1.Corneal Thickness Variation and Consistency According to Daytime.
Kyung Sook PARK ; Sang Duck KIM ; Jae Duck KIM
Journal of the Korean Ophthalmological Society 2000;41(8):1690-1696
To analyze the normal adult corneal thickness, we used the Orbscan(Orbtek, Inc.)to measure 50 volunteer subjects. The reproducibility of the pachymetry, the daytime variation of corneal thickness and the consistency of thickness across days were analyzed. All 50 subjects were measured, taken each at 8:00, 9:30, 11:00, 13:00, 14:30, and 16:00. The corneal thickness was taken at the center and 1.0 mm, 1.5 mm, 2.0 mm, 2.5 mm, 3.0 mm and 3.5 mm away from the center. Also measurements were made 3 consecutive days at the center, 2.0 mm and 3.5 mm away from the center. Repeatability of corneal thickness was highly reliable(Guttman split-half point:0.9972 and 0.9961, respectively). The average distance difference was 10 micrometer at the center and 23 micrometer at 3.5 mm away from the center. The corneal thickness did show a diurnal pattern during the day but was stable when measured across days. No significant difference when measuring on the same hour on another day was shown the corneal thickness to be consistent.
Adult
;
Humans
;
Keratomileusis, Laser In Situ
;
Volunteers
2.A Case of Fiddler's Neck.
Seung Kyung HANN ; Duck Hyun KIM ; Sung Nack LEE
Korean Journal of Dermatology 1986;24(5):671-673
Fiddler's neck was first described by Peachey and Matthews in 1978 to denote a condition characterized by focal lichenification and pigmentation on the left side of violinist and violist neck just below the angle of the jaw. The etiologic facters are friction, local pressure, occlusion, poor hygiene and sweating. In only a few cases has a specific hypersensitivity to one or more of the ch!n rest material(wood, lacquer, dye) or the metallic fixing been found responsible. We report a case of 15-year-old female patient with Fiddler's neck who has played the violin for 8 years.
Adolescent
;
Female
;
Friction
;
Humans
;
Hygiene
;
Hypersensitivity
;
Jaw
;
Lacquer
;
Neck*
;
Pigmentation
;
Sweat
;
Sweating
3.Neurilemmoma of extremities: MR findings.
Ki Bum KIM ; Kyung Jin SUH ; Duck Sik KANG
Journal of the Korean Radiological Society 1993;29(1):39-45
Six patients with twenty histologically proven neurilemmomas of the extremities were studied using magnetic resonance(MR) imaging. The size, number, signal intensity on spin-echo T1WI(TR 500-650ms/TE 14-25ms)and gradient -echo (TR 200-600ms/TE 14-20ms; flip angle 25-30)image, enhancement pattern, detectability of nerve of origin, nerve-lesion relationship, and presence of a capsule were analyzed. The masses ranged from 1 to 12cm in longitudinal diameter and originated from the median nerve, ulnar nerve, sciatic nerve, radial nerve, and tibial nerve. All the nerve tracts except for those of 5 lesions, which could not be detected due to their small diameter, were visualized as low intensity tubular structures. All visible nerve tracts were situated along the periphery of the lesion and this finding was considered to be specific for neurilemmona. All neurilemmomas were isointense with the surrounding muscle on spin-echo T1WI and hyperintense on gradient-echo image. After a GD-DTPA injection, all masses showed moderate or marked enhancement and more prominent inhomogeneity than that on nonenhanced scan. In 19 out of 20 lesions(95%), a low signal intensity capsule surrounding the masses could be seen. Four of the six patients showed multiple masses, which was unusual as neurilemmoma usually arises as a solitary mass. In conclusion, the MR findings, especially the eccentric location of the mass lesion from the nerve of origin and the presence of a capsule, were useful in making a diagnosis of neurilemmoma of the extremity and that multiple neurilemmomas were not uncommon.
Diagnosis
;
Extremities*
;
Gadolinium DTPA
;
Humans
;
Median Nerve
;
Neurilemmoma*
;
Radial Nerve
;
Sciatic Nerve
;
Tibial Nerve
;
Ulnar Nerve
4.A Case of Carcinoma Erysipelatoides Originating in an Internal Organ.
Moon Soo YOON ; Duck Hyun KIM ; Kyung Tai HONG
Korean Journal of Dermatology 1987;25(1):123-125
We present a case of carcinoma erysipelatoides which or iginated from an internal organ. The patient was a 50 year-old female who had peritoneal carcinomatosis, She presented an erythematous lesion resembling erysipelas on her right breast. Histopathologic findings were consistent with metastatic adenocarcinoma but clinically it was not associated with carcinoma of the breast.
Adenocarcinoma
;
Breast
;
Carcinoma
;
Erysipelas
;
Female
;
Humans
;
Middle Aged
5.Hydrox yapatite Implantation with Scleral Patch Graft in Eviseration.
