Lymphomatoid papulosis is a disease; clinically benign, histologically malignant. Clinically, it may sirnulate pityriasis lichenoides et varioliformis acuta, but histologically it suggest malignant lympboma due to the presence of polymorphous lymphoid infiltrate consisting of sma11 lymphocytes intermingled with conspicuous large atypical cells. Recently, many autbors consider lymphornatoid papulcsis as a Cutaneous T-cell lymphoma, and malignancy has been reported to develop in some patients. We experienced a case of lyrnphomatoid papulosis in 26-year-old woman and treated with PUVA successfully. PUVA treatment may be proven useful in controlling this disease and it rnay also inhibit the development of malignancy.
Adult ; Female ; Humans ; Lymphocytes ; Lymphoma, T-Cell, Cutaneous ; Lymphomatoid Papulosis* ; Pityriasis Lichenoides

Generalized pustular psoriasis which is originally described by von Zumbusch in 1910, is the most intense form of the acute exanthematic variant among psoriasis. It is to be occured as a rare disease and the familial occurrence rarely has been reported. Many therapeutic attempts have been rnade to bring the condition under control, but none has unequivocally proven to alter its courae decisively. We present two cases of generalized pustular psoriasis in brother and sister (16 year-old male, 19 year-old female) which were treated successfully by pbotochemotherapy (PUVA).
Humans ; Male ; Psoriasis* ; Rare Diseases ; Siblings* ; Young Adult

We present two oases of Eruptive Vellus Hair Cysts(EVHC) in 30- year-old and 27- year old women. They had 6 to 10 discrete, asymptomatic, brown or reddish brown papules on the neck, axilla, chest and extremities. The clinical impressions were epidermal cyst and steatocystoma multiplex espectively, but histopathological exarnination revealed smal1 cysts in middermis containing numerous vellus hairs cut transversely or obliquely and surrounding granulomatous foreign body reaction typical to EVHC. Transepithelial elimination was not found.
Axilla ; Epidermal Cyst ; Extremities ; Female ; Foreign-Body Reaction ; Hair* ; Humans ; Neck ; Steatocystoma Multiplex ; Thorax

Deliberately induced hypotension reduces bleeding in operative fields, therby facilitating the surgical manipulation of a highly vascularized lesion and enabling a better dissection to be made. Hypocapnia is a technique by which the regional cerebral blood flow is reduced, effecting a decrease in the intracranial volume. The monitoring of end-tidal CO2 tension(PECO2) is widely done since the amount of end-tidal CO2 tension reflects indirectly the value of the degree of arterial CO2 tension(PaCO2). During hypotension, increased physiologic dead space my produce the widened PaCO2-PECO2 gradient and this large gradient makes PECO2 an unreliable indication of PaCO2. There are many reports on hypotensive agents and techniques. Induced hypotension with halothane has been reported to be a relatively safe and useful method by Murtagh(1960) and Schettini, et al (1967). We reported 100 cases of halothane induce hypotensive anesthesia for intracranial aneurysm surgery in 1979. The present study reports concerning the hypotensive anesthesia for 259 cases of intracranial aneurysm surgery, which were performed at Severance Hospital of the Yonsei University College of Medicine from 1972 to 1985. We evaluated prospectively the PaCO2-PECO2 gradient with modern infrared capnographs during the induced hypotension of 25 cases, which was performed for intracranial aneurysm surgery at this hospital. The result of the retrospective and prostpective studies were as follows. A. Retrospective study 1) Halothane and enflurane were used as the primary anesthetics in 246 and 13 cases, respectively. Hydralasine, nitroprusside, and trimetaphan were supplementarily used for inducing hypotension in 29, 19 and 15 cases, respectively. 2) The mean arterial blood pressure of the lowest blood pressure in the induced hypotension group was 57.2+/-9.3 mmHg, and the mean arterial blood pressure of the highest blood pressures during the induction fo anesthesia was 111.3+/-20.8mmHg. 3) There was no significant difference in the perioperative hemoglobins, hematocrits, and serum electrolytes. 4) In the introperative period gas analysis revealed respiratory alkalosis(arterial CO2 tension and pH were 29.7+/-6.7mmHg and 7.485+/-0.078, respectively). In other values there was no significant change. 5) The mortality rate in 259 cases of intracranial aneurysm surgery was 6.2%. B. Prospective study There was no significant difference in the PaCO2-PECO2 gradients between in the hypotensive period (5.5+/-3.8 mmHg) and in the normotensiveperiod(4.3+/-3.4mmHg). In conclusion, the technique of using induced hypotension with the inhalation anesthetics, halothane or enflurane, is a safe and useful one to use in performing surgery for intracranial aneurysm, and end-tidal carbon dioxide tension can be used as an indirect measure of arterial carbon dioxide during the induced hypotension.
Anesthesia* ; Anesthetics ; Anesthetics, Inhalation ; Arterial Pressure ; Blood Pressure ; Carbon Dioxide ; Electrolytes ; Enflurane ; Halothane ; Hematocrit ; Hemorrhage ; Hydrogen-Ion Concentration ; Hypocapnia ; Hypotension ; Intracranial Aneurysm* ; Mortality ; Nitroprusside ; Prospective Studies ; Retrospective Studies ; Trimethaphan

