1.Concurrent Demyelinating Polyneuropathy Associated with Recurrent Cervical Myelitis.
Hong Jun KIM ; Seung Joo JWA ; Keun Hyuk KO ; Sung Joo PARK ; Sa Yoon KANG
Journal of the Korean Neurological Association 2016;34(5):403-405
No abstract available.
Myelitis*
;
Polyneuropathies*
2.The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand.
Byung Joon JEON ; Seung Jun JWA ; Dong Chul LEE ; Si Young ROH ; Jin Soo KIM
Archives of Plastic Surgery 2017;44(5):420-427
BACKGROUND: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. METHODS: Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation. RESULTS: The average flap size was 18.7 cm² (range, 13.5–30 cm²). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases. CONCLUSIONS: The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site.
Arteries
;
Cicatrix
;
Contracture
;
Debridement
;
Elbow
;
Fingers
;
Free Tissue Flaps*
;
Hand*
;
Humans
;
Muscle, Skeletal
;
Osteomyelitis
;
Skin
;
Tissue Donors
;
Transplants
;
Veins
3.The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand.
Byung Joon JEON ; Seung Jun JWA ; Dong Chul LEE ; Si Young ROH ; Jin Soo KIM
Archives of Plastic Surgery 2017;44(5):420-427
BACKGROUND: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. METHODS: Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation. RESULTS: The average flap size was 18.7 cm² (range, 13.5–30 cm²). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases. CONCLUSIONS: The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site.
Arteries
;
Cicatrix
;
Contracture
;
Debridement
;
Elbow
;
Fingers
;
Free Tissue Flaps*
;
Hand*
;
Humans
;
Muscle, Skeletal
;
Osteomyelitis
;
Skin
;
Tissue Donors
;
Transplants
;
Veins
4.Extralesional cryotherapy combined with intralesional triamcinolone injections after keloid excision
Seung Jun JWA ; Jongmin WON ; Young Chul SUH ; Won Jai LEE
Archives of Aesthetic Plastic Surgery 2023;29(1):8-13
Background:
Keloid treatment is challenging because of the high likelihood of recurrence and a lack of definitive treatment combinations. The treatment of bulky and recurrent keloids is particularly difficult. We investigated the administration of extralesional cryotherapy (EL) in conjunction with intralesional (IL) triamcinolone (TA) injections as adjuvant therapy after surgical excision for the management of keloids.
Methods:
Among all patients who visited our scar laser center between January 2016 and August 2017, 54 patients who underwent IL keloid excision with EL cryotherapy and IL TA injection as adjuvant therapy were included in this retrospective study. We examined sex, site, the number of cryotherapy sessions and TA injections, symptoms after surgery, and recurrence. The Vancouver Scar Scale (VSS) was used as to quantify treatment outcomes.
Results:
Among 54 cases of IL keloid excision, after an average of 6.26 cryotherapy sessions and IL TA injections as combined adjuvant treatment, the lesion was controlled without recurrence in 49 cases. Relapse occurred in five patients, requiring additional treatment and reoperation. For 49 patients with photographic data, the average VSS score before and after treatment improved from 10.1 to 5.0. In 17 patients in whom symptoms recurred after surgery, all symptoms were controlled and maintained with adjuvant therapy.
Conclusions
Initial direct surgical excision, followed by a combination of EL cryotherapy and IL TA injections, was shown to be effective in challenging cases of large and recurring keloids.
5.Estimating Average Glucose Levels from Glycated Albumin in Patients with End-Stage Renal Disease.
Jwa Kyung KIM ; Jung Tak PARK ; Hyung Jung OH ; Dong Eun YOO ; Seung Jun KIM ; Seung Hyeok HAN ; Shin Wook KANG ; Kyu Hun CHOI ; Tae Hyun YOO
Yonsei Medical Journal 2012;53(3):578-586
PURPOSE: In patients with diabetic end stage renal disease (ESRD), glycated albumin (GA) reflects recent glycemic control more accurately than glycated hemoglobin (HbA1c). We evaluated the relationship between GA and average blood glucose (AG) level and developed an estimating equation for translating GA values into easier-to-understand AG levels. MATERIALS AND METHODS: A total of 185 ESRD patients, including 154 diabetic and 31 non-diabetic participants, were enrolled (108 hemodialysis, 77 peritoneal dialysis). Patients were asked to perform four-point daily self-monitoring of capillary blood glucose (SMBG) at least three consecutive days each week for four weeks. Serum levels of GA, HbA1c and other biochemical parameters were checked at baseline, as well as at 4 and 8 weeks. RESULTS: Approximately 74.3+/-7.0 SMBG readings were obtained from each participant and mean AG was 169.1+/-48.2 mg/dL. The correlation coefficient between serum GA and AG levels (r=0.70, p<0.001) was higher than that of HbA1c and AG (r=0.54, p<0.001). Linear regression analysis yielded the following equation: estimated AG (eAG) (mg/dL)=4.71xGA%+73.35, and with this formula, serum GA levels could be easily translated to eAG levels. Multivariate analysis revealed significant contributions of postprandial hyperglycemia (beta=0.25, p=0.03) and serum albumin (beta=0.17, p=0.04) in determining serum GA level, independent to other clinical parameters. CONCLUSION: Compared to HbA1c, serum GA levels were better correlated with AG levels. Using the estimating equation, an average blood glucose level of 155-160 mg/dL could be matched to a GA value of 18-19% in patients with ESRD.
