No abstract available.
Adrenal Cortex Hormones*

BACKGROUND: The occurane of sarcoidosis seems to be increased recently. A proportion of patients initiallly visit the derrnatological department. However, there are few clinical reports about sarcoidosis for the dermatolagist. OBJECTIVE: This study wa performed to find the clinical and histopathological characteristis of sarcoidosis as a multisystemic disease. METHODS: We reviwed the chart of patients with sarcoidosis who were diagnosed at SNUH from 1984 to 1994 and analysed the characteristics of the clinical and histopathologic findings according to several factors. RESULTS: 1)Man to woman ratio was 1: 2 and 70% of patients were in theirs third to fifth decades. 2)The main complaints were respiratory symtoms and cutaneous lesion. 3)The most frequently invloved organ was intrathoracic, followed by skin, peripheral lymph node, eye and bone in that order. 4)The cutaneous lesion was found in 50% of patients(15 out of 30) and specitic lesions were present in 14 cases. A subcitaneous nodule was the most common lesion(67%). 5)In subcutaenous sarcoicosis, there was hilar lymphadenopathy in 70% of the patients, lung parenchymal infiltration in 10%, peripheral lymphadenopathy in 30%, bony lesion in 30%. 6)The laboratory and histopathological findings were similar to previously reported results. CONCLUSION: The general features of patients were similar to other reports except for the fre quency of cutaneous involviment. Cutaneous involvement was found in 50% of patients and this was higher than in foreigr reports. In cutaneous sarcoidosis, the subcutaneous nodule was the most frequent specific lesior.
Female ; Humans ; Lung ; Lymph Nodes ; Lymphatic Diseases ; Sarcoidosis* ; Skin

No abstract available.

The beneficial effect of the longitudinal traction-either halo-femoral or halo-pelvic and the anterior spinal fusion in some spinal disorders is well documented. This paper is a report of a patient who is suffering from spine tuberculosis with severe kyphosis and incomplete paraplegia. He was treated satisfactorily by applying a Crutchfield tong-femoral traction for four weeks followed by anterior spinal fusion. It is authors concept that the early cases of the active spine tuber-culosis with advancing kyphosis can be effectively treated by using the above mentioned method without introducing more complicated combination of the spinal osteotomy, halo-pelvic distraction and spinal fusion.
Humans ; Kyphosis ; Methods ; Osteotomy ; Paraplegia ; Spinal Fusion ; Spine ; Traction ; Tuberculosis

No abstract available.
Jaundice*

The growth plate is responsible for longitudinal bone growth and is involved in 6–15% of children's fracture. Of these injuries, 25–35% have been reported to result in some shortening or deformity, but in only 10% are the deformities sufficiently severe to lead to functional problems. The problem of repair of a demaged growth plate in children has never been adequately solved. The purpose of this study is to clarify that allograft of cultured chondrocytes can survive in the growth plate defect and can prevent the angular deformity by avoiding the formation of bone bridge. The chondrocytes were obtained from the rib cartilage of rabbit weighing 500g. The chondrocytes were cultured by socalled micromass culture method. The rabbits were divided two groups; the group I in which medial proximal tibial growth plate was destroyed, and the group II in which the cultured chondrocytes were transplanted into the right medial proximal tibial physeal defect. Each group has 10 rabbits. The tibial growth was observed grossly, radiologically and histologically until 16 weeks after graft. The angular deformity was observed from 3 weeks after operation and histologically the fusion of growth plate was observed in all of group I. In group II, there were no angular deformity and no fusion of growth plate in 7 out of 10 rabbits. Allografted cultured chondrocytes survived and produced matrix in the physeal defects. Through this study it was inferred that allograft transplantation of cultued chondrocytes in the iatrogenical physeal defect is a useful method to keep the physeal growth without cessation. However, further studies will be necessary to prove that the longitudinal growth potential resides in the transplanted chondrocytes as growth plate cartilage.
Allografts ; Bone Development ; Cartilage ; Child ; Chondrocytes ; Congenital Abnormalities ; Growth Plate ; Humans ; Methods ; Rabbits ; Ribs ; Transplants

