1.A Case of Kimura's Disease.
Myung Yol KIM ; Yoo Shin LEE ; Hyung Jai KANG
Korean Journal of Dermatology 1975;13(3):243-247
A case of Kimuras disease was presented. It seemed that this is the first reported case in Korean literature. The patient was 26 years old male having painless slowly growing tumor-like swelling on his left cheek for 5 months. Mild leukocytosis and marked eosinophilia (27%) were noted in routine laboratory tests. Histopathologically numerous well developed lymphoid follicular structures composed of closely packed lymphocytes and histiocytes were seen in the deep dermis and subcutaneous fat tissue. Dense eosinophilic infiltrations in and around the follicles were peculiar picture. The literature was reviewed. Its relation to the similar descriptions in western literature under various diffe'rent headings was discussed;
Adult
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Cheek
;
Dermis
;
Eosinophilia
;
Eosinophils
;
Head
;
Histiocytes
;
Humans
;
Leukocytosis
;
Lymphocytes
;
Male
;
Subcutaneous Fat
2.Treatment of the Huge Skeletal Hemangioma by Using the Microsurgical Technique
Myung Chul YOO ; Shin Hyeok KANG ; Young Nam BANG
The Journal of the Korean Orthopaedic Association 1980;15(1):174-177
Hemangioma are not rare tumor, they are found in almost all the vascular structures of the body. They are fairly common in the akeletal muscles. There Is no unanimity of opinion concerning the etlology and pathogenesis of hemangioma. It Is most llkely, however, that hemangioma are congenital in origin. The authors have experienced unusual huge skeletal hemangioma occurred in forearm and hand in infant. These huge hemangioma in infant ls very difficult to excise completely with the conventional methods. But we have obtained the excellent result by using recently advanced meticulous microsurgical technique.
Forearm
;
Hand
;
Hemangioma
;
Humans
;
Infant
;
Muscles
3.Isolated Avulsion Fracture of the Tibial Attachment of the Posterior Cruciate Ligament: Clinical Report
Yong Koo KANG ; Myung Sang MOON ; Il Do SHIN
The Journal of the Korean Orthopaedic Association 1982;17(4):732-737
Isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament has been thought very rare. We also had experienced only nine cases of above injury in our center during 5.5 years from January, 1976 to June, 1981. Eight cases of them were followed for an average of the thirteen months, but one of them was eliminated from the study because follow-up study was impossible for the case. The purposes of this paper are to present eight cases of isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament and to discuss the causes and mechanisms of the injury and the method of screw fixation for the avulsed fracture fragment. Seven were injured by traffic accident and one by fall on the knee. All cases seemed to be injured by the force directed against the flexed knee which violently stroke the anterior surface of the proximal end of the tibia or inferior portion of the knee and drove it backwards. We found the tear of posterior capsule only in one patient who was seeming injured by extensive force. All cases were treated operatively by means of screw fixation, and excellent results were obtained in five cases, good in two, and fair in one case.
Accidents, Traffic
;
Follow-Up Studies
;
Humans
;
Knee
;
Methods
;
Posterior Cruciate Ligament
;
Stroke
;
Tears
;
Tibia
4.Four Cases of the Fournier's Gangrene.
Sung Won LEE ; Yung Bae LEE ; Moon Soo KANG ; Myung Kook SHIN ; Dong Myung SHIN
Korean Journal of Urology 1989;30(3):442-446
Fournier described five patients with gangrene of male external genitalia in 1883 and emphasized three characteristics: (1) abrupt onset in young healthy male, (2) rapid progression to gangrene,(3) absence of discernible cause. But more recent reports described genital gangrene as occurring in any age group and 4 patients in our cases, the mean age was 46 years with an age range of 31 to 59 years. Predisposing causes were as follows: case 1. prostatic calculi, Buerger's disease, case 2, perianal abscess, case 3, diabetes mellitus, case 4, tuberculous spondylitis accompanied by paraplegia and bed sores, liver cirrhosis. The duration of symptoms prior to the development of gangrene varied between 4 to 10 days. The cultured organisms were as follows : case 1. Alpha-hemolytic streptococcus, case 2. E. coli, Alpha-hemolytic streptococcus case 3. Alpha-hemolytic streptococcus, case 4, Mycobacterium tuberculosis, proteus species. Reconstructive surgery of defected scrotum was performed postoperative 8 to 41 days (mean 28.7) and total admission period was 25 to 83 days (mean 46 days).
Abscess
;
Calculi
;
Diabetes Mellitus
;
Fournier Gangrene*
;
Gangrene
;
Genitalia
;
Humans
;
Liver Cirrhosis
;
Male
;
Mycobacterium tuberculosis
;
Paraplegia
;
Pressure Ulcer
;
Proteus
;
Scrotum
;
Spondylitis
;
Streptococcus
;
Thromboangiitis Obliterans
5.The clinical value of magnetic resonance imaging in the evaluation of internal derangement of the knee.
Key Yong KIM ; Woo Shin CHO ; Myung Jin SHIN ; Sung Il BIN ; Joon Soon KANG ; Hun Kyu SHIN
The Journal of the Korean Orthopaedic Association 1993;28(2):574-581
No abstract available.
Knee*
;
Magnetic Resonance Imaging*
6.Confirmation of Brain Death by Isotope Angiography.
Jong Myung KANG ; Suk Shin JO ; Han Chul PARK ; Myung Ho KIM ; Chan Hyun PARK
Journal of the Korean Neurological Association 1983;1(2):65-67
A case of the brain death confirmed by isotope angiogrphy is described. Isotope angiography is a simple and noninvasive technic compared to carotid angiography, and is recommended as a reliable test for the diagnosis of brain death.