Adolescent
;
Adult
;
Aged
;
Blood Glucose/*metabolism
;
Female
;
Humans
;
Kidney Failure, Chronic/*blood/metabolism
;
Male
;
Middle Aged
;
Prospective Studies
;
Serum Albumin/*metabolism
;
Young Adult
6.Two Cases of Familial Multiple Lipomatosis.
Seung Wook JWA ; Bong Seok JANG ; Byung Soo KIM ; Sung Jun KIM ; Moon Bum KIM ; Chang Keun OH ; Kyung Sool KWON
Korean Journal of Dermatology 2007;45(1):51-54
Familial multiple lipomatosis is a rare hereditary disorder with a proposed autosomal dominant inheritance. Clinically, multiple well-circumscribed, encapsulated lipomas occur on the extremities and trunk. Familial multiple lipomatosis is often confused with multiple symmetric lipomatosis, which is a condition involving a diffuse fatty infiltration around the neck and shoulders. We report two cases of familial multiple lipomatosis with typical clinical features and familial history. To the best of our knowledge, these are the first cases of familial multiple lipomatosis in Korea.
Extremities
;
Korea
;
Lipoma
;
Lipomatosis*
;
Lipomatosis, Multiple Symmetrical
;
Neck
;
Shoulder
;
Wills
7.A Case of Digital Myxoid Cyst Coexisting with Epidermal Inclusion Cyst.
Byung Soo KIM ; Seung Wook JWA ; Sung Won SUH ; Sung Jun KIM ; Chang Keun OH ; Kyung Sool KWON ; Moon Bum KIM
Annals of Dermatology 2008;20(2):67-69
A 62-year-old male developed a solitary asymptomatic nodule on the lateral aspect of the distal interphalangeal joint of the right great toe. Histopathologic findings demonstrated a myxoid cyst with a concomitant epidermal inclusion cyst. To the best of our knowledge, this is the first case of concurrent occurrence of digital myxoid cyst and epidermal inclusion cyst. Although the exact mechanism for developing a digital myxoid cyst and an epidermal inclusion cyst simultaneously at the same site is not explained, trauma might be a possible cause.
Ganglion Cysts
;
Humans
;
Joints
;
Male
;
Middle Aged
;
Toes
8.Dermoscopic Findings of Pigmented Basal Cell Carcinomas in Koreans.
Seung Wook JWA ; Moon Bum KIM ; Hyun Chang KO ; Byung Soo KIM ; Sung Jun KIM ; Chang Keun OH ; Kyung Sool KWON
Korean Journal of Dermatology 2007;45(7):659-665
BACKGROUND: Pigmented basal cell carcinomas (PBCC) may be confused with melanoma and other benign pigmented skin lesions. Dermoscopy is a noninvasive technique that is known to increase the diagnostic accuracy of benign versus malignant pigmented skin lesions. Menzies et al recently proposed a simple dermoscopic model for the diagnosis of PBCCs. OBJECTIVE: To demonstrate whether this criteria was adequate for Korean PBCC patients and seek other characteristic dermoscopic findings in Korean PBCCs. METHODS: Dermoscopic images of 50 biopsy-proven PBCCs were examined. RESULTS: Negative features such as a pigment network were not observed in all PBCCs. Positive features-ulceration, large blue-gray ovoid nests, multiple blue-gray globules, maple leaf-like areas, spoke wheel areas and arborizing (treelike) telangiectasia were present in 39 (78.0%), 41 (82.0%), 33 (66.0%), 21 (42.0%), 1 (2.0%) and 32 (64.0%) of 50 PBCCs respectively. All PBCCs satisfied the dermoscopic criteria for diagnosis of PBCC suggested by Menzies et al. Other dermoscopic features were as follows; multiple blue-gray dots (28.0%), milia-like cysts (8.0%), granules (6.0%), diffuse blue-white area (6.0%) and hairpin vessels (2%). Forty-four % of lesions had less than 50% pigmentation of the area and 38.0% of lesions had more than 75% pigmentation. CONCLUSION: The criteria of PBCC proposed by Menzies et al was useful for dermoscopic diagnosis of Korean PBCCs. Ulceration and pigmentary features such as large blue-gray ovoid nests, multiple blue-gray globules, maple leaf-like areas, multiple blue-gray dots, granules and larger pigmented areas were more frequently observed in Korean PBCCs. However, other specific dermoscopic findings for diagnosis of PBCC in Koreans were not present.
