1.A case of Leiner's disease.
Nam Joon CHO ; Un Sun CHOI ; Dong Kun KIM
Korean Journal of Dermatology 1992;30(4):543-545
In 1908 Leiner described the peculiar skin condition among infants to which he applied the name erythroderma desquamativa. The four cardinal features of Leiners disease are generalized seborrheic dermatitis, intractable severe diarrhea, recurrent local and systemic infections usually of gram negative etiology, and marked wasting and cyst rophy. A 2-month-old female presented to our clinic with generalized seborrheic erythrodermic eruption and intractable diarrhea. She had sufferd from these symptoms since birth. Her body weight was 3.4kg (below 3rd percentile). Her scalp was covered with thick yellowish crsts. There was generalized erythroderma covered vith scales and crusts. Laboratory result; revealed gram negative sepsis and DIC. Chest X-ray showed the findings of minimal aspir ition pneumonia in the right upper lobe. She expired on the following day.
Body Weight
;
Dacarbazine
;
Dermatitis, Exfoliative
;
Dermatitis, Seborrheic
;
Diarrhea
;
Female
;
Humans
;
Infant
;
Parturition
;
Pneumonia
;
Scalp
;
Sepsis
;
Skin
;
Thorax
;
Weights and Measures
2.Noduloulcerative syphilis.
In Joon LEE ; Eun Sun CHOI ; Dong Kun KIM ; Min Geol LEE ; Jung Bock LEE
Korean Journal of Dermatology 1992;30(2):217-220
A 26-year-old female presented herself to our clinic due to noduloulcerative lesions of one month duration on her face and trunk with accompaning headache and mild fever. In family history, her husband was reported to have a history of chaner. On physical examinat.ion, rice sized eythematous papules and bean sized nodules with central ulceration were seen on the face and trunk. VDRL was 1:31 positive. A skin biopsy iif a noduloulcerative lesion showed ulceration, vascular dilatation with fibrinoid changes and perivascular inflarnmatory cellu infilt.rations, especially plasma cells. Immunoperoxidase stain showed T. pallidum at the epidermis and papillary dermis. The diagnsis was made asecondary syphilis with unusual clinical presentation as noduloucerative skin lesions. The skin lesions completely disappeared one month after treatment with injection of benzathine pelnicillin G 2.4 million unit intramuscularly weekly for three times.
Adult
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Biopsy
;
Dermis
;
Dilatation
;
Epidermis
;
Female
;
Fever
;
Headache
;
Humans
;
Plasma Cells
;
Skin
;
Spouses
;
Syphilis*
;
Ulcer
3.High-resolution ultrasonographic findings in thyroid nodules
Sun Seob CHOI ; Kwan Seh LEE ; Kun Sang KIM ; Soo Soung PARK
Journal of the Korean Radiological Society 1985;21(4):558-563
Ultrasonograhy, it's excellent ability of differentiating cystic from solid lesion and depicting detailedarchitecture, proved itself useful in the diagnosis of thyroid pathologies. Adanced high resolution equipmentsmade hidden small lesion detected and finer structure clearly seen. They seemed to throw light on the histologicaldiagnosis of thyroid diseases, especially differentiation of benignancy and malignancy. Author reviewed picturesof high-resolution ultrasonography of thyroid disease(24 ases0 and correlated them witn proven pathologicalfindings. The results were as follows: 1. Multiplicity of lesion favors benignancy(4 cases). 2. Well definedmargin favors benignancy(14/17), while ill defined margin favors malignancy(3/4), and lesion of no margin favorsthyroiditis(3/3). 3. Surrounding halo favors benignancy(7 cases). 4. Hypoechogenicity were found in most ofmalignancy and thyroiditis. Cystic components in solid nodule were common findings in bening and malignantlesions. Calcification was not found in malignancy.
Diagnosis
;
Pathology
;
Thyroid Diseases
;
Thyroid Gland
;
Thyroid Nodule
;
Thyroiditis
;
Ultrasonography
4.Ultrasonographic findings of cataract
Sun Seob CHOI ; Yang Soo KIM ; Kwan Seh LEE ; Kun Sang KIM
Journal of the Korean Radiological Society 1985;21(5):711-714
Examining the eye with high resolution ultrasonography, authors encountered 34 cases(41 eyeballs) of cataractand found out its characteristic ultrasonographic findings, though cataract is easily recognized by physician oninspection. Ultrasonographic findings of cataract were as follows; 1. Thickening of lens due to edema. 2.Demonstration of lens echo in whole circumference. 3. Multiple internal lens echo.
