1.Retrospective Study on the Clinical Features of Ota's Nevus.
Min Jae LEE ; Kyu Kwang WHANG ; Ki Bum MYUNG
Korean Journal of Dermatology 1995;33(3):430-436
BACKGROUND: Ota's nevus is not an uncommon pigmenta y disorder in Asian people including Koreans. OBJECTIVE: The purpose of this study was to examine the clinical features of the patients and to determine the existince of any relevance between them. METHODS: We arrid out a retrospective study with cialreviews and phone interviews or direct examinatior. for clinical features of the lesions in acesible patients. RESULTS: The peak age of onset was at birth, pubertyed adolescence in decreasing order. The most frequen1,ly involved site was the eyelid, and the type I was the most common. Bluish black color was pie edorninant. The lesions which did not inili the eyelid or the lesions which developed after birtten were more likely to be light brown in cilc(p<0.05). CONCLUSION: The clrical features of Otas nevus were revwed and analyzed statistically.
Adolescent
;
Age of Onset
;
Asian Continental Ancestry Group
;
Eyelids
;
Humans
;
Nevus of Ota*
;
Parturition
;
Retrospective Studies*
2.Reconstruction of the soft tissue defects for disral part of the tibia, ankle and foot using rectus abdominis muscle free flap.
Won Jae CHA ; Hoon Bum LEE ; Yoon Kyu CHUNG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):1114-1124
No abstract available.
Ankle*
;
Foot*
;
Free Tissue Flaps*
;
Rectus Abdominis*
;
Tibia*
3.Research of Malpractice in Skin Diseases.
Gi Bum SHUR ; Jeung Hoon LEE ; Jang Kyu PARK
Korean Journal of Dermatology 1988;26(3):314-319
Among the patients visting Department of Dermatology, Chungman National University, 58 cases had various side effects due to the malpractice of skin disorders. We analysed these 58 cases and the results can be summerized as follows ; 1. 37 cases(64%) were in the second and third decades and 11 cases(19%) were under 19 years-old. 2. Drug medication from pharmacy was the most common(79%), and then local clinics(12%), herb clinics(9%) in decreasing orders. 3. In the route of administration, oral ingestion(38%) was the most common, and 47 cases (81%) were medicated with adrenocorticoids. 4. In motivation to the visit, 31 cases(53%)were by advice, 15 cases by advertizement and 12 cases (21%) by themselves. 5. Acne and psoriasis were about a half of pre-existing skin diseases. 6. Side effects due to malpractice may be divided into 5 items : systemic side effects due to adrenocorticoids (59%), aggravation of pre-existing skin diseases (22%), topical side effects due to adrenocorticoids (10%), chemical irritation and burn (7%), and mercury intoxication (2%) in decreasing orders.
Acne Vulgaris
;
Administration, Oral
;
Burns
;
Dermatology
;
Humans
;
Malpractice*
;
Motivation
;
Pharmacy
;
Psoriasis
;
Skin Diseases*
;
Skin*
;
Young Adult
4.Cavitary lung abscess mistaken for pneumothorax after drainage of pus.
Bum Kee HONG ; Jung Hyun CHANG ; Se Kyu KIM ; Sung Kyu KIM ; Won Young LEE
Tuberculosis and Respiratory Diseases 1993;40(4):449-453
No abstract available.
