1.Selective angiography of Hip in Avascular Necrosis of Femoral Head
Kwang Jin LEE ; June Kyu LEE ; Hung Dae SHIN
The Journal of the Korean Orthopaedic Association 1989;24(2):429-436
The diagnosis and treatment of avascular necrosis of femoral head advanced, after Freud issued examples of bilateral avascular necrosis of femoral head (AVN) in 1926. But still not fixed in treatment and diagnosis. Recently early diagnosis and treatment produced good result. Whole body bone scan, intraosseous pressure mornitoring, intramedullary venography, C-T, or MRI, Selective femoral angiography also used in early diagnosis. Selective femoral angiography was performed for 56 patients, who has suspected as AVN by sumple X-ray and WBBS in order to estimate. How the femoral angiographic finding exist in AVN. In the control group femoral angiography performed to 5 person with normal stage of clinical and radiologic finding. So the result are as following l. All cases in the control group were not observed terminal branch of superior and inferior capslar branch. 2. In AVN the alteration of vasculature appeared 22 patients among 56 patient. 3. The altered vasculature presented 87.5% in traumatic group and 31.5% in nontraumatic group. 4. Collateral circulation was 22.2% in the cases of patients under 6 moths of the time interual between etiological events and clinical symptoms, 89.5% over 6 months. 5. Collateral circulation received 86.8% from inferior gluteal artery two cases from superior gluteal artery, and three cases form obturator artery. 6. Clinical tolerance was supposed to in well developed collateral circulation. According to the above results, Vascular alteraion were noted very much in traumatic group and development of collateral circulation were related promote clinical tolerance. Selective femoral angiography was not effective to assist early diagnosis and treatment of AVN for it could not detect terminal branch of superior and inferior capsular artery that reflected intraossous vasculsture. We need the new nethod of angoigraphy in order to early diagnosis.
Angiography
;
Arteries
;
Collateral Circulation
;
Diagnosis
;
Early Diagnosis
;
Head
;
Hip
;
Humans
;
Magnetic Resonance Imaging
;
Moths
;
Necrosis
;
Phlebography
2.Anthralin - UVB Phototherapy for Psoriasis.
Jai Il YOUN ; Kyu Han KIM ; Yoo Shin LEE
Korean Journal of Dermatology 1984;22(6):619-625
Our study was performed to evaluate the efficacy of anthralin-UVB therapy on patients with psoriasis. We studied twenty two patients suffering from plaque-type psoriasis of varying degrees of severity. The results can be summarized as follows. l. 2p patients(90.9%) out of the total 22 patients showed grade 4 improvement. The rernaining 2 patients failed to respond to treatment, 2. Arnong the improved 2Q patients, 2 patients who were treated more than 3p times for grade 4 improvement were excluded, so cleared patients were 18(81.8%). 3. Arnong the 18 cleared patients, the mean nurnber of therapy wasg. 6 for grade 3 and 12. 5 for grade 4 in the cases of trunk lesiona, and 13. 2 for grade 3 and 17. 8 for grade 4 in the cases of extrernities lesions. With above results, anth-ralin-UVB therapy was rnore effective in lesions of the trunk than in those of extremi.ties. 4. Notable side effects were pruritus in 6 patients(27.3pg), staining in 4 patients (18,2%), and 1ITltatioB in 2 patients(9.1%)
Anthralin*
;
Humans
;
Phototherapy*
;
Pruritus
;
Psoriasis*
3.Comparative Study of Low - Strength Anthralin Therapy in Psoriasis.
Jai Il YOUN ; Yoo Shin LEE ; Kyu Han KIM
Korean Journal of Dermatology 1989;27(3):263-271
We performed anthralin comparative study(0.01% vs 0.1%) to assess the effectiveness of low-strengh anthralin therapy in 34 psoriatic patients and the resu1ts can be summarized as follows. 1. In the case of 13 patients using Burdick UVB larnp, in 1 patient the effect of 0.1% anthralin was superior to that of 0.01% anthralin from the start to the end of treatment, in 5 patients(38.5%) initially the effect of 0.1% anthralin was superior but in time became equal to that of 0.01% anthralin, and in 7 patients (53.8%) the effect of either side was same throughout the courae of the treatment. In the case of 21 patients using Waldmann UVB cabinet, there were 2(9.5 %), 3(14.3%) and 16 patients(76.2%) in the order named above. 2. The side effect of 0.1% anthralin was more severe than or at least the same as that of 0.01% anthralin in every patient who complained about side effects. So low-strengh anthalin-UVB phototherapy was thought to be the effective and alternative method of treatment particularly for the purpose of lessening the side effects.
Anthralin*
;
Humans
;
Phototherapy
;
Psoriasis*
4.A Study on the Quantitation of the Peripheral Blood T Lymphocytes and T Sebsets in Patients with Psoriasis by Moncolonal Antibodies.
