1.A Case of Wegener's Granulomatosis Mimicking Behcet's Disease.
Hong Ki CHO ; Bum Joon KO ; Je Min AN ; Kyu Uang WHANG ; Moon Kyun CHO
Korean Journal of Dermatology 2014;52(6):439-441
No abstract available.
Wegener Granulomatosis*
2.MRI Measurement of the Intercondylar Notch and Correlation to Anterior Cruciate Ligament Injuries.
Bum Koo LEE ; Chin Hong KO ; Dou Hyun MOON ; Su Chan LEE ; Ki Dong KANG ; Hong Ki PARK ; Sung WE
The Journal of the Korean Orthopaedic Association 1997;32(5):1283-1289
Notch stenosis had been thought to be related with anterior cruciate ligament (ACL) injury. The purpose of this study is to evaluate the possible relationship between notch stenosis and ACL injury. We measured the notch seen on the axial section in MRI at popliteal groove. We have retrospectively analyzed 116 cases of knee MRI. All cases were divided into three groups ; Group I were fifty six normal knee. Group II were thirty knee with contact ACL injuries. Group III were thirty knee with non contact ACL injuries. The result were as follows; 1. Statistically significant difference was found in the notch width index (NWI) between group I and group III but no significant differences was found in the NWI between group I and group II. 2. Statistically significant correlation to non-contact ACL injuries was found in the NWI at both anterior and posterior outlet of the notch. 3. An unique shape of the notch was found in the majority of group III.There seemed to be an obvious relationship between notch stenosis and non-contact ACL injuries.
Anterior Cruciate Ligament*
;
Constriction, Pathologic
;
Knee
;
Magnetic Resonance Imaging*
;
Retrospective Studies
3.Ultrasound-Guided Injections in the Lumbar and Sacral Spine
Kwang Pyo KO ; Jae Hwang SONG ; Whoan Jeang KIM ; Sang Bum KIM ; Young Ki MIN
Journal of Korean Society of Spine Surgery 2018;25(4):185-195
STUDY DESIGN: Literature review. OBJECTIVE: Ultrasound-guided injections are a common clinical treatment for lower lumbosacral pain that are usually performed before surgical treatment if conservative treatment fails. The aim of this article was to review ultrasound-guided injections in the lumbar and sacral spine. SUMMARY OF LITERATURE REVIEW: Ultrasound-guided injections, unlike conventional interventions using computed tomography or C-arm fluoroscopy, can be performed under simultaneous observation of muscles, ligaments, vessels, and nerves. Additionally, they have no radiation exposure and do not require a large space for the installation of equipment, so they are increasingly selected as an alternative method. MATERIALS AND METHODS: We searched for and reviewed studies related to the use of ultrasound-guided injections in the lumbar and sacral spine. RESULTS: In order to perform accurate ultrasound-guided injections, it is necessary to understand the patient's posture during the intervention, the relevant anatomy, and normal and abnormal ultrasonographic findings. Facet joint intra-articular injections, medial branch block, epidural block, selective nerve root block, and sacroiliac joint injections can be effectively performed under ultrasound guidance. CONCLUSIONS: Ultrasound-guided injections in the lumbar and sacral spine are an efficient method for treating lumbosacral pain.
Fluoroscopy
;
Injections, Intra-Articular
;
Ligaments
;
Methods
;
Muscles
;
Posture
;
Radiation Exposure
;
Sacroiliac Joint
;
Spine
;
Ultrasonography
;
Zygapophyseal Joint
4.Ultrasound-Guided Injections in the Lumbar and Sacral Spine
Kwang Pyo KO ; Jae Hwang SONG ; Whoan Jeang KIM ; Sang Bum KIM ; Young Ki MIN
Journal of Korean Society of Spine Surgery 2018;25(4):185-195
OBJECTIVE:
Ultrasound-guided injections are a common clinical treatment for lower lumbosacral pain that are usually performed before surgical treatment if conservative treatment fails. The aim of this article was to review ultrasound-guided injections in the lumbar and sacral spine.SUMMARY OF LITERATURE REVIEW: Ultrasound-guided injections, unlike conventional interventions using computed tomography or C-arm fluoroscopy, can be performed under simultaneous observation of muscles, ligaments, vessels, and nerves. Additionally, they have no radiation exposure and do not require a large space for the installation of equipment, so they are increasingly selected as an alternative method.
MATERIALS AND METHODS:
We searched for and reviewed studies related to the use of ultrasound-guided injections in the lumbar and sacral spine.
RESULTS:
In order to perform accurate ultrasound-guided injections, it is necessary to understand the patient's posture during the intervention, the relevant anatomy, and normal and abnormal ultrasonographic findings. Facet joint intra-articular injections, medial branch block, epidural block, selective nerve root block, and sacroiliac joint injections can be effectively performed under ultrasound guidance.
CONCLUSIONS
Ultrasound-guided injections in the lumbar and sacral spine are an efficient method for treating lumbosacral pain.
5.A Case of Amyloid Goiter Masquerading as Graves' Disease.
