No abstract available.
Fingers* ; Replantation* ; Transplants*

No abstract available.
Fingers* ; Replantation* ; Transplants*

Testicular torsion is the most common cause of acute scrotal pain in prepubertal and adolescent boys. The overall testicular salvage rate with acute torsion is only 20 to 50 per cent. However, up to 50 percent of the patients with acute torsion have experienced previous episodes of acute testicular pain. Intermittent testicular torsion is a separate entity that should be considered in all young males with a history of scrotal pain and swelling. interspersed with long interval without symptoms. Most males with testicular torsion have aberrant anatomy for the testes to be more susceptible to torsion. Bell-clapper deformity and long mesorchium have been typically described at exploration. On reviewing the medical records. elective orchiopexy was performed on l2 patients under the diagnosis of intermittent testicular torsion during the recent 5 years at Yonsei University Hospital. The features and pathological anatomy of intermittent testicular torsion in these l2 patients are described. Awareness of intermittent testicular torsion as a definite entity and early elective orchiopexy will improve testicular salvage rate.
Adolescent ; Congenital Abnormalities ; Diagnosis ; Humans ; Male ; Medical Records ; Orchiopexy ; Spermatic Cord Torsion* ; Testis

No abstract available.
Suction* ; Tonsillectomy*

PURPOSE: For the past two decades, there has been a significant increase in the prevalence of both asthma and obesity. Obesity may be associated with increasing childhood asthma and atopy. So, we performed this study to know the effects of body mass on bronchial hyperresponsiveness (BHR) and atopy in childhood asthma. METHODS: The subjects were, 340 children aged 6-15 years with asthma, visited the Pediatric Outpatient Clinic. There, their heights and, weights were measured and they underwent, pulmonary function tests (PFT), BHR to methacholine and skin prick tests. After determining body mass index (BMI), they were divided into four groups by BMI percentile curve based on gender and age (underweight < or =15th percentile, normal weight 15.1-85th percentile, overweight 85.1th-95th percentile, obesity > or =95.1th percentile). Atopy, allergen sensitization, BHR, respiratory symptoms, PFT were compared between each group. RESULTS: In all subjects, there were 70 (20.6%) and 73 (21.5%) cases in the overweight and obese groups, respectively. Increasing BMI was significantly associated with a higher prevalence of snoring,(P=0.004) wheezing in the perceding three months (P=0.002) and BHR- positive,(P=0.003) but not atopy.(P=0.075) Among the groups classified by BMI percentile, there were significant differences in FEV1 and FEV1/FVC.(P=0.027, P=0.033) Being overweight and/or, obese were significant risk factor for BHR, though only among females (OR 5.1; 95% CI 1.6-16.5, 4.9; 1.8-13.4) not male (OR 1.1; 95% CI 0.5-2.1, OR 1.7; 95% CI 0.7-2.0). CONCLUSION: Among girls, a higher BMI might be a risk factor for BHR. Higher BMI is not associated with atopy on either boys or girls.
Ambulatory Care Facilities ; Asthma* ; Body Mass Index ; Bronchial Hyperreactivity ; Child ; Female ; Humans ; Hypersensitivity ; Male ; Methacholine Chloride ; Obesity ; Overweight ; Prevalence ; Respiratory Function Tests ; Respiratory Sounds ; Risk Factors ; Skin ; Weights and Measures

No abstract available.
Autoantibodies* ; DNA*

Adenoma Malignum (Minimal Deviation Adenocarcinoma) is a rare type well-differenciated adenocarcinoma of uterine cervix. Despite benign histologic appearance, this tumor have usually clinical malignancy. It is quite difficult to diagnosis, and the prognosis is poor. We report of this case with a brief review of literature that Adenoma Malignum was diagnosed early on transvaginal Doppler ultrasonography and MR Imaging and performed hysterectomy.
Adenocarcinoma ; Adenoma* ; Cervix Uteri* ; Diagnosis ; Female ; Hysterectomy ; Magnetic Resonance Imaging ; Prognosis ; Ultrasonography, Doppler

Adenoma Malignum (Minimal Deviation Adenocarcinoma) is a rare type well-differenciated adenocarcinoma of uterine cervix. Despite benign histologic appearance, this tumor have usually clinical malignancy. It is quite difficult to diagnosis, and the prognosis is poor. We report of this case with a brief review of literature that Adenoma Malignum was diagnosed early on transvaginal Doppler ultrasonography and MR Imaging and performed hysterectomy.
Adenocarcinoma ; Adenoma* ; Cervix Uteri* ; Diagnosis ; Female ; Hysterectomy ; Magnetic Resonance Imaging ; Prognosis ; Ultrasonography, Doppler

Varicella zoster virus (VZV) infection of the head and neck region may present with various symptoms. We present a case of VZV infection of the external ear (cranial nerve V), pharynx and larynx with neuropathy of three ipsilateral lower cranial nerves (IX, X, XII). The patient's paresthesia was reduced after antiviral therapy and oral steroids. By the end of one month follow-up, the patient showed normal movement of vocal cord, soft palate and tongue.
Cranial Nerves* ; Ear, External ; Facial Paralysis* ; Follow-Up Studies ; Head ; Herpes Zoster Oticus* ; Herpesvirus 3, Human ; Humans ; Larynx ; Neck ; Palate, Soft ; Paresthesia ; Pharynx ; Steroids ; Tongue ; Vocal Cords

Diabetic nephropathy is a common and serious complication in diabetic patients. Renal diseases other than diabetic nephropathy (non-diabetic nephropathy) can occur in diabetic patients with nephrosis. The presence of non-diabetic nephropathy is noted in type 2 diabetes patients, but no data exists for type 1 diabetes. In this report we describe the case of a 15-year-old girl with type 1 diabetes mellitus, who presented with an acute elevation of urinary microalbumin excretion, general edema, and liver enzyme elevation. She had shown microalbuminuria about 3 years earlier, as well as an uncontrolled hemoglobin A1c level, but she had no diabetic retinopathy and neuropathy. A renal biopsy was conducted, and she was diagnosed with primary focal segmental glomerulosclerosis. She was treated with corticosteroids and an angiotensin converting enzyme inhibitor.
Adolescent ; Adrenal Cortex Hormones ; Biopsy ; Diabetes Mellitus, Type 1 ; Diabetic Nephropathies ; Diabetic Retinopathy ; Edema ; Glomerulosclerosis, Focal Segmental ; Hemoglobins ; Humans ; Liver ; Nephrosis ; Peptidyl-Dipeptidase A