We report a case of kerion celsi caused by Trichophyton(T.) verrucosum in a 15-year-old male, who showed a trender, indurated, swollen, boggy mass exuding pus on the frontal scalp for 15 days. Culture from a scalp lesion of patient and infected cattles on Sabouraud dextrose agar showed T. verrucosum. Therapy was initiated on with 100mg of itraconazole daily with almost complete resolution of scalp lesion one month after treatment. During the one month follow up reriod, scalp lesion showed new black hairs and no recurrence.
Adolescent ; Agar ; Follow-Up Studies ; Glucose ; Hair ; Humans ; Itraconazole* ; Male ; Recurrence ; Scalp ; Suppuration ; Tinea Capitis ; Trichophyton*

AFX is a fibrohistiocytic tumor which usually shows benign clinical rocess despite malignant histolgy. We report a case of AFX showing storiform pattern distribution of tumor cells which developed on the right temple area of a 70-year-old woman.
Adenoids* ; Aged ; Bowen's Disease* ; Carcinoma, Basal Cell* ; Female ; Humans

No abstract available.
Drug Resistance, Microbial* ; Plasmids* ; Pneumonia*

Two cases of urachal anomaly (1 urachal cyst and 1 patent urachus) are reported in a neonate and an eleven-year old boy, respectively. In case 1, the patient was born after an uncomplicated pregnancy to a mother who had taken progesterone during the first trimester. Because of breech presentation, cesarian section was elected to deliver a male baby weighing 2.3 kg who showed abdominal distension. The patient died of respiratory difficulty several minutes after birth. At autopsy, there was a large cyst in the midpoint of the abdominal and pelvic cavity. This round cyst was composed of two components, urachus and urinary bladder. No area of umbilicocystic fistula was present. The lining epithelium was chiefly of transitional type. Assocaited anomalies were segmental stenosis of posterior urethra, absence of abdominal musculature, bilateral polycystic kidney of Potter type IV, hydroureter, and hypoplasia of lungs. Low set ears, micrognathia and club foot were also present. In case 2 the patient was 11-year old boy. He had suffered from intermittent urinary dribbling from umbilicus since early infancy, whenever the abdominal pressure was increased. The patency of urachus was confirmed by fistulography. And the urachal anomaly was surgically removed. Histopathologically the resected patent urachus consisted of pseudostratified columnar to transitional epithelium resting on fibrous stroma mixed with well formed smooth muscle bundles.
Pregnancy ; Female ; Male ; Infant, Newborn ; Humans ; Cysts

No abstract available.

No abstract available.
Esophageal Atresia* ; Tracheoesophageal Fistula*

Dacryocystography has been widely used in the assessment of the lacrimal passage system, particularly in patients with epiphora. The site of obstruction and presence of fistulas, tumors, diverticula, or calculi can be evaluated, so that therapy can be accurately planned. It has been reported by other authors about the results of dacryocystography in Korea, but there were not enough subjects to study. A retrospective study has been carried out on 171 patients(194 eyes) who have undergone dacryocystography for epiphora at Kangbuk Samsung hospital from December 1992 to June 1993, to assess age, sex, duration of epiphora, previous treatments, incidence rate of obstruction site of the lacrimal system, causes of lacrimal obstruction. The incidence rate of lacrimal system obstruction on dacryocystography was 172 eyes(88.7%). The most common site of obstruction was nasolacrimal duct(107 eyes, 55.2%) and then inferior canaliculus(30 eye, 15.5%), lacrimal sac(18 eyes, 9.3%) and common canaliculus(17 eyes, 8.8%). The most common cause of obstruction was unknown(89 eyes, 51.7%), and then chronic dacryocystitis (45 eyes, 26.2%), congenital(14 eyes, 8.1 %).
Calculi ; Dacryocystitis ; Diverticulum ; Fistula ; Humans ; Incidence ; Korea ; Lacrimal Apparatus Diseases* ; Retrospective Studies

No abstract available.
Humans ; Subcutaneous Tissue* ; Tissue Donors* ; Ultrasonography*

No abstract available.
Blood Flow Velocity* ; Humans ; Infant, Newborn*

Mitral valvular prolapse (MVP) in dogs is characterized by myxomatous valvular degeneration, which is caused by abnormal valvular thickening and incomplete coaptation of the mitral valve leading to mitral regurgitation. Mitral regurgitation causes left atrial and left ventricular enlargement. Pathogenesis of the disease is unknown, although some studies have suggested the involvement of endothelin and systemic connective tissue diseases. Mitral valvular prolapse in dogs commonly occurs in aged small dog breeds, including Malteses and Shih Zhus. This case study investigated the clinical features of an affected Maltese family and performed pedigree analysis. To the best of the authors' knowledge, this is the first report of putative familial mitral valve prolapse and regurgitation in Maltese dogs. All family members in this study showed degenerative valvular changes and echocardiographic features of mitral valvular prolapse. Although disease progression differed, all dogs progressed to advanced heart failure stage within 2-3 years after diagnosis. Therefore, this is the first study to identify putative familial mitral valve prolapse in Maltese dogs. This finding suggests strong genetic etiology involved in the development of degenerative mitral valve disease in Maltese dogs. Furthermore, this finding could be a valuable resource for the identification of gene mutations in dogs with familial mitral valvular prolapse.
Animals ; Connective Tissue Diseases ; Diagnosis ; Disease Progression ; Dogs* ; Echocardiography ; Endothelins ; Heart Failure ; Humans ; Mitral Valve ; Mitral Valve Insufficiency ; Mitral Valve Prolapse* ; Pedigree ; Prolapse