No abstract available.
Humans ; Male* ; Thyroid Diseases* ; Thyroid Gland*

Artichia with papular lesions is a rare congenit,al disease characteriezed by the association of alopecia and papular lesions. We report a case of atrichia with papular lesions in 12-year-old. Alopecia of the scalp and eye brows were present at birth. Nurnerous papular lesions are presentation the trunk, buttock and inguinal area. The histopathologic iinding of a papular lesion showed ker till-filled cyst, and eruptive vellous hair cyst. The patient showed reticulat.ed hyperpigmentation on the hands and feet in addition to the characteristic feature of atriclia with papular lesions.
Alopecia ; Buttocks ; Child ; Foot ; Hair ; Hand ; Humans ; Hyperpigmentation ; Parturition ; Scalp

PURPOSE: Citrate is a well recognized inhibitor of the formation of calcium oxalate and calcium phosphate stones. Hypocitraturia is a common etiology of recurrent calcium nephrolithiasis, with an incidence of 19 to 63%. Potassium citrate therapy can be a useful therapeutic approach for the management of calcium nephrolithiasis. But pharmacological treatment of hypocitraturic calcium nephrolithiasis requires taking too many tablets, or numerous crystal package or liquid supplements throughout the day. This cumbersome regimen often decreases patient compliance. We administered dietary citrate via lemon juice to stone former and evaluated the change of citrate levels. MATERIALS AND METHODS: The prospective study included 7 women and 8 men with documented recurrent or multiple urinary stone disease. None of the subjects suffered from renal impairment, urinary tract infection and other metabolic disorder. Controls comprised 6 voluntary men. They had no previous stone history and no evidence of stone. Patients ingested total 1 liter of lemon juice(containing 4.0gm/L.citrate) divided at 6 hours interval without strict diet restriction. Urine specimens were obtained for urinary citrate levels after 2-3days of lemon juice therapy and compared to pre-lemon juice baseline values. RESULTS: All 15 patient showed increased urinary citrate levels during lemon juice therapy. Average urinary citrate levels increased from 146+/-109mg/day at baseline to 453+/-226mg/day during treatment(p<0.05). Urinary citrate levels during treatment increased up to those of control group(351+/-265mg/day) and did not show significant difference (p>0.05). Urinary pH increased from 5.9+/-0.4 at baseline to 6.8+/-0.6 during treatment(p<0.05). No patient complained of gastrointestinal discomforts. CONCLUSIONS: Citrate supplementation with lemon juice increased urinary citrate levels and urinary pH. Lemon juice is well tolerated dietary source of citrate and would be beneficial in the control of calcium urolithiasis.
Calcium ; Calcium Oxalate ; Citric Acid* ; Diet ; Female ; Humans ; Hydrogen-Ion Concentration ; Incidence ; Male ; Nephrolithiasis ; Patient Compliance ; Potassium Citrate ; Prospective Studies ; Tablets ; Urinary Calculi ; Urinary Tract Infections ; Urolithiasis*

