1.RECONSTRUCTION OF AN ANAL SPHINCTER USING THE GLUTEUS MAXIMUS MUSCLE.
Sang Young JUNG ; Bong Soo RYU ; Myung Ju LEE ; Jeong Yeol YANG ; Jung Yong KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(3):608-613
Anal incontinence following pelvic trauma, surgery, or neurologic disorders has significant medical and social implication. Both Chetwood in 1902 and Bistom in 1944 utilized coccygeal origin portion of the gluteus maximus muscle for the anal sphincter reconstruction. The gluteus maximus muscle is a broad, fan-shaped muscle with a wide origin from the ilium sacrum and coccyx and a narrow insertion along the iliotibial band of the lateral femur. Its blood supply is from the inferior gluteal artery and its innervation is from L-5, S-1 roots by means of the inferior gluteal nerve Incisions are placed at the inferior border of the ischial tuberosity. Subcutaneous tunnels are created about the rectum and gluteal and perirectal incisions. Two overacting slings are being created Their opposing pull creates sphincter or valve effect about the distal rectum. We have experienced 2 cases of irregular, deep soft tissue defects of the perianal region requiring muscle coverage with the gluteus maximus muscle overlapping slings. We think the use of the gluteus maximus muscle is one of the most useful method for reconstruction of the anal sphincter mechanism.
Anal Canal*
;
Arteries
;
Coccyx
;
Femur
;
Ilium
;
Nervous System Diseases
;
Rectum
;
Sacrum
2.Infection in systemic lupus erythematosus, similarities, and differences with lupus flare.
The Korean Journal of Internal Medicine 2017;32(3):429-438
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with diverse manifestations, and its pathogenesis is unclear and complicated. Infection and SLE are similar in that they both cause inf lammatory reactions in the immune system; however, one functions to protect the body, whereas the other is activated to damage the body. Infection is known as one of the common trigger factors for SLE; there are a number of reports on infectious agents that provoke autoimmune response. Several viruses, bacteria, and protozoa were revealed to cause immune dysfunction by molecular mimicry, epitope spreading, and bystander activation. In contrast, certain pathogens were revealed to protect from immune dysregulation. Infection can be threatening to patients with SLE who have a compromised immune system, and it is regarded as one of the common causes of mortality in SLE. A clinical distinction between infection and lupus f lare up is required when patients with SLE present fevers. With a close-up assessment of symptoms and physical examination, C-reactive protein and disease activity markers play a major role in differentiating the different disease conditions. Vaccination is necessary because protection against infection is important in patients with SLE.
Autoimmune Diseases
;
Autoimmunity
;
Bacteria
;
C-Reactive Protein
;
Fever
;
Humans
;
Immune System
;
Lupus Erythematosus, Systemic*
;
Molecular Mimicry
;
Mortality
;
Physical Examination
;
Vaccination
3.Ovarian Paragonimiasis: A case report.
Shin Mong KANG ; Yong Koo PARK ; Ju Hie LEE ; Jung Eun MOK ; Moon Ho YANG
Korean Journal of Pathology 1988;22(3):336-339
The authors report a case of ectopic paragonimiasis in a 33 year old Korean housewife who came to the hospital because of lower abdominal discomfortness and palpable mass. Parasitic granulomas involved the ovary and posterior wall of the uterine body. This report deals with the rare occurrence of a parasitic infestation in the ovary.
4.Ovarian Paragonimiasis: A case report.
Shin Mong KANG ; Yong Koo PARK ; Ju Hie LEE ; Jung Eun MOK ; Moon Ho YANG
Korean Journal of Pathology 1988;22(3):336-339
The authors report a case of ectopic paragonimiasis in a 33 year old Korean housewife who came to the hospital because of lower abdominal discomfortness and palpable mass. Parasitic granulomas involved the ovary and posterior wall of the uterine body. This report deals with the rare occurrence of a parasitic infestation in the ovary.
5.An Epidemiological Study of Bronchial Asthma in Children Who Visited the Emergency Room.
Ju Kwan PARK ; En Jung KIM ; Bok Yang PYUN ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1989;32(2):215-222
No abstract available.
Asthma*
;
Child*
;
Emergencies*
;
Emergency Service, Hospital*
;
Epidemiologic Studies*
;
Humans
6.An Epidemiological Study of Bronchial Asthma in Children Who Visited the Emergency Room.
Ju Kwan PARK ; En Jung KIM ; Bok Yang PYUN ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1989;32(2):215-222
No abstract available.
Asthma*
;
Child*
;
Emergencies*
;
Emergency Service, Hospital*
;
Epidemiologic Studies*
;
Humans
7.Extramammary Paget's Disease on the Face.
Jae Yang PARK ; Dong Ju HYUN ; Hee Jung LEE ; Dong Hyun KIM ; Moon Soo YOON
Korean Journal of Dermatology 2015;53(2):171-173
No abstract available.
Paget Disease, Extramammary*
8.Dental Fragment Embedded in the Upper Lip after Dentofacial Trauma.
Dong Ju HYUN ; Jae Yang PARK ; Hee Jung LEE ; Dong Hyun KIM ; Moon Soo YOON
Korean Journal of Dermatology 2015;53(10):811-812
No abstract available.
Lip*
9.Update of Sjogren's Syndrome.
Journal of Rheumatic Diseases 2015;22(3):146-153
We reviewed the recent findings in diagnosis, pathogenesis and management of Sjogren's syndrome. New diagnostic classification criteria for Sjogren's syndrome were published by the American College of Rheumatology in 2012, and validation was completed. Salivary gland ultrasonography has been examined as a diagnostic and prognostic marker for Sjogren's syndrome, and the results have revealed that it has high specificity and low sensitivity. Disease activity assessment tools for Sjogren's syndrome have been developed and validated for upcoming clinical trials. Several associated genes were identified by genome-wide association studies, with large cohorts in Europe and China. Several single nucleotide polymorphisms of Sjogren's syndrome are related to germinal center formation and lymphoma development. New treatment modalities, including interleukin-1 receptor antagonist, anti-CD20, anti-BAFF/Blys, and CTLA4-immunoglobulin were investigated, but the optimal therapeutic compounds have yet to be found.
China
;
Classification
;
Cohort Studies
;
Diagnosis
;
Europe
;
Genome-Wide Association Study
;
Germinal Center
;
Interleukin-1
;
Lymphoma
;
Polymorphism, Single Nucleotide
;
Rheumatology
;
Salivary Glands
;
Sensitivity and Specificity
;
Sjogren's Syndrome*
;
Ultrasonography
10.A Case of Lung Metastasis of Testicular Yolk Sac Tumor.
Ho Ju YOON ; Hyun Kyung CHO ; Jung Sik CHUN ; Chang Kyu OH ; Mahn Kyoo YANG
Journal of the Korean Pediatric Society 1982;25(12):1275-1279
No abstract available.
Endodermal Sinus Tumor*
;
Lung*
;
Neoplasm Metastasis*
;
Yolk Sac*