Hyun Bum KIM ; Soo Hyung LEE ; Ki Bum KO ; Jung Hae CHO
International Journal of Thyroidology 2015;8(2):221-225
Amyloidosis is an abnormal extracellular deposit of amyloid in various organs of the body. Amyloid goiter, defined by a clinically detectable thyroid enlargement due to amyloid deposition, is a rare cause of hyperthyroidism. We report the case of amyloid goiter mimicking Graves' disease in a 62-year-old woman. Graves' disease was diagnosed by diffuse goiter, hyperthyroidism, and positive TSH receptor antibody. Total thyroidectomy was planned due to progression of Graves' disease and respiratory distress. At surgery thyroid gland was very friable and fragmented like cobblestones when grasped with forceps. A diagnosis of amyloid goiter was established by the presence of diffuse amyloid deposits in the parafollicular areas. After systemic evaluation for amyloidosis, coexisting both multiple myeloma and systemic amyloidosis involving kidney and heart were detected. She underwent palliative chemotherapy but disease progressed. Amyloid goiter might be suspected in patient with thyroid enlargement and concomitant systemic disease such as renal or heart failure.
Amyloid*
;
Amyloidosis
;
Diagnosis
;
Drug Therapy
;
Female
;
Goiter*
;
Graves Disease*
;
Hand Strength
;
Heart
;
Heart Failure
;
Humans
;
Hyperthyroidism
;
Kidney
;
Middle Aged
;
Multiple Myeloma
;
Plaque, Amyloid
;
Receptors, Thyrotropin
;
Surgical Instruments
;
Thyroid Gland
;
Thyroidectomy
6.Prognostic Usefulness of Metabolic Syndrome Compared with Diabetes in Korean Patients with Critical Lower Limb Ischemia Treated with Percutaneous Transluminal Angioplasty.
Ki Bum WON ; Hyuk Jae CHANG ; Sung Jin HONG ; Young Guk KO ; Myeong Ki HONG ; Yangsoo JANG ; Donghoon CHOI
Yonsei Medical Journal 2014;55(1):46-52
PURPOSE: Metabolic syndrome (MS) is a clinical condition that shares many common characteristics with diabetes. However, unlike diabetes, the usefulness of MS as a prognostic entity in peripheral arterial disease is uncertain. This study evaluated the prognostic usefulness of MS in critical lower limb ischemia (CLI) patients. MATERIALS AND METHODS: We compared the 2-year clinical outcomes in 101 consecutive CLI patients (66+/-14 years; 78% men) with 118 affected limbs treated with percutaneous transluminal angioplasty (PTA) according to the presence of MS and diabetes. RESULTS: The number of MS patients was 53 (52%), of which 45 (85%) had diabetes. During a 2-year follow-up, the incidence of clinical outcomes, including reintervention, major amputation, minor amputation, and survival, was not significantly different between MS and non-MS patients; however, the incidence of minor amputation was significantly higher in diabetic than in non-diabetic patients (42% vs. 17%; p=0.011). Cox regression analysis for the 2-year primary patency demonstrated no association between MS and 2-year primary patency [hazard ratio (HR), 1.02; 95% confidence interval (CI), 0.45-2.30; p=0.961], whereas there was a significant association between diabetes and 2-year primary patency (HR, 2.81; 95% CI, 1.02-7.72; p=0.046). Kaplan-Meier analysis revealed no significant difference in the 2-year primary patency between MS and non-MS patients; however, the 2-year primary patency was lower in diabetic than in non-diabetic patients (p=0.038). CONCLUSION: As a prognostic concept, MS might conceal the adverse impact of diabetes on the prognosis of CLI patients treated with PTA.
Aged
;
Aged, 80 and over
;
Angioplasty/*methods
;
Diabetes Mellitus/*therapy
;
Female
;
Humans
;
Ischemia/*therapy
;
Lower Extremity/*blood supply
;
Male
;
Metabolic Syndrome X/*therapy
;
Middle Aged
;
Republic of Korea
;
Retrospective Studies
7.A Case of Furuncular Cutaneous Myiasis in a German Patient Who Has Traveled to Benin.
Bum Joon KO ; Hong Ki CHO ; In Yong LEE ; Tai Soon YONG ; Kyu Uang WHANG
Korean Journal of Dermatology 2013;51(5):348-352
Myiasis is the infestation of any part of the body by Diptera larvae. It is the fourth most common travel-associated skin disease and cutaneous myiasis is the most frequently encountered clinical form. Furuncular lesions may result when the skin is affected. Cutaneous myiasis caused by Cordylobia anthropophaga has been endemic in the sub-Saharan African region for more than 135 years. There have been some reported cases from non-endemic regions, and yet C. anthropophaga infestations are rarely acquired outside of Africa. We report here a rare case of furuncular cutaneous myaisis by C. anthropophaga in a German patient who came to Korea after a three-week trip to Benin.
Africa
;
Benin
;
Diptera
;
Humans
;
Korea
;
Larva
;
Myiasis
;
Porphyrins
;
Skin
;
Skin Diseases
8.A Case of Surgical Removal of a Hypermobile Left Ventricular Thrombus Complicated to Acute Myocarditis.
