This report is a clincal analysis in 18 follow up cases of 51 patients had treated' by surgical procedures from Jan. 1972 to Jul. 1978 at Korea University Hospital The results are as follows: I. The used methods of operative treatment and number of patients were respectively catagorized in I) elliptical resection for 36 cases, 2) modified method. of W-pla,sty for 10 cases, 3) complete excision and relieving Z-plasty for 4 cases, and 4) biipedicle mcision of one case. Among the methods, the modified method;. of W-plasty was a new trial method atempted, by our departrnent. 2. The ratio of between male and female was 23 to 28. 3. The age onset was raged from 12 to 37 year and average at the tires of onset vras 17. 3 years old. 4. The average age on the operation was 22.6 years old and the averag. duration after onset was five years. 5. The anesthesia used in operation were 1) general anesthesia for 7, cases and 2) local anesthesia, 44 cases. 6. The total times o.' operation were averaged in 80 minutes for elliptical resection and 90 minutes for modified W-plasty. 7. The results of analysis in 18 follow up cases were the followings: (1) The utilized method of operation were respectively elliptical resection in eight cases, modified W-plasty in seven cases, complete excision and relieving Z-plasty in 2 cases, and bipedicle incision 1 case. (2) The average rate of relieving odor was 86. 1%, and in detail 81. 1% for elliptical resection, 92. 8% for modified W-plasty were found respectively. (3) The average rate of suppression of sweating was 88. 8% and in detail 87. 5% for elliptical resection, 92.8% for modified W-plasty. (4) Yhe average rate of tension on motion aftez 6 weeks from operation wss 1 l. 1% and in detail 12. 5% for elliptical resectiion, 7. 1% for modified W-plssty; (5) As a result, the newly trial method was favored in terms of clinical finding above mentioned.
Anesthesia ; Anesthesia, General ; Anesthesia, Local ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Korea ; Male ; Odors ; Rage ; Sweat ; Sweating

Statistical observation were made on 278 patients who were referred to the Department of Dermatology during their admission in Maryknoll Hospital from July 1, 1976 to June RO, 1978. This period begins one year before the initiation of the Medical Insurance Program on July 1, 1977 and extends to one year after(A period: 1976. 7. I~ 1977. 6. 3) B period: 1977.7.1~1978. 6. 30). The results are as follows: 1) Age distribution: The most frequent age group of both periods is the first decade(A period: 24.8%, B period: 22.1%) 2) Monthly distribution: There is no significant monthly difference 3) Distribution rate of every department: The most common department of both periods is Internal Medicine (A period: 26. 4%, B period: 32. 2%) 4) Distribution of diseases: The most frequent disease of both periods is Dermatitis and Eczema group(A period: RR.RY., B period: 80.2M) 5) Sex distribution: There is no significant sex difference(A period-M:F=l.5:1 B period.-M:F= 1.1:1) 6) Analysis of patients whose diagnosis of referred department is the same as diagnosis of the Department of Dermatology (1) Distribution rate of every department: The most common department is Internal Medicine (45. 8%) (2) Distribution of diseases: The most frequent disease of both periods is urticaria(A period: 33. 3%, B period: 25.0%) (3) Admission route: Admission via E-R was markedly decreased during B pericd (A perind: 50 %, B period: 16. 7%) 7) There is no significant change after the initiation of the Medical Insurance Program
Age Distribution ; Dermatitis ; Dermatology* ; Diagnosis ; Eczema ; Humans ; Insurance ; Internal Medicine ; Sex Distribution

No abstract available.

No abstract available.
Neurilemmoma*

Plant dermatitis can be classified as primary irritant dermatitis, allergic contact dermatitis, phytophotodermatitis and pseudophytophotodermatitis. Among these, allergic contact dermatitis is seen most freguently. It is generally known that dermatitis causing plants have various characteristics depending on the habitat af different plants. Until now we have had great difficulty in finding the causative factors in plant dermatitis in Korea. This is due to the fact that we do not have anr comprehensive reports regarding domestic or imported timbers concerned in contact dermatiti. The purpose of this thesis is to gather the basic materials necessary to discover the cauae of plant contact dermatitis. All kinds of trees, flowers, and grasses in Korea and imported timbers concerned with contact dermatitis were considered in this study. We strove to ascertain whether the species in our country are the same as found in foreign countries or other different speceies are in our country under the sarne genus found in foreign countries. The basis for our study is several Korean plant books as well as interviews with several native botanists. Vie also discussed major families af plants causing or possible causing plant dermatitis in Korea.
Dermatitis ; Dermatitis, Allergic Contact ; Dermatitis, Contact* ; Dermatitis, Irritant ; Ecosystem ; Flowers ; Humans ; Korea ; Plants ; Poaceae ; Trees

