Vibrio vulnificus is a halophilic gram-negative, marine bacterium which causes fulminating and potentially fatal human disease. A new sensitive and specific serogrouping procedure was developed for identifying V. vulnificus. Reference antis:ra(01-014) to V. vulnificus were prepared by vaccinated rabbits with heat-killed bacteria, and the antisera were examined whether erogrouping test will be available for rapid and sensitive identification method of V. vulnifiius or not. All of thirty-seven clinical strains tested were agglutinated with 5 kinds of aritisera such as 04A, 01, 013, 03, and 014. Of these serovar 04A was predominant(75.7%). The author investigated the correlation among certain serovars, consumed seafoods, and nortality rate to verify whether the serovar is of pognostic value. There was no significant orrelation among them. These results suggest theart serogrouping procedure could be of value in rapidly identifying V. vulnificus.
Bacteria ; Humans ; Immune Sera ; Rabbits ; Seafood ; Vibrio vulnificus* ; Vibrio*

The buttercup is an inportant irritant plant which contairs an unsaturated lactone, protoanemonin, formed by the breakdown of a glucoside in injured plants. We report the three cases of irritant contact dermatitis due to buttercup(Ranunculus sceleratus). These patient developed erythematous and edematous patches with tense vesicles or bullae on t,he application site of pounded buttercup for the treatment of diabetes mellitus, arthralgia, and neuralgia, respectively.
Arthralgia ; Dermatitis, Contact ; Dermatitis, Irritant* ; Diabetes Mellitus ; Humans ; Neuralgia ; Plants ; Transcutaneous Electric Nerve Stimulation

Paraquat(Gramoxone) is the most commonly used herbicide in Korea. But serious paraquat poisoning in human beings has occurred following ingestion or exposure to the skin. Exposure to paraquat through the skin has resulted in local irritation or inflammation of varyiig degree, sometimes severe. We report three cases of primary irritant dermatitis due to paraquat. Two patients developed generalized vesicobullae and necrotirulcer in the scrotum, respectively. The other patient developed painful whitish patch and erosion in ttie tongue after accidental exposure.
Dermatitis, Irritant* ; Eating ; Humans ; Inflammation ; Korea ; Paraquat ; Poisoning ; Scrotum ; Skin ; Tongue

Focal dermal hypoplasia (Goltz syndrome) is a rare genetic mesoectodermal disorder characterized by variable multisystem defects, including anomalies of the skin, skeleton, teeth and eyes. A 22-year-old female patient presented with confluent and disciete, yellowish nodules on the calves, white linear atrophic lesions, hypoand hyper!igmented patches, and telangiectasia scattered over the trunk, neck and extremities. In addition to the skin lesions, this patient showed hypertrophy of the left leg, anomalies of the left foot, fingers and nails, and maloccluded teeth. Histopathological findings of a yellow nodule revealed accumulations of adipose tissue very near to the epidermis that largely replaced the upper dermis.
Adipose Tissue ; Dermis ; Epidermis ; Extremities ; Female ; Fingers ; Focal Dermal Hypoplasia* ; Foot ; Humans ; Hypertrophy ; Leg ; Neck ; Skeleton ; Skin ; Telangiectasis ; Tooth ; Young Adult

No abstract available.