Yong Bum JANG ; Kyoung Suk RHEE ; Jae Ki KO
Journal of the Korean Society of Echocardiography 2004;12(1):39-41
Left ventricular mural thrombi can occur in setting of acute myocarditis. Major thromboembolism may occur according to the echocardiographic characteristics of the thrombi. Mobile, irregular and protruding thrombi are known to raise systemic embolism more easily than immobile laminar clot. We experienced a case of a hypermobile pedunculated left ventricular thrombus complicated to acute myocarditis in a 49-year-old woman. Mobility of it increased day by day in spite of the proper anticoagulation. Surgical removal of the thrombus was performed to prevent major thromboembolism.
Echocardiography
;
Embolism
;
Female
;
Heart Ventricles
;
Humans
;
Middle Aged
;
Myocarditis*
;
Thromboembolism
;
Thrombosis*
9.Partial Tetrasomy of Chromosome 22q11.1 Resulting from a Supernumerary Isodicentric Marker Chromosome in a Boy with Cat-eye Syndrome.
Jung Min KO ; Jun Bum KIM ; Ki Soo PAI ; Jun No YUN ; Sang Jin PARK
Journal of Korean Medical Science 2010;25(12):1798-1801
The 22q11 region has been implicated in chromosomal rearrangements that result in altered gene dosage, leading to three different congenital malformation syndromes: DiGeorge syndrome, cat-eye syndrome (CES), and der(22) syndrome. Although DiGeorge syndrome is a common genomic disorder on 22q11, CES is quite rare, and there has been no report of Korean CES cases with molecular cytogenetic confirmation. In this study, we present the phenotypic and genetic characteristics of a 3-month-old boy with CES. Clinical findings included micropthalmia, multiple colobomata, and renal and genital anomalies. Cytogenetic analyses showed the presence of a supernumerary marker chromosome, which was identified as a bisatellited and isodicentric chromosome derived from an acrocentric chromosome. The results of array comparative genomic hybridization and fluorescence in situ hybridization studies confirmed the karyotype as 47,XY,+mar.ish idic(22)(q11.1) (D22S43+).arr 22q11.1(15,500,000-15,900,000)x4, resulting in a partial tetrasomy of 22q11.1. To the best of our knowledge, this is the first report in Korea of CES confirmed by cytogenetic and molecular cytogenetic analyses.
Abnormalities, Multiple/genetics
;
Aneuploidy
;
Chromosome Disorders/diagnosis/genetics
;
*Chromosomes, Human, Pair 22/genetics
;
Coloboma/genetics
;
Craniofacial Abnormalities/genetics
;
Genetic Markers
;
Humans
;
In Situ Hybridization, Fluorescence
;
Infant
;
Karyotyping
;
Male
;
Phenotype
;
*Tetrasomy
;
Ultrasonography, Prenatal
10.Study on Development of Mouse Preimplantation Embryos in Culture Media with Different Composition of Energy Sources.
Jong Bum LEE ; Ju Hwan KIM ; Jee Hwan KO ; Young Kun OH ; Song Kyong SON ; Young Seok SEO ; Heung Tae NOH ; Kil Chun KANG ; Hai Bum SONG ; Ki Hwan LEE
Korean Journal of Obstetrics and Gynecology 2002;45(3):416-423
OBJECTIVE: The objective of this study was to examine the effect on development of mouse preimplantation embryos in culture media with different composition of energy sources in vitro culture. METHODS: Two hundred and seventy one two-cell embryos were cultured in four different culture system for 96 hours. Group I (n=61) was cultured in DMEM-G (DMEM with glutamine) only, groupII (n=64) was cultured in DMEM-GGP (DMEM with glutamine, glucose and pyruvate) only, group III (n=72) was cultured for 48 hours in DMEM-G and then transferred to DMEM-GGP and group IV (n=74) was cultured for 48 hours in DMEM-GGP and then transferred to DMEM-G. Development of embryos in each group was observed every 24 hours. RESULTS: After 24 hours, the rate of development > or = 3-cell was significantly higher in groupII (87.5%) and IV (86.5%) compared with group I (59.0%) and III (62.5%). After 48 hours, the rate of development into > or = morula stage was significantly higher in GroupII (79.7%) and IV (86.5%) compared with group I (34.4%) and III (37.5%). After 72 hours, the rate of development into blastocyst was significantly higher in group IV (74.3%) compared with group I (49.2%) and III (45.8%). After 96 hours, the rate of development into > or = expanded blastocyst was significantly higher in group IV (70.3%) compared with group I (32.8%),II (53.1%), and group III (40.3%). CONCLUSION: Mouse preimplantation embryos development was the most effective in culture system with DMEM-GGP for 48 hours and then transferred to DMEM-G.
Animals
;
Blastocyst*
;
Culture Media*
;
Embryonic Structures
;
Glucose
;
Glutamine
;
Mice*
;
Morula
;
Pyruvic Acid