We repart herein a case of psoriasifomi sarcoidosis. A histopathological examination reveaied sarcoidal ulomas throughout the dermis. There wa no systemic nvolvement, The skin lesions resolved aftier one month following treatment with low dose oral prednisolone. This is the first case of psoriasiform sarcoidosis in Korea.
Dermis ; Korea ; Prednisolone ; Sarcoidosis* ; Skin

Cutaneous metastasis from parotid gland carcinoma is very rare and there have been no re-ports in Korean literatures. Furthermore, it can often manifest as inflammatory type of skin metastasis and mimic a radiodermatitis. We report a case of a 31-year-old Korean man with cutaneous metastasis originated from parotid gland mucoepidermoid carcoinoma which mimicked clinically a radiodermatitis.
Adult ; Carcinoma, Mucoepidermoid* ; Humans ; Neoplasm Metastasis* ; Parotid Gland* ; Radiodermatitis* ; Skin*

Lichenoid keratosis (LK), a lichen planus-like keratosis, is a rather frequent skin disorder that has some histological features similar to lichen planus. However, the classification system for LK has not been settled. We report two cases of LK and propose a new classification for LK correlating with clinicohistopathological findings.
Actins* ; Classification ; Keratosis* ; Lichen Planus ; Lichens ; Skin

Indeterminate cell proliferations are rarely described in dermatology literature. Indeterminate cells are characterized by positivity for S-100 protein and CD-la, but are distinguished from Langerhans cells by the absence of Birbeck granules. We present a case of congenital indeterminate cell histiocytoma in a 6-day-old male infant. A Skin examination revealed a solitary, erythematous, 6*6cm, superficially crusted, dome shaped papule on his forehead. A Histopathologic examination showed a dense cellular infiltrate in the dermis, below the atrophic epidermis. Frequently, the nucleus demonstrated a single cleft or crease like the shape of a kidney. These cells showed positivity for S-100 protein. Birbeck granules were not found on electron microscopic examination.
Dermatology ; Dermis ; Epidermis ; Forehead ; Histiocytoma* ; Humans ; Infant ; Kidney ; Langerhans Cells ; Male ; S100 Proteins ; Skin

Winkelmann granuloma is a very rare disorder characterized by histologic findings of perhaps[ic] infiltration, collagen degeneration, and granulomatous inflammation, which usually show palisading features. A number of diseases, especially systemic immunoreactive diseases, are associated with this disorder. We describe a focal neutrophilic necrosis : type of Winkelmann granuloma associated with hypothy- roidism and rheumatoid arthritis.
Arthritis, Rheumatoid* ; Collagen ; Granuloma* ; Hypothyroidism* ; Inflammation ; Necrosis ; Neutrophils

BACKGROUND: There are many documents about the hemodynamic changes according to sympathetic blockade produced by epidural anesthesia, but a few reports have addressed the effects of epidural anesthesia on renal blood flow and function. We evaluated the effects of epidural ane.sthesia on the renal blood flow and function in 6 dogs under general anesthesia. METHODS: The dogs were anesthetized with halothane 1.0-1.5 volume %, nitrous oxide 2L/min and oxygen 2L/min. Epidural catheter was inserted via 17 gauge Tuohy needle through L2-L3 intervertebral space. The abdominal wall was opened and the left renal artery was dissected to measure the blood flow with the electromagnetic flowmeter. We measured mean arterial pressure, cardiac output, central venous pressure, pulmonary capillary wedge pressure and renal blood flow at the interval of 20 minutes for 2 hours during general anesthesia (control period). Urine had been collected for the control period, and then blood was sampled for the measurement of serum creatinine concentration from the femoral artery. Under the general anesthesia, epidural anesthesia was established using 10ml of 0.5% bupivacaine, and we measured same parameters for the same time sequence as in the control period (experimental period). RESULTS: Mean arterial pressure and cardiac output decreased significantly after epidural anesthesia (p<0.05). Central venous pressure and pulmonary capillary wedge pressure were not changed comparing to those in the control period. Renal blood flow decreased significantly after epidural anesthesia (p<0.05) but creatinine clearance and urine output were maintained. CONCLUSION: renal blood flow was decreased but renal function was maintained when epidural anesthesia reduced mean arterial pressure and cardiac output.
Abdominal Wall ; Anesthesia, Epidural* ; Anesthesia, General ; Animals ; Arterial Pressure ; Bupivacaine ; Cardiac Output ; Catheters ; Central Venous Pressure ; Creatinine ; Dogs* ; Femoral Artery ; Flowmeters ; Halothane ; Hemodynamics ; Magnets ; Needles ; Nitrous Oxide ; Oxygen ; Pulmonary Wedge Pressure ; Renal Artery ; Renal Circulation*

