2.The Effects of Single Epidural Triamcinolone Injection on the Blood ACTH and Cortisol Level.
Sung Jung CHO ; Young Jung YOON ; In Bae LEE ; Chang Woo CHUNG ; Hong Youl KIM
Korean Journal of Anesthesiology 1997;33(4):692-696
BACKGROUND: Epidural steroids injections are often used for the treatment of low back pain but their effects on the endocrine system have not been determined. Few studies have quantified the degree or duration of the suppression of the hypothalamic-pituitary-adrenal (HPA) axis in humans given epidural triamcinolone injection (ETI) for low back pain. The evaluation of the blood adrenocorticotropic hormone (ACTH) and cortisol was undertaken to determine the extent of suppression of the HPA axis in patients given ETI. METHODS: Lumbar epidural triamcinolone injections were performed on the painful lumbar intervertebral space with patients in the lateral decubitus position. The injection consisted of 40 mg of triamcinolone acetonide diluted in 10 mL of 1% lidocaine. Patients remained in the lateral position for 10 min after the procedure. Basal blood sampling was performed at 30 min before ETI and tested blood sampling was obtained at 7 days, 10 days, and 14 days after ETI. RESULTS: The blood cortisol level was significantly decreased at 7 days and 10 days but at 14 days was not significantly decreased and the blood ACTH level was not significantly decreased at 7 days, 10 days, and 14 days. CONCLUSIONS: Above results demonstrate that blood ACTH and cortisol level normalize 7 days and 14 days, respectively, after epidural triamcinolone 40 mg injection.
Adrenocorticotropic Hormone*
;
Axis, Cervical Vertebra
;
Endocrine System
;
Humans
;
Hydrocortisone*
;
Lidocaine
;
Low Back Pain
;
Steroids
;
Triamcinolone Acetonide
;
Triamcinolone*
3.A Case of Angiocentric Lymphoma Mimicking Behcet's Disease.
Jung Youl LEE ; Kyu Wang WHANG ; Hyun CHUNG ; Young Keun KIM
Annals of Dermatology 1997;9(1):22-25
We report a case of angiocentric lymphoma in a 41-year-old female who complained chiefly of a genital ulcer and a bulging conjunctiva on the right eye. She had a history of a re-current oral ulcer over a 5 year period and a genital ulcer over 3 years. The above manifested clinical findings may suggest Behcet's disease. However, a biopsy from the upper vaginal wall and the inferior turbinate showed that atypical small and large lymphocytes with hyper-chromatic, elongated and convoluted nuclei had aggregated around the thickened blood vessels, which is consistent with angiocentric lymphoma. Immunophenotypically, the atypical cells were positive for pan T-cell markers not B-cells. Serologically, the patient showed a high titer of i?B virus viral capsid antigen(VCA) IgG.
Adult
;
B-Lymphocytes
;
Biopsy
;
Blood Vessels
;
Capsid
;
Conjunctiva
;
Female
;
Humans
;
Immunoglobulin G
;
Lymphocytes
;
Lymphoma*
;
Oral Ulcer
;
T-Lymphocytes
;
Turbinates
;
Ulcer
4.A study of serum transaminase level and it's correlation with several symptoms in children with HRV gastroenteritis.
