1.Calcific Tendinitis of the Rectus Femoris Around the Hip Joint.
Gil Yeong AHN ; Ho Hyun YUN ; Jong Hoon JANG
Journal of the Korean Hip Society 2006;18(1):73-78
Purpose: To evaluate and introduce the technique of C-arm guided aspiration and an injection of a mixture of corticosteroid and local anesthesia for the treatment of calcific tendinitis of the rectus femoris around the hip joint. Materials and Methods: Between March 2003 and May 2005, C-arm guided aspiration and an injection of a mixture of corticosteroid and local anesthesia were performed on 5 patients and a local excision were performed in 1 patient for the treatment of calcific tendinitis of the rectus femoris. The minimum follow-up period was 6 months. The radiology evaluation revealed the presence and size of the calcification. The clinical evaluation involved checking the level of pain relief, range of motion, recurrence, complications. Results: The hip pain improved immediately after treatment. There were no recurrences or complications. Conclusion: The combined treatment of C-arm guided aspiration and an injection of a mixture of corticosteroid and local anesthesia is an effective method for treating calcific tendinitis of the rectus femoris, which can induce rapid symptom relief without any surgical morbidity.
Anesthesia, Local
;
Follow-Up Studies
;
Hip Joint*
;
Hip*
;
Humans
;
Quadriceps Muscle*
;
Range of Motion, Articular
;
Recurrence
;
Tendinopathy*
2.A case of acute febrile neutrophilic dermatosis associated with ulcerative colitis.
Ho Sun JANG ; Jang Soo LEE ; Doo Chan MOON ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1991;29(4):522-528
No abstract available.
Colitis, Ulcerative*
;
Sweet Syndrome*
;
Ulcer*
3.The Optimal Condition for Activation of Motor Cortex by Peripheral Electrical Stimulation in Rat.
Journal of the Korean Academy of Rehabilitation Medicine 2000;24(2):179-184
OBJECTIVE: To investigate the optimal condition for activation of motor cortex by electrical stimulation of forelimb in rat. METHOD: Eleven adult rats (Sprague-Dawley rat) were studied, each of which was anesthetized and craniotomized. While the electrical stinulation was given on the contralateral forelimb of the fixed rat at stereotaxic frame, the evoked potential (EP) was obtained at the motor cortex of rat brain. The conditions of electrical stimulation were changed with 5 kinds of frequencies (1, 3, 5, 10, 15 Hz), 4 kinds of stimulus intensities (1, 3, 5, 7 mA) and 3 kinds of pulse widths (100, 200, 300 microsecond). RESULTS: The peak latencies of EPs in the motor cortex were significantly decreased and the amplitudes were significantly increased along with the decrement of stimulus frequency and the increment of stimulus intensity. The peak latencies and amplitudes of EPs were not significantly changed by stimulus pulse widths. CONCLUSION: The motor cortex of rat was more activated with lower frequency and higher intensity regardless of pulse width in the given condition of electrical stimulation in this study.
Adult
;
Animals
;
Brain
;
Electric Stimulation*
;
Evoked Potentials
;
Forelimb
;
Humans
;
Motor Cortex*
;
Rats*
4.The problems of L
Dong Bai SHIN ; Jang Yeub AHN ; Gung Ho JIN ; Byung Kuk CHO ; Yeon Ho KIM
The Journal of the Korean Orthopaedic Association 1995;30(4):954-959
Owing to the advancement of imaging techniques which include the CT scan, it became easier to evaluate fracture patterns of calcaneal fractures accurately. Moreover, it is possible to obtain good results with operative treatment as a consequence of the development of good operative equipment and new operative technique. In 1988, Regazzoni and Benirschke in 1990, recommended L-shaped extensive lateral approach for calcaneus which provide extensive exposure of calcaneus and so allow easier reduction and fixation. We carried out L-shaped extensive lateral approach in 11 cases from June, 1993 to April, 1994. This approach did not produce any skin problems and allowed excellent anatomical reduction and fixation. But we experienced some severe causalgia on the heel region in several cases. We tried to analyse the cause of pain and concluded that it was the damage to the lateral calcaneal branch of the sural nerve. We are reporting the problems of tbis approach.