Behavior-modification approaches are among the most widely used methods for losing weight. The most important concern in these approaches is that the client is helped to achieve long-term weight loss. The purpose of this study was to determine the effectiveness of nutritional counseling for weight reduction in office workers. Sixteen overweight office workers (BMI=25.8+/-.5 age=34.1+/-.0) were selected from Poscohuls. Prior to nutritional counseling, their dietary intakes were assessed using the 24-hour recall method, and survey questionnaires for lifestyle and dietary habits were collected. Nutrient intakes were calculated using the Food Processor II program modified for Korean foods. Nutritional counseling sessions were conducted every 2-3 weeks for 5 months. Various techniques tailored to the individual participants were used to facilitate weight loss. After 5 to 6 counseling sessions, questionnaires for lifestyle and dietary habits were re-evaluated. Daily energy intake showed great individual differences. The energy intake of every client decreased by about 15% (p=0.08). Fat consumption was lowered by 39.3%, but consumption of carbohydrate and protein was not changed. The common dietary and lifestyles problems were overeating, binges, dinning out, snacking, and drinking alcohol. Before counseling began, clients ate out an average of 2.8 times per week, and they ate high-fat foods such as belly pork. After counseling, they consumed low-fat dishes such as fish and lean meat in fewer dinning-out sessions. Also, the number of binges decreased slightly, and clients consumed smaller meals. Similar changes occurred with respect to the consumption of alcohol. During the counseling sessions, 25 percent of clients lost weight by approximately 2kg, while 75 percent maintained their weight. In conclusion, multiple nutritional counseling sessions are an effective and efficient approach to change eating pattern to keep losing weight. Furthermore, through multiple nutritional counseling sessions, clients can gain good dietary habits and learn to control their weight through behavior modification. However, clients need to have patience and trust to lose weight since it takes longer periods to show losing weight multiple nutritional counseling sessions.
Behavior Therapy* ; Counseling* ; Drinking ; Eating ; Energy Intake ; Food Habits ; Hyperphagia ; Individuality ; Life Style ; Meals ; Meat ; Overweight ; Surveys and Questionnaires ; Snacks ; Weight Loss

Cutaneous pseudolymphoma (CPL) has a microscopic appearance that resembles that of cutaneous lymphoma, but shows a clinically benign course. The differential diagnosis of CPL with cutaneous lymphoma is very important because clinical outcomes of them are quite different. We herein describe two cases of B-cell pseudolymphoma, which were difficult to differentiate from cutaneous B-cell lymphlma. All of two cases, Polymerase chain reaction of immunoglobulin heavy chain gene rearrangement showed polyclonal pattern.
B-Lymphocytes* ; Diagnosis, Differential ; Gene Rearrangement ; Immunoglobulin Heavy Chains ; Lymphoma ; Polymerase Chain Reaction ; Pseudolymphoma*

Blastomycosis-like pyoderma is a rare reaction pattern to a superficial bacterial infection in persons with a variety of underlying coniditions, including inflammatory and neoplastic pathologic conditions, and in associaton with a primary immunodeficiency state. We describe a clinically recurrent blastomycosis-like pyoderma on the right ankle area in an otherwise healthy man.
Ankle ; Bacterial Infections ; Humans ; Pyoderma*

Lipomembranous fat necrosis is a special form of fat necrosis characterized by the presence of cystic cavities lined by crenelated hyaline membranes. Lipomembranous fat necrosis has been observed in the subcutaneous tissue associated with various conditions, mainly with ischemia. The term, nodular-cystic fat necrosis was coined to describe a characteristic form of encapsulated subcutaneous fat necrosis resulting form encapsulated lipoma associated with trauma or ischemia. We herein report a case of lipomembranous fat necrosis associated with vascular insufficiency and possibly associated with nodular-cystic fat necrosis, and discuss the common pathogenesis of the two disorders.
Fat Necrosis* ; Hyalin ; Ischemia ; Lipoma ; Membranes ; Necrosis ; Numismatics ; Subcutaneous Fat ; Subcutaneous Tissue