Angiography*
;
Brain Death*
;
Brain*
;
Diagnosis
7.Confirmation of Brain Death by Isotope Angiography.
Jong Myung KANG ; Suk Shin JO ; Han Chul PARK ; Myung Ho KIM ; Chan Hyun PARK
Journal of the Korean Neurological Association 1983;1(2):65-67
A case of the brain death confirmed by isotope angiogrphy is described. Isotope angiography is a simple and noninvasive technic compared to carotid angiography, and is recommended as a reliable test for the diagnosis of brain death.
Angiography*
;
Brain Death*
;
Brain*
;
Diagnosis
8.Two Cases of Nasopharyngeal Carcinoma Treated with Co-60 HDR ICR.
Sei One SHIN ; Cheol Hoon KANG ; Seong Gyu KIM ; Myung Se KIM
Yeungnam University Journal of Medicine 1990;7(1):197-201
The primary treatment modality of malignant tumors of the nasopharynx is radiation therapy owing to its inaccessibility to surgical intervention. Over the last two decades there were many changes in techniques of delivery, which include the use of higher doses of radiotherapy, the use of wide radiation field, including the elective radiation of the whole neck, the combined use of brachy- and teletherapy, and the use of split-course therapy. In spite of these advances local and regional recurrences remain the major cause of death. As a boost therapy after external irradiation, high-dose-rate intracavitary irradiation using remote control afterloading system (RALS) was used in two patients. Our results were satisfactory, however, this procedure should only be performed by those who have developed enough expertise in the use of intracavitary techniques for the treatment of nasopharyngeal cancer and have a supportive team including a physicist, dosimetrist, nurse, and trained technologist.
Cause of Death
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Humans
;
Nasopharyngeal Neoplasms
;
Nasopharynx
;
Neck
;
Radiotherapy
;
Recurrence
9.Management of Diabetic Peripheral Neuropathy.
Myung Shin KANG ; Chong Hwa KIM
Korean Journal of Medicine 2015;89(3):277-281
Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus. The prevalence of neuropathic pain is estimated to occur in about 30-50% of all diabetic patients. Clinical symptoms vary depending on the nerves affected, and may include both positive and negative symptoms. Many patients with DPN experience pain or discomfort, anxiety, depression, and limitations in activity, which can significantly impact their physical, emotional, and social well-being. Early diagnosis is essential for the successful management of DPN. Routine management consists of glucose and risk factor control, and symptomatic relief, along with therapies designed to target the underlying disease pathology. Pharmacological treatment of DPN includes tricyclic compounds, serotonin noradrenalin reuptake inhibitors, the antioxidant alpha-lipoic acid, anticonvulsants, opiates, membrane stabilizers, topical capsaicin, and other drugs. Management of DPN must be tailored to each individual, and depends on a variety of factors, including disease severity and response to treatment.
Anticonvulsants
;
Anxiety
;
Capsaicin
;
Depression
;
Diabetes Mellitus
;
Diabetic Neuropathies
;
Early Diagnosis
;
Glucose
;
Humans
;
Membranes
;
Neuralgia
;
Pathology
;
Peripheral Nervous System Diseases*
;
Prevalence
;
Risk Factors
;
Serotonin
;
Thioctic Acid
10.The Comparison of the Effect of Enflurane and Propofol on Arterial Oxygenation during One-Lung Ventilation.
Sung Sik KANG ; In Chul CHOI ; Jin Mee JOUNG ; Ji Yeon SHIN ; Myung Won CHO
Korean Journal of Anesthesiology 1997;33(6):1121-1128
BACKGROUND: Controversy exists as to whether or not inhalation anesthetics and intravenous anesthetics impair arterial oxygenation (PaO2) during one lung ventilation (OLV). Accordingly, we examined the effect of enflurane and propofol on PaO2 and pulmonary vascular resistance (PVR) during OLV. METHODS: Forty patients, who had prolonged periods of OLV anesthesia with minimal trauma to the nonventilated lung were studied in a cross over design. Patients were randomized to four groups; Group 1 received 1 MAC of enflurane and oxygen from induction until the first 20 min after complete lung collapse, then were switched to propofol 100 g/kg/min (P100). In group 2, the order of the anesthetics was reversed. Group 3, Group 4 received the same order of the anesthetics as Group 1, Group 2, respectively but received propofol 200 g/kg/min (P200). RESULTS: During OLV, the PaO2 values were lower than those with two lung ventilation (TLV), there were no significant differences among each groups and between propofol and enflurane in PaO2, but in the selected patients (n=10, PaO2<120 mmHg during OLV), PaO2 in propofol group was higher than that of enflurane group (p<0.05). Conversion from TLV to OLV caused a significant increase in PVR, but there were no difference in PVR between propofol and enflurane group. CONCLUSIONS: These results suggest that the usual clinical dose of propofol affords no advantage over 1 MAC of enflurane anesthesia except low PaO2 patients during OLV. Propofol might be of value in risk patients of hypoxemia during thoracic surgery when OLV is planned.
Anesthesia
;
Anesthetics
;
Anesthetics, Inhalation
;
Anesthetics, Intravenous
;
Anoxia
;
Cross-Over Studies
;
Enflurane*
;
Humans
;
Lung
;
One-Lung Ventilation*
;
Oxygen*
;
Propofol*
;
Pulmonary Atelectasis
;
Thoracic Surgery
;
Vascular Resistance
;
Ventilation