A case of giant hydronephrosis containing 9,500 cc, simulating ascites due to 'cirrhotic liver in a twenty. three year old male, is presented. The differential diagnosis and the important clinical, laboratory and X-ray features are discussed with brief literatual review.
Ascites ; Diagnosis, Differential ; Humans ; Hydronephrosis ; Liver ; Male

Cutaneous horn is a clinical term for a circumscribed concial hyperkeratotic mass amounts to at least half of its largest diameter. The number of lesion may be single or multiple. We report herein a cases of penile cutaneous horn in a 22-year-old male. He had dark brownish colored conical shaped protruded mass on the penile shaft for about 2 months. We performed excisional biopsy and curettage. Histopathologic findings showed verruca vulgaris.
Animals ; Biopsy ; Curettage ; Horns* ; Humans ; Male ; Warts ; Young Adult

Primary sinonasal NK/T cell lymphoma is relatively common in Asia than in Western countries, comprising up to 7% of all Non-Hodgkin's lymphoma with a marked preponderance demonstrating a NK/T-cell phenotype. Sinonasal NK/T cell lymphoma is typically associated with abundant crust on mucosal surface, widespread necrosis, and extensive inflammation. Sinonasal NK/T cell lymphoma is characterized by a progressive clinical course and poor prognosis, and histologically, it shows angioinvasion and necrosis. It is referred to by such terms as non-healing granuloma, lethal granuloma or midline granuloma. Treatment of NK/T cell lymphoma consists of radiotherapy, chemotherapy, or both. We experienced a case of sinonasal NK/T cell lymphoma in a 65 year old man who complained of periorbital swelling.
Aged ; Asia ; Drug Therapy ; Granuloma ; Humans ; Inflammation ; Lymphoma* ; Lymphoma, Non-Hodgkin ; Necrosis ; Paranasal Sinuses ; Phenotype ; Prognosis ; Radiotherapy

Bilateral loss of vestibular sensation from injuries of vestibular hair cells causes individuals suffering poor vision during head movement, postural instability, chronic disequilibrium, and cognitive distraction. A vestibular prosthesis analogous to cochlear implants but designed to modulate vestibular nerve activity during head movement should improve quality of life for these chronically dizzy individuals. An implantable prosthesis that partly restores normal activity on branches of the vestibular nerve should improve quality of life for individuals disabled by this disorder. There have been many efforts to develop and restore 3-dimensional angular vestibule-ocular reflex and the Johns Hopkins vestibular neuro-engineering laboratory has been developing a head-mounted multichannel vestibular prosthesis that restores sufficient semicircular canal function to partially recreate a normal 3-dimensional angular vestibulo-ocular reflex. In this review, their results are described.
Cochlear Implants ; Dizziness ; Ear, Inner ; Hair Cells, Vestibular ; Head Movements ; Prostheses and Implants ; Quality of Life ; Reflex ; Reflex, Vestibulo-Ocular ; Semicircular Canals ; Sensation ; Stress, Psychological ; Vestibular Nerve ; Vision, Ocular

BACKGROUND: Reinkes edema is characterized by swelling of the vocal folds, and its etiology and pathogenesis have not yet been established. OBJECTS AND METHODS: We reviewed medical records of 25 patients (14 male and 11 female) who had undergone operation from 1996 to 1998. Post-operative voice lab and skin prick tests were done after 3 months when patients visited hospital. Telephone questionnaires were carried out about smoking and laryngopharyngeal reflux. RESULTS: In the smoking pattern, most patients (18/25) smoked more than 10 packs a year. Twelve patients (48%) complained of laryngopharyngeal reflux symptoms and 4 patients were positive for the skin prick test, Pre- and post-operative voice lab results showed that shimmer and phonation time changed significantly in women patients. Jitter, shimmer, phonation time, mean flow rate, vocal efficiency and subglottic pressure changed significantly in men patients. CONCLUSION: Smoking and laryngopharyngeal reflux may play an important role in developing Reinkes edema and phonatory quality will be improved after proper surgical procedure.
Edema* ; Female ; Humans ; Laryngeal Edema ; Laryngopharyngeal Reflux ; Male ; Medical Records ; Phonation ; Surveys and Questionnaires ; Skin ; Smoke ; Smoking ; Telephone ; Vocal Cords ; Voice*