Kyu Joong AHN ; Jai Il YOUN ; Yoo Shin LEE
Korean Journal of Dermatology 1985;23(5):607-619
The study was undertaken to clarify any quantitative abnormalities in peripheral blood T lymphocytes and T subsets, mediating cell meliated immunity, and the presence of any relation between the degree of quantitative abnormalities and extent of skin lesions and activity of disease in patients with psoriasis by monoclonal antibodies. The results were as follows. 1. Mean percentages of total and suppressor T lymphocytes in 39 patients with psoriasis are significantly decreased as compared with those in 32 controls. Mean ratio of percentage of helper T lymphocytes to that of suppressor Tlymphocytes in 39 patients with psoriasis are significantly increased as compared with that in 32 controls. 2, As classified into three groups according to extent of skin lesions (E: less than 5% E,: 5-30%, and E,: more than 30%), mean pereentages of total T lymphocytes in E, and E, psoriasis group and those of suppressor T lymphocytes in all three psoriasi., groups are significantly decreased as compared with those in controIs. Mean percentages of helper T lymphor,ytes in L psoriasis group and mean ratios of percentage of helper T lymphocytes to that of suppressor T lymphocytes in E, and E, psoriasis groups are significantly increased as compared with those in controls. 3. Cis classified into three groups according to activity of disease (A,: stationary, A,: active, peripherally spreading and A,: active, small papules spreading), mean percentage of total T lymphocytes in peripheral blood lymphocytes in A, psoriasis group and those of suppressor T lymphocytes in all three psoriasis group are significantly decreased as compared with those in controls. Mean percentages of helper T lymphocytes and mean ratios of percentage if helper T lymphocytes to that of suppressor T lymphocytes in A, and A, psorixsis groups are significantly increased as compared with those in controls. These results clarified that there are quantitative abnormalities in peripheral blood I' lymphocytes and T subsets in patients with psoriasis and the degrees of abnorrnalities are related to extent of skin lesions and activity of disease. The aanorrnalities in peri.pheral blood T lymphocytes and T subsets in patients with psoriasis seem to be attributed to primary defect of suppressor T lymphoytes.
Antibodies*
;
Antibodies, Monoclonal
;
Humans
;
Lymphocytes
;
Negotiating
;
Psoriasis*
;
Skin
;
T-Lymphocytes*
5.A Case of Eccrine-Pilar Angiomatous Hamartoma Showing an Unusual Clinical Manifestation.
Kyu Han KIM ; Hyang Joon PARK ; Yoo Shin LEE
Korean Journal of Dermatology 1984;22(5):549-552
No abstract available.
Hamartoma*
6.Treatment of Psoriasis by Modified Ingram Regimen.
Kyu Han KIM ; Jai Il YOUN ; Yoo Shin LEE
Korean Journal of Dermatology 1986;24(3):345-353
Our study was performed to evaluate the efficacy of anthralin-UVB therapy for psoriasis by simplifying the conventional Ingram regimen, 34 patients(21 admitted, and 13 OPD patients) were included in our study and the resulti can be summarized as follows. 1. There were no cases of treatment failure. 16 patients(76. 2%) out of the 2l admitted patients and 7 patients(53.8%) out of the 13 OPD patients showed clearing. 2. In the case of the admitted patients, the mean numbers of therapy(days) of the improved patients reaching grade 4 were 12. 0(18. 1 days) in the trunk lesions and 15. 5 (22. 0 days) in the extremity lesions' and those of the cleared patients reaching grade 4 were 11. 2(16. 0 days) in the trunk lesions, and 13. 4(lg. 5 days) in the extremity lesions, but the difference was not significant statistically(pp o.ps). The difference between the therapeutic effects of the admitted and the OPD patients was significant statistically(p<0. 05). 3. There were some notable side effects such as staining, pruritus, and erythema, but there were no cases of therapy termination.
Erythema
;
Extremities
;
Humans
;
Pruritus
;
Psoriasis*
;
Treatment Failure
7.A Case of Extensive Purpura Pigmentosa Chronica.
Kyu Han KIM ; Jai Il YOUN ; Yoo Shin LEE
Korean Journal of Dermatology 1985;23(2):262-265
8.The effect of crystalline trypsin(Packs@) on the healing of the infected wound.
Ki Il UHM ; Shin Kyu LEE ; Jai Mann LEW
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(5):716-723
No abstract available.
Crystallins*
;
Wounds and Injuries*
9.A case of catamenial hemoptysis.
Yang Soo SHIN ; Young Tae KIM ; Kyu Wan LEE
Korean Journal of Obstetrics and Gynecology 1992;35(10):1533-1536
No abstract available.
Hemoptysis*
10.The relationship of sex to TRH stimulation test in bipolar patients and schizophrenics.
Suk Ho SHIN ; Kyu Hwan LEE ; In Ho PAIK
Journal of Korean Neuropsychiatric Association 1991;30(1):47-53
No abstract available.
Humans