No abstract available.
Diagnostic Tests, Routine* ; Hantaan virus*

Mediastinal fibrosis is pathologically characterized by chronic inflammation and fibrosis of mediastinal soft tissue. Mediastinal fibrosis is local expression of a family of systemic fibrosing syndroms. This can result in compression of adjacent mediastinal structures. Idiopathic fibrosing syndromes include retroperitoneal fibrosis, sclerosing cholangitis of the orbit and fibrosis of the thyroid gland(Riedel's struma). The cause of these disorders is obscure, in some instance there is an underlying malignancy, infection, history of drug ingestion, or trauma with retoperitoneal bleeding. Treatment of mediastinal fibrosis depends on structures involved by the fibrotic process. The disease is self limited in most case or improved by steroids uses. We experienced a case of idopathic solerosing mediastinitis with orbital fibrous dysplasia of unknown cause, which was confirmed by open lung biopsy, so reported it with a review of literature.
Biopsy ; Cholangitis, Sclerosing ; Eating ; Fibrosis* ; Hemorrhage ; Humans ; Inflammation ; Lung ; Mediastinitis ; Orbit ; Retroperitoneal Fibrosis ; Steroids ; Thyroid Gland

We report two cases of vulvar syringorna in a 40-year-old women and a 28-year-old woman who had 2-3mm sized, brownish papules on both valvar areas an l-3rnm sized, yellow-brownish papules on both vulvar ares with yellowish milia-like lesion the surface, respectively. Microscopically the lesions revealed characteristic findings of syrinzoiza However the second case showed a small cystic duct in the papillary dermis, which is lineilly a stratified epithelium and filled with concenteric lamellae of keratin.
Adult ; Cystic Duct ; Dermis ; Epithelium ; Female ; Humans ; Syringoma* ; Vulva

BACKGROUND: The regurgitative valvular heart diseases are important underlying diseases that result in congestive heart failure, and the prevalence increase with the increasing age. Early detection and management of the regurgitative valvular heart disease could decrease the morbidity and mortality rate of the elderly. METHODS: We reviewed medical records of 425 patients who visited KonKuk University Medical Center ChungJu Hospital for the echocardiography between April 1994 to September 2000. 281 out of 425 patients were diagnosed with regurgitative valvular heart disease, and they were analyzed according to their age, sex, underlying disease, and accompaniment of congestive heart failure. Also the relationships between the regurgitative valvular heart disease and fractional shortening(FS), and also with ejection fraction(EP) were analyzed. RESULTS: There were 281 patients diagnosed with regurgitative valvular heart disease. Greatest number of patients was diagnosed with MR, followed by AR, TR and PR, accordingly. The prevalence of regurgitative valvular heart disease increased as the age increased. The prevalence of regurgitative valvular heart disease in male patients were 74% and for female patients, 62%. For patients with hypertension, it was 59%, and for DM patients it was 60%. For patients with past history of ischemic heart disease, or congestive heart failure, the prevalences of regurgitative valvular heart disease were high. FS for the patients with regurgitative valvular heart disease was 28.91% compared 32.69% for the patients without regurgitative valvular heart disease. EF for the patients with regurgitative valvular heart disease was 54% compared to the 60% for without regurgitative valvular heart disease. The FS for patients with symptomatic regurgitative valvular heart disease was 23.86% compared to 27.7% for asymptomatic group. The EF for symptomatic regurgitative valvular heart disease was 46.2% compared to 52.3% for asymptomatic group. CONCLUSION: When 2D-echocardiography was performed on elderly patients who were older than 65 years of age, most of them featured degenerative structural changes in valves and deterioration of valvular functions resulting in regurgitative valvular heart disease. When patients had any symptoms or underlying diseases, the decrease in cardiac function and high prevalence of regurgitative valvular heart disease were apparent. Therefore in elderly patients, even if they are asymptomatic or without any underlying diseases, aggressive diagnostic approaches and early intervention may delay the progress of valvular heart disease.
Academic Medical Centers ; Aged* ; Chungcheongbuk-do ; Early Intervention (Education) ; Echocardiography ; Female ; Heart Failure ; Heart Valve Diseases* ; Humans ; Hypertension ; Male ; Medical Records ; Mortality ; Myocardial Ischemia ; Prevalence

No abstract available.
Lymphangioma, Cystic*

Patellofemoral instability, by definition, is a condition where the patella bone pathologically disarticulates out from the patellofemoral joint, either through subluxation or complete dislocation. The overall incidence of patellofemoral instability ranges between 5.8 and 29 per 100,000. Over time, patients with patellar instability can have debilitating pain, limitations in basic function, and long-term arthritis.Current Concepts: Risk factors for patellofemoral instability include trochlear dysplasia, patella alta, increased tibial tubercle-to-trochlear groove distance, abnormal patella lateral tilt, and coronal and torsional malalignment. The proper treatment is often debatable. Conservative treatment is suitable for acute dislocation but has a high failure rate for chronic instability, which usually necessitates surgical treatment. Today’s common surgical treatments focus on fixing anatomical defects, relieving symptoms of instability, and allowing patients to return to a suitable level of activity.Discussion and Conclusion: In this review, we summarize the relevant pathophysiology, categorization, clinical features, physical examination, imaging, and treatment options for patellofemoral instability.

