An analysis of the joint fluid should be performed as part of the diagnostic evaluation in any patient with joint disease. It is an important role in the differential diagnosis of the joint disease such as pyogenic arthritis, traumatic arthritis, degenerative and rheumatoid arthritis and others. The authors examined synovial fluid analysis in 33 cases of rheumatoid arthritis at the Department of Orthopedic Surgery, Chosun University Hospital. The following results were obtained. 1. The age and sex distribution was 21 cases in the male and 12 cases in the female. The sex ratio between male and female was 1.8:l. 2. The gross appearance of synovial fluid was greenish-yellow with turbid in 29 cases, and 4 cases were transparent with clear and yellow colored. The range of specific gravity was 1.028, it was more higher than normal values. 3. The range of white blood cell count in the synovial fluid was 5955/cubic mililiter in its average and polymorphonuclear leukocytes found the major part of cell counts (63.6%). 4. The glucose content in the synovial fluid was 72.8 mg/100ml in the range of average. It was tended to decrease compared with increase leukocyte numbers. 5. The latex fixation test in the synovial fluid was positive reaction in 93.9%, and was more higher value than its serum reaction in the blood. 6. The protein content in the synovial fluid was 6.9 gm/100ml) in the range of average, and it was 1.7 times more higher value than the reported literature. The correlationship of protein content between the duration of disease and its prevalences could not found the clinical significance. 7. The relationship between the age and the clinical course in the synovial fluid analysis was not significant finding of its fluid content and others, but the more pronounced pattern was revealed in the acute stage of rheumatoid arthritis in the joint fluid.
Arthritis ; Arthritis, Rheumatoid ; Cell Count ; Diagnosis, Differential ; Female ; Glucose ; Humans ; Joint Diseases ; Joints ; Latex Fixation Tests ; Leukocyte Count ; Male ; Neutrophils ; Orthopedics ; Osteoarthritis ; Prevalence ; Reference Values ; Sex Distribution ; Sex Ratio ; Specific Gravity ; Synovial Fluid

The mechanical derangement, developmental anomaly, infection amd tumor should be considered as a cause of low back pain in adolescents. Disc herniation in adolescents is very rare and some of that are due to fracture of the epiphyseal ring. We report a case of fracture of the first sacral epiphyseal ring simulating disc rupture.
Adolescent ; Epiphyses ; Humans ; Low Back Pain ; Rupture

No abstract available.
Ischemia

Subperiosteal Cortical Defect is a symptomless rarefaction of cortical bone which begins most often on the external surface of the medial and posterior cortical walls of the lower end of the femur in children between the ages of 3 and 6 years. The name of Subperiosteal Cortical Defect was first used by Aegerter who differentiated it from non-osteogenic fibroma. The authors found out 5 positive cases of incidental findings among 62 cases of both knee joint X-ray of which 3 was male and 2 was female. Also we experienced 3 cases which necessiat d a correct diagnosis and differential diagnosis. Because this is a common lesion, it frequently accompanies more serious bone conditions, and because this is self-limited disease, treatment is not necessary. It was emphasized that its nature should be understood by all those dealing with bone disease lest it be overdiagnosed and overtreated.
Bone Diseases ; Child ; Diagnosis ; Diagnosis, Differential ; Female ; Femur ; Fibroma ; Humans ; Incidental Findings ; Knee Joint ; Male

No abstract available in English.
Arthropathy, Neurogenic

No abstract available.
Glomerulonephritis* ; Hepatitis B e Antigens*

Isolated and severe left main coronary ostial stenosis is a rare case. In the majority of these patients ostial stenosis was associated with any of the conditions known to involve the coronary ostia. These conditions include syphilitic aortitis, Takayasu's aortitis, familial hypercholesterolemia, and aortic valve disease. A 34-year young female patient was presented with exertional and stabbing anterior chest pain. There was no history of syphilis, diabetes mellitus, hypertension, hyperlipidemia and smoking. Coronary angiogram showed isolated left main coronary ostial stenosis. Transesophageal echocardiography(TEE) showed acute angle takeoff of the left main coronary artery. She underwent surgical angioplasty of coronary ostia with a patch of autologous pericardium. After angioplasty, TEE showed dilatation of left main coronary ostium and her clinical symptom improved.
Angioplasty ; Aortic Valve ; Aortitis ; Chest Pain ; Constriction, Pathologic* ; Coronary Vessels ; Diabetes Mellitus ; Dilatation ; Female ; Humans ; Hyperlipidemias ; Hyperlipoproteinemia Type II ; Hypertension ; Pericardium ; Smoke ; Smoking ; Syphilis ; Syphilis, Cardiovascular

No abstract available.
Cataract* ; Nephrotic Syndrome*

We report 2 cases of serotonin syndrome with variable symptoms after being treated with antidepressants. A 57-year-old woman developed agitation, diaphoresis, and tremor after combination therapy with fluoxetine and trazodone. The second patient, a 76-year-old female woman, became partially disoriented and developed brief, jerky myoclonus of all extremities after discontinuation of sertraline and consecutive imipramine treatment. These two patients rapidly improved with supportive care. The serotonin syndrome is not always easy to diagnose and sometimes causes a serious and fatal event. For this reason, if possible, the practice of multiple serotonergic drugs should be avoided because of the risk for potential serious pharmacodynamic drug interactions. Clinicians should not view the serotonin syndrome as an idiosyncratic reaction, but rather, as a predictable one with a variability in occurrence and severity among patients. Heightened awareness by clinicians will help to minimize pharmacodynamically mediated interactions that may occur between prescribed drugs and, ideally avoid this syndrome.
Aged ; Antidepressive Agents ; Dihydroergotamine ; Drug Interactions ; Extremities ; Female ; Fluoxetine ; Humans ; Imipramine ; Middle Aged ; Myoclonus ; Serotonin Agents ; Serotonin Syndrome* ; Serotonin* ; Sertraline ; Trazodone ; Tremor

PURPOSE: Anastomotic stricture is one of the most common problems in esophagojejunostomy using an end-to-end anastomosing (EEA) instrument following total gastrectomy. Because anastomotic stricture often develops with small- cartridge EEA, a larger EEA may be used to avoid stricture. The purpose of this retrospective study is to evaluate the difference of complications between patients treated using the EEA25 and ones using EEA28. METHODS: A total of 283 patients underwent curative total gastrectomy and esophagojejunostomy with Roux-en-Y anastomosis, using EEA25 or EEA28, between January 1992 and December 1999. The differences between the EEA25 and EEA28 groups were investigated by comparing them in terms of reflux esophagitis, dysphagia, and stricture. RESULTS: Stricture developed in five patients (13.8%) in the EEA28 group and in 11 patients (4.45%) in the EEA25 group (P<0.05), dysphagia was experienced less frequently in the EEA25 than in the EEA28 group (P<0.05), and no significant differences were evident with regards to reflux esophagitis. CONCLUSION: The choice of a large EEA to avoid anastomotic stricture did not affect the development of dysphagia or stricture. However, a randomized, prospective study should be done to better define the relationship between the size of EEA and the complications of total gastrectomy.
Anastomosis, Roux-en-Y ; Constriction, Pathologic ; Deglutition Disorders ; Esophagitis, Peptic ; Gastrectomy* ; Humans ; Retrospective Studies ; Stomach Neoplasms