Cataract
;
Edema
;
Ultrasonography
5.A Case of Sturge-Weber Syndrome.
Jae Sun CHOI ; Kun Pok YI ; Ki Young HONG
Journal of the Korean Ophthalmological Society 1989;30(3):459-464
Sturge-Weber syndrome is a congenital disorder characterized by facial nevus flammeus along the distribution of the trigeminal nerve, ipsilatal leptomeningioma, buphthalmos, and choroidal angioma. The Authors experienced a case of Sturge-Weber syndrome in 9 year old female patient and glaucoma was controlled by trabecuectomy without any complications.
Child
;
Choroid
;
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
;
Female
;
Glaucoma
;
Hemangioma
;
Humans
;
Hydrophthalmos
;
Port-Wine Stain
;
Sturge-Weber Syndrome*
;
Trigeminal Nerve
6.A Clinical Study of Pediatric Ocular Injuries through Emergency Room.
Jae Sun CHOI ; Suck Son KIM ; Kun Pok YI
Journal of the Korean Ophthalmological Society 1990;31(1):69-79
The characteristics of ocular injury is that the extent of visual disturbance is variable and serious in spite of inconsiderable trauma. Moreover, the prognosis of ocular injury in infancy and childhood is poorer than that in adulthood because the visual funjction of infants and children has not completely matured yet. And the visual disturbance will influence unfavorably upon the selection of occupation in future. Therefore, further investigation of pediatric ocular injuries is thought to be necessary for the establishment of measures of treatment and prevention. The authors clinically analysed 161 eyes of 152 pediatric ocular injurise under the age of 15 year-old who visited emergency room of Masan Koryo General Hospital during the 3 years from January 1, 1986 to December 31, 1988. The ambulation rate of pediatric ocular injuries was 7.5% of total eye patients through emergency room and the incidence was higher in male. The most common disease of all pediatric ocular injuries was lid laceration, followed by subconjunctival hemorrhage and traumatic hyphema. It was revealed that the age group from 4 to 6 was the most hazardous stage for pediatric ocular injuries and a pierced wound by sharp pointed materials was the most harmful and the most dangerous mode of injury.
Adolescent
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Child
;
Emergencies*
;
Emergency Service, Hospital*
;
Hemorrhage
;
Hospitals, General
;
Humans
;
Hyphema
;
Incidence
;
Infant
;
Lacerations
;
Male
;
Occupations
;
Prognosis
;
Walking
;
Wounds and Injuries
7.A Study on Early Microstructural Changes in the Rabbit Gallbladder Induced by Shock Waves.
Yun Sun CHOI ; Kun Sang KIM ; Hyung Jin SHIM ; In Sup SONG ; Eun Oak OH ; Dae Sik RYO ; Young Koo KIM
Journal of the Korean Radiological Society 1994;30(5):907-914
PURPOSE: In order to evaluate microstructural changes after shock wave exposure, gross, light microscopic and transmission electron microscopic findings were analyzed with rabbit gallgladders. MATERIALS AND METHODS: A preliminary study(2 rabbits) was performed to determine the dosage intensity of shock waves needed to inflict damage, using a EDAP LT 01 piezoelectric extracorporeal shock wave Iothotriptor. The gallbladders of three different groups of rabbits were given shock waves of various intensity. A storage value of 100, 50, 25 at rate of 20/sec under 80% power were given to group I (4 rabbits), group II( 4 rabbits), and group III(3 tabits), respectively. The rabbits were sacrified 6--12 hours later. RESULTS: The observed pathologic changes in the transmission electron microscopy were vaculization of cytoplasm and swelling of epithelial cells with dilatation and structural alteration of intracellular organelles, especially endoplasmic reticulum. Cell membrane rupture and necrosis were observed at the markedly affected area. The structural changes of intracellular organelles were minimally found at a storage value of 25. However, above pathologeic changes with dilatation and structural alterations of endoplasmic reticulums were more profund at value of 100. CONCLUSION: Early histologic changes induced by shock waves are dose dependent and the findings of cellular damage caused by ESWL might be explained as above.
