We experienced a case of granulation tissue occuring in lateral sulci of the right thumb, index, middle and left thumb, middle finger nails in 71-year-old psoriatic male patient taking 5pmg daily(0.6mg/kg/day) during 4th week of etretinate therapy. The excision of the granulation lesion and partial nail ablation was performed and his doses was lowered to 25mg daily (0. 3mg/kg/day). The condition were resolved with no recurrence 4 weeks later after the operation.
Acitretin* ; Aged ; Etretinate* ; Fingers ; Granulation Tissue* ; Humans ; Male ; Nails ; Recurrence ; Thumb

No anstract available.
Magnetic Resonance Imaging* ; Spine*

Superficial angiomyxoma is a comparatively rare dermal and subcutaneous tumor. We report a case of superficial angiomyxoma of the thumb in view of its rarity and typical light and electronmicroscopic features. The patient was a 46-year-old male. who presented with an asymptomatic, slowly enlarging mass that developed in the left thumb over the 5 years. He had a history of trauma and electric burn in the same area 20~30 years ago. Simple X-ray and magnetic resonance imaging revealed 35x30mm, mass with destruction of distal phalangeal bone. On operation, the lesion was moderately well circumscribed and soft with lobulated nodules that elevated the overlying skin and destroyed the underlying bone. The cut surface of the mass was glistening and slimy. The mass was whitish gray and lobulated. Bony involvement was not present. Microscopically, the tumor was composed of stellated and spindle shaped stromal cells which were scattered throughout myxoid ground substance. Neither nuclear hyperchromasia nor plemorphisam was present. Small to medium sized thin walled blood vessels were scattered. There was a scanty infiltrate of inflammatory cells. The S-100 protein immunostaining was negative in tumor cells. On electron microscopy, the cytoplasm of the stromal cells contained well developed rough ednoplasmic reticulums and other features that indicated differentiation toward fibroblasts.

No abstract available.
Ichthyosiform Erythroderma, Congenital*

We report here-in a case of benign hemangioendothelioma occurring in a 2 day-old male neonate on central portion of lumbar area. The lesion was movable, and elevated firm nodule, measuring 1.5x2.0 cm in size. For the purpose of diagnosis and therapy, excisional biopsy was performed, which revealed typical histopathologic pictures in the deep dermis and subcutaneous area. The lesion showed no recurrence at follow-up check after 6 months.
Biopsy ; Dermis ; Diagnosis ; Follow-Up Studies ; Hemangioendothelioma* ; Hemangioma ; Humans ; Infant, Newborn ; Male ; Recurrence

A case of multilocular solitary cyst of the kidney containing approximately 5000 ml. of fluid has been reported along with a literatural review.
Bone Cysts* ; Kidney*

We report a case of hepatoma with duodenal metastasis in a 53 year-old male patient. Hepatoma was confirmed by fine needle aspiration cytology technique, and duodenal metastasis by gastrofiberscopic biopsy. Duodenal metastasis of hepatoma is rare. We briefly review the role of fine needle aspiration cytology technique in diagnosis of hepatoma.
Biopsy ; Biopsy, Fine-Needle ; Carcinoma, Hepatocellular ; Child* ; Diagnosis ; Endodermal Sinus Tumor ; Humans ; Male ; Mediastinum ; Middle Aged ; Neoplasm Metastasis ; Proteinuria* ; Specific Gravity*

We recently obsesved an unusual case of visual loss after the facial injection of autologous fat. A 42-year-old woman underwent autologous fat injection into the temple area to reduce facial wrinkles. The procedure was performed by a surgeon at local clinic. The patient immediately complained of severe right hemicranial pain and lid swelling. She vistied to the ophthalmic department of our hospital 1 week later because of total loss of vision on the right eye. We believe that the cause of blindness was multiple microembolization in the central retinal artery and posterior ciliary branches of the ophthalmic artery via lateral palpebral artery.
Adult ; Arteries ; Blindness ; Choroid* ; Female ; Humans ; Ophthalmic Artery ; Retinal Artery ; Retinaldehyde*

The term ectropion denotes an outward turning or eversion of the eyelid margin. Depending on the mechanism of its causation may be classified into five types-spastic, senile, paralytic, mechanical and cicatricial. Cicatricial ectropion results most frequently from burns and is the result of the destruction of skin of the eyelid and of the surrounding facial area. Cicatricial ectropion must be treated by some form of blepharoplasty. The milder degrees of deformity may be corrected by local procedures, such as converting a V-shaped incision into a Y; but more extensive contractures necessitate the excision of scar tissue and its replacement by grafting, using either the pedicle or free methods. The authors treated a case of cicatricial ectropion of the upper and lower eyelids due to burn with full thickness skin graft.
Blepharoplasty ; Burns ; Cicatrix ; Congenital Abnormalities ; Contracture ; Ectropion* ; Eyelids ; Skin ; Transplants

Granular corneal dystrophy is characterized by the presence of milk-white spots in the superficial stroma typically lying underneath Bowman's membrane in the axial region of the cornea. This corneal dystrophy was first described by Groenouw in 1890. Since then, not only this dystrophy but also many other types of familial corneal dystrophies have been described. In 1938 Bucklers classified the corneal dystrophy into three types; granular, lattice and macular corneal dystropy. Granular corneal dystrophy was inherited as an autosomal dominant characteristics. It begins in the first decade of life becoming obious at about the age of puberty. The early leasions are small, discrete, grayish-white spots in the superficial stroma of both corneas, and as the condition advances, the lesions are more evident and of various sizes and shapes. This opacities are confined mostly to the axial portion of the cornea. There is no decrease in coreal sensitivity nor any vascularization. Gradually the opacities enlarge, thicken and coalesce into irregular granules hooks, rings and streaks of whitish color and glassy structure. The progress of the disease is usually slow, and moderately good vision often remains in the fourth or fifth decade. The main histopathologic feature is the deposition of a hyalin-like material in the corneal stroma. When the opacification or the irritative epis:xles become disabling, corneal grafting may be indicated. The cases reported here are granu'lar dystrophies which involved four daughters of one family.
Adolescent ; Bowman Membrane ; Cornea ; Corneal Stroma ; Corneal Transplantation ; Deception ; Humans ; Nuclear Family ; Puberty