Calcaneus
;
Causalgia
;
Heel
;
Skin
;
Sural Nerve
;
Tomography, X-Ray Computed
5.A Case of Rhinocerebral Mucormycosis in a Diabetic Woman.
Ho Sun JANG ; Doo Chan MOON ; Kyung Sool KWON ; Tae Ahn CHUNG
Annals of Dermatology 1991;3(2):145-152
We report a case of rhinocerebral mucormycosis in a 63-year-old female with a 1-year history of poorly controlled diabetes mellitus. She had black necrotic ulcers on the hard palate, bloody nasal discharge, swelling of the left side of her face, left blepharoptosis, proptosis, and conjunctival injection. Histopathological examination of the palatal lesion showed large, nonseptate, right-angled branching fungal hyphae in the dermis, and Rhizopus species was isolated on Sabouraud's agar media. The patient was treated with a combination of amphotericin B and surgical debridements but died of asphyxia one month after admission. This is a relatively uncommon, opportunistic infection occurring in a diabetic woman, and only several cases are reported in the Korean literature up to date.
Agar
;
Amphotericin B
;
Asphyxia
;
Blepharoptosis
;
Debridement
;
Dermis
;
Diabetes Mellitus
;
Exophthalmos
;
Female
;
Humans
;
Hyphae
;
Middle Aged
;
Mucormycosis*
;
Opportunistic Infections
;
Palate, Hard
;
Rhizopus
;
Ulcer
6.Clinical Efficacy and Tolerability of Terbinafine 1% Cream in Patients with Pityriasis Versicolor.
Ho Sun JANG ; Hyun Tae LEE ; Cheon Gi KIM ; Kyung Sool KWON ; Tae Ahn CHUNG
Annals of Dermatology 1996;8(3):169-176
No abstract available.
Humans
;
Pityriasis*
;
Tinea Versicolor*
;
Treatment Outcome*
7.A Study on the Role of Bacteria in the Pathogenesis of Confluent and Reticulated Papillomatosis.
Hyun Tae LEE ; Tae Ahn CHUNG ; Kyung Sool KWON ; Ho Sun JANG ; Chang Keun OH
Korean Journal of Dermatology 1998;36(1):78-85
BACKGROUND: The pathogenesis of confluent and reticulated papillomatosis(CRP) is still unknown, although many theories have been suggested. It is stressed that abnormal host response to colonization of pityrosporum orbiculare might play a role in the pathogenesis of CRP, but is not completely understood. Frequently, we have observed bacterial colonies in the stratum corneum and, especially, within the hair follicles from biopsy specimens of patients with CRP. In addition, successful treatment for CRP with minocycline, a derivative of tetracyclines, has been reported continuously. OBJECTIVE: The purpose of this study was to document the possible association of bacterial factors in the pathogenesis of CRP and to elucidate the effectiveness of minocycline. METHODS: We performed Brown and Brenn gram staining in 12 biopsy specimens, bacterial cultures, identification of microorganisms and antibiotics sensitivity testing including minocycline. We administered oral minocycline with an initial dose of 100mg per day for 1 to 3 months and a maintenance dose 50mg per day for I to 2 months, then evaluated the response of treatment. RESULTS: 1. On Brown and Brenn staining, the gram positive bacterial colonies that stained dark bluish or nearly black were observed within the infundibulum of hair follicles in 10 out of 12 biopsy specimens(83.3%) and on the keratotic invagination of stratum corneum in 11 out of 12 biopsy specimens(91.7%). 2. Histological features of regions where bacterial colonies were observed showed, hyperkeratosis and keratotic invagination on the stratum corneum in all cases. Hyperkeratosis(66.7%), parakeratosis(16.7%), inflammatory cell infiltration(25.0%), perifollicular fibrosis(33.3%), and abnormal keratin in sebaceous ducts(50.0%) were shown in hair follicles. 3. In anaerobic cultures, no bacteria was grown. In aerobic cultures, staphylococcus species were identified in 6 cases, streptococcus viridans in one case, sternotrophomonas maltophilia in one case. In the susceptibiliity test, minocycline was sensitive in 7 from 8 cases. 4. The therapeutic response to minocycline was observed within one month in all cases, and the time to clear the lesions was 1/2 month in 2 cases, 1 month in 4 cases, 2 months in 5 cases, 3 months in one case, respectively. CONCLUSION: Form these results, we suggest that bacterial factors may play an important role in the pathogenesis of CRP and that the action mechanism of minocycline in the treatment of CRP may be due to antibacterial effects.
