No abstract available.
Aged* ; Female ; Humans ; Sarcoma, Kaposi*

No abstract available.
Aged* ; Female ; Humans ; Sarcoma, Kaposi*

BACKGROUND: There have been many studies about sporotrichosis in Korean dermatological literature. However, a few studies have reported on subcutaneous mycoses other than sporotrichosis. OBJECTIVE: The purpose of this study was to investigate the clinical and etiological aspects of subcutaneous mycoses. METHODS: In the 20-year-period 1996-2015, we reviewed seventeen patients with subcutaneous mycoses with in regards to the age, gender, occupation, trauma history and associated diseases. The patients with subcutaneous mycoses were further evaluated concerning the clinical manifestations, histopathology, culture of organisms and treatment. RESULTS: Age of the subcutaneous mycosis was most prevalent in the sixties (35.2%). The male-tofemale ratio was 1:1.8. Most patients were farmers (52.8%), although preceding trauma was noted in seven patients (41.2%). The most common skin lesion was erythematous plaque (58.7%), followed by abscess, ulcer, papule and nodule. The most frequently involved area was upper extremities (58.8%), followed by face, and lower extremities. Hyalohyphomycosis was the most common infection in 6 cases (35.2%), followed by sporotrichosis (5 cases, 29.4%), chromoblastomycosis (4 cases, 23.5%), phaeohyphomycosis (2 cases, 11.8%). Sporothrix species was the most common etiological agent (29.4%), followed by Fonsecaea (23.5%), Scedosporium (17.6%), Exophiala (11.8%), Fusarium, Paecilomyces, and Cephalotheca (5.9%), respectively. Most patients responded well to therapy. CONCLUSION: Because of the increase in subcutaneous mycoses other than sporotrichosis, there is a the need for careful mycological examination in patients with subcutaneous mycoses.

Kerion celsi is a severe inflammatory type of tinea capitis that presents as a boggy mass studded with broken hairs, oozing purulent material from follicular orifices. This infection is caused most commonly by zoophilic or geophilic pathogens. Trichophyton(T.) rubrum is an anthropophilic dermatophyte that is found all over the world. It has become one of the most important causative agents in tinea unguium and tinea pedis. But, kerion celsi caused by T. rubrum is rare. Kerion celsi is uncommon in adult. We report a case of kerion celsi caused by T. rubrum in a 72-year-old woman. She presented with localized tender erythematous plaques with pustules with oozing purulent material on the frontal scalp. A fungal culture from tissue of the lesions was grown on Sabouraud's dextrose agar and showed typical whitish cottony colonies of T. rubrum. The nucleotide sequence of internal transcribed spacer region for clinical isolate was identical to that of T. rubrum strain UZ1588_14 (GenBank accession number KP326579.1). She was treated with 200 mg of oral itraconazole daily for 3 months. The skin lesions improved 1 month after treatment, and recurrence has not been observed.
Adult ; Agar ; Aged* ; Arthrodermataceae ; Base Sequence ; Female ; Glucose ; Hair ; Humans ; Itraconazole ; Onychomycosis ; Recurrence ; Scalp ; Skin ; Tinea Capitis* ; Tinea Pedis ; Trichophyton*

Since Winslow and Edwards24) reviewed 20 cases of the arteriovenous fistulas involving temporal artery described in the world wide literatures up to 1934, several authors have added the cases sporadically, but the arteriovenous fistula of the superficial temporal artery is unusual to the head and neck surgeons. Recently we experienced one case of huge traumatic arteriovenous fistula involving the superficial temporal artery and present it here.
Arteriovenous Fistula* ; Head ; Neck ; Temporal Arteries*

Trichophyton(T.) rubrum is an anthropophilic dermatophyte that is found all over the world. It has become one of the most important causative agents in tinea pedis and onychomycosis. But tinea capitis caused by T. rubrum is rare. Tinea capitis is uncommon in an adult. We report a case of tinea capitis caused by T. rubrum in an 81-year-old woman. She presented with localized asymptomatic well-demarcated thick scaly erythematous patches on the fronto-vertex scalp for 6 months. She was diagnosed as seborrheic dermatitis in local clinic and was treated with topical steroid. However, the lesion was not improved and spreading. Culture from scalp lesion of patient was grown on Sabouraud's dextrose agar and showed typical whitish cottony colonies of T. rubrum. She was treated with 200 mg of oral itraconazole daily for 8 weeks. The skin lesions improved 8 weeks after treatment, and recurrence has not been observed.
Adult ; Agar ; Aged, 80 and over* ; Arthrodermataceae ; Dermatitis, Seborrheic ; Female ; Glucose ; Humans ; Itraconazole ; Onychomycosis ; Recurrence ; Scalp ; Skin ; Tinea Capitis* ; Tinea Pedis ; Tinea* ; Trichophyton*