Hand tumorsare many and varied, although benign tumors are common. The pathology and histology of these tumors are not unlike these characteristics of the tumor when it occurs elsewhere. Early diagnosis and proper treatment of all hand tumors have been emphasized since the growth of tumors and pain can cause disturbance of intrinsic function of the hand. For the period of 10 years from 1977 to 1986, 105 cases of hand tumor were treated surgically and the results of clinical observation were as follows ; l. Among 105 cases, benign tumor was 101 cases(96.2%) Bone origin tumor was 20 cases, in which enchondroma and enchondromatosis were 17 cases(70%). Soft tissue origin tumor was 85 cases, in which ganglion was 54 cases(63.5%). 2. Among 105 cases, 42 cases were male and 63 cases were female. In age distribution, it showed even distribution. 3. In the duration of wymptom, 51 cases were below 1 year(48.6%). 4. The tumor occured 85 cases in soft tissue, 14 in phalanx, 7 in metacarpal and 1 in carpal bone. 5. The tumors were treated by excision or curettage and bone graft with good improvement, but postoperatively recurred in 2 cases of Hemangioma. Ampuation was performed in 3 cases of malignant tumors without recurrence.
Age Distribution ; Carpal Bones ; Chondroma ; Clinical Study ; Curettage ; Early Diagnosis ; Enchondromatosis ; Female ; Ganglion Cysts ; Hand ; Hemangioma ; Humans ; Male ; Pathology ; Recurrence ; Transplants

Folliculosebaceous cystic hamartoma is a rare, benign condition. The histological criteria of folliculosebaceous cystic hamartoma have been well established by Kimura et al. We report two cases of folliculosebaceous cystic hamartoma which showed typical histological findings. As far as we know, it has not yet been reported in Korean dermatological literature. The first case is a 23-year-old man who had a pedunculated nodule on the scalp. The second one is a 46-year-old man who had a bean sized pedunculated nodule on the left cheek.
Cheek ; Hamartoma ; Humans ; Middle Aged ; Scalp ; Young Adult

BACKGROUND: Seborrheic dermatitis is a very common chronic inflammatory disease. The causal factor of the disease is still unknown, but early investigators focused on the role of Malassezia yeasts. These yeasts are also normal skin commensals, thus their importance as pathogens in this disorder came to be doubted. However, it was subsequently found that treatment of seborrheic dermatitis with an antifungal agent not only resulted in clinical improvement but also reduced the number of Malassezia yeasts on the skin. OBJECT: The purpose of this study is to confirm relationship between seborrheric dermatits and Malassezia yeast, and to evaluate the therapeutic efficacy of oral itraconazole in the seborrheic dermatitis. METHODS: Using the scrub-wash technique in the glabella and swabbing technique in the scalp, the number of cultured Malassezia yeasts were counted in 30 patients with seborrheic dermatitis and 20 control persons. The patients took itraconazole, 100mg/day, during 4weeks. The clinical and mycologic score were measured at the initial evaluation, followed after 2weeks and 4weeks RESULT: The number of Malassezia yeasts in patient with seborrheic dermatits were significantly higher than in normal control group. There was statistically significant decrease in the clinical and mycological score after a 4 week trial of oral itraconazole in the seborrheic dermatitis group. CONCLUSION: This study indicates that Malassezia yeast may be one of the important causative factor of seborrheic dermatitis and itraconazole plays an important role in the treatment of seborrheic dermatitis
Dermatitis, Seborrheic* ; Humans ; Itraconazole* ; Malassezia ; Research Personnel ; Scalp ; Skin ; Yeasts

No abstract available.
Knee* ; Magnetic Resonance Imaging*

Dermatophytosis is a superficial infection caused by dermatophytes, a group of taxonomically related fungi. Dematophytes have the ability to form molecular attachments to keratin, use it as a source of nutrients, and then colonize keratinized tissues, including the stratum corneum of the epidermis, hair, nails, and the horny tissues of animals. For an effective treatment of dermatophytosis, antifungal agents must be able to reach dermatophytes in the keratin layer. The concentration of these drugs must also be maintained above therapeutic level for a sustained period of time. Newer oral antifungal agents, itraconazole, terbinafine, and fluconazole are widely used because of the improved therapeutic efficacy and an acceptable adverse effects profile. However, the drugs have different amount of the dose and period of administration, and the interaction of each individual agent is unique in each type of drugs. Therefore, an extreme caution must be exercised during the prescription of these antifungal agents.
Animals ; Antifungal Agents ; Arthrodermataceae ; Colon ; Epidermis ; Fluconazole ; Fungi ; Hair ; Itraconazole ; Keratins ; Nails ; Naphthalenes ; Prescriptions ; Tinea