No abstract available.
Epilepsies, Partial* ; Paragonimiasis*

The index on myocardial contractility of pure mitral regurgitation(MR) after mitral valve replacement is believed to be useful in determining proper operation time before irreversible myocardial damage by volume overload. Thus the authors examined pre and post-operative echocardiographic results of 20 cases of pure MR patients who had been admitted to Pusan National University hospital and compared the usefulness of each index. Pre and post-operative echocardiographic results were as follows respectively ; 1) Left ventricular internal dimension in diastole(LVIDd) were 6.49+/-0.19cm and 5.51+/-0.17cm. 2) Left ventricular internal dimension in systole(LVIDs) were 4.26+/-0.12 and 3.79+/-0.18cm. 3) Ejection fraction were 71.28+/-1.57% and 59.24+/-3.05%. 4) Fractional shortening(FS) were 34.09+/-1.18% and 27.21+/-1.84%. 5) Mean Vcf were 1.53+/-0.08cm/sec and 1.18+/-0.09cm/sec. 6) Left ventricular end-diastolic volume index(EDVI) were 196.35+/-18.33cc/m2 and 98.46+/-9.96cc/m2. 7) Left ventricular end-systolic volume index(ESVI) were 55.28+/-5.12cc/m2 and 41.88+/-6.07cc/m2. 8) Left ventricular end-systolic wall stress/ESVI(ESS/ESVI) were 2.3+/-0.21 and 3.91+/-0.83. ESS/ESVI showed significantly(p<0.05) elevated postoperative change, LVIDd, LVIDs, EF, FS, EDVI, ESVI revealed significantly(p<0.05) reduced postoperative change whereas Mean Vcf had no postoperative change. After examining correlation between preoperative and postoperative results of each index, it is believed that LVIDd, LVIDs, and ESS/ESVI were useful prognostic indices but were unrelated to postoperative ejection phase indices such as EF, FS, and MEan Vcf. Especially in case of LVIDd>6cm, LVIDs>4cm, and ESS/ESVI<2, the prognosis was poor due to myocardial damage by mitral regurgitation.
Busan ; Echocardiography ; Humans ; Mitral Valve Insufficiency* ; Mitral Valve* ; Prognosis ; Stroke Volume

No abstract available.
Abruptio Placentae* ; Female ; Pregnancy

We reviewed the cliniccipat.hologic findings of 11 cases of dermatophytic granulomas. Patients consisted of 8 male and 3 females with a mean age of 45 years (range 5-80 years). The symptom was neither painful nor pruritic except one case. Skin lesions mimicked tuberculosis (2 cases), sporotriehosis (2 cases), calcinosis cutis (1 case) or eczema (1 case). The commonest sites involved were upper extremities, followed by legs, cace and scalp. The duration between the onset of the diseases and final diagnosis ranged 1 month to 3 years. Possible predisposing factors causing dermatophytic granulomas appeared to be due to application of steroid ointment (6 cases), diabetes mellitus (2 cases) and trauma (1 case). Histopathologic featured revealed suppurative folliculitis with fo eign body granuloma in most cases and lobular ponniculitis in 2 cases. With PAS and methenamine silver stains, hyphae and spores could be identified on the horny layers, within hair follicles and/or on the dermis in biopsy specimen.', of all cases. Culture of the causativi; organisms using dermal fragment on abouraud media demon-strated T. rubrum in seven patients and M. canis in two. A test for recall antigen(Multitest CMI) showed suppression of cellular immunity in 3 cases. Treatment with griseofulvin or ketoconazole for 2-10 weeks was effective except one case.
Biopsy ; Calcinosis ; Causality ; Coloring Agents ; Dermis ; Diabetes Mellitus ; Diagnosis ; Eczema ; Female ; Folliculitis ; Granuloma* ; Griseofulvin ; Hair Follicle ; Humans ; Hyphae ; Immunity, Cellular ; Ketoconazole ; Leg ; Male ; Methenamine ; Scalp ; Skin ; Spores ; Tuberculosis ; Upper Extremity

