No abstract available.
Child* ; Humans ; Tuberculosis, Renal*

No abstract available.
Alopecia* ; Scalp* ; Tissue Expansion*

No abstract available.
Abdominoplasty* ; Classification*

Most type I and II perforations are predominately caused by hydrophilic and stiff wires, often presented in the delayed form, and do not require pericardial drainage or surgical interventions. However, we report a type III delayed coronary artery perforation at the site of stent implantation after intervention without any evidence of immediate perforations. To the best of our knowledge, this is the first case report of angiographic documentation and treatment of delayed coronary perforation at the site of stent, presented as a cardiac arrest.
Angioplasty, Balloon, Coronary ; Cardiac Tamponade ; Coronary Vessels ; Drainage ; Drug-Eluting Stents ; Heart Arrest ; Stents

PURPOSE: To report one case of lymphoproliferative disorder on the upper eyelid. METHODS: Primary CD30+ lymphoproliferative disorder on the skin is very rare. A 31-year-old female patient visited our clinic complaining of red, erosive papules on the right upper eyelid and on the left flank for two weeks. A 2.0 cm erythematous papule showed central ulceration. A 1.5 cm lymph node enlargement was palpated on the left groin. There was no abnormal finding on the slit-lamp test. Computed tomography showed a subcutaneous nodule on the anterolateral aspect of the flank and a lymph node enlargement on the left inguinal area. There was no evidence of other visceral involvement. Histopathologic finding showed diffuse infiltration of atypical cells with lobated nuclei showing multifocal positivity to CD30; a finding consistent with primary cutaneous CD30+ T-cell lymphoproliferative disorder and borderline lesion. RESULTS: This case seems to be a borderline case between CD30+ T-cell large cell lymphoma and lymphoid papulodesis. We are conducting conservative care and observing the progress on the skin lesion for further evaluation.
Female ; Humans

PURPOSE: There have been few studies on the dynamic analysis of lower eyelid movement. The inferior oblique muscle deep in the inferior orbit is well connected with the extraocular muscle by capsulopalpebral fascia and is involved in the lower eyelid movement. The purpose of this study was to determine the graphical equation of the lower eyelid contour and to quantify the dynamic movement of the lower eyelid at primary gaze and inferior oblique action gaze in normal eyes according to age, as such findings have never been reported before. METHODS: One hundred and forty subjects who had no previous eye or eyelid disease and surgery, aged from 5 to 68 years (35.75+/-30.59 years) were enrolled and divided into 7 age groups. We analyzed digital camera images to obtain the lower eyelid curvature and traveling distance of the lowest point of the lower eyelid accompanied by the action of the inferior oblique muscle. RESULTS: Graphical analysis presented the relationship of the cubic equation resembling the lower eyelid contour. The curvature of the lower eyelid at the gaze of inferior oblique muscles action became flatter than that of the primary position in all age groups. The lowest point of the lower eyelid moved significantly to the medial position and up from the primary gaze at the gaze of the inferior oblique muscles action in all age groups. There was no difference in traveling distance of the lower eyelid at each direction between sexes and age groups. CONCLUSIONS: The lower eyelid movements associated with the inferior oblique muscle are believed to be innate. We suggest that the digital image analysis of the lower eyelid contour will be useful to analyze the lower eyelid movements.

PURPOSE: Lacrimal gland duct cysts constitute a rare clinical entity and may be preceded by trauma, infection, or inflammation without antecedent history. The purpose of this study is to report one case of lacrimal gland duct cyst accompanied by a dacryolith. METHODS: A 41-year-old man presented with sudden enlarging mass in the left superotemporal conjunctival fornix 3 days ago. The lesion was about 10 X 10 mm in size. There was no tenderness or erythema in adjacent area. The CT scan was done and excisional biopsy was performed under local anesthesia. RESULTS: Specimen consisted of cystic membranous tissue in 9.0 X 7.0 mm in size and mucous material and a light brown dacryolith of 1mm in diameter within cyst. Specimen included normal lacrimal tissue. Microscopic examination found cyst was covered with stratified columnal epithelium accompanied by acute and chronic inflammation and eosinophilic acellular dacryolith mixed with inflammatory exudates. There was no bacterial colony and polarizing microscope found no birefringence. CONCLUSIONS: Such case of a eosinophilic dacryolith within lacrimal gland duct cyst has never been reported at home and abroad.
Adult ; Anesthesia, Local ; Biopsy ; Birefringence ; Eosinophils ; Epithelium ; Erythema ; Exudates and Transudates ; Humans ; Inflammation ; Lacrimal Apparatus ; Tomography, X-Ray Computed

