1.A Case of Cutaneous Mucormycosis in a patient with Acute Lymphocytic Leukemia.
Sang Hak LEE ; Hee Chul EUN ; Yoo Shin LEE
Korean Journal of Dermatology 1989;27(4):440-443
54-year-old male patient with acute lymphocytic leukemia was consulted to our department. He had had a few painful erythematous necrotic plaques on the chest, which suggested initslly vasculitis or pyoderma. On histological examination, characterisitic histological findings of non-septated large hyphae were observed in the dermis and subcutaneoustissue, Although organism was not isolated on Sabouraud agar media containing cycloheximide, the diagnosis of cutaneous mucormycosis was made by the characteristic histological nattlre. He died after 2 weeks with amphotericin B intravenous injections so that additional fungus culture was not performed.
Agar
;
Amphotericin B
;
Cycloheximide
;
Dermis
;
Diagnosis
;
Fungi
;
Humans
;
Hyphae
;
Injections, Intravenous
;
Male
;
Middle Aged
;
Mucormycosis*
;
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
;
Pyoderma
;
Thorax
;
Vasculitis
2.Three Cases of Insulin Dependent Diabetes Mellitus in Children.
Tae Hoon LEE ; Sang Chul PARK ; Chang Hwi KIM ; Sang Man SHIN ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1983;26(3):285-289
No abstract available.
Child*
;
Diabetes Mellitus*
;
Humans
;
Insulin*
3.Evaluation of sonographic and radiographic findings of pelvic masses
Hyo Seon CHUNG ; Chul Uk CHOI ; Yong Chul KIM ; Kyoung Ja SHIN ; Sang Chun LEE
Journal of the Korean Radiological Society 1985;21(5):826-833
Ultrasonographic and radiographic findings in 72 cases of pelvic masses which have been provedhistopathologically were analyzed. The results were as follows; 1. Among 72 cases, 28 cases were uterine massesand 44 cases were adnexal masses. 2. Pathologic accuracies of ultrasonographic diagnosis were 64.3% in uterinemasses, 70.5% in adnexal masses, and 68.1% in all pelvic masses. 3. Plain or IVP findings were not specific indiagnosis and showed secondary mass effects or functional disturbances. 4. Because of its high accuracy ofpathologic diagnosis and safety, ultrasonography can be regared as the most valuable and preferential study. Butin cases of cystic myomas, endometrioses, cystic missed abortions and huge masses, the accurate diagnoses weredifficult.
Abortion, Missed
;
Diagnosis
;
Endometriosis
;
Female
;
Myoma
;
Pregnancy
;
Ultrasonography
4.A clinical study of histiocytosis syndrome.
Hye Yong LEE ; Chul Hee CHUNG ; Won Suk SUH ; Sang Mann SHIN ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1993;36(10):1417-1425
We made a clinical study on 10 cases of histiocytosis syndrome who had been admitted to the pediatric department of Soon Chun Hyang University Hospital from Jan. 1982 to Dec. 1991. The results were obtained as follows 1) The sex incidence revealed male predominance with the ratio 4:1. 2) Among 10 cases, 4 cases were classified as eosinophilic granuloma, 1 case as Letterer-Siwe disease, 1 case as linfection associated hemophagocytic syndrome and 4 cases as malignant histiocytosis. 3) The mean age of symptom onset was 4 and 7/12 years in all disease group. 4) The common clinical symptoms and signs at dignosis were dyspnea, mass, pain on lower extremities and fever. 5) The most common organ involved among 9 organ systems was liver-spleen and the number of organ systems involved were 1 in 3 2 ases(30%), 3 in 2 cases(20%), 8 in 2 cases (20%) and 6, 7 and 10 organs in each 1 case. 6) The abnormal hematologic findings (Hb; 10g/dl and/or WBC; 4,000/mm3 and/or PLT; 100,000/mm3) were found in 6 cases. 7) Low serum albumin was found in 2 cases. Results of blood culture were Pseudomonas aeruginosae and Salmonella typhi in each 1 case. 8) The common findings on tissue biopsy were histiocytic proliferation and infiltration. 9) 4 patients of MH who recieved chemotherapy, a combination of adriamycin, vincristine, cyclophosphamide and prednisone were given in a total of four courses every 2 weeks ad induction therapy. When complete response was attained, a combination of adriamycin, vincristine, prednisone (AOP) and cyclophosphamide, vincristine, prednisone(COP) was administered alternately every 4 weeks as maintenance therapy for 6-64 months. 10) Among 4 patiens of MH who recieved chemotherapy, 1 patient was lost during induction chemotherapy, for 1 day.2 patients expired during induction chemotherapy, for 1 month, 1 patient expired during maintenance chemotherapty, for 8months, Eosinophilic granuloma cases (3) were recieved currettage and no recurrence. IAHS case due to typhoid fever was improved spontaneously.