Cell Membrane
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Cytoplasm
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Dilatation
;
Endoplasmic Reticulum
;
Epithelial Cells
;
Gallbladder*
;
Microscopy, Electron, Transmission
;
Necrosis
;
Organelles
;
Rabbits
;
Rupture
;
Shock*
8.Percutaneous Removal of the Retained Biliary Stones: Evaluation of the Results on of Impatient-basis Management.
Yong Chul LEE ; Young Goo KIM ; Kun Sang KIM ; Dae Sik RYU ; Hyung Jin SHIM ; Yoon Sun CHOI
Journal of the Korean Radiological Society 1994;30(2):259-263
PURPOSE: All procedures for the removal of retained intrahepatic stones were performed on inpatient basis. We evaluated the advantage of the procedures performed on inpatient basis compared with outpatient basis in terms of the success rate, causes of failure and the complication. MATERIALS AND METHODS: Percutaneous removal of retained intrahepatic stones was performed in 58 patients through a T-tube tract on inpatient basis from April 1990 to December 4992. Stones were exclusively intrahepatic in 28 patients, whereas 30 patients had combined stones in common bile duct. Preshaped catheters, baskets, and balloon catheters were used to remove the stones and dilate the strictures of the ducts. Extracorporeal shock wave lithotripsy and choledochoscopy with electrohydraulic lithotripsy were used to crush the impacted stones. RESULTS: The stones were completely removed in 34 (58.6%) of 58 patients and most of the stones were removed in 17 patients (29.3%). The overall success rate was 87.9%. The complications (cholangitis in 13% and pancreatitis in 0.8% per session) were found and successfully managed by appropriate care. CONCLUSION: Better success rate could be achieved by more aggressive appraoch on inpatient basis when compared with previous reports on outpatient basis. We suggest that the procedures should be performed on inpatient basis especially in a case with severe strictures or impacted stones.
Catheters
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Common Bile Duct
;
Constriction, Pathologic
;
Humans
;
Inpatients
;
Lithotripsy
;
Outpatients
;
Pancreatitis
;
Shock
9.Syringoid Eccrine Carcinoma on the Dorsum of Hand.
Sun Yong KWON ; Ui Kyung KIM ; Hyun Min NAM ; Keum Ha CHOI ; Kun PARK ; Seok Don PARK
Korean Journal of Dermatology 2012;50(8):755-758
No abstract available.
Hand
10.Assessment of Pulmonary Airway Reactivity using High-Resolution CT after Administration of Bronchodilator in Patients with Bronchial Asthma.
Yang KIM ; Byoung Whui CHOI ; Young Goo KIM ; Kun Sang KIM ; Jong Hyo KIM ; In Sup SONG ; Dae Soon KIM ; Youn Sun CHOI
Journal of the Korean Radiological Society 1994;31(1):69-73
PURPOSE:The purpose of this study is to assess the pulmonary airway reactivity in asthmatic patients directly and noninvasively by using high-resolution CT(HRCT). MATERIALS AND METHODS: 130 bronchial luminal areas were measured by HRCT in 16 asthmatic patients before and after inhalation of bronchodilator (Salbutamol sulfate). The change of bronchial luminal area on HRCT was analyzed and correlated with the change of forced expiratory volume in 1 second(FEV1) on pulmonary function test in each patient. RESULTS: The mean percentage of increase in luminal areas of the 130 bronchi after bronchodilator inhalation was 95.4 +/- 103.3%. The group with the smallest luminal areas (lesser than 1.35mm2) was more sensitively increased in area than the group with the largest areas (equal or larger than 3.72 mm2) ;183.5% versus 63.5%. The mean percentage of increase in FEV1 was 21.7% and there was no statistically significant correlation between the increased degrees of luminal areas and that of FEV1(r=-0.04). CONCLUSION:We can measure the bronchial luminal area directly and noninvasively with HRCT and can also estimate the degree of airway reactivity in asthmatic patient by measuring of the changes of bronchial luminal areas after administration of bronchodilator.
Asthma*
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Bronchi
;
Forced Expiratory Volume
;
Humans
;
Inhalation
;
Phenobarbital
;
Respiratory Function Tests