Onychomycosis is caused by dermatophytes usually, but some species of nondermatophytic molds and yeasts are also associated with invasion of nails. Aspergillus(A.) terreus is a nondermatophytic mold which is opportunistic filamentous fungus in all environments. We report a case of onychomycosis caused by A. terreus in a 60-year-old male. The patient showed brownish yellow discoloration with hyperkeratotic change on the distal and lateral portion of both toenails. Direct microscopic examination of scraping on the potassium hydroxide preparation revealed septate hyphae and repeated cultures on Sabouraud's dextrose agar showed the velvety, cinnamon brown colonies. Biseriate and compactly columnar phialides that cover upper vesicle with conidial structure were shown in the slide culture. The DNA sequence of internal transcribed spacer (ITS) region of clinical sample was 99% match to that of A. terreus strain ATCC 20542 (GenBank accession number GU256759.1). We confirmed A. terreus by KOH mount, colony, light microscopic morphology and DNA sequence analysis. The patient was treated with 200 mg oral itraconazole daily and topical 5% amorolfine nail lacquer for 3 months.
Agar ; Arthrodermataceae ; Aspergillus* ; Base Sequence ; Cinnamomum zeylanicum ; Fungi ; Glucose ; Humans ; Hyphae ; Itraconazole ; Lacquer ; Male ; Middle Aged ; Nails* ; Onychomycosis* ; Potassium ; Sequence Analysis, DNA ; Yeasts

PURPOSE: We analyzed the oncologic outcome of the malignant transformed benign giant cell tumor of bone. MATERIALS AND METHODS: Between January 2000 and February 2012, 5 cases were referred with suspicious malignant transformation of benign giant cell tumor. No patients underwent radiation therapy. RESULTS: After referral, all patients received the wide excision of the tumor and its' pathologic diagnosis were osteosarcoma. As classified by the location of tumor lesion, 3 cases were located in the distal femur, 1 case was in the distal radius and 1 case was in the proximal femur. The average latent period between diagnosis of benign giant cell tumor and diagnosis of secondary malignant giant cell tumor was 49.2 months. (range, 24-126 months) The mean follow-up period was 21.6 months. There were subsequent local recurrence in 2 cases and 3 patients developed distant metastasis. All patients with lung metastasis were dead. CONCLUSION: Malignant transformation of benign giant cell tumor of bone can be occurred within 5 years. Therefore, when benign giant cell tumor suspicious malignant transformation, it is necessary to do more aggressive treatment.
Femur ; Follow-Up Studies ; Giant Cell Tumor of Bone ; Giant Cell Tumors ; Giant Cells ; Humans ; Lung ; Neoplasm Metastasis ; Osteosarcoma ; Radius ; Recurrence ; Referral and Consultation

No abstract available.
Airports* ; Disasters*

During the five years from 1972 to 1976, 2308 cases of head injury were admitted to Han Kang Sung Shim Hospital and were treated in the department of neurosurgery. Of these, 1547 were adults aged 16 and over, and 761 were infants and children up to the age of 15. The results of clinical analysis of 761 cases of above series have been reported early in 1977. In this paper, a clinical analysis of 1547 adult cases of above series was performed and following results were obrained. 1) There were 1077 males and 470 females, and the proportion of male was much greater than female, male-female ratio was 2.3:1. 2) The age incidence was greater in the age group between 16 to 40, becoming maximal at the second decade. 3) Traffic accidents form by far the largest group (62%), and next are, in order of incidence, accidents due to blow or assault, fall from a height, simple fall, and industrial accidents. 4) Among the 1547 patients investigated, 20 of 1275 cases those conscious or confused on admission were died and 103 of 272 those semicomatose or comatose were died. 5) Skull fractures were seen in 504 cases, and nearly half of those, 242 or 48%, were linear fractures. 6) Of the 333 patients with intracranial hemorrhage or subdural hygroma, 181 were accompanied by skull fracture and epidural hematoma showed highest incidence, 80.46%. 7) Of 87 epidural hematoma, 69(79%) were found in the temporal and parietal fossae of the skulls, and of 70 subdural hematoma, 60(85.7%) were found in the parietal and temporal surface of brains. 8) Operation were carried out in 228 patients and surgical mortality was 24.5%, and subdural hematoma showed highest mortality, 40.0%. 9) Among the 228 surgical cases mortalities were 30% in those operation have been carried out within 6 hours of injury, 24% in those within hours 6 to 24, and 14% in those after 24 hours. The earlier the surgery had to be carried out, the higher operation mortality was noted. 10) The overall mortality in this series was 7.95%.
Accidents, Occupational ; Accidents, Traffic ; Adult* ; Brain ; Child ; Coma ; Craniocerebral Trauma* ; Female ; Hematoma ; Hematoma, Subdural ; Humans ; Incidence ; Infant ; Intracranial Hemorrhages ; Male ; Mortality ; Neurosurgery ; Rabeprazole ; Skull ; Skull Fractures ; Subdural Effusion