Biopsy
;
Cyclophosphamide
;
Doxorubicin
;
Drug Therapy
;
Dyspnea
;
Eosinophilic Granuloma
;
Fever
;
Histiocytic Sarcoma
;
Histiocytosis*
;
Histiocytosis, Langerhans-Cell
;
Humans
;
Incidence
;
Induction Chemotherapy
;
Lower Extremity
;
Lymphohistiocytosis, Hemophagocytic
;
Male
;
Prednisone
;
Pseudomonas aeruginosa
;
Recurrence
;
Salmonella typhi
;
Serum Albumin
;
Typhoid Fever
;
Vincristine
5.Clinical Observation of Convulsions in Children.
Sang Chul PARK ; Eun Mi KIM ; Jae Ock PARK ; Dong Whan LEE ; Sang Ju LEE ; Sang Man SHIN
Journal of the Korean Pediatric Society 1983;26(11):1102-1110
6.Bilateral aorto-renal bypasses: report of one case.
Young Chul YOON ; Jung Geun SONG ; Chul Hyun PARK ; Shin Yeong LEE ; Sang Joon OH ; Chang Ho KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(2):200-204
No abstract available.
7.Transverse uterine incision closure: One versus Two layers.
Sang Hee LEE ; Yu Seon MIN ; Eun Hye LEE ; Hyun Chul KIM ; Chan LEE ; Myung Chul SHIN ; Jin Ho CHO
Korean Journal of Obstetrics and Gynecology 2000;43(3):368-374
OBJECTIVE: Closure of a low transverse cesarean incision with one layer and two layer, we compared operative time, hemostasis, blood loss and postoperative sonohysteroperitoneographic findings. Study design: At our hospital 103 women were randomized to closure of a low transverse cesarean incision with either one continuous layer of a locking No. 1 chromic suture or two continuous of No. 1 chromic suture with the first layer locked between Mar. 1, 1998 and Dec. 31, 1998. After three months later, sonhysteroperitoneography was taken and then we evaluated uterus indirectly. RESULTS: A one layer closure required less operative time, 16 versus 20.8 minutes (p<0.01), less hemoglobin change, 0.44 versus 1.3 (p<0.01) and less suture materials (p<0.01). But postoperative follow up sonohysteroperitoneography, a one layer closure shows slightly thinning of isthmic layer of myometrium, two layer closure shows more adhesional band and both are similar other findings. CONCLUSION: A one layer does not significantly affect the clinical course than traditional two layer closure. So we recommended a one layer closure when its use is anatomically feasible.
Animals
;
Female
;
Follow-Up Studies
;
Hemostasis
;
Humans
;
Mice
;
Myometrium
;
Operative Time
;
Sutures
;
Uterus
8.Varicose Vein Caused by Giant Hydronephrosis Associated with Horseshoe Kidney.
Hyun Chul KIM ; Dong Chul SHIN ; Moo Sang LEE
Korean Journal of Urology 1981;22(6):623-626
A case of horseshoe kidney associated with giant hydronephrosis and varicose vein was presented with a brief review of the literature. This case was discovered incidentally. The patient was managed by division of isthmus and right nephrectomy with good result.
Humans
;
Hydronephrosis*
;
Kidney*
;
Nephrectomy
;
Varicose Veins*
9.An Anterior Approach to Entire Length of Humerus and to Distal Shaft for Fracture Fixation.
Chul Hyung LEE ; Hyun CHOI ; Tae In KIM ; Jun Beom KIM ; Sang Yeop SHIN ; Seung Koo RHEE
Clinics in Shoulder and Elbow 2016;19(4):223-228
BACKGROUND: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for fractures occurring along length of humerus. METHODS: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single incision. Postoperatively, we measured the Mayo elbow performance index (MEPI). RESULTS: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an average 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final follow-up (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site. CONCLUSIONS: Our whole humerus with a single incision was effective for the treatment of segmental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.
Elbow
;
Follow-Up Studies
;
Fracture Fixation*
;
Humans
;
Humeral Fractures
;
Humerus*
;
Muscles
;
Peripheral Nervous System Diseases
;
Traction
;
Transplants
;
Treatment Outcome
10.A clinical study with pirarubicin in the advanced breast cancer.
Seung Taek OH ; Sang Sul JUNG ; Jong Tae SHIN ; In Chul KIM ; Eui Dong KIM
Journal of the Korean Cancer Association 1993;25(6):935-940
No abstract available.
Breast Neoplasms*
;
Breast*