Kyung Sook PARK ; Jae Duck KIM ; Sang Duck KIM
Journal of the Korean Ophthalmological Society 1999;40(7):1987-1992
When inserting an orbital implant, evisceration allows suitable movement of the eyeball making it a better method cosmetically than enucleation; performing hydroxyapatite implantation after evisceration preserving the cornea sometimes causes the complication of cornea melting. To reduce complications after evisceration and hydroxyapatite implantation,scleral patch graft with corneal excision was performed in 15 eyes of 15 patients. In all 15 eyes, 20 mm-sized hydroxyapatite implants were inserted. Fourteen eyesshowed no complications, but in one eye scleral suture was exposed and 2months later the implant was exposed around that area. Also, there developed conjunctival wound dehiscence and exposure of the central portion of the scleral graft in two eyes. But the exposed sclera was fibrovascularized by the surrounding conjunctival tissue and did not lead to exposure of the implant. This study suggests that when performing evisceration and hydroxyapatite implantation, scleral pach graft with cornea excision is helpful in reducing the incidence of exposure of hydroxyapatite implant.
Cornea
;
Durapatite
;
Freezing
;
Humans
;
Incidence
;
Orbital Implants
;
Sclera
;
Sutures
;
Transplants*
;
Wounds and Injuries
6.Surgical Correction of Lower Lid Retraction Using The Scleral Spacer.
Sang Duck KIM ; Shin Il KOH ; Kyung Sook PARK ; Jae Duck KIM
Journal of the Korean Ophthalmological Society 1998;39(12):3083-3087
Lower lid retraction can be caused by many etiologies but few require surgical intervention except for cosmetic reasons and exposure deratitis due to lagophthalmos. We report three lower lid retraction patients who underwent lower lid reconstruction was due to congenital etiology or was secondary to excessive inferior rectus muscle recession or lower lid blepharoplasty due to orbital neurofibroma. All three patients found their results satisfactory and showed no severe side effects during the follow-up period. It is suggested that the use of scleral spacer combined with lateral canthoplasty be an effective surgical procedure for correction of lower lid retraction.
Blepharoplasty
;
Follow-Up Studies
;
Humans
;
Neurofibroma
;
Orbit
7.Clinical Evaluation and Patch Test with Vegetables in Housewife' s Hang Eczema.
Hyung Joo KIM ; Moon Soo YOON ; Duck Hyun KIM ; Soo Chan KIM ; Kyung Tai HONG
Korean Journal of Dermatology 1988;26(2):172-178
The importance of vegetables as a allergen for the development of hand eczema has been a matter of debate. The aim of this study was to evaluate the clinical manifestations of hand eczema and to investigate the role of vegetables in the hand eczema of Korean housewives. In this study, clinical evaluatons and patch tests with Hollister-Stier standard allergens and 22 vegetable allergens wer performed in 32 patients with housewife's hand eczema. The results are summarized as follows : 1. The prevalence was highest in fourth(59.4%) and third(25.0%) decades of life and the peak age of onset was third(53.1%) and fourth(31.3%) decades. 2. Only 3 of 32 patients(9.4%) had past histories of atopic dermatitis ; however, childrens of 12 patients(37.5%) had atopic dermatitis. 3. The common skin signs were fissuring(90.6%), scaling(78.1%), erythema(75.0%), hyperkeratosis(71.9%), lichenification(62.5%), and vesicle(43.8%) in descending order. 4. The common aggravating factors were soap or detergent(93.8%), water(90.6%) and rubber glove(25.0%). 5. The most common involved areas of hand eczema were fingers including fingertips and fingertips only. 6. The results of patch test using vegetable allergens with 10 normal controls were all negative. Of the 32 patients with hand eczema, 13(37.5%) showed positive patch test with standard allergens and 5(15.6%) showed positive with vegetable allergens. 7. Among 30 standard allergens, cinnamic alcohol(9.4%). potassium dichromate(9.4%), nickel sulfate(6.3%), and wool wax alcohol(6.3%) were the common allergens which showed positive reactions. Of the 22 vegetable allergens, garlic, Chinese cabbage juice, Chinese cabbage extract, cucumber juice, spinach extract, potato juice showed weak positive reactions in only one patient(3.1%) respectively. From the above results contact sensitivity to vegetables is not significant in Korean housewives with hand eczema.
Age of Onset
;
Allergens
;
Asian Continental Ancestry Group
;
Brassica
;
Child
;
Dermatitis, Atopic
;
Dermatitis, Contact
;
Eczema*
;
Fingers
;
Garlic
;
Hand
;
Humans
;
Nickel
;
Patch Tests*
;
Potassium
;
Prevalence
;
Rubber
;
Skin
;
Soaps
;
Solanum tuberosum
;
Spinacia oleracea
;
Vegetables*
;
Wool
8.The Influence of Implanter Bevel Direction during Insertion on Transplanted Hair Survival Rate: Bevel-up or Bevel-down?.
Kyung Duck PARK ; Weon Ju LEE ; Do Won KIM ; Jung Chul KIM ; Seok Jong LEE
Korean Journal of Dermatology 2013;51(2):165-166
No abstract available.
Hair
;
Survival Rate
;
Transplants
9.Change of Renal Excretion of Ascorbic Acid in Children.
Chang Yeal JEON ; Jong Duck KIM ; Heon Sook LEE ; Jung Soo KIM ; Kyung Woo CHO
Journal of the Korean Pediatric Society 1984;27(6):548-553
No abstract available.
Ascorbic Acid*
;
Child*
;
Humans
10.CLINICAL APPLICATIONS OF THE RADIAL FOREARM FLAP.
Sung Wook KIM ; Seung Ha PARK ; Sang Hwan KOO ; Duck Sun AHN ; Woo Kyung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):1090-1099
No abstract available.
Forearm*