6 cases of nevus sebaceus of Jadassohn were reported and its literatures were reviewed. It is thought to be rather rare disease in this country. Two of the cases were seen within the age of 2 years and showed the clinical pictures of early stage. The remaining 4 cases were the clinical pictures of late stage showing verrucous lesions. All cases developed the lesions in the scaIp except case 6 which appeared on anterior neck. One of thc cases was associated with syringocystadenoma papilliferum but none of the cases show any association of basal cell carcinoma.
Carcinoma, Basal Cell ; Dronabinol ; Neck ; Nevus* ; Nevus, Sebaceous of Jadassohn ; Rare Diseases

6 cases of nevus sebaceus of Jadassohn were reported and its literatures were reviewed. It is thought to be rather rare disease in this country. Two of the cases were seen within the age of 2 years and showed the clinical pictures of early stage. The remaining 4 cases were the clinical pictures of late stage showing verrucous lesions. All cases developed the lesions in the scaIp except case 6 which appeared on anterior neck. One of thc cases was associated with syringocystadenoma papilliferum but none of the cases show any association of basal cell carcinoma.
Carcinoma, Basal Cell ; Dronabinol ; Neck ; Nevus* ; Nevus, Sebaceous of Jadassohn ; Rare Diseases

We report 56 year old female with the left atrial myxoma diagnosed by M mode and 2-D Echocardiography, to be complicated with the cerebral embolism with review of literatures.
Echocardiography ; Female ; Humans ; Intracranial Embolism* ; Middle Aged ; Myxoma*

The 26 year old male with the hypertrophic cardiomyopathy confirmed by M-mode and 2-D echocardiography is reported with the review of the literatures.
Adult ; Cardiomyopathy, Hypertrophic* ; Echocardiography ; Humans ; Male

Of several possible configurations of pin fixation of a displaced supracondylar fracture of the humerus in children, the medial and lateral crossed pinning technique has been known to provide the greatest resistance to gross rotational displacement. A new technique with ipsilateral two lateral crossed pins was devised so as to avoid the ulnar nerve injury with good stability for fracture site. During the period from 1992 to 1994, 18 children with displaced supracondylar fracture of the humerus were treated by closed reduction and ipsilateral two lateral crossed pinning. Eighty nine percents of the final results were satisfactory. There were no ulnar nerve injuries and fixation loss in all cases from the treatment. This is a safe, simple and reliable technique for providing the good stability of fracture site as well as avoiding the ulnar nerve injury.
Child ; Humans ; Humerus ; Ulnar Nerve ; Ulnar Neuropathies ; United Nations

Candida chorioretinitis is the most common fungal infection of the retina and choroid, and is one of the most common of all endogenous infections of the eye. The typical lesion of candida chorioretinitis is a white, circumscribed lesion, less than 1 mm in diameter, with an overlying haze of vitreous inflammatory cells. There may be vascular sheathing of retinal vessels in the area surrounding the lesions. Candida Endophthalmitia is defined as chorioretinitis with extension into vitreous or with intravitreal "puff balls". It has become an increasingly important cause of nosocomial infection, and has been documented in 9.9 % to 37% of adult patients with candidemia. We successfully treated one case of candida endophthalmitis with systemic administration of amphotericin B, itraconazole and intravitreal injection of amphotericin B in 18-year-old male after flame burn injury. We also performed pars plana vitrectomy with membrane peeling for the purpose of relieving preretinal traction membrane which had occurred after resolution of candida chorioretinitis.
Adolescent ; Adult ; Amphotericin B ; Burns ; Candida* ; Candidemia ; Chorioretinitis ; Choroid ; Cross Infection ; Endophthalmitis* ; Humans ; Intravitreal Injections ; Itraconazole ; Male ; Membranes ; Retina ; Retinal Vessels ; Traction ; Vitrectomy

No abstract available.
Thanatophoric Dysplasia*

Respiratory distress syndrome (RDS) in the newborn infants remains a major cause of mortality and morbidity in the newborn period despite much improvements in neonatal intensive care and artificial ventilatory techniques. Gastric fluid was obtained from 151 patients within 6 hours after delivery. The sensitivity, specificity, and predictive value of the simple shake test (133 cases) and stable microbubble rating (SMR) test (151 cases) were assessed in the diagnosis of RDS, as well as the relation between both tests and RDS. We carried out both tests of on gastric aspirates all newborn who admitted to NICU of Presbyterian Medical Center from June 1991 to August 1992. The results were summarized as follows: 1) Among the total 151 cases, RDS were found in 41 cases(27.2%). 2) RDS occurence rate of the simple shake test was 11/11 in 0 group, 17/26 in +1 group, 8/28 in +2 group, 2/41 in +3 group, and 2/27 in +4 group. RDS occurence rate was high the 0 and +1 group. 3) RDS occurence rate of the SMR test was 4/4 in very weak group, 32/36 in weak group, 1/33 in medium group, and 4/78 in strong group. RDS occurence rate was high in the very weak and weak group. 4) Among the positive group of the SMR test 95 cases, positive group of the shake test were found in 87 cases. Among negative group of the SMR test 38 cases, negative of the shake test were found in 29 cases (correlation coefficient=0.763). 5) Sensitivity of the shake test and SMR test were 70%, 87.8% respectively. Specificity of the shake test and SMR test were 93.3%, 96.4% respectively. Positive predictability were 75.7%, 90% respectively and negative predictability were 87.5%, 95.5% respectively. The shake test, as Well as SMR test, has significant value to diagnosis of the RDS. We predict RDS occurence rate of the SMR test was significantly higher than shake test.
Diagnosis ; Humans ; Infant, Newborn ; Intensive Care, Neonatal ; Microbubbles* ; Mortality ; Protestantism ; Respiratory Distress Syndrome, Newborn* ; Sensitivity and Specificity

We surveyed fifty patients with the acute angle closure glaucoma from January 1, 1990 to August 31, 1996 retrospectively in order to study the clinical characteristic of disease. The mean age of the patients was 61.9 years, women were larger than men in number, right eye involvement was in nineteen patients(38%), left eye in twelve patients(24%), binocular involvement in nineteen patients(38%). The mean IOP at the first visit was 46.3mmHg. Twenty-nine patients(58%) have unknown predisposing factor, fifteen patients(30%) have known predisposing factor which is the mmature cataract or lens subluxation. In the prophylactic treatment of the fellow eye, close observasion was done in fifteen patients(49%), argon laser iridotomy was done in eight patients(26%). The surgical treatment of choice was trabeculectomy, peripheral iridectomy, laser iridotomy or triple operation. At the last follow-up, fifty-six eyes(96%) had intraocular pressure of 21mmHg or less as complete success and best-corrected visual acuity was better than the preoperative best-corrected visual acuity in all patients.
Argon ; Cataract ; Causality ; Female ; Follow-Up Studies ; Glaucoma, Angle-Closure* ; Humans ; Intraocular Pressure ; Iridectomy ; Lens Subluxation ; Male ; Retrospective Studies ; Telescopes ; Trabeculectomy ; Visual Acuity

No abstract available.
Meningitis* ; Salmonella*