1.A Histopathologic Study of Early Psoriatic Lesions.
Suck Whan KIM ; Chong Ju LEE ; Eil Soo LEE
Korean Journal of Dermatology 1983;21(1):53-61
In 20 patients with psoriasis, 27 early psoriatic lesions of 1-2mm size (16 papules with scale and 11 maculopapules without scale) and 15 clinically uninvolved skin at distance of 2-4em from the nearest psoriatic lesion were histologically examined in an attempt to obtain information on the mechanism which initiates the development of the skin changes. (countinued..)
Humans
;
Psoriasis
;
Skin
2.Morbidity and mortality of neonatal surgery.
Soo Young YOO ; Jin Whan OH ; Heung Woo LEE
Journal of the Korean Surgical Society 1991;41(1):107-117
No abstract available.
Mortality*
3.A Case of Pseudo-Bartter Syndrome.
Ik YANG ; Yul LEE ; Soo Young CHUNG ; Bo Whan CHOI
Journal of the Korean Radiological Society 1994;31(4):727-729
Pseudo-Bartter syndrome is a rare medical disease of the kidney characterized by normal blood pressure, hypokalemic metabolic alkalosis, hyperreninemia and hyperaldosteronism with drug history of diuretics. We report US, CT and MRI findings of a patient with clinically proved pseudo-Bartter syndrome. The patient was a 37-year-old woman with a history of long term ingestion of the diuretics(furosemide) for 20 years. Renal US revealed hyperechoic renal medulla at both kidneys. The resistive index(RI), calculated from the duplex doppler waveform is 0.61. Unenhanced CT revealed faint high attenuation along the medulla. Tl-weighted MRI revealed indistinct corticomedullary differentiation.
Adult
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Alkalosis
;
Blood Pressure
;
Diuretics
;
Eating
;
Female
;
Humans
;
Hyperaldosteronism
;
Kidney
;
Magnetic Resonance Imaging
4.Accuracy of the sphygmomanometer for measuring of blood pressure.
Seok Whan LEE ; Soo Jee KIM ; Jong Uk HWANG
Journal of the Korean Academy of Family Medicine 1997;18(12):1500-1507
BACKGROUND: Recently, it is substituted automatic sphygmomanometer for mercury sphygmomanometer. But it seems to be insufficient for data of its accuracy. A sample accurate automatic sphygmomanometer could have an important role in the management of hypertension. The aim of this study is to assess the accuracy of the automatic sphygmomanometer that is used common practice and at home. METHODS: We collected 247 patients who visited the department of Famiiy Practice of Taegu medical center from April to August 1996. BP was measured sequentially same arm by standard device(mercury. sphygmomanometer), test device A(A&D TM-2650), test device B(seine SE-2000). We assessed the automatic sphygmomanometer according to the standards set out by the British Hypertension Society(BHS) protocol and the American Association for the Advancement of Medical Instrumentation(AAMI). These data were analysed using pearson' correlation and paired t-test. RESULTS: Test device A was highly correlated to mercury sphygmomanometer in systolic and diastolic BP(r=0.90, r=0.88). Also test device B was highly correlated to that(r=0.90, r=0.87). The mean difference between BP value obtained by the standard device and those obtained by the test device A were 0.59+/-7.66mmHg systole(mean+/-SD) and 3.83+/-6.43mmHg diast.ole, whereas the difference between the former and those obtained by the test device B were 1.70+/-7.99mmHg systole.and 5.58+/-6.38mmHg diastole. Comparing to standard device, there were a signifioant difference except systolic BP of test device A(P<0.05). According to the criteria of the AAMI, the diastolic BP of test device B was not enough and according to the criteria of the BHS, the diastolic BP of both test device were not enough. CONCLUSIONS: Both test device were highly correlated to mercury sphygmomanometer. But according to the criteria of the BHS and AAMI, there were not enough. Because the use of automatic sphygmomanometer was popularized, I think that further study will be required to assess of accuracy.
Arm
;
Blood Pressure*
;
Daegu
;
Diastole
;
Humans
;
Hypertension
;
Sphygmomanometers*
5.Glomus Tumors in the Hand
Duke Whan CHUNG ; Jung Soo HAN ; Chun Woo LEE
The Journal of the Korean Orthopaedic Association 1994;29(5):1335-1340
A tumor of the neuromyoarterial apparatus, the glomus, was described by Masson : the epitheloid cell of glomus was derived from the pericyte of Ziemmermann and these cells were widely distributed in the body. From Jan. 1987 to Oct. 1993, six patients (male 1, female 5), who were diagnosed as a glomus tumor in the hand were operated. The lesions were distributed in the distal phalanges of thumb (3 cases), index (1 case), ring finger (1 case) and little finger (1 case). The average duration of clinical manifestation was 6.3 year. Nail extraction was performed because of pain in 2 cases, but symptom was not improved. The clinial symptoms were severe lancinating pain, tenderness and cold induced pain in all 6 cases, palpable mass in 2 cases, bluish purple discoloration of skin in 4 cases, subcutaneous hemorrhage in 1 case, swelling in 2 case. On the reontgenography, bone changes were detected in 2 cases, soft tissue change was detected in 1 case and 3 cases showed unremarkable findings. The treatments were simple excision in 5 cases,curettage and bone graft in 1 case and symptoms were improved in the 6 case with the remnant mild pain and there was no recurrence. The aim of this study was to report the rare cases of glomus tumor in the hand.