No abstract available.
Pancreas*

No abstract available.
Infarction* ; Liver*

Ewing's sarcoma is a highly malignant, small, round cell tumor that usually affects long bones. The acral part of the extremities is a very rare primary site for this neo plasm. A fifteen-year-old girl was seen for a lobulated, dome-shaped, 2.7cm diameter, denuded mass on the distal phalanx of the right middle finger which had increased in size over a 14-month period. The radiological featuies of the hand showed a cortical brick of distal phalanx and surrounding soft tissue mass. Histologically, the biopsy specimen showed sheets of small round to oval cells with scanty cytoplasm, that were closely packed and separated into lobules by trands of fibrous tissue. A periodic acid-Schiff stain demonsirated glycogen in the cytoplasm of the tumor cells. Electron microscopy showed large aggregates of glycogen in the cytoplasm of the neoaplastic cells. Immunohistochemical stains revealed positive staining for vimentin, glial fibrillary acid potein, and neuron specific enolase, stains for S-100, Factor VIII, and cytokeratin were negative.
Biopsy ; Coloring Agents ; Cytoplasm ; Extremities ; Factor VIII ; Female ; Fingers ; Glycogen ; Hand ; Humans ; Keratins ; Microscopy, Electron ; Phosphopyruvate Hydratase ; Sarcoma* ; Sarcoma, Ewing ; Vimentin

Ewing's sarcoma is a highly malignant, small, round cell tumor that usually affects long bones. The acral part of the extremities is a very rare primary site for this neo plasm. A fifteen-year-old girl was seen for a lobulated, dome-shaped, 2.7cm diameter, denuded mass on the distal phalanx of the right middle finger which had increased in size over a 14-month period. The radiological featuies of the hand showed a cortical brick of distal phalanx and surrounding soft tissue mass. Histologically, the biopsy specimen showed sheets of small round to oval cells with scanty cytoplasm, that were closely packed and separated into lobules by trands of fibrous tissue. A periodic acid-Schiff stain demonsirated glycogen in the cytoplasm of the tumor cells. Electron microscopy showed large aggregates of glycogen in the cytoplasm of the neoaplastic cells. Immunohistochemical stains revealed positive staining for vimentin, glial fibrillary acid potein, and neuron specific enolase, stains for S-100, Factor VIII, and cytokeratin were negative.
Biopsy ; Coloring Agents ; Cytoplasm ; Extremities ; Factor VIII ; Female ; Fingers ; Glycogen ; Hand ; Humans ; Keratins ; Microscopy, Electron ; Phosphopyruvate Hydratase ; Sarcoma* ; Sarcoma, Ewing ; Vimentin

BACKGROUND: Depression is found more frequently in epileptic patients and tends to be more severe in those with temporal lobe epilepsy, than in patients with comparable chronic neurologic diseases or physical handicaps. The purposes of this study were to evaluate (1) the characteristics and frequency of depression in group of temporal lobe epileptic out-patients with hippocampal atrophy; (2) the relationship between depression and the laterality of hippocampal atrophy, and (3) the possible correlation between depression and the duration of epilepsy, sex, education, age, occupation, seizure frequency, and other seizure variables. METHODS: We included 40 temporal lobe epilepsy patients with unilateral hippocampal atrophy on MRI study. We used the Beck Depression Inventory to measure the level of depression. The results were compared with those of 50 normal controls. RESULTS: (1) Epilepsy patients with hippocampal atrophy indicated more severe depression than the normal controls. If we consider the cut-off score for depression as being more than 21 points of the Beck Depression Inventory score, then the frequency of depression in TLE with hippocampal atrophy would be 45% compared to the 14% in controls. (2) Occupation and seizure frequencies were factors related to severe depression. However, the age, age of onset, duration of illness, religion, education, and multi-drug therapy, were not related to the severity of depression. (3) Scores on the BDI questions representing mood symptoms were significantly higher in the left TLE group. However, the frequencies of those representing vegetative and somatic symptoms were not different between the two groups. Self-reproach symptoms increased equally in both temporal lobe epilepsy groups. (4) There were no clear associations between depressive disorders and the laterality of epileptic lesions in the TLE patients. CONCLUSIONS: We found no clear association between the affective disorders in epilepsy and the site of epileptic lesions.
Age of Onset ; Atrophy* ; Depression* ; Depressive Disorder ; Education ; Epilepsy ; Epilepsy, Temporal Lobe* ; Humans ; Magnetic Resonance Imaging ; Mood Disorders ; Occupations ; Outpatients ; Seizures ; Temporal Lobe*