Glomus tumor is well recognized and documented lesion which usually presents as painful dermal nodules in fingers. The tumor results from hypertrophy of a glomus, which is a normal structure of the skin, a coiled arterioyenous shunt regulating body temperature. Glomus tumor may occur at any age but is most frequent in the middle age of life. Pain, tenderness and cold sensitivity are the classic triad of symptoms. Complete surgical exision is the treatment of choice for glomus tumors. Successful removal of tumor leads to complete relief of pain and return to normal function. We report 4 cases of subungual glomus tumor successfully treated by complete exision with review of literatures.
Body Temperature ; Fingers ; Glomus Tumor ; Humans ; Hypertrophy ; Middle Aged ; Skin

Pelvic bone is complex in its shape, so we often miss to find the fractures in cases with unclear fracture line. We studied 25 patients who were suspected to have occult fractures in pelvic area. We were able to find lots of occult fractures with bone scan followed by CT scan. The results were as follows; 1. There were 31 unexpected hot spots in 25 patients in bone scan. 2. Six cases (19.3%j of new injuries were found on re-evaluation of plain film or additionally rechecked plain films. 3. Twenty-one new fractures (67.7%) were found on CT film study. 4. Total 27 additional fractures (89.1%) were found after bone scan followed CT scan. In conclusion Bone Scan followed by CT is a effective method of detecting occult fracture in pelvic area.
Fractures, Closed ; Humans ; Pelvic Bones* ; Pelvis ; Tomography, X-Ray Computed*

Acidosis ; Adult ; Anesthesia ; Anesthetics ; Cyanosis ; Dantrolene ; Early Diagnosis ; Humans ; Incidence ; Male ; Malignant Hyperthermia ; Muscle, Skeletal ; Pentobarbital ; Succinylcholine ; Tachycardia

Herpes zoster oticus is a viral disease associated with otalgia, vesicular eruptions, facial paralysis, hearing disturbance, tinnitus, vertigo and other symptoms. Among cranial nerves, trigeminal and facial nerves are the most commonly affected in patients with herpes zoster oticus, but on rare occasions 8th, 9th, 10th, 11th, 12th cranial nerves are influenced as well. Authors ex-perienced a case of herpes zoster oticus involving glossopharyngeal nerve and vagal nerve without facial palsy in a 58-year-old male. We report this case with a review of literatures.
Cranial Nerves* ; Earache ; Facial Nerve ; Facial Paralysis* ; Glossopharyngeal Nerve ; Hearing ; Herpes Zoster Oticus* ; Herpes Zoster* ; Humans ; Male ; Middle Aged ; Tinnitus ; Vertigo ; Virus Diseases

A dermoid cyst of the head and neck region is a relatively infrequent occurrence and accounts for only 6.9% of all dermoid cysts. Its anatomical distribution is the orbit, floor of the mouth, other midline and nose in the order of frequency. A dermoid cyst of the parotid gland is extremely rare, and due to this and the absence of pathognomonic findings, it is often difficult to diagnose preoperatively. Thus thorough and careful examination including ultrasonic study is needed to evaluate this lesion. It must be differentiated from malignant tumors and other cystic lesions. Dermoid cysts usually recur after simple excision, so it is mandatory to excise it completely with a parotidectomy. This paper presents two cases of parotid gland dermoid cyst with a brief review of the literature.
Adult ; Case Report ; Dermoid Cyst/*diagnosis/surgery ; Human ; Male ; Parotid Gland/pathology/radiography ; Parotid Neoplasms/*diagnosis/surgery ; Sialography ; Ultrasonography

Endoscopic variceal ligation(EVL) is an accepted alternatives to endoscopic injection sclero- therapy(EIS) in many patients with bleeding esophageal varices. Esophageal hematoma is rare and an unusual complication after EVL or EIS. We present a patient with liver cirrhosis who developed an obstructive esophageal hematoma after EVL.
Esophageal and Gastric Varices ; Hematoma* ; Hemorrhage ; Humans ; Ligation* ; Liver Cirrhosis