Acer
;
Carcinoma, Basal Cell*
;
Dermoscopy
;
Diagnosis
;
Humans
;
Melanoma
;
Pigmentation
;
Skin
;
Telangiectasis
;
Ulcer
9.A Case of Delayed Hypersensitivity to Enoxaparin in Patient with Deep Vein Thrombosis.
Seung Wook JWA ; Sung Jun KIM ; Hyun Chang KO ; Moon Bum KIM ; Kyung Sool KWON ; Chang Keun OH
Korean Journal of Dermatology 2007;45(8):851-854
Enoxaparin, a low-molecular-weight heparin, is widely used to prevent and treat thromboembolic diseases due to its improved pharmacodynamic properties and better safety profile than unfractionated heparins. Although the most common complication is bleeding, enoxaprin has also been implicated in skin manifestations such as urticaria, bruising, angioedema and skin necrosis. Rarely, cases have been reported of eczema-like plaques caused by delayed hypersensitivity after administration of enoxaparin injections. However, there is no report to describe delayed hypersensitivity to enoxaparin in Korean literature. We present herein a case of delayed hypersensitivity to enoxaparin, which is very rare case but needs the attention of special departments such as dermatologists as well as internalists and phlebologists.
Angioedema
;
Enoxaparin*
;
Hemorrhage
;
Heparin
;
Heparin, Low-Molecular-Weight
;
Humans
;
Hypersensitivity, Delayed*
;
Necrosis
;
Skin
;
Skin Manifestations
;
Urticaria
;
Venous Thrombosis*
10.Diagnostic Sensitivity and Specificity of Residual Latency and Terminal Latency Index in the Diagnosis of Carpal Tunnel Syndrome.
Jung Hwan OH ; Hong Jun KIM ; Seung Joo JWA ; Sook Keun SONG ; Jung Seok LEE ; Jay Chol CHOI ; Ji Hoon KANG ; Sa Yoon KANG
Journal of the Korean Neurological Association 2015;33(3):168-172
BACKGROUND: Conventional nerve conduction studies (NCS) are used in the diagnosis of carpal tunnel syndrome (CTS). The median terminal latency index (TLI) and median residual latency (RL) are parameters calculated to identify abnormalities in distal segments of the median motor nerve. The objective of this study was to determine the sensitivity and specificity of TLI and RL together with NCS in the diagnosis of CTS. METHODS: This prospective study involved 83 hands of 47 patients with suspected CTS. Conventional NCS were performed using Oh's method. Control data were obtained from the 68 hands of 40 healthy volunteers. The diagnostic sensitivity and specificity of TLI and RL were calculated and compared with those of conventional NCS. We divided the CTS patients into four groups based on their electrophysiological severity, and compared the TLI and RL values between these groups. RESULTS: TLI and RL were 0.20+/-0.03 (mean+/-SD) and 3.62+/-0.90, respectively, in the patients, while the corresponding values, in the healthy control, were 0.29+/-0.03 and 2.08+/-0.30. The sensitivities of TLI and RL in diagnosing CTS were 75.9% and 86.3%, respectively. Compared with median motor terminal latency, the sensitivities of TLI and RL in diagnosing CTS was found to be higher. Moreover, the diagnostic sensitivities of TLI and RL were significant better for the severe group than for the mild and moderate severity group. CONCLUSIONS: We conclude that measuring TLI and RL of the median nerve may increase the sensitivity in diagnosing CTS and also provide information about its electrophysiological severity.
Carpal Tunnel Syndrome*
;
Diagnosis*
;
Hand
;
Healthy Volunteers
;
Humans
;
Median Nerve
;
Neural Conduction
;
Prospective Studies
;
Sensitivity and Specificity*