No abstract available.
Antibodies* ; Coxiella burnetii* ; Coxiella* ; Korea* ; Prevalence* ; Q Fever*

We report a case of congenital vellus hamartoma, which consists of numerous matured vellus hair follicles and sebaceous glands. This patient is 4-month-old male with multiple, variable sized nodules on the right epicanthsl fold area since birth. Histopathologically, some of the infundibular portion of the vellus hair shows irregular and reticulated hyperplasia. There are numerous well-formed vellus hair follicles surrounded with thick fibrous sheath and some of them are associated with rudiment sebaceous glands.
Hair ; Hair Follicle ; Hamartoma* ; Humans ; Hyperplasia ; Infant ; Male ; Parturition ; Sebaceous Glands

No abstract available.
Twins, Conjoined*

No abstract available.
Twins, Conjoined*

Functional voiding disorder is characterized by symptoms referable to the genitourinary organs without organic obstruction or neurovesical dysfunction. In an attempt to understand possible mechanisms of symptoms of functional voiding disorder in young male adult, we retrospectively reviewed the urodynamic findings of 51 men with functional voiding disorder between the ages of 19 and 51 (mean 40.7 years). Presenting symptoms are divided into three groups: 1) Sx. of irritation(irritation group) in 17 patients; 2) Sx. of bladder outlet obstruction(BOO group) in 25 patients; 3) Sx. of bladder outlet obstruction with episodes of overdistention (overdistention group) in 9 patients. On filling cystometry, time of first filling sense and urge sense was delayed significantly in overdistention group and involuntary contraction was found in 5 patients with BOO(20%), in 3 patients with irritation(18%), and in 1 patients with episodes of overdistention. In overdistention group, maximal voiding detrusor pressure was significantly lower and amount of postvoiding residual urine was significantly larger than other two group on pressure/flow study. Total voiding time and time to maximal uroflow rate were delayed significantly in BOO and overdistention group. Pseudo detrusor-sphincter-dyssynergia was found in 3 patients among 25 patients with BOO. Therefore, we were able to find correlations between specific symptomatic group and urodynamic parameters by this result. Results of urodynamic assessment were divided into 5 categories: Impaired detrusor contractility(IDC), detrusor instability(DI), obstruction, sensory urge syndrome, and equivocal studies. DI was found in 20% of patients with irritation or BOO. IDC was found in 80% of patients with episodes of overdistention and in 24% of patients with BOO. Thorough care is necessary in determining the treatment modality, and in follow up evaluation for patients showing IDC, DI or obstruction on urodynamic study. Conclusively, urodynamic study is thought to afford the opportunity in identifying these specific voiding disorder.
Adult ; Follow-Up Studies ; Humans ; Male ; Retrospective Studies ; Urinary Bladder ; Urinary Bladder Neck Obstruction ; Urodynamics* ; Young Adult*

No abstract available.
Choriocarcinoma* ; Female ; Pregnancy

A 46-year-old male patient developed jaundice after 23 days' treatment of propylthiouracil (PTU) for Graves' disease. Serum alkaline phosphatase was elevated markedly with moderate increase in serum aminotransferase, and the peak level of total bilirubin was 7.3 mg/dL. After withdrawal of PTU, serum aminotransferase and bilirubin began to decrease simultaneously, and completely normalized. One week after the discharge from hospital, he received radioiodine treatment for Graves' disease, but he showed aggravation of hyperthyroidism and ophthalmopathy. So we prescribed methimazole inevitably 16 days' after the radiodiodine treatment. He developed jaundice again after 69 days' treatment of methimazole, but the pattern of hepatotoxicity was slightly different from that of the previous PTU-nduced hepatotoxicity. Serum aminotransferase increased slightly and quickly normalized after discontinuance of methimazole, but serum total bilirubin increased continuously and reached to 24.6 mg/dL. Eosinophilia was prominent and the result of liver biopsy was compatible with cholestatic jaundice. The patient was treated with prednisolone and recovered from jaundice rapidly.
Alkaline Phosphatase ; Bilirubin ; Biopsy ; Eosinophilia ; Graves Disease ; Humans ; Hyperthyroidism ; Jaundice ; Jaundice, Obstructive ; Liver ; Male ; Methimazole* ; Middle Aged ; Prednisolone ; Propylthiouracil*

Adult Wilms' tumor is rare unlike its pediatric counterpart. Because there is no specific radiologic findings of adult Wilms' tumor it is very difficult to diagnose the adult Wilms' tumor preoperatively and the final diagnosis is usually established with surgery. We report a case of Wilms' tumor in 26 years old postpartum woman with review of the literature.
Adult* ; Diagnosis ; Female ; Humans ; Postpartum Period ; Wilms Tumor*

Small cell carcinoma of the urinary bladder is very uncommon tumor and it's clinical entity is characterized by an aggressive clinical course with early metastases. We report a case of the primary small cell carcinoma of urinary bladder in a 66 year old man who was managed by partial cystectomy and combined chemotherapy using cisplatin and etoposide.
Aged ; Carcinoma, Small Cell* ; Cisplatin ; Cystectomy ; Drug Therapy ; Etoposide ; Humans ; Neoplasm Metastasis ; Urinary Bladder*

BACKGROUND: Household waste collectors (HWCs) are exposed to hazardous conditions. This study investigates the patterns of workplace injuries and work-related illnesses of HWCs. METHODS: This study uses cases of workplace injuries and work-related illnesses of HWCs that occurred between 2010 and 2011. We analyzed 325 cases of injuries and 36 cases of illnesses according to the workers' age, length of employment, size of workplace, injured part of body, day and month of injury, type of accident, agency of accident, and collection process. RESULTS: There were significant differences in the effect of workers' length of employment, injured part of body, type of accident, agency of accident, and collection process. Results show that most injuries occur in workers in their 50s and older. This study also shows that 51.4% of injuries occur at businesses with 49 employees or fewer. Injuries to waste collectors happen most often when workers are electrocuted after slipping on the ground. The second most prevalent form of injury is falling, which usually happens when workers hang from the rear of the truck during transportation or otherwise slip and fall from the truck. Work-related illnesses amongst waste collectors are mostly musculoskeletal conditions due to damaging postures. CONCLUSION: These findings will be instructive in devising policies and guidelines for preventing workplace injuries and work-related illnesses of HWCs.
Accident Prevention ; Accidental Falls ; Commerce ; Employment ; Family Characteristics* ; Motor Vehicles ; Posture ; Transportation