No abstract available in English.

No abstract available.
Cactaceae* ; Dermatitis* ; Humans ; Leprosy*

The ankle is a modified hinge joint consisting of tibial plafond, medial and lateral malleolus, talus and many soft tissue structures, which plays important role in weight bearing and walking. Hence, the ankle injuries include not only fractures of bone but often also the rupture of ligaments and soft tissues, so if the structures were not accurately repaired, many complications may develop. The authers analysed 98 cases (96 patients) of the ankle fractures which were admitted and treated in Orthopaedic Department, Soon Chun Hyang University Hospital from January 1979 to August 1983. The results obtained are as follows: 1. Of the 98 cases, male was 70 cases(71.9%), female was 28 cases and the average age of the patient was 31,1 years. 2. The most common cause of the fracture was traffic accident and the other causes were slip down, sports injury, fall down and industrial injuries in order. 3. 83 cases(84.7%) out of the 98 cases of ankle fractures were closed fracture and the rest was open fracture. 4. The most common type of the ankle fracture, according to the classification of Lauge-Hansen, was supination external rotation type. 5. 68 cases were treated with open reduction and internal fixation and 30 cases were treated with closed reduction, among the cases of closed reduction, the 14 cases were indicated to open redu- ction but it was impossible due to improper skin condition, severe comminution and anesthetic problem. 6. The average duration of the cast immobilization in closed treatment was 10.1 weeks and in operative treatment was 6.3 weeks. 7. The results of the treatment was better in those cases of the open reduction, the early reduction and the mildly displaced cases than the results of closed reduction, delayed reduction and severely displaced cases. 8. The incidence of complication, such as traumatic arthritis and nonunion occured higher in the cases treated with closed method.
Accidents, Traffic ; Ankle Fractures ; Ankle Injuries ; Ankle ; Arthritis ; Athletic Injuries ; Classification ; Clinical Study ; Female ; Fractures, Closed ; Fractures, Open ; Humans ; Immobilization ; Incidence ; Joints ; Ligaments ; Male ; Methods ; Rupture ; Skin ; Supination ; Talus ; Walking ; Weight-Bearing

The slipped capital femoral epiphysis is characterized by a growth disturbance of the capital physi. resulting in weakening of this structure and a subsequent displacement of the femoral head on the fe moral neck. It is a rare entity in Korea and only six cases have been reported so far1-5). One of ou cases was a bilateral mild acute slips in 13 yearold boy which were treated by Hagie pinning. Th other case, a 17 year-old boy, who suffered from a moderate acute on chronic slip in his left hip an showed a typical Pistol grip deformity. He was treated by gentle closed rcduction and Knowles pi fixation with good result.
Congenital Abnormalities ; Epiphyses ; Hand Strength ; Head ; Hip ; Humans ; Korea ; Male ; Neck ; Slipped Capital Femoral Epiphyses

When the multiple myelographic defects at lumbosacral region are noted, the prudential effort for decision of appropriate area of surgical decompression would be needed. Fifty four patients who had been treated surgically for the deseases, such as HNP and spinal stenosis, from March in 1982 to Feb. In 1987 at Department of Orthopecdic Surgery, Soonchunhyang University Hospital, were analyzed in order to define the etiology, the level of the defect, indication for the operation and to assess the results of each level which had been operated. The results of the study were as follows. 1. The number of patients, which the multiple indentations were noted in the myelogrsphy, was 54 cases, 29 spinal stenosis, 15 HNP and 10 mixed types. 2. The most common defect levels in myelography were L3-4 snd L4-5, which were 19 cases (35.2%), the next levels were L4-5 and L5S1, which were 16 cases(29.6%), then L3-4, L4-5 and L5S1 were 7 cases(13%) and the other levels were 12 cases(22.2%). 3. The decision for the sppropriste operation area had not be done following to the size of the myelographic defect, but the clinical symptoms and physicsl exsminations. 4. The results were classified ss excellent or good in 79.7%, which was 80% at two levels snd 79.5% at one level. 5. The operation levels could be decressed for the reducing the spinal instability, operation time and possibility of the dangerous conditions and promotion of early restoration and, ambulation, if the severe differences between the results of one and two operation levels were not seen.
Decompression, Surgical ; Humans ; Lumbosacral Region ; Myelography ; Spinal Stenosis ; Walking

V. parahaemolyticus was isolated from blood culture of a 34-year old female patient with HCV viral hepatitis and liver cirrhosis. V. parahaemolyticus is one of the frequent causative agents of gastrointestinal infection, but rarely causes septicemia. This case is thought to be the 3rd report of V. parahaemolyticus septicemia in Korea.
Adult ; Female ; Hepatitis ; Humans ; Korea ; Liver Cirrhosis* ; Liver* ; Sepsis* ; Vibrio parahaemolyticus* ; Vibrio*