Nineteen patients with lichen striatus were investigated by clinical data, clinical photographs and histopathologic study by the pattern analysis method of Ackermsn. Results were as follows '. 1. The male to female ratio was 1: 1.1, and average age was 7.8 years. Seven- teen patients (about 90%) visited hospitals during summer season. 2. Nine cases showed superficial perivascular dermatitis, 9 cases interface dermatitis (vacuolar type : 7, lichenoid type, 2), 1 case nodular dermatitis and 2 rases interface dermatitis with nodular dermatitis. 3. In the epidermis, 9 cases showed variable nurnber of dyskeratotic cells. One case showed finding of perforating lichen striatus. 4. Two cases showed inflammation around acrosyringium, 4 cases around hair follicle, 6 cases around eccrine sweat gland and 1 case showed perineural inflamrnation. Summarizing above results, histopathology of lichen striatus characteristically shows superficial perivascular dermatitis, interface dermatitis, and infiltration of inflammatory cells around the sweat gland, which helps to diagnose the disease.
Adolescent ; Dermatitis ; Epidermis ; Female ; Hair Follicle ; Humans ; Inflammation ; Lichens* ; Male ; Seasons ; Sweat Glands

Idiopathic gingival fibromatosis is associated with other abnorma ities of which the most striking is hypertrichosis of variable degree. Gorlin and Pindborg described this condition as a distinct syndrome termed idiopathic gingival fibromatosis and hypertrichosis. We report a case of idiopathic gingival fibromatosis and hypertrichosis occuring in 34-year-old woman with enlarged gingival tissue, hypertrichosis, and enlargenment of the breasts, ears and nose. Laboratory tests including hormonal and chromosomal studies were all within normal limits. Histologically, the gingival hyperplastic tissue showed thick bundle of collagen fibers with few fibroblasts or capillaries and little or no inflammatory infiltrate.
Adult ; Breast ; Capillaries ; Collagen ; Ear ; Female ; Fibroblasts ; Fibromatosis, Gingival* ; Humans ; Hypertrichosis* ; Nose ; Strikes, Employee

Idiopathic gingival fibromatosis is associated with other abnorma ities of which the most striking is hypertrichosis of variable degree. Gorlin and Pindborg described this condition as a distinct syndrome termed idiopathic gingival fibromatosis and hypertrichosis. We report a case of idiopathic gingival fibromatosis and hypertrichosis occuring in 34-year-old woman with enlarged gingival tissue, hypertrichosis, and enlargenment of the breasts, ears and nose. Laboratory tests including hormonal and chromosomal studies were all within normal limits. Histologically, the gingival hyperplastic tissue showed thick bundle of collagen fibers with few fibroblasts or capillaries and little or no inflammatory infiltrate.
Adult ; Breast ; Capillaries ; Collagen ; Ear ; Female ; Fibroblasts ; Fibromatosis, Gingival* ; Humans ; Hypertrichosis* ; Nose ; Strikes, Employee

BACKGROUND: Two types of local reactions due to cutaneous administration of vitamin K. eczematoid, and indurated pilaque and localized scleroderma, have been described. In the acute phase, a generalized maculopapular eruption (Id reation) may accompany either reaction. Liver disease has been reported with vitamir K hypersensitivity but the mechanism of vitamin K dermatitis is unknown. OBJECTIVE & MEHTODS: In 10 of vitamin K dermatitis patients, we studied the clinical features, histopathologic findings, and provocation tests (patch test & intrader nal test). RESULTS: 1. All patients had localized erythematous plaque but none had sclerodermoid skin eruption. Four patients were associated with Id reaction. 2. The onsets of eruptions after initial injection of vitamin K were within one week (one case), 2 to 3weeks(seven cases), or 3 weeks (two cases), and the doses of administered vitamin K were between 30 and 310 mg. 3. Four had liver diseases and 5 had blood eosinophilia. 4. Of 7 patients who had patch-and intradermal test, intradermal test showed all positive at either day 2 or day 4 but patch test were all negative. 5. The histopathologic findings of all the cases showed perivascuiiar and diffuse infiltrations of numeroas osinophils and mononuclear cells and one case showed panniulitis. CONCLUSION: The cell-mediated immune reaction may play a role on the pathogenesis of vitamin K, dermatitis. Liver dysfuncticn and/or another factors may be a precivitating factor of vitamin K dermatitis, and intradermal the seems to be more useful in the diagnoiis of vitamin K dermatitis than patch test.
Administration, Cutaneous ; Dermatitis* ; Eosinophilia ; Humans ; Hypersensitivity ; Intradermal Tests ; Liver ; Liver Diseases ; Patch Tests ; Scleroderma, Localized ; Skin ; Vitamin K ; Vitamin K 1* ; Vitamins*

No abstract available.
Pelvic Bones*

A review of four cases of the Bristow operation for recurrent anterior dislocation of the shoulder from Jan. 1984 to Dec. 1986 was presented and the following results were obtained. 1. The ages at the initial dislocation were ranged 17 years to 28 yesrs with the average of 21.5 years. 2. The average loss of external rotation was 8.8 degree. 3. There were three excellent and one fair results by Rowes grading system.
Dislocations ; Shoulder