PURPOSE:Present evidences suggest that Ureaplasma urealyticum is a cause of pneumonia, septicemia, and bronchopulmonary dysplasia (BPD) in newborn infants, particularly those born prematurely. The purpose of this work was to examine the relationship between Ureaplasma urealyticum in the tracheal aspirates and adverse outcomes, such as BPD and early onset neonatal sepsis in premature infants. METHODS:A polymerase chain reaction (PCR) was performed on tracheal aspirates collected within 24 hour after birth in 176 premature infants less than 35 weeks of gestation and admitted to the neonatal intensive care unit of Bundang CHA Hospital. RESULTS:U. urealyticum was detected in 37 of 176 preterm infants (21.0%). Gestational age (29+5+/-2+5 wk vs. 30+6+/-2+5 wk, P=0.013) and birth weight (1.39+/-0.44 kg vs. 1.59+/-0.55 kg, P=0.037) were lower in the U. urealyticum-positive group compared to the control group. The incidence of early onset neonatal sepsis (16.2% vs. 6.5%, P=0.045) and BPD (45.9% vs. 29.5%, P=0.047) was higher in the U. urealyticum-positive group compared to the control group, but the severity of BPD was not different between two groups. However, multiple logistic regression analysis revealed that the presence of U. urealyticum was not independently related to the development of early onset neonatal sepsis and BPD. CONCLUSION:The results suggest that colonization of the lower respiratory tract by U. urealyticum might not be related to the development of neonatal sepsis and BPD directly in preterm infants.
Birth Weight ; Bronchopulmonary Dysplasia ; Colon ; Gestational Age ; Humans ; Incidence ; Infant, Newborn ; Infant, Premature ; Intensive Care, Neonatal ; Logistic Models ; Parturition ; Pneumonia ; Polymerase Chain Reaction ; Pregnancy ; Respiratory System ; Sepsis ; Ureaplasma ; Ureaplasma urealyticum

PURPOSE: To compare the characteristics of the intermittent exotropia patients with spontaneous regression to the surgically corrected group. METHODS: Twenty-five patients who had exodeviation of around 25 prism diopters (PD). Visual acuity and best corrected visual acuity were measured. The latter was obtained by using cycloplegic refraction. Far and near deviation angles were measured through alternating prism cover test. Stereo acuity was measured using a Titmus stereo acuity test chart and occlusion was performed for those who had more than 2 lines of difference between the best corrected visual acuity of the left and right eyes on the Snellen E chart. We divided the patients into two groups. The first group is the spontaneous regression group (SRG), who showed declining deviation angles and maintained less than 10 PD for more than 3 months. The second group is the surgically corrected group (SCG), showed the same or increasing deviation angle and underwent operation. RESULTS: There was no difference in the age or observation period between the two groups. The prevalence period was significantly higher in the SRG than in the SCG. The deviation angle from a distance at the first visit was not different for the SCG from that of the SRG. However, the deviation angle at near was significantly larger for the SCG than that of the SRG and increased at the last examination. Stereo acuity of the SRG was better than that of the SCG at the first visit. CONCLUSIONS: Deviation angle could be reduced in the mild intermittent exotropia patients with relatively small deviation angle at near or with good stereo acuity.
Exotropia* ; Humans ; Prevalence ; Visual Acuity

PURPOSE: This study is to determine the effects of botulinum toxin injection on patients who suffer from upper eyelid retraction caused by thyroid ophthalmopathy. METHODS: We injected 10-15 units botulinum toxin (Botox(R), Allergan, USA) on the upper tarsus of 12 eyes of 12 thyroid ophthalmopathy patients and compared duration of disease, clinical activity scores (CAS), intraocular pressures (mmHg), exophthalmometry (mm), upper eyelid retraction (mm), marginal reflex distance1 (MRD1, mm), levator function test (mm), lid lag (mm), limitation of ocular movement (mm), lid tension test results, phenylephrine test results, and orbital computed tomography results before and after the injection. RESULTS: The patient group with smaller-sized cross section of superior rectus/levator complex before the injection showed a greater decrease of upper eyelid retraction after the injection (p=0.04). Other clinical parameters showed no significant relations on the effect of the toxin injection. CONCLUSIONS: Botulinum toxin injection can have variable effects on the upper eyelid retraction of thyroid ophthalmopathy patients. The patients who had smaller volume of superior rectus/levator complex measured in orbital cross sections on CT, could expect good results after botulinum toxin injection.
Ankle ; Botulinum Toxins* ; Eyelids* ; Graves Ophthalmopathy* ; Humans ; Intraocular Pressure ; Orbit ; Phenylephrine ; Reflex ; Thyroid Gland