Nevus Iipomatosus cutaneous superficialis (NLCS) is a very rare skin disease which usually is present at birth. The lesion consists of grouped papules and nodules which on histological examination show the presence of ectopic fatty tissue in the corium. The authors observed a 17year old female with NLCS. She noticed soft papules and nodules on the coccygeal area since 8 years old. We confirmed this case by clinically and histopathological findings which showed the strands or islands of mature fatty tissue within papillay, mid and lower dermis.
Adipose Tissue ; Child ; Dermis ; Female ; Humans ; Islands ; Nevus* ; Parturition ; Skin Diseases

No abstract available.
Glycopyrrolate* ; Salivary Glands* ; Scopolamine Hydrobromide*

A postoperative recovery room serves to care for patients until they are sufficiently recovered from the physiologic derangements produced by surgery and general anesthesia. Upon emergence from general anesthesia, airway obstructuion, hypoxemia, pneumothorax, hypotension, hypertension, aspiration or excitement may occur. A Case of presented of acute respiratory distress resulting from pneumothorax and subcutaneous emphysema in the recovery room. This complication was the result of an accidental sealing of the tracheal tube with plaster by an aid nurse. The patients was discharged with no problems. We report this case along with a review of the literature.
Anesthesia, General ; Anoxia ; Humans ; Hypertension ; Hypotension ; Pneumothorax* ; Recovery Room* ; Subcutaneous Emphysema*

A postoperative recovery room serves to care for patients until they are sufficiently recovered from the physiologic derangements produced by surgery and general anesthesia. Upon emergence from general anesthesia, airway obstructuion, hypoxemia, pneumothorax, hypotension, hypertension, aspiration or excitement may occur. A Case of presented of acute respiratory distress resulting from pneumothorax and subcutaneous emphysema in the recovery room. This complication was the result of an accidental sealing of the tracheal tube with plaster by an aid nurse. The patients was discharged with no problems. We report this case along with a review of the literature.
Anesthesia, General ; Anoxia ; Humans ; Hypertension ; Hypotension ; Pneumothorax* ; Recovery Room* ; Subcutaneous Emphysema*

Traumatic aneurysm is known to be very rare vascular disease. The authors experienced one case of traumatic aneurysm that occured on pericallosal artery after closed head injury. Traumatic aneurysm was suspected by enlarged traumatic ICH on the corpus callosum in brain CT scan and presence of signal voiding at the center of the hematoma in brain MRI scan and then confirmed by transfermoral carotid angiography. Clipped neck of this traumatic aneurysm successfully via interhemispheric approach, we report a case of traumatic pericallosal artery aneurysm with review of literatures.
Aneurysm* ; Angiography ; Arteries* ; Brain ; Corpus Callosum ; Head Injuries, Closed ; Hematoma ; Magnetic Resonance Imaging ; Neck ; Tomography, X-Ray Computed ; Vascular Diseases

BACKGROUND: The scalp is the second most visible part of the anatomy next to the face. Thus, aesthetic considerations such as scars and alopecia are important when planning excision of a mass from the scalp. Aesthetic results have not been satisfactory due to scar widening and hair follicle injury. Many methods have been tried to improve these results, however, they require multiple procedures and longer operation time. METHODS: We evaluated a easy and time-saving V-shape incision for excising a scalp mass. This technique of simplified V-shape incision was performed in 32 patients with benign scalp masses treated from September 2011 to March 2013. The incisions were performed with a blade to make a V-shape margin and preserve deep hair follicles at the flap margins. The defect was closed by approximation of two edges. RESULTS: All tumors were benign and superficial. The size of the scalp masses was 0.4-2.0 cm in width and 1.0-5.0 cm in length. Many hairs from the deep hair follicles grew into the scar, making the scar line almost unnoticeable in all 32 patients. Although some scar widening was evident, the number of hairs per unit was high enough to camouflage the scars. CONCLUSIONS: The simplified V-shape incision was beneficial as a simple, mini-surgical, time-saving procedure. Although the scars were slightly wider, they were covered with penetrating hairs and became unnoticeable.
Alopecia ; Cicatrix ; Hair ; Hair Follicle* ; Humans ; Scalp