Drainage*
;
Lung Abscess*
;
Lung*
;
Pneumothorax*
;
Suppuration*
5.The subtype of VSD & the angiographic differentiation
Kyu Ok CHOE ; Jun Hee SUL ; Sung Kyu LEE ; Bum Koo CHO ; Sung Nok HONG
Journal of the Korean Radiological Society 1985;21(4):592-603
VSD is the most common congenital carciac malformation and the natural history depends not only on the age ofpatients and the size of defect but the subtype of VSD as well, important factor in clinical management or thosepatients. In 110 patients, with surgically repaired VSD in Yonsei Medical Center in 1984, the subtype of VSDs evaluated by surgical observation were correlated with LV angiogram findings to verify the incidence of subtype inKorean and the diagnostic accuracy to predict the subtype by angiogram. 1. 110 patients included 64 boys and 46 girls, the age ranged from 3 months to 14 years(average 4.6 years old) 2. Angiographic findings were interpretedas follows; a. Perimembranous defects were profiled in LAO 60 degrees LV angiogram and located below the aorticvalve. In inlet excavation the shunted blood opacified the recess between septal leaflet of tricuspid valve and interventricular septum in early phase, in infundibular excavation opacified the recess between anterior leafletof TV and anterior free wall of RV and in travecular excavation the shunted blood traversed anterior portion of TVring, opacified trabecular portion of RV cavity. b. Subarterial type were profilled in RAO 30degrees LV angiogram,just below aortic valve as well as pulmonic valve. Total infundibular defects were profilled in RAO 30degrees andLAO 60 degrees LV angiogram subaortic in location in both views. c. In muscular VSD the profilled angle was variedaccording to the subtype but the defects were separated from the aortic valve as muscular septum interposedbetween the aortic valve and the defect. 3. The incedence of subtype of VSDs evaluated by surgical observationwere as follows. Subaterial type 32 cases(29.1%) Total infundibular defect 5 cases( 4.5%) Perimembranous type 73cases(66.3%) Infundibular excavation 32 cases(29.1%) Trabecular excavation 28 cases(25.5%) Inlet excavation 10cases(9.1%) Mixed 3 cases(2.7%) Muscular type 1 cases(0.9%) Total 63.6% of VSD, were the varieties of theinfundibular septum type. 4. The prediction of VSD subtype accoridng to the angiographic findings described above,were compared to the surgical observation. Diagnostic rate was 100% in perimembranous type, 75% in subarterialtype, 0% in total infundibular type, so 88% of cases were in accordance with the surgical findings.
Aortic Valve
;
Bays
;
Female
;
Humans
;
Incidence
;
Natural History
;
Tricuspid Valve
6.Evaluation of the angiographic findings in pulmonary atresia
Kyu Ok CHOE ; Jun Hee SUL ; Seung Kyu LEE ; Bum Koo CHO ; Pill Whoon HONG
Journal of the Korean Radiological Society 1986;22(6):974-983
We studied the angiographic findings in 65 patients wtih congenital pulmonary atresia, ages 4 days to 14 years(mean 3.3 yrs), form 1981 to 1986 at Severance Hospital Yonsei University. 1. 6 had pulmonary atresia with anintact interventricular septum, 38 had it with cardiac anomaly Renodynamically simulating TOF, and 21 associatedwith more complicated cardiac anomalies. 2. In the group with an intact ventricular septum, 5 showed confluentintrapericardial pulmonary artery, all segmental pulmonary arteries connceted to intrapericardial pulmoanryartery. 3. In the group simulating TOF, aorta arose from RV with or without overriding in 35. In 27 patients withconfluent intrapericardial pulmonary artery, 23 had more than 10 segmental pulmoanry arteries connceted tointrapericardial artery and 5 had severely hypoplastic hilar pulmonary arteries. In 11 with nonconfluentintrapericardial pulmonary artery, 4 had more than 10 segmental pulmonary arteries connected to central pulmonaryartery and 9 had severely hypoplastic hilar pulmonary arteries. 4. In the group associated with more complicatedcardiac anomaly, included 8 patients with atrioventricular discordance, 7 with univentricular heart and 6 withtricuspid atresia. In 17 patients with confluent intrapericardial artery, 16 had more than 10 segmental pulmoanryarteries conncected to intrapeircardial artery, one showed severe hypoplasia of hilar pulmonary arteries. Inanother 4 with nonconfluence, no one showed more than 10 segmental arteries conncted to intraperdicardial or hilarpulmonary artery.
Aorta
;
Arteries
;
Heart
;
Humans
;
Pulmonary Artery
;
Pulmonary Atresia
;
Ventricular Septum
7.A Case of Purpura fulminans Caused by Streptococcus pneumoniae.