Female
;
Fingers
;
Glomus Tumor
;
Hand
;
Hemorrhage
;
Humans
;
Pericytes
;
Recurrence
;
Skin
;
Thumb
;
Transplants
6.Ganglion in extensor tendon of the hand: case report
Duke Whan CHUNG ; Jung Soo HAN ; Yong Girl LEE ; Ok Kyun AHN ; Soo Hong HAN
The Journal of the Korean Orthopaedic Association 1995;30(1):170-172
Ganglion is a common clinical entity, usually superficial in location, therefore easily diagnosed and most common tumors of the hand which represent 50 to 70% of all soft tissue tumors of the hand. The soft mucin filled cyst is attached to the adjacent underlying joint capsule, tendon, or tendon sheath. The most common ganglion is the ganglion on the dorsal side of wrist, with its origin at the scapulolunate ligament and is usually located between the extensor digitorum communis of the index finger and the extensor pollicis longus tendons. Intratendinous ganglion is very rare lesion that originates within the tendon, which has been reported 10 cases in earliest articles and 1 case in Korean article. We report one case of ganglion that arose within the extensor digitorum communis of the middle finger.
Fingers
;
Ganglion Cysts
;
Hand
;
Joint Capsule
;
Ligaments
;
Mucins
;
Tendons
;
Wrist
7.Hand and Wrist Tuberculosis
Duke Whan CHUNG ; Jung Soo HAN ; Bo Yeon PARK ; Geon Hee LEE ; Oh Soo KWON
The Journal of the Korean Orthopaedic Association 1995;30(3):635-643
Hand and wrist tuberculosis in adults are relatively rare disease. The purpose of treatment is to minimize the limitation of motion and to relieve the pain and swelling of involved joints. The treatments consist of curettage of bone, synovectomy and arthrodesis, which were combined with chemotherapeutic agents for tuberculosis. In the period from June 1989 to Oct. 1993, we performed operative treatment in twelve cases of hand and wrist tuberculosis(hand in 3, wrist in 9). We performed curettage and synovectomy in eight cases and arthrodesis in four. The length of follow up was over one year in all cases. Patients were evaluated by clinical examination, radiography and the Robins criteria for clinical results. The results were analysed, as follows, l. Eight patients who had tenosynovitis with moderate joint destruction were treated by curettage and synovectomy, and seven patients(87.5%) of them were evaluated "good" by Robins criteria. 2. Arthrodesis was performed in four patients who had severe joint destruction, and demonstrates "good" results in 75% of cases. 3. One patient who was treated by synovectomy, complaint intermittent pain after three years postoperatively, but no active lesion was visible on the bone scanning. 4. One patient who was performed wrist arthrodesis feels discomfort during lift up heavy products due to insufficient grip power. In conclusion, the synovectomy and curettage in early diagnosed and not so much advanced hand wrist tuberculsis is more preferable, but arthrodesis is inevitable in advanced cases with profound degree of bony destruction and nonviable cartilage in operative findings, for painless and powerful joint.
Adult
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Arthrodesis
;
Cartilage
;
Curettage
;
Follow-Up Studies
;
Hand Strength
;
Hand
;
Humans
;
Joints
;
Radiography
;
Rare Diseases
;
Songbirds
;
Tenosynovitis
;
Tuberculosis
;
Wrist
8.A Case of Bowenoid Papulosis.
Suck Whan KIM ; Keun Woo LEE ; Chong Ju LEE ; Eil Soo LEE
Korean Journal of Dermatology 1980;18(5):485-489
We report a case of bowenoid papulosis of the vulva in a 37-year-old woman. Bowenoid papulosis represents a new phenomenon which shows clinical characteristics quite different from classical Bowen's disease and histologic features of squamous cell carcinoma in situ. The patient had several brown-black flat papular lesions on the both sides of the vulva. The lesions were 2 to 9 mm in diameter, somewhat verrucoid and sharply demarcated. On history, these lesions developed from previous several grouped vesicular eruptions which were suspected to the lesions of herpes simplex. Although clinically the lesions appeared benigh, histologic examination showed. changes of squamous cell carcinoma in situ. The lesions were removed with electrodesiccation & curettage and are under observation. It is considered that bowenoid papuIosis should be ruled out by histologic examination in cases of unusual papular lesions of the genitalia in young people and that additional case studies with long-term folIow-up will be needed.
Adult
;
Bowen's Disease
;
Carcinoma, Squamous Cell
;
Curettage
;
Female
;
Genitalia
;
Herpes Simplex
;
Humans
;
Vulva
9.Hutchinson-Gilford progeria syndrome.
Moon Whan LEE ; Byoung Geun LEE ; Pyung Han HWANG ; Dae Yeol LEE ; Jung Soo KIM
Journal of the Korean Pediatric Society 1992;35(7):971-977
No abstract available.
Progeria*
10.A case of Down syndrome associated with colonic atresia.
Si Whan KOH ; Joon Soo PARK ; Kyung Hwan OH ; Dong Hwan LEE ; Snag Jhoo LEE
Journal of the Korean Pediatric Society 1993;36(7):1030-1033
The association of colonic atresia in patients with Down syndrome is a rare anomaly. The incidence of congenital atresia of the gastrointestinal tract has been estimated to be about one in 1500 births. Colonic atresia is rarer still, and is throut to comprise about 5% to 10% of this group. This intestinal atresia occurs in about 30% to 50% of patient with Down syndrome. We experienced a case of Down syndrome associated with colonic atresia in a 1 day old male. His initial chief complaints at the admission were severe abdominal distension and Down appearance. Diagnosis was confirmed by chromosomal study and operative laparotomy with end-to-end ileodescending colostomy. We report the case with brief review of related literatures.
Colon*
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Colostomy
;
Diagnosis
;
Down Syndrome*
;
Gastrointestinal Tract
;
Humans
;
Incidence
;
Intestinal Atresia
;
Laparotomy
;
Male
;
Parturition