1.A Case of Mollaret Meningitis.
Yong Joo KIM ; Soon Sup JANG ; In Joon SEOL
Journal of the Korean Pediatric Society 1988;31(9):1193-1196
No abstract available.
Meningitis*
2.Untreated Sleeve Type Fracture of the Patella in Children: Report of a Case
Yong Koo KANG ; Jang Jung LEE ; In Seol CHUNG ; Doo Young HUH
The Journal of the Korean Orthopaedic Association 1987;22(6):1277-1280
Sleeve type fracture of the patella in children is an extremely rare injury. Its avulsed fragment is so small that the diagnosis may be missed by radiogram and patella slta is complicated. A 14 year-old boy having the sleeve type fracture of the patella with patella alta was treated by open reduction with s screw fixation at St. Vincent Hospital in December 1985 and was followed up over two years. The final clinical result was good.
Child
;
Diagnosis
;
Humans
;
Male
;
Patella
3.A Case of Holoprosencephaly.
Byung Chun SUH ; Soon Sup JANG ; In Joon SEOL ; Soo Jee MOON ; Chong Moo PARK ; Seok Chol JEON
Journal of the Korean Pediatric Society 1987;30(6):695-700
No abstract available.
Holoprosencephaly*
4.Appropriate Depth of Needle Insertion During Rhomboid Major Trigger Point Block.
Seung Jun SEOL ; Hyungpil CHO ; Do Hyun YOON ; Seong Ho JANG
Annals of Rehabilitation Medicine 2014;38(1):72-76
OBJECTIVE: To investigate an appropriate depth of needle insertion during trigger point injection into the rhomboid major muscle. METHODS: Sixty-two patients who visited our department with shoulder or upper back pain participated in this study. The distance between the skin and the rhomboid major muscle (SM) and the distance between the skin and rib (SB) were measured using ultrasonography. The subjects were divided into 3 groups according to BMI: BMI less than 23 kg/m2 (underweight or normal group); 23 kg/m2 or more to less than 25 kg/m2 (overweight group); and 25 kg/m2 or more (obese group). The mean+/-standard deviation (SD) of SM and SB of each group were calculated. A range between mean+1 SD of SM and the mean-1 SD of SB was defined as a safe margin. RESULTS: The underweight or normal group's SM, SB, and the safe margin were 1.2+/-0.2, 2.1+/-0.4, and 1.4 to 1.7 cm, respectively. The overweight group's SM and SB were 1.4+/-0.2 and 2.4+/-0.9 cm, respectively. The safe margin could not be calculated for this group. The obese group's SM, SB, and the safe margin were 1.8+/-0.3, 2.7+/-0.5, and 2.1 to 2.2 cm, respectively. CONCLUSION: This study will help us to set the standard depth of safe needle insertion into the rhomboid major muscle in an effective manner without causing any complications.
Back Pain
;
Humans
;
Muscles
;
Needles*
;
Overweight
;
Pneumothorax
;
Ribs
;
Shoulder
;
Skin
;
Superficial Back Muscles*
;
Thinness
;
Trigger Points*
;
Ultrasonography
5.The Relationship between Early Hyperglycemia and Prognosis in Trauma Patients.
Tae Chang JANG ; Dong Hoan SEOL ; Kang Suk SUH
Journal of the Korean Society of Emergency Medicine 2006;17(1):72-78
PURPOSE: Recent randomized prospective data suggest that early hyperglycemia is associated with high mortality in critically ill patients and that tight glucose control leads to an improved outcome. This concept has not been carefully examined in trauma patients. The purpose of this study was to determine the relationship of different levels of early hyperglycemia to the clinical outcomes in trauma patients. METHODS: A retrospective study of 309 cases of trauma victims who visited the Emergency Department of Daegu Catholic University Hospital from March 2003 to February 2004 was made. Patients younger than 15 years of age and patients having diabetes mellitus were excluded. The records of all of these patients were reviewed for age, the Injury Severity Score (ISS), Glasgow Coma Scale (GCS) score, blood glucose, lengths of ICU and hospital stays, infection morbidity, and mortality. They were divided into three groups by their glucose level (> or = 110 mg/dl and < 110 mg/dl, > or = 140 mg/dl and < 140 mg/dl, > or = 200 mg/dl and < 200 mg/dl). Each group was subdivided into hyperglycemic and non-hyperglycemic subgroups. RESULTS: Hyperglycemia was associated with increased infection morbidity, and mortality. Patients with hyperglycemia (> or = 110 mg/dl, > or = 140 mg/dl, > or = 200 mg/dl) showed higher mortality compared to the corresponding non-hyperglycemic groups (< 110 mg/dl, < 140 mg/dl, < 200 mg/dl) [(0.7% vs 13.0%, 0.5% vs 22.7%, 2.6% vs 45.7%, respectively (p<0.001)]. A univariate logistic regression analysis revealed a significant relationship of age, ISS, GCS score, and blood glucose (> or = 110 mg/dl, > or =140 mg/dl, > or = 200 mg/dl) with mortality. A multivariate logistic regression analysis addressing the effects of age, ISS, and GCS score showed a significant relationship among age (p<0.001), ISS (p<0.001), glucose > or = 140 mg/dl (0.042), and death. In the univariate logistic regression analysis of these variables to infection, we observed a significant correlation between all examined variables and infection, except for glucose > or = 110 mg/dl. Glucose > or = 200 mg/dl (p= 0.007), age (p=0.014), and ISS (p<0.001) were independent predictors of infection in the multivariate logistic regression analysis. CONCLUSION: Early hyperglycemia was associated with higher injury severity, infection rate, and mortality rate. Early hyperglycemia defined as glucose > or = 200 mg/dl was an independent predictor of increased infection rate in trauma patients. Also, early hyperglycemia defined as glucose > or = 140 mg/dl showed a significant independent relationship to death.