No abstract available in English.
Animals ; Dogs ; Spine

The treatment of the established compartment syndrome in the forearm varies along the degree of the severity. We reviewed 17 cases of the established compartment syndrome in the forearm treated at Seoul National University Hospital from February 1979 to July 1985. Follow-up was performed more than one year in 14 cases. And the mean follow-up period was 30 months. Out of 17 cases operated on, mild involvement were found in 5 cases. Moderate and severe involvements were observed in 6 and 6 cases respectively. Tenolysis-tendon lengthening was done for 7 cases and proximal release (muscle-sliding operation) was performed in 8 cases. In two cases, living muscle and skin were transfered using microsurgical technique. In mildly to moderately affected, functional improvements can be obtained in most cases. The proximal release was superior to the tenolysis-tendon lengthening in this category of involvement. However, in severely involved group, the functional gain after the operation is slight in spite of the time consuming, difficult surgery including free muscle transfer. The neurological problems could be gradually improved without treatment in almost all cases.
Compartment Syndromes ; Follow-Up Studies ; Forearm ; Seoul ; Skin

The results in thrity-six adolescent idiopathic scoliosis patients(thirty-nine curves) who have been treated with the Boston brace are reported. The average follow-up was two years and three months(range, one year to four years ten months). Before treatment, all the patients had a curve that measured 20 to 35 degrees; 26 patients were in Risser sign of zero or 1, 10 patients in Risser sign 2 to 4. Although the magnitude of the curve was generally reduced about 40 percent by the initial application of the brace, a gradual loss of this initial correction was observed both during active treatment and after the wearing of the brace. Although eleven(28.2 percent) of the curves had progressed more than 5 degrees at follow up. Sixty-seven percent of the thoracic curve, 33.3 percent of the thoracolumbar, 27.8 percent of the lumbar curve had progression of more than 5 degrees. Twelve patients wore the brace for sixteen hours a day, 19 patients wore for 16 to 20 hours a day and 5 patients wore more than 20 hours a day. 41.7 percent of sixteen hours bracing, 15,8 percent of 16 to 20 hours bracing and 60 percent of 20 hours bracing had progression of more than 5 degrees. Our finding indicates that the Boston brace prevents deterioration in certain cases but does not convert major deformity into minor ones, and part time bracing can prevent progression of the curve and can even afford some correction.
Adolescent ; Braces ; Congenital Abnormalities ; Follow-Up Studies ; Humans ; Scoliosis

258 feet of patients with flatfoot were evaluated in this paper. The incidence of flatfoot is about 0.6% of the general population. The longitudinal arch was depressed in all of our cases of flatfoot, and there have been many patients suffering from pain after some kinds of heavy work. But there were no definite correlations found between the depression of the longitudinal arch and clinical symptom. The sag in the naviculo cuneiform joint is the most common X-ray finding in this series (93%), followed by the talo-navicular sagging (27%), Degenerative arthritis of the inter-tarsal joints was frequently found after the adolescent period. The talo-navicular joint was involved in arthritic changes in 60% of the cases, the subtalar joint 46% and the naviculo-cuneiform joint 42%. The prevalence of these changes was not increasing with the increasing age, so it is poatulated that the degenerative changes begin early in adolescent period. Accessory tarsal bones were more frequently seen in patients with flatfoot than in normal population. and the neck of the talus was usually deviated inferomedially. Now that the arthriric changes are very prevalent in the triple joints, there are many cases of flatfoot that should undergo the triple arth odesis inevitably if his conservative treatment was failed.
Adolescent ; Depression ; Flatfoot ; Foot ; Humans ; Incidence ; Joints ; Neck ; Osteoarthritis ; Prevalence ; Subtalar Joint ; Talus ; Tarsal Bones