To knew the prevalence and nature of asymptomatic microscopic hematuria in a community. we evaluated 13,678 cases(M; 12.198 cases, F; 1,480 cases) that visited to the Department of Health Service. Kang Nam General Hospital from April to October, 1992 for annual physical examination. For the detection of hematuria urine dipstick test was done. and then urine microscopy was done in cases with positive dipstick test (262 cases). Hematuria was defined as 3 or more RBCs/HPF on microscopic examination of the urinary sediment(189 cases). Repeated urinalysis was done in cases with 3-4 RBCs/HPF (30 cases). And in cases with 5 or more RBCs/HPF on urine microscopy, excretory urography(105 cases) was primarily checked and in addition, renal ultrasonography. cystoscopy. RGP. urine culture. urine cytology. serum IgA, C3. C4 were performed for investigation ofThe results were as follows: I. Prevalence of asymptomatic microscopic hematuria was 1.38% and significantly increased with age (p<0.01). 2. Urologic abnormalities associated with hematuria were identified in 23 cases (21.9 %)-6 cases of renal stone. 4 cases of BPH. 4 cases of UPJ stricture, 3 cases or cystitis, 2 cases of ureteral stone. 1 case or ureteral stricture. nephroptosis. renal cyst. renal tuberculosis. S. In 82 cases, urologic abnormalities could not be found and then serum IgA. C3 C4 checked in 36 cases among these. IgA was increased in 21 cases (58.3%). From the above result. the causes of asymptomatic microscopic hematuria in adults could not be found in 78.1% and serious urologic diseases tumor and so on) were almost not found. We conclude that in order to obtain the detection of accurate prevalence and various urologic diseases. repeatedurine dipstick test and long-term followup in larger populations would be needed, and that screening test for the evaluation of hematuria would consist of performing excretory urography only in relative young adults and excretory urography with selective urine cytology after age 50 years.
Adult* ; Constriction, Pathologic ; Cystitis ; Cystoscopy ; Follow-Up Studies ; Health Services ; Hematuria* ; Hospitals, General ; Humans ; Immunoglobulin A ; Mass Screening ; Microscopy ; Physical Examination ; Prevalence* ; Tuberculosis, Renal ; Ultrasonography ; Ureter ; Urinalysis ; Urography ; Urologic Diseases ; Young Adult

No abstract available.
Biopsy, Fine-Needle* ; Humans ; Pathology, Surgical* ; Thyroid Gland* ; Thyroid Nodule*

Serum prostate specific antigen (PSA) and prostate acid phosphatase (PAP) were measured in 106 patients including 9 patients with prostate cancer, 63 patients with BPH. and 34 normal control group free of prostate disorders. The mean PSA value was 61.14+/-43.87 ng/ml for prostate cancer, 6.07+/-5.57 ng/ml for BPH and 1.42+/-0.98 ng/ml for normal control group, and the mean PAP value was 9.81+/-10.16 ng/ml for prostate cancer, 1.58+/-2.36ng/ml for BPH and 1.00+/-0.17 ng/ml for normal control group. The positive rates of PSA were 78% for prostate cancer, 22% for BPH and 0% for normal control group, and those of PAP were 67% for prostate cancer, 6% for BPH and 0% for normal control group. The sensitivity and specificity for PSA were 78%, respectively. We conclude that PSA may be a useful tool for detection and therapeutic monitoring of the prostatic cancer.
Acid Phosphatase ; Adenocarcinoma* ; Humans ; Prostate* ; Prostate-Specific Antigen* ; Prostatic Neoplasms ; Sensitivity and Specificity

True hermaphroditism is characterized by the coexistence of testicular and ovarian tissue. Authors experienced a case of true hermaphroditism which was confirmed an ovary in the left abdomen and testis in the right scrotum with a karyotype of 46, XX,47, XXY and report this case with the brief review of literatures.
Abdomen ; Female ; Karyotype* ; Ovary ; Ovotesticular Disorders of Sex Development* ; Scrotum ; Testis