PURPOSE: Pediatric burn still generates social problem leading to physical and mental sequelae for ages. We studied to help make a program for the prevention of pediatric burn. METHODS: We analyzed retrospectically 2759 acute burn patients under the age of 15 years in recent 5years (January 2000 - December 2004). RESULTS: 1553 males and 1226 females were investigated, with a male to female ratio of 1.25:1. The greatest number of burn patients were those with an age of 1-2 years(1435, 52%). Scalding burn was the most common cause of injury, which accounted for 1980 (71.8%) patients, followed by contact burns(286, 10.4%), flame burn(229, 8.3%), steam burn(141, 5.1%). Especially steam burn was the second cause of injury in the age under 1 year, while flame burn was the same in the age over 3 years. During recent 5 years, incidence of contact burn increased over twofold despite the others did not changed substantially. Variation of seasonal incidence is minimal and most of the patients(2545 cases, 92.2%) had burns of < = or 20% TBSA. The median hospital stay was 18.3 days, and the rate of operation was 35.4% with an high rate in electrical burn(70.6%), steam burn(68.8%), contact burn(65%). 27 patients died in this series, which yielded a mortality rate of 1%. CONCLUSION: We expect that these data will be used as a basis for prevention of pediatric burn.
Burns* ; Epidemiology ; Female ; Humans ; Incidence ; Length of Stay ; Male ; Mortality ; Seasons ; Social Problems ; Steam

BACKGROUND AND OBJECTIVES: The acute effect of alcohol is well known. However, although many authors have studied the effect of alcohol on equilibrium and found a deteriorated balancing capacity, objective studies of deteriorated balancing capacity have rarely been reported. The object of this study is to assess the effect of alcohol on vestibular function impairment by dynamic posturography. MAERIALS AND METHODS: Twelve healthy male volunteers aged 23-27 years (mean 25years) were assessed by dynamic posturography 30 min, 60 min and 90 min before and after the ingestion of alcohol. Alcohol levels were measured by blood samples 30, 60 and 90 min before, at and after ingestion. The samples were analyzed for alcohol by chromatography (SIGMA diagnostics). Each condition in SOT and latencies in MCT were used to estimate the effect of alcohol. RESULTS: The obtained results were as follows: 1) The time when serum alcohol concentration reach the maximum was 60 minute (50%). 2) Conditions 4, 5, 6 and composite scores showed statistically significant lower equilibrium scores (p<0.05). 3) Fourty-one percent showed normal SOT pattern, 33.3% showed generalized lower scores for all the conditions, 16.7% showed lower scores for the conditions 4, 5, and 6, and 8.3% showed lower scores for the conditions 5 and 6. 4) No significant effects were found for the latencies of MCT (p>0.05). CONCLUSION: Acute alcohol ingestion influences impairment of vestibular and visual input on equilibrium.
Chromatography ; Eating ; Humans ; Male ; Volunteers

BACKGROUND AND OBJECTIVES: Otoacoustic emissions (OAEs) are low level acoustic sounds of cochlear origin. They have several advantages over other methods in auditory testing, particularly in children. However, because of the crucial dependence of emission levels on the healthiness of the middle ear conduction system, some middle ear problems confound the interpretation of evoked OAEs (EOAEs). The purpose of this study is to evaluate the effects of middle ear condition (tympanometry) on DPOAEs and TEOAEs in normal hearers. Materials and Method : Tympanometry, TEOAEs and DPOAEs were measured in 42 subjects (68 ears) who were under 12 years old and have pure tone thresholds within 25 dB HL RESULTS: The OAEs pass rates for the three groups were as follows: 95 % for TEOAEs and 90 % for DPOAEs in the tympanogram type A group; 12 % for TEOAEs and 12 % for DPOAEs in the tympanogram type B group; 27.3 % for TEOAEs and 13.6 % for DPOAEs in the tympanogram type C group. The pass rate and sensitivity of EOAEs were much higher in the type A group than in the type B and C groups. CONCLUSION: OAEs are useful for screening the integrity of outer hair cells in the tympanogram type A group but not in the type B and C groups. Therefore, tympanometry that represents middle ear condition is recommended before the OAE test. In addition, if TEOAEs and DPOAEs are simultaneously performed, sensitivity will be increased.
Acoustic Impedance Tests ; Acoustics ; Child ; Ear, Middle* ; Hair ; Humans ; Mass Screening

Chronic myeloid leukemia (CML) is a clonal myeloproliferative disorder of the primitive hematopoietic stem cells. CML is characterized by the overproduction of myeloid cells, which results in marked splenomegaly and leukocytosis. CML presented by multiple chloromas is extremely rare. Multiple chloromas in the skin and brain are quite rare as the initial presentation of CML. These rare manifestation should alert clinicians to include CML in the differential diagnosis of patients presenting with multiple non-pruritic skin nodules or neurologic symptoms. Dasatinib has promising therapeutic potential for managing intracranial leukemic disease. Here, we report the case of a patient who visited the hospital with multiple chloroma which is unusual presentation of CML, and treated with dasatinib successfully.
Brain ; Diagnosis, Differential ; Hematopoietic Stem Cells ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive* ; Leukocytosis ; Myeloid Cells ; Myeloproliferative Disorders ; Neurologic Manifestations ; Sarcoma, Myeloid* ; Skin ; Splenomegaly ; Dasatinib