Irritant skin reactions can be evaluated by several techniques. Using different scores for the degree of erythema, edema, scaling and fissuring is the time-honored approach but implies t,he disadventagrs of lacking objectivity and pararretric properties. This paper describes the objective nteasurement of irritant. skin responses to various concentrations of Sodium Lauryl Sulfate(SLS) and Ethanol by a color reflectance meter(Chroma Meter) and compares with visual scoring The results are summarized as follows : 1. Pretreatment assessments by a Chroma Meter on normal forearm area showed an average score of 7.70+1.53 for Chroma Meter value a*(rediies:; score). 2. Skin responses to SLS in various concentrations of 0.5, 1.0, 2.0, 3.0, 4.0, 5.0, 7.5% under occlusion for 24 hours were assessed by visual scoring system. They are measured 0.56+1.10, 0.74+1.29, 1.19 1.36, 2.11+1.69, 2.19+1.91, 2.56+1.50 2.81+2.16 respectively. 3. Skin responses to SLS in various concentrations of 0.5, 1.0, 2.0, 3.0, 4.0, 5.0, 7.5% under occlusion for 24 hour were assessed by a Chroma Meter valu a*(redness score). They are measured 8.29+1.98, 8.37+2.47, 9.31+2.27, 10.34+2.97, 10.35+3.18, 10.51+2.47, 11.61+3.45 respectively. 4. Skin responses to Ethanol in various concentrations were nearly negligible. 5. We have demonstrated there is a highly significant correlation between skin redness measured by the Chroma Meter and visually assessed erypthma(p<0.0001). It yields reproducible, objective, quantitative measurements of iryhema that parallel the subjective visual assessments.
Edema ; Erythema* ; Ethanol* ; Forearm ; Humans ; Male ; Skin* ; Sodium Dodecyl Sulfate* ; Sodium*

The lymphoepithelial cyst (LEC) rarely occurs in the thyroid gland. The LEC has been thought to be related to developmental rest, namely solid cell nest, which is derived from ultimobranchial body. We report a case of lymphoepithial cyst in a 34- year-old woman clinically diagnosed with Hashimoto's thyroiditis. The cyst was located in mid to lower portion of the left lobe. It was a single unilocular cyst, which for the most part was lined with squamous epithelium, and at certain foci with ciliated columnar epithelium. The cyst wall showed a dense lymphocytic infiltration, numerous lymphoid follicles with germinal centers and admixed thyroid follicles. This morphology is similar to the branchial cleft cyst, with the exception of the thyroid follicles in the cyst wall. Near the cyst were several solid epidermoid cell nests. Immunohistochemical stain of this cyst-lining epithelium and solid cell nests showed CEA positivity. In view of the similarity in histomorphology and CEA positivity to branchial cleft cyst of the lateral neck, the LEC of the thyroid could also have been of branchial origin. However, the admixed thyroid follicles in the cyst wall suggests that the LEC of the thyroid gland might have derived from another branchial cleft as a ultimobranchial body, because it has the potential for thyroid follicular differentiation.
Branchial Region* ; Branchioma ; Epithelium ; Female ; Germinal Center ; Humans ; Neck ; Thyroid Gland* ; Thyroiditis ; Ultimobranchial Body

We report a case of papillary eccrine adenoma occurring in a 39-year-old male who had a walnut sized, firm nodule on the right knee without subjective symptoms. Histopathologic exammination revealed a well circumscribed, non-capsulated dermal nodule consisting of multiple ducts with various sizes. These ducts were composed of double layered epithelial cells in most areas, but in some areas severe intraluminal papillation snd pseudostratification into the lumen were seen and the lumina were filled with a homogenous eosinophilic substance and partially with calcium deposition. Immunohistochemical studies with S-100 antigen and csrcinoembryonic sntigen (CEA) were also performed. Positivity for these sntigens strongly supports the hypothesis that this unusual neoplasm differentiates toward the eccrine secretory coil.
Adenoma* ; Adult ; Calcium ; Eosinophils ; Epithelial Cells ; Humans ; Juglans ; Knee ; Male

A case of lichen nitidus in 23 years old male was described. This is the first case report in Korea. The clinical and histopathological study revealed characteristic features of the disease. Authors reviewed therapeutic experience and reports of the literaturea.
Humans ; Korea ; Lichen Nitidus* ; Lichens* ; Male ; Young Adult

No abstract available.
Female ; Fibronectins* ; Hypertension, Pregnancy-Induced* ; Plasma* ; Pregnancy ; Pregnancy*