PURPOSE: To evaluate the effects of transforming growth factor (TGF)-beta1 on the cellular metabolic activity and morphological changes on retinal pigment epithelial cells that influence the development of proliferative vitreoretinopathy. METHODS: After bovine RPE cells were isolated, they were exposed to TGF-beta1 0.1 ng/ml, 0.4 ng/ml, 0.8 ng/ml, 1.6 ng/ml and DMEM that was used only as control. After 24 hours, MTT based colorimetric assay was performed to assess the inhibition of cellular proliferation, and the cellular morphology was evaluated by inverse phase-contrast light microscope and electron microscope. RESULTS: The higher the concentration of TGF-beta1 with fetal bovine serum, the more the inhibition of the cellular proliferation in bovine RPE cells, especially at the concentration of TGF-beta1 1.6 ng/ml (P<0.05). There was no relationship between the concentration of TGF-beta1 and the cellular metabolic activity in fetal bovine serum free (P>0.05). In TGF-beta1 10 ng/ml, the bovine retinal pigment epithelial cell showed a bundle of cytoplasmic microtendon, disposed parallel to the long axis of the cell and pinocytotic like vesicle. CONCLUSIONS: TGF-beta1 has a tendency of inhibitory effect in the cellular proliferation of bovine RPE cells. We confirmed that there were some characteristics of myofibroblast transformation from RPE treated with TGF-beta1 under TEM.
Axis, Cervical Vertebra ; Cell Proliferation ; Cytoplasm ; Epithelial Cells* ; Myofibroblasts ; Retinaldehyde* ; Transforming Growth Factor beta1 ; Transforming Growth Factors* ; Vitreoretinopathy, Proliferative

No abstract available.
Hodgkin Disease* ; Lymphoma, Non-Hodgkin* ; Radiotherapy*

PURPOSE: In recent years, obesity in children has become one of the major nutritional problems, and the trend is that number of obese children is increasing. The purpose of this research is to examine the incidence of obesity in pubescent school children in Seoul and Cheju, and to analyze body fat component, complications and eating habits of those obese children in order to obtain basic information for prevention of obesity in children in the future. METHODS: The total number of 4,555 junior high school students from 4 schools consisting of 1,234 boys and 3,321 girls were examined based on their height and weight. For those children, obesity index was calculated based on the 50th percentile obtained from standard weight for height of children proposed by the Korean Pediatric Association in 1985. The body fat component was measured and compared between 275 children of 530 obese children(11.6%) and 275 children from the control group by Futrex-5000 A body fat and fitness computer. Of those children, oral glucose tolerance test, blood pressure, and biochemical studies were performed on 31 children whose follow-up was possible, and their exercise load and eating habits were examined. RESULTS: It was found that 11.6% of the subject children were obese, which consisted of 12.4% in boys and 11.4% in girls. The study showed 11.4% obesity ratio in Seoul and 13.2% obesity ratio in Cheju, but the difference was insignificant. Percents of bodyfat was 25.3+/-5.7% (mean+/-SD) for control group, 32.9+/-4.8% for mild obesity group, 35.6% for moderate obesity group, and 37.2+/-4.0% for severe obesity group. The morbidity of complications of those 31 children whose follow-up was possible showed the highest percentage of 29.0% in hyperlipidemia, and lower percentage in hypertension, elevated AST and/or ALT, glucose intolerance, diabetes, respectively. The eating habit analysis showed the total calorie intake/total energy expenditure ratio of 1.10 which is higher in calories than energy consumption, and the food intake evaluation showed that 23.3% of fat was contained in total calorie intake. CONCLUSIONS: The childhood obesity becomes the primary cause of adult obesity, hypertension and diabetes, and therefore, eating habits and exercise load should be carefully observed in order to prevent childhood obesity. In addition to the health care provided currently by schools, regular physical check-up should undertaken for early diagnosis to conduct appropriate tests and treatment.
Adipose Tissue ; Adult ; Blood Pressure ; Child* ; Delivery of Health Care ; Early Diagnosis ; Eating ; Energy Metabolism ; Female ; Follow-Up Studies ; Glucose Intolerance ; Glucose Tolerance Test ; Humans ; Hyperlipidemias ; Hypertension ; Incidence* ; Jeju-do ; Obesity* ; Obesity, Morbid ; Pediatric Obesity ; Seoul

Double pylorus is a rare condition consisting of a double communication between gastric antrum and duodenal bulb; in most cases it is a complication of penetrating ulcer, and sometimes it is a congenital abnormality. The prevalence of this rare anomaly ranges from 0.02% to 0.13%; the male: female ratio is about 2: 1. A case of double pylorus, in 41 year-old male, was diagnosed by gastrofiberscopy and UGIS. Two ovoid and crescent pits of the pyloric canal divided by smooth thickened septum were observed endoscopically. The upper GI series showed gastroduodenal fistula connecting the leeser curve of distal antrum with the duodenal bulb. The relevant literatures on the subject were reviewed.
Adult ; Congenital Abnormalities ; Female ; Fistula ; Humans ; Male ; Prevalence ; Pyloric Antrum ; Pylorus* ; Ulcer