Anti-Bacterial Agents
;
Bacteria*
;
Biopsy
;
Colon
;
Hair Follicle
;
Humans
;
Malassezia
;
Minocycline
;
Papilloma*
;
Staphylococcus
;
Tetracyclines
;
Viridans Streptococci
8.A Case of Idiopathic CD4 + T Lymphocytopenia Associated with Kaposi's Sarcoma.
Hyun Tae LEE ; Ho Sun JANG ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1997;35(1):191-195
Idiopathic CD4+ T lymphocytopenia (ICL) is a new disease entity characterized by depletion of helper T cells apparently without any evidence of HIV infection. We report a case of ICL associated with Kaposis sarcoma (KS) and pneumocystis carinii pneumonia (PCP) in a 34-year old woman. She developed violaceous, protruding masses on scalp, back, both extremities, palms, soles, left. first toe and peritonsillar region for 2 months. These lesions were confirmed as KS by histopathologic findings. Chest X-ray and HRCT findings represented PCP and KS. Absolute deficiency of CD4+ T cell was detected in the count of T cell subsets. Serologic tests for HIV-1, 2 and HTLV I, -II were negative. And she was absent any defined immunodeficiency or therapy associated with decreased levels of CD4+ T cells. By CDC criteria, a diagnosis of ICL was made. Because of aggravation of PCP and lung involuement of KS, she died at 22nd day after admission.
Adult
;
Centers for Disease Control and Prevention (U.S.)
;
Diagnosis
;
Extremities
;
Female
;
HIV Infections
;
HIV-1
;
Humans
;
Lung
;
Lymphopenia*
;
Pneumonia, Pneumocystis
;
Sarcoma, Kaposi*
;
Scalp
;
Serologic Tests
;
T-Lymphocyte Subsets
;
T-Lymphocytes
;
T-Lymphocytes, Helper-Inducer
;
T-Lymphocytopenia, Idiopathic CD4-Positive
;
Thorax
;
Toes
9.A Case of Pedunculated Pigmented Eccrine Poroma Combined with Congenital Melanocytic Nevus on the Scalp.
Kyung Hyung SEO ; Ho Sun JANG ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1997;35(1):169-173
It has been generally assum d that eccrine poroma arises from acrosyringium, the epidermal sweat duct unit. Eccrine poroma mainly involves the non hairy surfaces of the skin, but it has also been found on hair-bearing areas. One of the characteristics of this structure is absence of melanocytes and melanin granules arnong its cells. However a complete absence of melanocytes and melanin granules in eccrine poroma is not invariable and a few reports of such an occurrence have been presented. The authors report herein a case of unusual and rare eccrine poroma. The eccrine poroma had melanin pigment and melanocytes, was pedunculated and occurred on the parietal scalp which was the unusual site of involvement. The eccrine poroma was also combined with a pedunculated congenital melanocytic nevus on the supraauricular scalp.
Melanins
;
Melanocytes
;
Nevus, Pigmented*
;
Poroma*
;
Rabeprazole
;
Scalp*
;
Skin
;
Sweat
10.Clinical and histopathological observation of confluent and reticulated papillomatosis.
Ho Sun JANG ; Doo Chan MOON ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1991;29(4):471-480
No abstract available.
Papilloma*