Dislocation of talonavicular joint is a very rare injury and frequently misdiagnosed. We had treated an above injury with closed reduction and short leg cast followed by good result in 15 months follow-up.
Dislocations ; Follow-Up Studies ; Joints ; Leg

No abstract available.
Gallstones*

Isovaleric acidemia is an inborn error in metabolism due to a defect in isovaleryl-CoA dehydrogenase. Accumulation of serum isovaleric acid causes poor feeding, vomiting, lethargy, hypothermia, convulsion, mental retardation, etc. It is inherited as an autosomal recessive trait. Since the first reports of isovaleric acidemia by Tanaka et al in 1966, more than 60 cases have been reported. There are two clinically different presentations of isovaleric acidemia, with about half the patients presenting with an acute severe neonatal form and about half with a chronic intermittent forrn. The difference in clinical presentation may not be a consequence of differing severities of the causative mutation, but a result of the timing of application of catabolic stress or the ability to form isovalerylglycine. We described here clinical and organic acid analytical findings of brothers with chronic intermittent form of isovaleric acidemia. (J Korean Pediatr Soc 2000;43:828-831)
Humans ; Hypothermia ; Intellectual Disability ; Isovaleryl-CoA Dehydrogenase ; Lethargy ; Metabolism ; Seizures ; Siblings* ; Vomiting

A clinical and histopsthological study were done on 1,817 biopsied inflammatory skin diseases among 58,386 out-patients in Dermatologic department of Korea University Hospital during the period of 24 years from January, 1962 to December, 1985. The results were summarized as follows : 1. According to pattern analysis(Ackerman AB), 1,605 cases(88.3%) of inflammatory skin diseases were classified into 9 patterns and by author's modified pattern analysis, additional 437 cases could be classified. 2. Of the 1605 cases which were classified by 9 pattern analysis, 1185 cases(78.8%) of inflammatory skin diseases were diagnosed as individual disease entity. The ratio of accordance between the histopathological diagnosis and clinical diagnosis on the biopsied inflammatory skin diseases was 44.5%, 3. The ratio of accordance between the histopathological diagnosis and clinical diagnosis by the patterns were '. Vasculitis(75.5%), Subepidermal vesicular dermatitis (73.3%), Nodular and diffuse dermatitis(68.2%), etc. 4. The diseases showing above the 70% accordance were scleroderma, erythema induratum, vitiligo, arthropod reaction, etc; and the diseases showing under the 30% accnrdance were erythema multiforme, erythema annulare centrifugum, neurodermatitis, etc.
Arthropods ; Biopsy* ; Dermatitis ; Diagnosis ; Erythema ; Erythema Induratum ; Erythema Multiforme ; Humans ; Korea ; Neurodermatitis ; Outpatients ; Skin Diseases* ; Skin* ; Vitiligo

We present a case of desmoplastic trichoepithelioma in a 21-year-old woman. She had a asymptomatic hard annular plaque with a raised border and depresaed center on the chin. Histopathological findings showed narrow strands of basaloid cell, keratinous cyst and desmoplastic stroma, the features corresponding to the desmoplaslic trichoepithelioma.
Chin ; Female ; Humans ; Young Adult

In order to investigate the relationship between stress and fatigue of research workers, we surveyed 246 research workers from September 15 to October 20, 1997. The results were as follows ; 1. Females, 20~29 years of ages, singles are associated with significantly higher stress symptoms and fatigue symptoms 2. The research workers who drink nearly everyday complained significantly lower stress symptoms and fatigue symptoms. 3. The research workers who excercise regularly complained significantly lower stress symptoms and fatigue symptoms. 4. The research workers who are somewhat satisfied by Job and income complained lower stress symptoms and fatigue symptoms. 5. The high risk stress group was 4.5 % of the research workers. The latent stress group was 93.9 % and healthy group was 1.6 %. The research workers belonged to high risk stress group complained significantly higher fatigue symptoms.
Fatigue* ; Female ; Humans