PURPOSE: This research was aimed at evaluating the differences in depression by skinfold thickness, and the relationship between two variables. METHODS: Research design was a non-experimental descriptive survey. Using a caliper, we measured skinfold thickness on the triceps, and then on the suprailiac, and the mid-thigh. Depression was evaluated using the Geriatric Depression Scale-Short Form (GDS-SF). Data were collected for one month from Sept 1st to 30th, 2011. There were 52 subjects, 25 of which were from elderly welfare centers and 27 were hospitalized. RESULTS: Subjects were an average age of 76.4+/-4.45, and the incidence rate of depression (> or =6) was 36.5% and those who had a sum of 3 skinfolds over 62 mm were 22.7%. The GDS-SF was significantly different in only the suprailiac skinfold thickness (F=7.25, p<.05). CONCLUSION: Findings indicate that depression is different based on suprailiac thickness in older adult women at elderly welfare centers and those who were hospitalized in an medical ward. It suggests that the suprailiac skinfold may be an indicator of abdominal obesity when considering depression in elderly women. Further study is needed to evaluate a cutoff score of skinfold thickness in obesity for older adult women.
Adult* ; Aged ; Depression* ; Female ; Humans ; Incidence ; Obesity ; Obesity, Abdominal ; Research Design ; Skinfold Thickness*

Median nerve injury after elbow dislocation is uncommon. The diagnosis of median nerve entrapment is often delayed. Median nerve paralysis is caused by entrapment within the elbow joint. If median nerve paralysis occurs following elbow dislocation or if it occurs following closed reduction, entrapment should be suspected. Optimal management of this problem consists of early surgical exploration and decompression. We report a case of a child who had entrapment of the median nerve in the elbow joint after closed reduction of posterior dislocation with fracture of the medial epicondyle. The diagnosis was made ten weeks after injury at surgical exploration. This case showed a characteristic radiologic sign in the anteroposterior radiograph. We released the entrapped median nerve with a successful result.
Child ; Decompression ; Diagnosis ; Dislocations ; Elbow Joint ; Elbow ; Humans ; Median Nerve ; Paralysis

PURPOSE: This study compared the results of PFC Sigma RP-F(R) total knee arthroplasty with those of conventional total knee arthroplasty using PFC Sigma PS(R) in order to assess the clinical results including the maximal flexion angle after a follow up of at least 2 years. MATERIALS AND METHODS: Forty one cases of total knee arthroplasty were performed with PFC Sigma RP-F(R), and the clinical results were analyzed after a follow up of at least 2 years. The patients were compared with a control group consisting of 41 cases, who underwent total knee arthroplasty with PFC Sigma PS(R) using the following parameters: gender, preoperative diagnosis, and preoperative range of motion, and postoperative range of motion. RESULTS: The mean follow up period was 26.7 months. The KSS score improved from 53.2 preoperatively to 95.6 postoperatively. The KSFS score also improved from 49.7 preoperatively to 96.1 postoperatively. The range of motion increased from 124.3degrees to 128.2degrees. The subjective pain score using visual analogue scale improved from 7.6 preoperatively to 1.4 postoperatively. The group with the PFC Sigma RP-F(R) showed similar clinical results to the PFC Sigma PS(R) except for the range of motion. CONCLUSION: Total knee arthroplasty with PFC Sigma RP-F(R) showed similar clinical results to other models, as well as excellent and predictable results of range of motion at the short-term follow up. A long term follow up study will be needed to demonstrate its effects on increasing the longevity.
Arthroplasty ; Follow-Up Studies ; Humans ; Knee ; Knee Joint ; Range of Motion, Articular

No abstract available.
Magnetic Resonance Imaging*

Ovarian teratomas are the most common germ cell neoplasm. They include mature cystic teratomas, monodermal teratomas (neural tumors, struma ovarii, carcinoid tumors) and immature teratomas. Malignant transformation of mature teratoma is very rare event and a case of sequence occurance of mature teratoma and immature teratoma in same patient is not reported yet in Korea. A 17-year-old female was found to have a huge mature teratoma of the right ovary 3 years ago. That was treated with surgery. Three years later, Immature teratoma was discovered in left ovary and treated with surgery followed by chemotherapy. We experienced one case of sequent occurrence of mature teratoma and immature teratoma on both ovary in same patient. We present it with a brief of literature.
Adolescent ; Carcinoid Tumor ; Female ; Germ Cells ; Humans ; Korea ; Ovary ; Struma Ovarii ; Teratoma

Purpose: The study was examined to investigate the influence of nurse manager and peer group caring behaviors on organizational socialization and nursing performance Methods: The subjects were 286 clinical nurses from a general hospital in S city. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and hierarchical regression analysis with the SPSS 25.0 program. Nurse manager and peer group caring behaviors, organizational socialization, and nursing performance were measured using organizational climate for caring scale, peer group caring interaction scale, organizational socialization and performance measurement scale for hospital nurses. Results There was no significant difference in organizational socialization between nurse manager and peer group caring behaviors. The significant predictors of nursing performance were position (β=-.26), nurse manager caring behaviors (β=.23), and peer group caring behaviors (β=.17). These variables explained 23% of the variance in nursing performance. Conclusion: The results suggest that it is necessary to increase both manager and peer group caring behaviors in order to improve nursing performance.