PURPOSE: This study evaluated total hip replacement arthroplasty (THRA) combined with a double-chevron subtrochanteric osteotomy for the treatment of neglected highly dislocated hips in adults. MATERIALS AND METHODS: Six cases treated with THRA combined with a double-chevron subtrochanteric osteotomy under the diagnosis of a neglected highly dislocated hip (Crowe classification IV) from April 1997 to October 2001 were followed up for between 21 months and 75 months. Harris hip scores, leg length discrepancy pre and postoperatively, osteotomy site union and implant loosening were chekced. RESULTS: The average Harris hip score increased from 61 points preoperatively to 94 points postoperatively. The average leg length discrepancy was decreased from 6 cm preoperatively to 1.8 cm postoperatively. Bone union of the osteotomy site was obtained at 4 months after surgery. The radiographs showed no acetabular and femoral loosening sign at the latest follow up. CONCLUSION: According to the clinical and radiological assessments, THRA combined with doublechevron subtrochanteric osteotomy gave satisfactory results in adults with a neglected highly dislocated hip in adults on a midterm follow up.
Acetabulum ; Adult* ; Arthroplasty* ; Arthroplasty, Replacement, Hip* ; Classification ; Diagnosis ; Follow-Up Studies ; Hip* ; Humans ; Leg ; Osteotomy*

PURPOSE: To define the natural history and treatment of osteofibrous dysplasia, we compared the clinical courses of two groups: one group with a surgical treatment and the other group with a conservative treatment. MATERIALS AND METHODS: Seven cases (4 male, 3 female) were followed for more than two years (average f/u: 7 years 2 months). Four cases conservatively and three cases operatively by curettage and bone graft. Were treated the clinical and radiological findings of the two groups were compared. RESULTS: Two of three cases that received surgical treatment had been diagnosed with lesion recurrence by radiography, which showed expansion of the cortical shell, resorption of grafted bone, and reactive bone formation. One other case exhibited shrinkage and confinement of the lesion to the anterior cortex. Two cases, which were treated conservatively, showed shrinkage of the lesion and an other two cases showed no change in the size in radiogram. CONCLUSION: Asymmetrical intra-cortical osteolytic lesion of the tibia in children should be suspected as osteofibrous dysplasia and carefully observed until skeletal maturity, unless the structural integrity is seriously endangered.
Child* ; Curettage ; Fibroma, Ossifying ; Humans ; Male ; Natural History ; Osteogenesis ; Radiography ; Recurrence ; Tibia* ; Transplants

An inverted appendix is a rare condition that occurs congenitally or is the result of surgery or intussusception associated with diseases such as appendix tumors, mucocele, fecalith, or worms. An inverted appendix produces similar abdominal symptoms to acute appendicitis, that vary from non-specific to acute or chronic pain in the right lower abdomen. There are no reports of this condition in Korea that the authors are aware of. We report a case 31-year-old male who visited our hospital complaining of pain in the right lower abdomen. A barium enema showed a moving tubular filling defect. An inverted appendix that appeared as a polyp was dissected by colonoscopy.
Abdomen ; Adult ; Appendicitis ; Appendix* ; Barium ; Chronic Pain ; Colonoscopy ; Enema ; Fecal Impaction ; Humans ; Intussusception ; Korea ; Male ; Mucocele ; Polyps

An inverted appendix is a rare condition that occurs congenitally or is the result of surgery or intussusception associated with diseases such as appendix tumors, mucocele, fecalith, or worms. An inverted appendix produces similar abdominal symptoms to acute appendicitis, that vary from non-specific to acute or chronic pain in the right lower abdomen. There are no reports of this condition in Korea that the authors are aware of. We report a case 31-year-old male who visited our hospital complaining of pain in the right lower abdomen. A barium enema showed a moving tubular filling defect. An inverted appendix that appeared as a polyp was dissected by colonoscopy.
Abdomen ; Adult ; Appendicitis ; Appendix* ; Barium ; Chronic Pain ; Colonoscopy ; Enema ; Fecal Impaction ; Humans ; Intussusception ; Korea ; Male ; Mucocele ; Polyps