Bleoxycin is known to have good therapeutic effect on verrucae, which has been used for varioua malignant turnors for its antimitatic effect RecentIy Kim & Kim, reported an exceIIent treatment method. of verrucae with Bleomycin using needle free. They poetulated that the excellent effcts were achievei thraugh infiltration of the ekin, in.cluding the affected epidermis, with Bleomycin which is not possible with other rnethods, It is therefore interesting to know the effects of Dermajet instilled Bleomycin an normal ekin. We selected guinea pigs for thia experirnent. Five albino guixim pigs, weighting about 500 Gm, were ueed. Bleomycin water ohxtion, 0.25mg/ml, 0.06ml for each chet was injected utilizing Dermojet on the back of a guinea pig after clipping. The injected sites and the contralateral sites were tiopsied a,fter vaxying length of time and histologia examinationa were made. The experiment was eoarranged that the biopsies for different experiment aitea celd be done on oxeittirnig. Fix hours after the bleomycin injection, the epidermis becase shrunk and t@4e upper dermie showed aligbt inflammatory infiltration. After 10 hours. and also after 24 houra, a auperficial ulceration and necrosis were noted and the dermal infiltration became progressively severer. After 2 days epithelization, had started and. the necrotic debris began to drop off. After 4 daya the epithelization was camplete. These findings were in sorne part similar to the findings observed in humans by Kirn and Kim in the treatment af verruca but th time sequenc was far faster in guinea pigs.
Animals ; Biopsy ; Bleomycin* ; Epidermis ; Guinea Pigs* ; Guinea* ; Humans ; Necrosis ; Needles ; Skin* ; Swine ; Ulcer ; Warts ; Water

Fifty-seven patients with Tinea versicolor were studied clinically and mycologically, from May 1980 to August 1981, at the Department of Dermatology, Korea University Hospital. Also observed were twenty-four Tinea versicolor patients, who were factory workers frorn Wolsan area, and whose diagnoses were confirmed by clinical and mycological examination. The results obtained were as follows: 1. During the study period, out of a total of 5475 out patients, there were 57 cases of Tinea versicolor for an average of 1.04 percent. In Wolsan area, out of a total of 1835, there were 24 cases of Tinea versicolor(1.3%). 2. The average age of all patients at visit was 27.9 years, the oldest patient was 69 year-old and the youngest patient was 13 year-old. The onset of disease was observed most commonly in June, July and August, these patients comprising 55.6 percent of the whole series, 3. The male to female ratio was 7:1, excluding workers from Wolsan area. 4. Distribution of lesions were anterior chest(21.4%), back(18.0%), alxlomen (17%), axilla(16.5%), neck(12.6%), pubic area(4.4%), upper extremites (4.4%), hip(3.4%), and lower extremites(2.4%). The incidence of hyperpigmented lesions was 71.8% and of hypopigmented lesions was 28.2%.
Adolescent ; Aged ; Dermatology ; Diagnosis ; Female ; Humans ; Incidence ; Korea ; Male ; Outpatients ; Tinea Versicolor* ; Tinea* ; Ulsan

No abstract available.
Fractures, Spontaneous* ; Humerus* ; Replantation* ; Sarcoma, Ewing*

The significance of measurement of the spinal canal size was well recognized in case of detection of intraspinal tumor as well as diagnosis of spinal stenosis. The measurement of sagittal diameter of the lumber spinal canal by plain x-ray film is not always easy. However, the new method designed by Eisenstein made the measurement of sagittal diameter of the lumber spinal canal by plain x-ray film very easy. In order to study the range of normal values of the sagittal diameter of lumber spinal canal in Korean adults, authors measured antero-posterior and transverse diameter of the lumbar spinal canal in 290 normal Korean adults by Eisensteins method. The results obtained are as follows: 1. Mean values of sagittal diameter of the normal Korean adults male was 17.37±1.05mm at Ll, 16.43±1.12mm at L2, 15.89±1.20mm at L3, 15.45±1.24mm at L4, and 17.34±1.13mm at L5 vertebra and in female, 17.41±1.23mm at Ll, 16.45±1.20mm at L2, 16.14±1.41mm at L3, 15.40±1.32mm at L4, and 17.25±1.20mm at L5 vertebra. 2. Mean values of transverse diameter of the normal Korean adults male was 23.54±1.18mm at Ll, 24.61±1.17mm at L2, 25.78±1.41mm at L3, 27.72±1.86mm at L4, and 30.42±2.23mm at L5 vertebra and in female, 23.06±1.45mm at Ll, 23.90±1.48mm at L2, 25.21±1.53mm at L3, 26.62±1.88mm at L4, and 29.70±2.41mm at L5 vertebra. 3. In transverse diameter, it was increased more and more to the lower lumber level, the widest at L5 vertebra. 4. In sagittal diameter, it was decreased less and less to the lower lumbar level, the narrowest at L4, and increased again at L5 vertebra. 5. The difference of sagittal and transverse diameter of lumbar spinal canal at each level of lumbar spine was very significant statistically. 6. The difference of the transverse diameter of the lumber spinal canal between male and female was significant statistically but that of the sagittal diameter was not. 7. The difference of the sagittal and transverse diameter between each age group was not significant statistically.
Adult ; Diagnosis ; Female ; Humans ; Male ; Methods ; Reference Values ; Spinal Canal ; Spinal Stenosis ; Spine ; X-Ray Film