PURPOSE: The objective of this study was to assess the usefulness of a unilateral x-ray of the kidney, ureter and bladder (hemi-KUB), in the place of a full-KUB, in the follow-up of patients treated with extracorporeal shock wave lithotripsy (ESWL), and thereby reduce the radiation exposure for patients. MATERIALS AND METHODS: A total of 111 patients, who underwent ESWL, between March 2000 and July 2002, were enrolled onto the study. Patients with bilateral stones, or who had changed to another treatment model, were excluded. During the follow-up to the ESWL, we used the hemi-KUB method for the collimation of the radiation field. The numbers of hemi-KUBs during the treatment were recorded. The reductions in the exposure to the radiation dose, per patient, were calculated and analyzed according to the sizes and shapes of the stones. The typical doses were: for IVU (6 films), 2.5mSv; full-KUB film, 0.42mSv; and a hemi-KUB film, 0.21mSv. RESULTS: The total reduction in the doses of radiation exposure was 114.45mSv. The radiation doses, per patient, were reduced by a mean of 1.03+/-0.58mSv. The reduction in the dose of radiation exposure correlated well with the stone size (r=0.7082, p<0.05). The mean number of hemi-KUBs (mean reduction dose of radiation exposure), according to the stone size groups: these being 5-9, 10-19 and +/-20mm, were 3.82+/-1.76 (0.80+/-0.37), 6.52+/-2.10 (1.37+/-0.44) and 11.00+/-3.85 (2.31+/-0.81)mSv, respectively (p<0.05). Also, the mean number of hemi-KUBs (mean reduction dose of radiation exposure), according to the stone shapes, typed into I (less organized or lacy), IIa (spiculated), IIb (mulberry), III (round or ovoid) and IV (struvite or staghorn), were 2.77+/-0.85 (0.58+/-0.18), 4.48+/-1.86 (0.94+/-0.39), 4.83+/-1.43 (1.01+/-0.30), 7.54+/-1.36 (1.58+/-0.29) and 8.75+/-3.72 (1.84+/-0.78)mSv, respectively (p<0.05). Using the receiver operating characteristic curve, the cut-off value, of a stone size that could be used to determine the risk group whose radiation exposure exceeding 5mSv (personal permissible dose/year), was 23.52mm, but when using a full-KUB this was 7.97mm. CONCLUSIONS: The use of hemi-KUB is a simple and easy method to reduce the radiation exposure in the follow-up of an ESWL, especially in patients with stones larger than 7.97mm in size, with a round-ovoid or staghorn shape.
Follow-Up Studies* ; Humans ; Kidney* ; Lithotripsy* ; ROC Curve ; Shock* ; Ureter* ; Urinary Bladder*

Between August 1993 and Apri1 1994, intrarenal arterial color duplex Doppler sonography was performed on 55 patients(110 kidneys) with acute ureteral obstruction and 12 patients(24 kidneys) with painless ureteral obstruction by unilateral ureteral stones to assess renal hemodynamic changes and its clinical applications. The mean resistive index(RI) of the doppler waveforms obtained on the acutely obstructed 55 kidneys(0.663+/-0.055) was significantly higher than that of the contralateral normal kidneys (0.613+/-0.052) (P<0.05). We found no RI difference between the contralateral normal 55 kidneys(mean: 0.613+/-0.052) in patients with acute ureteral obstruction and the painless obstructed 12 kidneys(mean: 0.595+/-0.029). In the acutely obstructed 55 kidneys, the mean RI of the upper pole(0.674+/-0.054) was significantly higher than that of the mid portion(0.661+/-0.064) or the lower pole(0.654+/-0.065,r<0.05). No difference of the RI was found between the hydronephrotic 31 kidneys(mean: 0.671+/-0.063) and nonhydronephrotic 24 kidneys(mean: 0.65+/-0.041) in the acutely obstructed 55 kidneys(P>0.05). There was no correlation between the levels of ureteral obstruction and intrarenal RI values(P>0.05). The RIs of 3 significantly obstructed kidneys decreased after relief of obstruction. We conclude that the RI is easily obtained and measured, and it would provide important physiological informations on renal vascular impedance in acute ureteral obstruction. Renal doppler findings could be the one of the criteria for assessing the upper urinary tract obstruction.
Electric Impedance ; Hemodynamics* ; Humans ; Kidney ; Ultrasonography, Doppler ; Ureter* ; Ureteral Obstruction* ; Urinary Tract

Between January 1990 and March 1991, intraprostatic spiral was inserted with the use of local or spinal anesthesia via the traditional endoscopic technique in 16 patients with benign prostatic hyperplasia who had repeated urinary retention(12 patients, A group) and who had long term indwelling bladder catheter( 4 patient. B group) due to high operative risk. During 3 to 15 months of follow up after insertion, 11 patients(91.6%) of A group and 2 patient of B group showed free voiding without significant postvoid residual urine in all. Especially 7 patient of A group and 1 patient of B group showed satisfactory voiding with mean flow rate of more than 10ml/sec. our result suggest that in case of high operative risk, intraprostatic spiral is a favorable alternative to and indwelling catheter in patients with repeated urinary retention although less satisfactory results were obtained in those with long term indwelling catheter.
Anesthesia, Spinal ; Catheters, Indwelling ; Follow-Up Studies ; Humans ; Prostatic Hyperplasia* ; Urinary Bladder ; Urinary Retention