The authors reported a case of congenital coloboma of iris, choroid, optic nerve in both eyes, with tne review of literatures. The patient was a 19 year old male, and there was no family history. This case was typical colocoma, associated with persistent pupillary membrane. The scotoma corresponding to choroid coloboma was seen in the left eye, but not in the right eye.
Choroid* ; Coloboma* ; Humans ; Iris* ; Male ; Membranes ; Optic Nerve* ; Scotoma ; Young Adult

The sonographic features of 23 lymphangiomas (19 pediatric patients) were compared with the pathologic findings. Nineteen lymphangiomas appesred as unicameral (n=2) and multiloculated (n=7) cystic masses. Remaining lesions were inhomogeneously echogenic mass with small cystic portions (n=3) and a mixed pattern (n=1). Fourteen of the multiloculated tumors had thin septa and 6 had solid echogenic foci. The fluid within the majority of the cyst was anechoic in 8 cases and echogenic in 11 cases. Correlation of the sonographic features with the pathologic findings demonstrated that the cystic spaces corresponded to the dilated lymphatic spaces lined with endothelium, separated by septa. Echogenic fluid represented hemorrhage. The echogenic component corres ponded to clusters of very smaller dilated lymphatic channels, thick fibro-fatty septa, or blood clot. The author's experience suggests that the most characteristic sonographic appearance of lymphangioma is a multiloculated cysti mass with thin septa, reflecting the preponderance of fluid-filled spaces. An atypical appearance usually reflects the presence of blood or dominancy of cavernous type. The information obtained with US imaging can help in providing a preoperative diagnosis and in planning surgical resection.
Child* ; Diagnosis ; Endothelium ; Hemorrhage ; Humans ; Lymphangioma* ; Ponds ; Ultrasonography*

During the period from July to August 1987, the microbial flora in conjunctival sac of 93 newborns (186 eyes: normal vaginal delivery) and 19 newborns (38 eyes: cesarean section delivery) in nursery of Ewha Womans University Hospital were investigated for isolation and identification of bacteria on delivery day and on two days after birth. The results of the investigation are as follows: 1. Of 186 eyes (normal vaginal delivery), bacterial growth of one species was shown in 40 eyes (21.5%) on delivery day and in 64 eyes (34.4%) on two days after birth. Bacterial growth of two species shown in 10 eyes (5.4%) on delivery day and in 10 eyes (5.4%) on two days after birth. 2. Of 38 eyes (cesarean section delivery), bacterial growth of one species was shown in 2 eyes (5.3%) on delivery day and in 20 eyes (52.6%) on two days after birth. Bacterial growth of two species was shown 2 eyes (5.3%) on two days after birth. 3. Several kinds of bacterial species were isolated in normal vaginal delivery and cesarean section delivery. Staphylococcus epidermidis, Escherichia coli, Staphylococcus aureus were isolated.
Bacteria/*isolation & purification ; Cesarean Section ; Conjunctiva/*microbiology ; Female ; Humans ; Infant, Newborn/*microbiology ; Pregnancy

Twenty-six patients with chief complaint of shoulder pain who underwent both ultrasonographic examination and arthrography of the shoulder were analyzed. Ten out of 12 cases with clinical impression of frozen shoulder, showed normal findings on the ultrasonographic examination of the shoulder. Among these ten cases, nine cases showed abhesive capsulitis and one case showed rotator cuff tear on arthrography. Among six cases with the clinical impression of rotator cuff tear, five cases showed rotator cuff tear and one case showed combined calcific tendinitis and adhesive capsulitis on ultrasonographic examination. In arthrography, four cases of rotator cuff tear, one case of calcific tendinitis and biceps tendinitis and one case of normal findings were diagnosed. For the remaining eight cases in the ultrasonographic examination, normal finding or biceps tendinitis were found and for the remaning of the cases in arthrography adhesive capsulitis were found. With the above results, we recommend that the shoulder ultrasonography as the first line diagnostic modality for a patients with chief complaint of shoulder pain.
Arthrography* ; Bursitis ; Humans ; Rotator Cuff* ; Shoulder ; Shoulder Pain ; Tears ; Tendinopathy ; Ultrasonography*