Jang Su KIM ; Chang Kyu LEE ; In Bum SUH ; Hyeun Ah LEE ; Young Kee KIM ; Kap No LEE
Korean Journal of Clinical Microbiology 1999;2(2):216-219
Purpura fulminans is a potentially disabling and life-threatening disorder characterized by acute onset of progressive cutaneous hemorrhage and necrosis on distal extremities, and disseminated intravascular coagulopathy. We experienced a case of purpura fulminans due to Streptococcus pneumoniae. A 42-year-old women presented with skin petechiae, ecchymosis and gangrene on distal extremities with laboratory evidence of DIC. The latex agglutination test with CSF was positive at Streptococcus pneumoniae. To our knowledge, this is the first report of purpura fulminans caused by Streptococcus pneumoniae in Korea.
Adult
;
Dacarbazine
;
Ecchymosis
;
Extremities
;
Female
;
Gangrene
;
Hemorrhage
;
Humans
;
Korea
;
Latex Fixation Tests
;
Necrosis
;
Purpura Fulminans*
;
Purpura*
;
Sepsis
;
Skin
;
Streptococcus pneumoniae*
;
Streptococcus*
8.A Case of Spina Bifida Occulta with Faun - tail Nevus.
Gi Bum SUHR ; Jong Sung LEE ; Jeung Hoon LEE ; Jang Kyu PARK
Korean Journal of Dermatology 1988;26(5):759-763
This 22-year-old female patient has had a lozenge shaped hair tuft with terminal hair on the lumbosacral area since birth. A limping gait due to discrepancy of the length of the lower extremities has also been noted since 5 year age. Subsequently multiple, recurrent trophic ulceration developed on the left foot because of sensory loss. Simple cervico-lumbar spine x-ray showed spina bifida occulta of L-2 to sacrum. Lumbar myelography revealed widened vertebral canal without other spinal anomaliea.
Female
;
Foot
;
Gait
;
Hair
;
Humans
;
Lower Extremity
;
Myelography
;
Nevus*
;
Parturition
;
Sacrum
;
Spina Bifida Occulta*
;
Spinal Dysraphism*
;
Spine
;
Ulcer
;
Young Adult
9.Pure Epithelioid Malignant Schwanoma: A case report.
Hye Yeon KIM ; Kyu Bum LEE ; In Sun KIM ; Kap No LEE ; Seung Yong PAIK
Korean Journal of Pathology 1986;20(4):496-502
The pure epithelioid malignant schwanoma is a rare form of malignant schwanoma and differs from the ordinary epithelioid malignant schwanoma because of the absence of a spindle cell component. We present a case of purely epithelioid malignant schwanoma arising in the parapharyngeal area from vagus nerve without difinite evidence of von Recklinghausen's disease. The patient was a 28-year-old man with palpable right neck mass and swallowing difficulty during 2 years. The mass was an ovoid encapsulated tumor and measured 5x3x3 cm in dimension. The cut surface showed brownish tan homogeneous nodular appearance with partly myxoid area. Microscopically the tumor showed nodular pattern composed of epitheliod cells which were arranged in both tight clusters and stringy cords. The cells were ovoid in shape and had vesicular nuclei with single prominent eosinophilic nucleolei and sometimes abundant intracytoplasmic mucin. Mitoses were infrequent. Ultrastructural study showed rudimentary cell junction and degenerated cytoplasmic organelles including scattered mitochondriae, short segments of rough endoplasmic reticulum and lipid droplets. There were no definite basement membrane and melanosome. Immunohistochemical study showed the cells being positive for S100 protein, neuron specific enolase and myelin basic protein and negative for cytokeratin.
Male
;
Humans
10.Analysis of 5,653 cases with congenital heart disease catheterized at Yonsei Medical Center: a 28-Year review.
Dong Shik CHIN ; Jong Kyun LEE ; Jun Hee SUL ; Sung Kyu LEE ; Bum Koo CHO
Journal of the Korean Pediatric Society 1992;35(2):143-156
No abstract available.
Catheters*
;
Heart Defects, Congenital*