Methazolamide is a sulfonamide derivative and carbonic anhydrase inhibitor used to lower intraocular pressure in glaucomatous eyes. Stevens-Johnson syndrome (SJS)-toxic epidermal necrolysis (TEN) associated with methazolamide treatment has been reported in Korean and Japanese patients. We report two cases of SJS-TEN associated with methazolamide treatment. The result of HLA typing of our two patients was a positive reaction for HLA-B59, which is specific to Koreans and Japanese. This suggests a possible relationship between genetic background and SJS-TEN associated with methazolamide treatment. Therefore, methazolamide should be prescribed with caution to Korean or Japanese patients.
Asian Continental Ancestry Group ; Carbonic Anhydrases ; Histocompatibility Testing ; Humans ; Intraocular Pressure ; Methazolamide* ; Stevens-Johnson Syndrome*

PURPOSE: Hodgkin lymphoma involving the orbit and ocular adnexal tissue is very rare and usually appears in the form of a metastatic tumor at the end stage of the disease. Primary Hodgkin lymphoma in the orbit has not been previously reported, and herein we report a case of primary Hodgkin lymphoma occurring in the bilateral orbit. CASE SUMMARY: A 64-year-old male presented with a left lower eyelid mass that increased in size over 2 years. The patient had no specific past medical history or family history except diabetes. During the physical examination, a fixed mass was gently palpated in the left lower eyelid. Mild upgaze limitation was observed during extraocular muscle movement examination in both eyes. Orbital computed tomography and magnetic resonance imaging showed soft tissue masses involving the bilateral inferior rectus muscle and left lower eyelid. The patient was diagnosed with nodular sclerosing Hodgkin lymphoma after pathological examination following incisional biopsy. The patient was transferred to the oncology department for tumor staging. Positron emission tomography showed no involvement of other organs except both orbits. After systemic chemotherapy and radiation therapy, the patient was under observation for 14 months without ophthalmic and systemic complications or recurrence. CONCLUSIONS: The authors present a case of primary nodular sclerosing Hodgkin lymphoma that occurred in the orbit. After systemic chemotherapy and radiation therapy, the patient was in good general condition.
Biopsy ; Drug Therapy ; Eyelids ; Hodgkin Disease* ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neoplasm Staging ; Orbit* ; Physical Examination ; Positron-Emission Tomography ; Recurrence

No abstract available.
Animals ; Calcium* ; Clonidine* ; Ganglia, Spinal* ; Rats* ; Spinal Nerve Roots* ; Tetracaine*

BACKGROUND: This study was undertaken in surgical patients to evaluate the comparative analgesic, hemodynamic, sedative effects of clonidine or epinephrine when added to lidocaine solution in patients receiving epidural anesthesia. METHODS: The effects of clonidine were assessed in 38 men scheduled for knee surgery. Patients received 20 ml of 2% lidocaine with clonidine 50 microgram (group C50, n=11), with clonidine 100 microgram (group C100, n=10), with epinephrine 100 microgram (group E, n=9), or plane (group L, n=8) via epidural catheter. Sensory anesthetic level was assessed by pinprick and the time to L1 analgesia and the maximum number of segments of analgesia were checked. Systolic blood pressure (BP) and heart rate (HR) were measured at 2, 5, 10, 15, 20, 30, 45, 60 min after epidural injection. Sedation was defined on a scale of 0 to 3. The sedation score was checked at 5-minute intervals after epidural injection. Samples of venous blood were obtained before and 5, 10, 20, 30, 45, 60, 90 min after epidural injection. RESULTS: No significant differences in the time of L1 analgesia and number of segments of analgesia found at any observation period among the four groups of patients. There was no decrease in BP and no differences among four groups. HR decreased significantly in patients given clonidine, but did not change in those given lidocaine plain or with epinephrine. Significant differences were also observed in sedation scores between clonidine group and group L or E. Maximal plasma lidocaine concentrations in group C100 were similar to the group C50 and L, but were significantly greater than those in group E (p<0.05). CONCLUSIONS: These results indicate that the addition of clonidine to lidocaine for epidural anesthesia provides a sedative effect and relatively stable hemodynamics, and that clonidine in a concentration 1:200,000 in contrast to 1:200,000 epinephrine, tends to increase rather than to suppress the plasma lidocaine concentration.
Analgesia ; Anesthesia, Epidural* ; Blood Pressure ; Catheters ; Clonidine* ; Epinephrine ; Heart Rate ; Hemodynamics ; Humans ; Hypnotics and Sedatives ; Injections, Epidural ; Knee ; Lidocaine* ; Male ; Plasma