No abstract available.
Complementary Therapies ; Dermatitis, Atopic

No abstract available.
Air Pollutants ; Prevalence

The patient was a 52-year-old female with swelling in both lower legs and peripheral blood eosinophilia. Biopsy specimen revealed the heavy infiltration of eosinophils with sparse small lymphocytes showing mild atypia. The diagnosis was Kimura disease. The symptoms including eosinophilia were relieved by steroid treatment. At 17 months from initial biopsy, the patient developed swelling of the buttock. At 25 months, fever and dyspnea with multiple lung nodules developed. Wedge resection revealed multiple aggregates of CD3(+), CD56(+), Epstein-Barr virus(+) large atypical lymphocytes with necrosis. The patient was finally diagnosed with extranodal NK/T cell lymphoma (NKTL). Epstein-Barr virus in situ hybridization retrospectively performed on the previous biopsies demonstrated Epstein-Barr virus infection in small CD3(+) lymphocytes. The patient expired after 26 months despite chemotherapy. Blood eosinophilia correlated well with disease activity during the clinical course. This case shows not only unusual histologic features, which hampered the correct diagnosis, but also a unique clinical manifestation of NKTL.
Angiolymphoid Hyperplasia with Eosinophilia ; Biopsy ; Buttocks ; Dyspnea ; Eosinophilia ; Eosinophils ; Epstein-Barr Virus Infections ; Female ; Fever ; Herpesvirus 4, Human ; Humans ; In Situ Hybridization ; Leg ; Lung ; Lymphocytes ; Lymphoma ; Middle Aged ; Morphinans ; Muscle, Skeletal ; Necrosis ; Retrospective Studies

The patient was a 52-year-old female with swelling in both lower legs and peripheral blood eosinophilia. Biopsy specimen revealed the heavy infiltration of eosinophils with sparse small lymphocytes showing mild atypia. The diagnosis was Kimura disease. The symptoms including eosinophilia were relieved by steroid treatment. At 17 months from initial biopsy, the patient developed swelling of the buttock. At 25 months, fever and dyspnea with multiple lung nodules developed. Wedge resection revealed multiple aggregates of CD3(+), CD56(+), Epstein-Barr virus(+) large atypical lymphocytes with necrosis. The patient was finally diagnosed with extranodal NK/T cell lymphoma (NKTL). Epstein-Barr virus in situ hybridization retrospectively performed on the previous biopsies demonstrated Epstein-Barr virus infection in small CD3(+) lymphocytes. The patient expired after 26 months despite chemotherapy. Blood eosinophilia correlated well with disease activity during the clinical course. This case shows not only unusual histologic features, which hampered the correct diagnosis, but also a unique clinical manifestation of NKTL.
Angiolymphoid Hyperplasia with Eosinophilia ; Biopsy ; Buttocks ; Dyspnea ; Eosinophilia ; Eosinophils ; Epstein-Barr Virus Infections ; Female ; Fever ; Herpesvirus 4, Human ; Humans ; In Situ Hybridization ; Leg ; Lung ; Lymphocytes ; Lymphoma ; Middle Aged ; Morphinans ; Muscle, Skeletal ; Necrosis ; Retrospective Studies

Exacerbations of asthma is major causes of morbidity, mortality, and health-care costs. Over the decade, studies using new molecular diagnostic techniques have established that respiratory viruses are a major cause of exacerbations of asthma. The most prevalent viruses detected during exacerbations are the rhinovirus. Despite the burden of disease associated with exacerbations, little is known about the mechanisms of virus-induced exacerbations of airway diseases. Exacerbations are associated with increased airway inflammation in patients with asthma, but many questions remain unanswered regarding the key inflammatory cells and mediators involved. Identifying the key inflammatory mediators involved in exacerbations holds the promise of developing diagnostic and prognostic markers of exacerbation. The purpose of this review is to summarize the recent change in our understanding of the clinical manifestations of rhinovirus infection than occurred as a result of the improved diagnostic sensitivity provided by the multiplex-polymerase chain reaction (PCR) assays and serotypes.
Asthma ; Humans ; Inflammation ; Molecular Diagnostic Techniques ; Rhinovirus

PURPOSE: The role of vitamin D in traditional atopic disorders (i.e., asthma, allergic rhinitis, and atopic dermatitis) is still uncertain. We have analyzed the association between serum 25-hydroxyvitamin D3 (25(OH)-D3) levels and asthma in children. METHODS: A total of 133 children were enrolled between April 2008 and December of 2008. Children were divided into 3 groups: the asthma group (n=80), bronchiolitis group (n=50), and normal group (n=35). Serum samples were collected and checked for 25(OH)-D3 levels. From the blood samples, we measured eosinophil counts, total IgE, specific IgE (Dermatophagoides pteronyssinus, Dermatophagoides farinae, milk, egg, cat, dog, cockroach) (Uni-CAP FEIA system). RESULTS: The mean age of the patients was 4.6 years. The mean 25(OH)-D3 levels of the asthma, bronchiolitis, and normal groups were 17.2+/-8.9, 22.5+/-9.3, and 27.8+/-10.2 ng/mL, respectively (P<0.01). There was no association between allergens and vitamin D levels. Mean 25(OH)-D3 levels were lower at acute state of asthma than at stable state. CONCLUSION: The mean level of 25(OH)-D3 was associated with asthma and acute state of asthma. Further experimental and clinical studies are needed to establish a definite link between vitamin D levels and asthma.
Allergens ; Animals ; Asthma* ; Bronchiolitis ; Calcifediol ; Cats ; Child* ; Dermatophagoides pteronyssinus ; Dogs ; Eosinophils ; Humans ; Immunoglobulin E ; Milk ; Ovum ; Rhinitis ; Vitamin D* ; Vitamins*

