We report s case of angiokeratoma of the vulva occuring in a 36-year-old woman. Numerous grayish dark purple papulovesicular lesions, ranging from 0.2 to 2.0mm in size, were observed on the right labium majus. All lesions were excised under local snesthesia after the diagnosis of angio keratoma was made histopathologically. No new lesions appeared during the follow-up period of one year.
Adult ; Angiokeratoma* ; Diagnosis ; Female ; Follow-Up Studies ; Humans ; Keratosis ; Research Report ; Vulva*

Horizontal tear of the meniscus occurs most commonly in older patients. The tear begins initially with a simple horizontal cleavage which divides the meniscus into superior and inferior leaves resembling a fish mouth and which may become a flap or more complex tear with time if subjected to repeated injury. Thirty-four patients(36knees/40menisci) with horizontal tear of the meniscus, treated with arthroscopic partial meniscectomy except in 3 extensive tears at Ulsan University Hospital from Jan. 1993 to Jun. 1996, were analyzed to investigate the factors that may be associated with this type of meniscal tear, and the results were as follows; 1. The tears commonly occurred in labor workers(61.7%) and without obvious trauma history(67.6%), and the average age at the time of surgery was 44 years. 2. The most common site of the tear was posterior horn of the medial meniscus (62.5%). 3. The 40 horizontal tears consisted of 12 horizontaVcleavage(30%), 3 horizontaVflap(7.5%), and 25 horizontaUdegenerative complex tears(62.5%). 4. Degenerative changes were frequently noted in both arthroscopy(69.5%) and roentgenography (72.2%).
Animals ; Horns ; Humans ; Menisci, Tibial ; Mouth ; Radiography ; Ulsan

No abstract available.
Humans ; Longitudinal Ligaments* ; Spine*

No abstract available.
Fistula*

The authors present a case of tuberculuos periostitis of the orbit which is extremely rare in nowadays. An 18-year-old man who had pulmonary and hepatic tuberculosis complained pain and erythematous swelling of periorbital region. Skull X-ray films showed multiple punched-out lesions on cranial vault. CT scan of the orbit revealed a homogenous mass on lateral orbital wall. The lesion was extended into the intracranial cavity with bony destruction and thickening of dura matter. The cold abscess of lower lid was drained by skin incision and Acid-fast bacilli was isolated from direct smear and culture.
Abscess ; Adolescent ; Humans ; Orbit* ; Periostitis* ; Skin ; Skull ; Tomography, X-Ray Computed ; Tuberculosis, Hepatic ; X-Ray Film

We report two cases of hyperkeratosis of the nipple and areola which occurred in 22-year-old woman and 13-year-old girl. The former was suffered from mild pruritic, verrucous thickening and brownish discoloration of both nipples and areolae for 5 years. The latter had asymptomatic, verrucous thickening and dark brownish hyper- pigmentation of the right nipple and areola for 3 years. Both showed mild to marked hyperkeratosis and papillomatosis with increased pigmentation in the basal cell layer histopathologically. In both cases, the lesions were not responsive to the topical medications including steroids and keratolytic agents. Therefore we recommended surgical excision because the patients are greatly disturbed by the appearance of the lesions.
Adolescent ; Female ; Humans ; Keratolytic Agents ; Nipples* ; Papilloma ; Pigmentation ; Steroids ; Young Adult

No abstract available.
Pregnancy*

No abstract available.
Acanthosis Nigricans* ; Vitiligo*

Degenerative spondylolisthesis, which occurs frequently in middle-aged women, is a disease that causes canal stenosis of the lumbar spine and low back pain. Although the clinical features have been described characteristically, its pathogenic mechanism and therapeutic principles are still to be clarified. Some investigators have claimed that the disease originates from morphologic abnormalities of laminae and facet joints or that it is primarily due to degeneration of the intervertebral disks and degenerative changes of the facet joints. We selected two groups of patients retrospectively. The one was a group of patient who had normal findings on their magnetic resonance imaging(Group I ) and the other was a group of patients who showed degenerative spondylolisthesis at L4-5 and had been managed surgically(Group II ). We measured the total lordosis from Ll to S 1 and segmental lordosis of L3-4, L4-5 and LS-S 1 in both groups by Cobbs method. In group 3, we measured the degree of slippage of the L4 vertebral body and investigated the associated congenital anomalies of the lumbosacral vertebra on simple anteroposterior and lateral radiographs in both groups. And we measured the facet joint angles of the L3-4, L4-5 and L5-Sl at both side on MRI. Then we analysed the results statistically and got the following conclusions. 1. In Group I, total lordosis decreased significantly. The segmental lordosis of L4-5 and LS-S1 decreased, too, but the segmental lordosis of L3-4 increased. 2. The facet joint angles of L4-5 in Group I increased significantly in both sides. 3. The intercrestal line was lower in Group I than in Group II. 4. The degree of slip was not related with the facet joint angles of L4-5.
Animals ; Constriction, Pathologic ; Female ; Humans ; Intervertebral Disc ; Lordosis ; Low Back Pain ; Magnetic Resonance Imaging ; Research Personnel ; Retrospective Studies ; Spine ; Spondylolisthesis* ; Zygapophyseal Joint

Palisaded encapsulated neuroma (PEN) is a clinically-distinctive, benign, cutaneous nerve sheath tumor. It usually occurs as a solitary, asymptomatic, skin-colored papule, and commonly affects the face of middle-aged adults. We report a case of PEN which developed on the lower lip of a 44-year-old Korean man. It was a 5mm-sized skin colored papule. Histopathologically, it consisted of uniform, broad, interlacing fascicles of spindle cells and was surrounded by a complete capsule in the dermis. On immunohistochemical staining, the tumor cells of the nodule were positive for S-100 protein and neural filaments, whil the capsule of the nodule was positive for epithelial antigen.
Adult ; Dermis ; Humans ; Lip* ; Neuroma* ; S100 Proteins ; Skin