Gang Youl BAE ; Eui Tak OH ; Woo Sik JUNG ; Kil Seo KIM
Journal of the Korean Pediatric Society 1993;36(8):1146-1155
The retrospective study was taken to study the serum transaminase level and it's correlation with several symptoms in human rotavirus gastroenteritis. 494 children, who admitted to the Department of Pediatrics in Dae Dong Hospital from January 1991 to December 1991 with chief complaints of waterdy diarrhea were included in studies. The 1st stool specimen on admission was tested for rotavirus Ag by ELLSA method. and than serum transaminase were checked. The results are as follows: 1) The peak incidence being between 6 months to 2 years in both group, but higher incidence was noted in Non-HRV group. Males are more common than females by ratio of about 2:1. 2) The major symptoms in order of frequency was diarrhea>dehydration>vomiting>coughing>fever in HRV group, diarrhea>dehydration=vomiting>fever>coughing in Non-HRV group. The incidence of dehydration and coughing in HRV group were higher than in Non-HRV group. 3) AST & ALT elevation above the normal value were 83.2% (213/256), 52.0% (133/256) in HRV group and 45.3% (116/238), 22.3% (57/238) in Non-HRV group. AST & ALT were significantly increased in HRV group than Non-HRV group (AST: p<0.05, ALT: p<0.05). 4) Mean concentration of AST & ALT were 46. 82, 38.06 in HRV group and 29.06, 21.23 in Non-HRV group. Mcan concentration of AST & ALT were significantly increased in HRV group than Non-HRV group (AST: p <0.05, ALT: p<0.05). 5) Mild dehydration is relatively more common in both group. The frequency were 56.6% (145/256) in HRV group, 47.5% (113/238) in Non-HRV group. The degree of dehydration was not correlated with serum transaminase level at each group(HRV group: p>0.05, Non-HRV group: p>0.05). 6) Duration of diarrhea for 4-5 days & 1-3 days were relatively more common in HRV group than Non-HRV group. The frequency were 36.3% (93/256) in HRV group and 34.9% (83/268) in Non-HRV group. The degree of diarrhea were not correlated with serum transaminase level at each group (HRV group: p>0.05, Non-HRV group: p>0.05). 7) No fever or duration of fever for 1-2 days were relatively more common in both group. The frequency were 39.9% (102/256), 37.5% (96/256) in HRV group and 38.2% (91/238), 42.5% (101/238) in Non-HRV group. The degree of fever was not correlated with serum transaminase level in HRV group, but correlated with Non-HRV group (HRV group: p>0.05, Non-HRV group: p<0.05).
Child*
;
Cough
;
Dehydration
;
Diarrhea
;
Female
;
Fever
;
Gastroenteritis*
;
Humans
;
Incidence
;
Male
;
Pediatrics
;
Reference Values
;
Retrospective Studies
;
Rotavirus
5.Three cases of uterine leiomyoma treated with GnRH agonist(Decapeptyl) in unmarried young women.
Kyoung Youl OH ; Gyu Mi SHIN ; Ok Leyn HONG ; Jung Hye KIM
Korean Journal of Obstetrics and Gynecology 1992;35(4):599-608
No abstract available.
Female
;
Gonadotropin-Releasing Hormone*
;
Humans
;
Leiomyoma*
;
Single Person*
6.Accessory jaw bone: report of a case.
Sun Youl RYU ; Hee Kyun OH ; Geon Jung KIM ; Young Soo YUN
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1992;18(4):130-136
No abstract available.
Jaw*
7.Neurilemmoma of the infratemporal fossa: report of a case.
Sun Youl RYU ; Hee Kyun OH ; Geon Jung KIM ; Jae Hyun YUN ; Hong Ran CHOI
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1992;18(4):81-87
No abstract available.
Neurilemmoma*
8.A Clinical Study of Intussusception in Infants And Children.
Dong Youl LEE ; Woan Chul SUH ; Hee Ju KIM ; Jae Sun JUNG ; Sung Ill AHN
Journal of the Korean Pediatric Society 1985;28(11):1104-1111
No abstract available.
Child*
;
Humans
;
Infant*
;
Intussusception*
9.A case of leiomyosarcoma of ovary.
Jeon Ju LIM ; Sam Youl PARK ; Sung Rak SON ; Jung Kun KIM ; Hwan Ju CHOI
Korean Journal of Obstetrics and Gynecology 1993;36(7):1615-1619
No abstract available.
Female
;
Leiomyosarcoma*
;
Ovary*
10.A Case of Hunter's Syndrome With Ivory-colored Papules.
Ki Soon NAM ; Jung Youl LEE ; Kyu Uang WHANG ; Young Keun KIM
Annals of Dermatology 1996;8(4):278-281
We report a case of Hunter' s syndrome with characteristic nodules on the upper back. The patient was a 7-year-old Korean boy who presented with ivory-colored papules and nodules on both sides of the scapula, pectoral regions and lateral aspects of the upper arms. These lesione are regarded as pathognomonic cutaneous markers for Hunter s syndrome. He also presented with truncal hypertrichosis, retarded growth, short neck, round face, claw like contractures of hands, multiple joint contractures, and a clear cornea. Severely elevated glycosaminoglycan levels were present in the patient s urine samples. The patient s 5-year-old brother had similar clinical features.
Animals
;
Arm
;
Child
;
Child, Preschool
;
Contracture
;
Cornea
;
Hand
;
Hoof and Claw
;
Humans
;
Hypertrichosis
;
Joints
;
Male
;
Mucopolysaccharidosis II*
;
Neck
;
Scapula
;
Siblings