Blood Glucose
;
Critical Illness
;
Daegu
;
Diabetes Mellitus
;
Emergency Service, Hospital
;
Glasgow Coma Scale
;
Glucose
;
Humans
;
Hyperglycemia*
;
Injury Severity Score
;
Length of Stay
;
Logistic Models
;
Mortality
;
Prognosis*
;
Retrospective Studies
6.A Case Report on the Dermoscopic Features of Spark’s Nevus
Jong Bin PARK ; Seol Hwa SEONG ; Ji Yun JANG ; Myeong Hyeon YANG ; Kee Suck SUH ; Min Soo JANG
Annals of Dermatology 2020;32(3):233-236
Spark’s nevus is a compound word composed of Spitz nevus and Clark’s nevus. It is one of the combined melanocytic nevi which is more common in female and usually presents as a sharp circumscribed hyperpigmented macule on the lower extremities. On histopathologic findings, both cytologic features of Spitz nevus characterized as large spindle or epithelioid melanocytes containing large nuclei with abundant cytoplasm, and architecture of Clark’s nevus characterized as elongation of rete ridges, bridging of the nests, concentric and lamellar fibrosis can be seen. A 24-year-old female presented with an asymptomatic, solitary, dark-brown-colored papule surrounded by brownish patch that looked similar to dysplastic nevus or malignant melanoma on the buttock. On dermoscopic examination, it showed brown-to-black globules, diffuse homogenous pigmentation with blue-white structures, and a surrounding brownish reticular pattern that faded away. On histopathologic findings, overall asymmetrical structure, epithelioid large melanocytes containing large nuclei with abundant cytoplasm, and Kamino body were seen in the central portion. Also, lentiginous hyperplasia, bridging of the nests composed of melanocytes containing foamy cytoplasm, concentric and lamellar fibrosis along with the elongation of rete ridge, and perivascular lymphocytic infiltration were seen in the peripheral portion. The diagnosis of Spark’s nevus was made. Following its definition, this combined nevus is diagnosed histopathologically, but the clinicodermoscopic features have not been well described. Herein, we report a case of Spark’s nevus in which dermoscopy was helpful for differentiating it from malignant melanoma.
7.Dermoscopic features of an unusual case of targetoid hemosiderotic nevus
Sun Mun JEONG ; Jang Hwan JUNG ; Do Ik KWON ; Seol Hwa SEONG ; Ji Yun JANG ; Jong Bin PARK ; Min Soo JANG
Kosin Medical Journal 2023;38(3):215-218
Targetoid hemosiderotic nevus (THN) is a rare variant of melanocytic nevus, characterized by a sudden development of a targetoid ecchymotic halo around a pre-existing nevus. THN clinically raises concern for malignant transformation due to its abrupt change in color and size. THN should be distinguished from other diseases showing a peripheral halo, including targetoid hemosiderotic hemangioma, halo nevus, and Meyerson nevus. Dermoscopy can help clinicians to differentiate THN from these diseases. The typical dermoscopic features of THN are known to be divided into two distinctive areas: the central melanocytic area and the peripheral ecchymotic area. In our case, dermoscopy revealed a novel bull’s eye pattern composed of a central area with characteristic features of benign melanocytic nevus, an intermediated white circular ring, and a peripheral milky red area. When a sudden change occurs in a pre-existing nodule showing targetoid features, dermoscopy should be considered before conducting a biopsy or surgical intervention.
8.Dry eye in patients with fibromyalgia.
