No abstract available.
Bipolar Disorder*

No abstract available.
Estrogens* ; Prolactin* ; Testosterone*

No abstract available.
Anesthetics*

Erythema multiforme is an episodic, self-limited, mucocutaneous, inflammatory disorder and the disease manifests as severe form is called Stevens-Johnson syndrome. It is most commonly precipitated by herpes simplex infection or drugs and the pathogenesis of the mucocutaneous lesion is thought to be related to immune complexes, cell-mediated immunity, or both. We experienced a case of Stevens-Johnson syndrome in 23-year-old female who had systemic bullous kin lesion and diffue mucopurulent conjunctivitis after use of oral acetazolamide for control of steroid-induced increased intraocular pressure after excimer laser photorefractive keratectomy, which has not been reported in Korea. So, we report this case with a review of the literature.
Acetazolamide* ; Antigen-Antibody Complex ; Conjunctivitis, Bacterial ; Erythema Multiforme ; Female ; Herpes Simplex ; Humans ; Immunity, Cellular ; Intraocular Pressure ; Korea ; Lasers, Excimer ; Photorefractive Keratectomy ; Stevens-Johnson Syndrome* ; Young Adult

PURPOSE: This study aimed to find out whether there are relationships among anatomic characteristics of inferior oblique muscle insertion, corneal diameter, axial length and inferior oblique recession landmark. METHODS: Thirty-one Korean cadaver orbits were dissected to expose the full length of extraocular muscles and sclera, and then we measured the length from the recession landmark of inferior oblique to the lateral edge of insertion of inferior rectus and to the inferior edge of insertion of lateral rectus. RESULTS: The mean of angles between the inferior oblique muscle insertion and lateral rectus direction is 27.9+/-9.0degrees and the range is from 15 degrees to 50 degrees . There is a statistically significant correlation between cord length of 8 mm recession landmark of inferior oblique and angles of inferior oblique insertion with lateral rectus direction. We divided the shapes of inferior oblique insertion into straight and convexed curves. Twelve insertions are straight and thirteen insertions are curved. There is no statistically significant correlation between shape of inferior oblique insertion and cord length from recession landmark. In corneal diameter and axial length, we found correlations with cord length of 8 mm and 10 mm recession landmark of inferior oblique. CONCLUSIONS: We conclud that there are some correlations among anatomic characteristics, axial length and corneal diameter with recession landmark of inferior oblique.
Cadaver ; Muscles ; Orbit ; Sclera

We analysed and assessed the 744 eyes(612 patients) which had received mitomycin instillation after pterygium surgery at Wonju Christian Hospital between Jan. 1979 and Feb. 1985 for the evaluation of recurrence rate, sex and age distribution, and other statistical purposes. The results were as follows: 1. The largest age group was 41-50 years of age(236 eyes, 31.7%). 2. All 744 cases consisted of 500 eyes(67.2%) in female and 244 eyes(32.8%) in male, but there was no significant difference in the site of the disease; right eyes. 370 eyes(49.7%) and left eyes, 374 eyes(50.3%). 3. Of all cases, 670 eyes(90.1%) were primary pterygia and 74 eyes(9.9%) were recurrent pterygia. 4. Over all incidence of recurrence was 3.9%(29 eyes).
Age Distribution ; Female ; Gangwon-do ; Humans ; Incidence ; Male ; Mitomycin* ; Pterygium* ; Recurrence

The limb-body wall malformation complex is a sporadic congenital anomaly characterized by protean manifestations. The diagnosis is based upon the presence of at least two out of craniofacial anomaly, body wall defect, and limb abnormalities. We present a case of limb-body wall malformation complex. This case shows abdominal and pelvic wall defects with eventration of the viscera. It also shows an absence of right kidney, polycystic left kidney, absence of external genitalia and anus, and lower extremity abnormalities. The right lower extremity is absent and the deformed left leg shows malformed foot-like structure attached to the shin in addition to a normally positioned left foot. Our patient is the first case of complete absence of the external genitalia associated with limb-body wall malformation complex in Korean publications and the seventh in English publications.