OBJECTIVE: To clarify the relationship of primitive reflexes and motor development during second six months of age. METHOD: All infants were referred to Inha University Hospital Cerebral Palsy Clinic from January 1, 1996 to March 30, 1997. Identical evaluations were performed on 49 risk infants at eight months of age. Their primitive reflexes were graded on a 0~2 scale; 0 being inability to elicit the reponses passively, 1 being intermediate degree, 2 being obligatory. The following primitive reflexes were studied; asymmetric tonic neck reflex (ATNR), tonic labyrinthine reflex on supine (TLS), Moro reflex (Moro). The presence of some voluntary activities (rolling prone to supine, rolling supine to prone, and sitting unsupported) were observed. The Mantal-Haenszel chi-square for trend test was used in order to study the association of primitive reflex and motor development in infants with delayed development. RESULTS: Inability of rolling prone to supine was most significantly associated with presence of ATNR and TLS but not with that of Moro reflex. Inability of rolling supine to prone was significantly associated with presence of TLS and then Moro reflex, ATNR. Inability to Sit independently without support was associated with the presence of TLS, but not with that of ATNR and Moro reflexes. CONCLUSION: This study suggests that the presence of primitive reflexes at second half of age are negatively influenced on motor development of infants.
Cerebral Palsy ; Humans ; Infant* ; Neck ; Reflex*

Infiltrative polyneuropathy is an infrequent complication of lymphoma or leukemia. The polyneuropathy can occur in patients with known malignancy, but sometimes it has been initial manifestation of underlying disease. The diagnosis was usually made at autopsy, because more common causes of polyneuropathy were frequently considered during life and many cases showed negative results on sural nerve biopsy. We experienced a case of steroid responsive polyneuropathy due to infiltration of malignant T cell on peripheral nerves prior to lymph node biopsy.
Autopsy ; Biopsy ; Diagnosis ; Humans ; Leukemia ; Lymph Nodes ; Lymphoma* ; Peripheral Nerves ; Polyneuropathies* ; Sural Nerve

Dementia with Lewy bodies (DLB) is the second most common cause of neurodegenerative dementia. The Dementia with Lewy Bodies Consortium has revised DLB consensus diagnostic criteria. We reviewed recent (fourth) clinical diagnosis criteria and treatment options. The revised DLB clinical criteria included clinical features and updated diagnostic biomarkers. Compared with third criteria, they removed suggestive features and reassigned rapid eye movement sleep behavior disorder (RBD) in core clini-cal features with fluctuating cognition, recurrent visual hallucination, and parkinsonism. They classified biomarkers into two groups, indicative and supportive biomarkers, according to diagnostic specificity and evidence quality. Indicative biomarkers in-cluded reduced dopamine transporter uptake in basal ganglia demonstrated by single-photon emission CT or positron emission tomography, low uptake 123 Iodine- metaiodobenzylguanidine myocardial scintigraphy, and RBD in polysomnography. In treatment of DLB, cholinesterase inhibitor can improve cognitive function and activities of daily living. Neuroleptics should use with caution due to sensitivity in DLB.

PURPOSE: Matrix metalloproteinase-2 (MMP-2) and MMP-7 have been implicated in tumor growth and metastasis. This study aimed to investigate the expressions of MMP-2 and -7 in colorectal cancer and to evaluate their values as prognostic markers. METHODS: Immunohistochemical staining for MMP-2 and -7 was done in 144 resected colorectal cancer specimens. Clinicopathological data and survival results were compared with regard to the expression results. RESULTS: The expression rates of MMP-2 in tumor cells in the tumor center and the tumor border were 16.7% and 38.9%, respectively. That of MMP-2 in stromal cells was 27.8%. MMP-7 immunoreactivities of tumor cells in the tumor center and the tumor border were 6.9% and 23.6%. The expressions of MMP-2 and MMP-7 were correlated. MMP-2 expression in stromal cells was more increased in the distal part of the colorectum: 8.8% in right colon cancer, 29.5% in left colon cancer and 36.4% in rectal cancer. MMP-2 expression of tumor cells in the tumor border was correlated with T-stage. MMP-7 expression of tumor cells in the tumor border was increased in case of infiltrative cancer compared with fungating tumor. The expression patterns of MMP-2 and -7 were not correlated with other clinicopathological factors, including tumor markers, node metastasis, distant metastasis, lymphatic invasion, tumor differentiation, and recurrence. No significant associations between the overall and disease-free survival rates and the MMP-2 and -7 expression patterns were noted. CONCLUSION: The high expression rates of MMP-2 and -7 in tumor borders suggest that MMP-2 and -7 have some role in tumor invasion, but in this study, MMP-2 and -7 did not appear to be significant predictors of prognosis in colorectal cancer.
Colonic Neoplasms ; Colorectal Neoplasms ; Disease-Free Survival ; Immunohistochemistry ; Lymphatic Metastasis ; Matrix Metalloproteinase 2 ; Matrix Metalloproteinases ; Neoplasm Metastasis ; Prognosis ; Rectal Neoplasms ; Recurrence ; Stromal Cells ; Biomarkers, Tumor