No abstract available.

No abstract available.
Adult* ; Chronic Periodontitis* ; Doxycycline* ; Humans

Most of primary hyperparathyroidism results from parathyroid adenoma, and is characterized by hypercalcemia, reduced bone density, frequent renal stone, gastric ulcer, duodenal ulcer, muscle weakness, depression, hypertension, anemia, and rarely brown tumor. We had a case of an 80-year-old man having brown tumor caused by primary hyperparathyroidism on the right 10th rib confirmed by CT guided bone biopsy. The patient presented with decreased level of consciousness, acute gastric ulcer, acute duodenal ulcer, GB stones, renal insufficiency, depression, and osteoporosis. Serum calcium level was 16.7 mg/dL and the intact parathyroid hormone level was 3901pg/mL. A parathyroid mass was detected by neck CT and 99mTc-tetrofosmin parathyroid scan. The parathyroid tumor was removed and confirmed as a parathyroid adenoma by pathology. After operation, the patient was treated with vitamin D and calcium in response to the resulting hungry bone syndrome. The intact PTH level returned to a normal range after the removal of the parathyroid adenoma.
Aged, 80 and over ; Anemia ; Biopsy ; Bone Density ; Calcium ; Consciousness ; Depression ; Duodenal Ulcer ; Humans ; Hypercalcemia* ; Hyperparathyroidism, Primary ; Hypertension ; Muscle Weakness ; Neck ; Osteoporosis ; Parathyroid Hormone ; Parathyroid Neoplasms* ; Pathology ; Reference Values ; Renal Insufficiency ; Ribs ; Stomach Ulcer ; Vitamin D

No abstract available.
Facial Bones*

No abstract available.
Facial Bones*

No abstract available.

No abstract available.

BACKGROUND: Mixed obstructive and restrictive pattern of spirometry can not be concluded in the presence of true restrictive disorders because pure obstructive disorders can also shoy reduced vital ca pacity. However, it is not known how many patients with mixed spirometric pattern really have restrictive disorders in Korea whose pattern of pulmonary diseases is somewhat different from foreign countries. To answer this question, I performed this study and tried to answer it according to diseases in addtion. METHOD: Test results from 413 patients who undergone both spirometry and lung volume measurements on the same visit from August 1, 1998 to July 31, 1999 were included. Spirometry data were classified as mixed obstructive-restrictive pattern when spirometry showed 'FEV1/FNC <70% (<65% if age >or= 60)' and FVC <80% of predicted value. TLC by the method of nitrogen washout was considered as gold standard to diagnose restrictive disorders in which TLC is less than 80% of predicted value. RESULTS: Out of 404 patients who could be evaluated, 58 had mixed pattern of spirometry. 58 patients were suffered from airway diseases (39 patients) such as COPD (22 patients, 38%), asthma (11,19%), bronchiectasis (6,10%), and sequelae of pulmonary tuberculosis (15,26%) or other diseases (4,7%). Only 18 out of 58 (31%) were confirmed to have true restrictive disorders by TLC. The proportion of true restrictive disorders was different according to diseases, 20.5%(8/39 patients) in patients with airway diseases and 53.5%(8/15) with sequelae of pulmonary tuberculosis (p<0.05). CONCLUSION: Many patients whose spirometry showed mixed pattern didn't have restrictive disoders but had pure obstructive disorders. This was true for more patients with airway diseases. Therefore it would be prudent that lung volume be tested to diagnose restrictive disorders in patients with mixed spirometric pattern.
Asthma ; Bronchiectasis ; Humans ; Korea ; Lung ; Lung Diseases ; Lung Volume Measurements ; Nitrogen ; Pulmonary Disease, Chronic Obstructive ; Spirometry ; Tuberculosis, Pulmonary

BACKGROUND: It is well known that rifampin decreases the hypoprothrombinemic effect of warfarin by induction of cytochrome p-450 enzyme in healthy volunteer. However, in patients the dosage schedule o f warfarin during rifampin therapy is not established. Therefore, patients taking both rifampin and warfarin were reviewed to find out the adequate dosage schedule of warfafin in addition to side effects by interaction of two drugs. METHOD: Patients taking both rifampin and warfarin were retrieved from patients who were admitted due to heart disease and tuberculosis at Boochun Sejong Hospital from January of 1995 to August of 1999. To decide the adequate dosage of warfarin, the dosage of warfarin before, during, and after rifampin was evaluated in patients who kept adequate hypoprothrombinemic effect of warfarin during rifampin. To decide the adequate dosage schedule of warfarin, the time interval from the beginning of rifampin to normalization of prothrombin time(INR Appointments and Schedules ; Cerebral Hemorrhage ; Cytochrome P-450 Enzyme System ; Healthy Volunteers ; Heart Diseases ; Humans ; Intracranial Embolism ; Prothrombin ; Prothrombin Time ; Rifampin* ; Tuberculosis ; Warfarin*

Transcatheter hepatic arterial embolization (THAE) is one of the treatment modalities that can be applied to hepatocellular carcinomas (HCC) and metastatic tumors of the liver. Complications such as cholecystitis and gallbladder necrosis, are common with THAE, but liver and peripheral bile duct necrosis are rare, and intrahepatic stones with main bile duct necrosis have never been reported. To prevent intrahepatic spread during operative manupulation and to decrease the vascularity and size of the tumor, we performed a THAE on a huge-sized HCC five times before performing the hepatectomy. We succesfully undertook a right lobectomy after the THAE with lipiodol, gelform, and adriamycin. However, severe bile duct stricture and intrahepatic stones were confirmed during the operation.
Bile Ducts* ; Bile* ; Carcinoma, Hepatocellular ; Cholecystitis ; Constriction, Pathologic* ; Doxorubicin ; Ethiodized Oil ; Gallbladder ; Hepatectomy ; Liver ; Necrosis