We analyzed the change of the amount of postoperative deviation between pediatric group (younger than 18 years) and adult. group (older than 18 years) with intermittent exotropia. All of the 141 patients were treated by bilateral recession of lateral rectus muscle. Among 141 patients, 111 were overcorrected immediately after surgery. Among 111 overcorrected patients, 64 were children and 47 were adults. Fifty of 64 overcorrected pediatric patients were satisfied after 6 m.on`ths after surgery, but only 22 of 47 overcorrected adult patients were satisfied. Twenty two of 26 overcorrected 10-15delta immediately after surgery in pediatric group and 17 of 24 overcorrected under 10delta, in adult group were satisfied after 6 months after surgery. Between the two groups, the figure of change of postoperative deviation were different. In pediatric group, postoperative deviation was rnuch naore decreased at. 6 months after surgery, but, changes were less significant in adult group. We suggest that immediately after surgery, a small consecutive esotropia of 10 to ISA is desirable in children but. esotropia less than IDA in adults.
Adult* ; Child ; Esotropia ; Exotropia* ; Humans

BACKGROUND: Funnel chest is one of the most common anomaly of chest wall, which is manifested by depression of sternum and costal cartilage. Popular operative methods were Ravitch operation and Wada operation. MATERIAL AND METHOD: From 1983 to 1996, 21 cases of funnel chest were corrected surgically in the department of thoracic surgery, National Medical Center. Investigated age and sex distribution, combined anomaly,clinical symptom, degree of correction and complication, postoperative satisfaction. We used 2 different surgical methods, one was Wada & its variants(17 cases), the other was Ravitch and it variants(4 cases). Most of operative indications were cosmetic problems. RESULT: The pre-operative Welch index was 4.188, but this index decreased to 3.46 after the operations.(p=0.046) The degree of correction was higher in Wada & it variant operation than the modified Ravitch operation.(p=0.54) Their results were satisfactory in 20 patients, while unsatisfactory in 1 patient because of a k-wire fracture. There was no recurrence of chest wall depression or postoperative death during the OPD follow up period. CONCLUSION: We recommend Wada operation in symmetric and small degree of depressive chest wall deformity in preand post school age.
Cartilage ; Congenital Abnormalities ; Depression ; Follow-Up Studies ; Funnel Chest* ; Humans ; Postoperative Complications ; Recurrence ; Sex Distribution ; Sternum ; Thoracic Surgery ; Thoracic Wall

Angiomyolipoma is considered by many authors to be a hamartoma, occurring in a sporadic form or in association with tuberous sclerosis. This lesion consists of thick walled blood vessels, smooth muscle, and mature adipose tissue in varying amounts. We have experienced a case of the angiomyolipoma composed of monotypic epithelioid cells. The patient was a 69-year-old female. Clinically, there was no evidence of tuberous sclerosis. Microscopically, the tumor was composed of polygonal cells with abundant eosinophilic granular or clear cytoplasm, pleomorphic nuclei, prominent nucleoli, and multinucleated giant cells. The tumor cells showed positive reaction for HMB45, CD68, smooth muscle actin, and S-100, and negative reaction for epithelial membrane antigen, cytokeratin, vimentin, desmin, CD34, estrogen receptor, and progesterone receptor. Ultrastructual analysis showed the presence of glycogen, mitochondria, and other microorganelles in neoplastic cells. Melanosome or premelanosome was not identified.
Actins ; Adipose Tissue ; Aged ; Angiomyolipoma* ; Blood Vessels ; Cytoplasm ; Desmin ; Eosinophils ; Epithelioid Cells ; Estrogens ; Female ; Giant Cells ; Glycogen ; Hamartoma ; Humans ; Keratins ; Kidney* ; Melanosomes ; Mitochondria ; Mucin-1 ; Muscle, Smooth ; Receptors, Progesterone ; Tuberous Sclerosis ; Vimentin