Hye Jung JANG ; Jung Myung AN ; Jong Ryul PARK ; Jin Ho LEE ; San KIM ; Seol Jung AK ; Ji Hyun LEE
Korean Journal of Medicine 2007;73(5):519-524
BACKGROUND: Dry eye is a disorder of the tear film caused by reduced tear production or excessive tear evaporation. A high incidence of sicca symptoms has been noted in fibromyalgia (FM) patients resulting in serious complications. This study was conducted to evaluate the incidence of dry eye by pathogenic mechanisms and to investigate the relationship between dry eye and symptom severity in FM patients. METHODS: Fifty patients that visited Maryknoll Hospital between March 2006 and December 2006 were included in the study. Enrolled patients underwent a Korean fibromyalgia impact questionnaire (KFIQ), ocular surface disease index (OSDI), Schirmer test and tear break up test (TBUT). The KFIQ and OSDI are used to assess the severity of fibromyalgia symptoms and dry eye symptoms, respectively. The Schirmer test and TBUT are used to assess reduced tear production and excessive tear evaporation, respectively. We assessed the OSDI, Schirmer test, TBUT, age and disease duration in terms of the KFIQ. RESULTS: The incidence of dry eye was high in FM patients (12.0% by the Schirmer test and 92.0% by the TBUT test). The OSDI positively correlated with the KFIQ (p=0.006). A positive correlation was observed between the Schirmer test and the KFIQ (p=0.024), but not between the TBUT and the KFIQ. CONCLUSIONS: In this study, dry eye was found to be common in FM patients. Excessive tear evaporation was a more common cause of dry eye than reduced tear production. The patients with more severe dry eye symptoms tend to have more severe FM symptoms.
Fibromyalgia*
;
Humans
;
Incidence
;
Tears
;
Surveys and Questionnaires
9.The Validity and Reliability of Addiction Severity Index in Alcoholic Patients.
Duk Ki LEE ; Woo Suk JANG ; Seok Gu SEOL ; Suk Ja YOUN ; Jin Seok CHO ; Won Tan BYUN
Journal of Korean Neuropsychiatric Association 1997;36(6):1033-1040
OBJECTIVE: The purpose of this study was to evaluate the validity and reliability of Korean version of Addiction Severity Index for the systematic diagnosis and evaluation of alcoholism. METHODS: The authors selected 65 alcoholic patients with the criteria of DSM-VI. RESULTS: The results were as follows: 1) The exception of the significant correlation between psychiatric and the family/social problem area, the 6 sections of ASI were mutually independent. 2) There was significant inter-rater reliability in all sections of ASI. 3) In medical, alcohol use, family/social and psychiatry section, the calculation of composite score showed reasonable level of item consistency. In all sections, there was significant correlation between composite scores and severity ratings of corresponding section. 4) The important items of each section were most highly correlated with their corresponding severity ratings except two sections. 5) In the multiple regression analysis, the amount of variance accounted far by the most important 4 items were 83% in medical section, 45% in employment/support,43% in alcohol use section, 55% in legal section,53% in family/social section and 84% in psychiatric section. 6) Severity rating of psychiatric section was significantly correlated with the scores of MMFI, MAST and SCL-90-R. CONCLUSION: The result suggests that Korean version of the ASI showed relatively reasonable reliability and validity and it can be used in treatment and study of alcoholic patients.
Alcoholics*
;
Alcoholism
;
Diagnosis
;
Humans
;
Reproducibility of Results*
10.Undifferentiated Carcinoma Arising in a Choledochal Cyst: A Case Report.
Hee Eun LEE ; Chang Lim HYUN ; You Jeong LEE ; Hye Sil SEOL ; Ja June JANG
Korean Journal of Pathology 2006;40(6):461-465
An association between choledochal cyst and carcinoma is well established. Here, we report an extremely rare case of undifferentiated carcinoma exhibiting extensive sarcomatous features arising in a choledochal cyst. The patient in our case had a radiologically confirmed choledochal cyst and anomalous pancreaticobiliary ductal union, and mild wall thickening in the cyst was observed on endoscopic retrograde cholangiopancreatography. The patient underwent common bile duct excision and cholecystectomy. In the choledochal cyst, a nodule measuring 1.5x1 cm was detected. The lesion was composed of atypical, spindle-shaped and large, round pleomorphic tumor cells simulating sarcoma. Neither glandular nor squamous differentiation was observed. These cells were immunoreactive for both vimentin and cytokeratin by immunohistochemistry. These histologic and immunohistochemical findings were consistent with undifferentiated carcinoma, spindle and giant cell type, according to the WHO classification.
Carcinoma*
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Cholangiopancreatography, Endoscopic Retrograde
;
Cholecystectomy
;
Choledochal Cyst*
;
Classification
;
Common Bile Duct
;
Giant Cells
;
Humans
;
Immunohistochemistry
;
Keratins
;
Sarcoma
;
Vimentin