Mauriac syndrome consists of a triad of poorly controlled diabetes, profound growth retardation and hepatomegaly. We experienced a case of Mauriac syndrome in an 18-year-old girl who had poorly controlled diabetes mellitus, short stature, hepatomegaly and central obesity. Also at the time of examination, she had complications of diabetic cataract and nephropathy. Fourteen years prior to admission, she was diagnosed as diabetes mellitus at a hospital. Thereafter, she had been managed with irregular insulin injection. On physical examination at admission, her height was 135cm(<3 percentile) and her weight was 39kg(<3 percetile). She was short and obese. The liver was 5 cm palpable below the right subcostal margin. Her sexual maturation was Tanner stage I. On ophthalmologic examination, the cataracts were observed on both eyes and diabetic retinopathy was absent. Diabetic nephropathy could not be confirrned by kidney biopsy due to her mother's refusal. We studied the hormonal, radiographic and histological abnormalities. The hormonal study was normal and the bone age was by delayed as much as 10 years. The liver biopsy revealed glycogen accumulation in hepatocyte. She was consistent with Mauriac syndrome. She was managed by strict diabetic control with insulin therapy, diabetic diet and intensive education. She was discharged with well controlled blood glucose. Five months later, growth acceleration and sexual maturation have not been observed, but hepatomegaly subsided. (J Korean Pediatr Soc 2000;43-837-841)
Acceleration ; Adolescent ; Biopsy ; Blood Glucose ; Cataract ; Diabetes Mellitus* ; Diet, Diabetic ; Diabetic Nephropathies ; Diabetic Retinopathy ; Disulfiram ; Education ; Female ; Glycogen ; Hepatocytes ; Hepatomegaly ; Humans ; Insulin ; Kidney ; Liver ; Obesity, Abdominal ; Physical Examination ; Sexual Maturation

During the period from July to August 1987, the Microbial flora in Conjunctival Sac of 93 new borns(186 eyes; Normal Vaginal delivery) and 19 new borns(38 eyes; Cesarean Section delivery) in Nursery of EWha Woman's University Hospital had been investigated for isolation and identification of bacteria on delivered day and two days after birth. The results of the investigation are as follows: 1. Of 186 eyes(Normal Vaginal delivery) bacterial growth of one species was showed in 40 eyes(21.5%) on delivered day and in 64 eyes(34.4%) on two days after birth. Bacterial growth of two species was showed in 10 eyes(5.4%) on delivered day and in 10 eyes(5.4%) on two days after birth. 2. Among the incidence of isolation of bacterial species(Normal Vaginal delivery), Staphylococcus epidermides(28 eyes; 15.1%), Escherichiae coli(26 eyes; 14.0%) and Staphylococcus aureus(6 eyes; 3.2%) were isolated on delivered day and Staphylococcus epidermidis(40 eyes; 21.5%), Escherichiae coli(27 eyes; 14.5%), Staphylococcus aureus(13 eyes; 7.0%) and Klebsiella Pneumoniae(4 eyes; 2.2%) were isolated on two days after birth. 3. of 38 eyes(Cesarean Section delivery), bacteral growth of one species was showed in 2 eyes(5.3%) on delivered day and in 20 eyes(52.6%) on two days after birth. Bacterial growth of two species was showed in 2 eyes(5.3%) on two days after birth. 4. Among the incidence of isolation of bacterial species(Cesarean Section delivery), Staphylococcus epidermidis(1 eyes; 2.6%) and Escherichiase coli(1 eyes; 2.6%) were isolated on delivered day and Staphylococcus epidermidis(10 eyes; 26.3%), Esche richiae coli(8 eyes; 21.8%) and Staphylococcus aureus (6 eyes; 15.8%) were isolated on two days after birth.
Bacteria ; Cesarean Section ; Escherichia ; Female ; Incidence ; Klebsiella ; Nurseries ; Parturition ; Pregnancy ; Staphylococcus ; Staphylococcus aureus

The authors present a case of human Thelaziasis in Korea with the review of literatures. The patient was 58-year-old Korean housewife who visited with the complaints of foreign body sensation and lacrimation in her right eye. A day prior to the presentation, she extracted 2 living worms from the same eye by herself. But, after the examination of the eye, 3 living worms were removed under topical anesthesia with 0.5% Pontocaine. The worms were slender and creamy white Thelazia worms. Two of those were 13.3mm in length, 0.5mm in diameter and the other was 18.0mm in length, 0.6mm in diameter.
Anesthesia ; Foreign Bodies ; Humans ; Korea ; Middle Aged ; Sensation ; Tetracaine ; Thelazioidea

No abstract available.
Echocardiography* ; Heart Valves* ; Humans

No abstract available.
Choriocarcinoma* ; Female ; Lung Neoplasms* ; Lung* ; Pregnancy

No abstract available.
Lung*