years old, the careful application of microsurgical principle is an excellent method for salvaging devascularized parts that are vital for function or appearance.
Child
;
Clinical Study
;
Free Tissue Flaps
;
Humans
;
Methods
;
Microscopy
;
Soft Tissue Injuries
6.The effects of electroconvulsive shock on glutamate decarboxylase and glutamine synthetase activity in adrenalectomized rat hippocampus.
Yeon Ho JOO ; Hyung Lae KIM ; Yong Sik KIM
Journal of Korean Neuropsychiatric Association 1992;31(4):672-680
No abstract available.
Animals
;
Electroshock*
;
Glutamate Decarboxylase*
;
Glutamate-Ammonia Ligase*
;
Glutamic Acid*
;
Glutamine*
;
Hippocampus*
;
Rats*
7.The Distally Based Superficial Sural Artery Flap.
Yong Jin KIM ; Young Ho KIM ; Jae Won CHANG ; Moon Hyung OH ; Hyung Kun KIM ; Hyung Joo KIM
The Journal of the Korean Orthopaedic Association 1997;32(2):415-421
The superficial sural artery flap is supplied by the superficial sural artery that accompanies the sural nerve. The superficial sural artery connects distally with a peroneal artery septocutaneous perforator via a suprafascial network of vessels that permits the flap to be raised on its distal pedicle. We treated 10 patients who showed soft tissue defect of the lower third of the leg, around the ankle and the hindfoot with this flap. The causes of the soft tissue defect were trauma in 6 cases, pressure sore in 2 cases, squamous cell carcinoma in 1 case and osteomyelitis in 1 case. The sites of the soft tissue defect were the lower third of the leg in 5 cases, around the ankle in 2 cases and the hindfoot in 3 cases. The size of the soft tissue defect was from 5x6 cm to 8xl2 cm. All 10 flaps survived. Two flaps showed slight venous congestion which cleared in a few days. The time for flap dissection was 15 minutes in average. The results of our cases show that the distally based superficial sural artery flap is useful for the soft tissue coverage of the lower third of the leg, around the ankle and the hindfoot. The advantages of the flap are that the blood supply is reliable, elevation is easy and quick, the major arteries are not sacrificed and the donor site morbidity is negligible.
Ankle
;
Arteries*
;
Carcinoma, Squamous Cell
;
Humans
;
Hyperemia
;
Leg
;
Lower Extremity
;
Osteomyelitis
;
Pressure Ulcer
;
Sural Nerve
;
Tissue Donors
8.The Relationship of Prostatic Urethral Obstruction of Cytourethroscopy with Voiding Symptoms and Prostate Volume in Lower Urinary Tract Symptoms Patients.
Hyung Joo KIM ; Byoung Wook SEO ; Young Ho PARK
Korean Journal of Urology 2000;41(1):47-51
No abstract available.
Humans
;
Lower Urinary Tract Symptoms*
;
Prostate*
;
Urethral Obstruction*
9.Three Cases of Secondary Syphilis with Simultaneous Primary Syphilitic Lesions.
Min Geol LEE ; Hyung Joo KIM ; Jung Bock LEE
Korean Journal of Dermatology 1986;24(1):118-122
We present herein 3 cases of early secondary syphilis with simultaneous primary syphilitic lesions. These cases developed primary syphilitic lesions four to six weeks after sexual contact and lasted six to ten weeks thereafter until the secondary syphilitic lesions appeared. All three patients showed a strong positive for the STS. Spirochetes were seen under dark field examination of the primary syphilitic lesions, Histopathologically, numerous plasma cells around capillaries and endothelial hyperplasia were seen in the dermis.
Capillaries
;
Dermis
;
Humans
;
Hyperplasia
;
Plasma Cells
;
Spirochaetales
;
Syphilis*
10.A Case of Malignant Atrophic Papulosis (Degos' Disease).
Hyung Joo KIM ; Hee Yong PARK ; Yoon Kee PARK
Korean Journal of Dermatology 1986;24(3):443-446
A 31-year-old male patient had malignant atrophic papulosis that afected the skin only. He had multiple typical porcelain-white skin lesion on the face and trunk without abdominal symptoms. Histopathologic studies showed moderate inflammatory infiltration in addition to the typical cone-shaped region of necrobiosis, There are no satisfactory treatment modes, and in the present case, the patient's condition improved transiently on oral medication of aspirin, but we lost the contact with him afterwards.
Adult
;
Aspirin
;
Humans
;
Male
;
Malignant Atrophic Papulosis*
;
Necrobiotic Disorders
;
Skin