1.A Case of Toxic Erythema, Toxic Hepatitis and Exfoliative Deratitis due to Trichloroethylene.
Duck Pyo HONG ; Jae Sun KIM ; Seok Ho KIM ; Jong Min KIM ; Eil Soo LEE
Korean Journal of Dermatology 1985;23(6):785-789
Trichloroethylene is a very common chemical used principally as a solvent and a degreasing agent in industry, We have experienced a case of toxic erythema, toxic hepatitis, and subsequent exfoliative dermatitis possibly due to trichloroethylene in a 23-year-old male. He had dealed with a cleaning process with trichloroethylene in a factory of stainless steel materials. We report our case with the review of the toxicity of trichoroethylene.
Dermatitis, Exfoliative
;
Drug-Induced Liver Injury*
;
Erythema*
;
Humans
;
Male
;
Stainless Steel
;
Trichloroethylene*
;
Young Adult
2.Four Cases Which were Mis-diagnosed as Granuloma Pyogenicum.
Duck Pyo HONG ; Jae Sun KIM ; Jong Min KIM ; Eil Soo LEE
Korean Journal of Dermatology 1985;23(5):701-706
We have experienced 4 cases which were clinically diagncsed as granuloma pyogenicum, but histologically as a malignant melanorna, an eccrine angiomatous hamartoma with granuloma pyogenicum, a subungual exostosis, and a lipoma, with granulation tissue. A granuloma pyogenicum may have clinical resemblances to various benign or malignant lesions. Therefore, any lesion that resembles a granuloma pyogenicum should have this clinical impression confirmed by histologic examination.
Diagnosis, Differential
;
Exostoses
;
Granulation Tissue
;
Granuloma*
;
Granuloma, Pyogenic*
;
Hamartoma
;
Lipoma
3.A Case of Chilblain Lupus Erythematosus.
Jae Sun KIM ; Duck Pyo HONG ; Jong Min KIM ; Chong Ju LEE
Korean Journal of Dermatology 1985;23(3):365-368
Chilblain lupus erythematosus(CLE) is a chronic unremitting from of LE seen predomin antly in women, The chilblain lesion occurs commonly on the digits, calves and heels. Chronic facial discoid LE usually appears before the chilblain form. A 23-year-old female had relatively well defined, erythematous discoid plaques on her both cheeks and scattered erythema multiforme-like ring lesions on her right hand and right wrist. There were also chilblain lesions showing multiple, purple colored macules on her knees, lower legs and periungual areas of fingers and toes. The skin lesions developed at November, 1982 and then the skin lesions remitted during the next summer. The skin lesions recurred at December, 1983.
Cheek
;
Chilblains*
;
Erythema
;
Female
;
Fingers
;
Hand
;
Heel
;
Humans
;
Knee
;
Leg
;
Skin
;
Toes
;
Wrist
;
Young Adult
4.Radial Artery Pseudoaneurysm Treated with a Compression Bandage after Invasive Blood Pressure Monitoring in a Patient with a Traumatic Injury.
Seong Pyo MUN ; Yoo Seok KIM ; Nam Kyu CHOI ; Sung Soo KIM ; Young Sun YOO
Korean Journal of Critical Care Medicine 2016;31(4):375-380
No abstract available.
Aneurysm, False*
;
Blood Pressure Monitors*
;
Blood Pressure*
;
Compression Bandages*
;
Humans
;
Radial Artery*
5.Stevens-Johnson Syndrome as a Side Effect of Topical Immunotherapy with Diphenylcyclopropenone.
Kyoung Pyo HAN ; Sun Young LEE ; Young Jo KIM ; Kyu Chul CHOI
Korean Journal of Dermatology 1998;36(2):326-330
Topical immunotherapy with diphenylcyclopropenone(DPCP) has been used for the treatment of alopecia areata. Due to the therapeutic principle of producing a contact eczema, itching, erythema and scaling are inevitable or even desired side effects. However, erythema multiforme-like reactions following topical DPCP treatment have been rarely reported with an estimated incidence of 1.2%. We present herein a case of Stevens-Johnson syndrome, the severe form of erythema multiforme as a side effect of topical DPCP. A 57-year old male patient visited us for the treatment of alopecia totalis. After sensitization with 0.2% DPCP in acetone, we applied DPCP on the scalp once a week for three weeks. Following the 3rd challenge of DPCP, iris-shaped lesions, erosions, vesicles, and bullae developed with fever. Also, he had vesicles and erosions in the oral cavity. The patient was treated with systemic antibiotics, steroids, and antihistamines. The cutaneous lesions were cleared with hyperpigmentation, and pronounced hair regrowth was observed.
Acetone
;
Alopecia
;
Alopecia Areata
;
Anti-Bacterial Agents
;
Dermatitis, Contact
;
Erythema
;
Erythema Multiforme
;
Fever
;
Hair
;
Histamine Antagonists
;
Humans
;
Hyperpigmentation
;
Immunotherapy*
;
Incidence
;
Male
;
Middle Aged
;
Mouth
;
Pruritus
;
Scalp
;
Steroids
;
Stevens-Johnson Syndrome*
6.A Case of Disseminated Perforating Granuloma Annulare in a Child.
Sun Young LEE ; Kyung Pyo HAN ; Kyu Chul CHOI ; Young Kyoon KIM
Annals of Dermatology 1996;8(3):223-226
Granuloma annulare is a common, benign, inflamatory, usually self-limited dermatosis. Disseminated perforating granuloma annulare is a rare variant of granuloma annulare. A 23-month-old female patient had asymptomatic, multiple umbilicated papules on the face, limbs including palms and soles, buttock and trunk for about 5 months. The new lesions have developed with mild fever or symptoms of upper respiratory infection. Histopathological examination revealed transepidermal elimination of mucinous degenerated collagen fibers and surrounding palisading lymphohistiocytic granuloma. After she was treated with prednisolone and antibiotics, the lesions slightly resolved, but thereafter, new lesions have developed frequently with mild fever. We herein reported a rare case of disseminated perforating granuloma annulare in the youngest patient yet reported.
Anti-Bacterial Agents
;
Buttocks
;
Child*
;
Collagen
;
Extremities
;
Female
;
Fever
;
Granuloma Annulare*
;
Granuloma*
;
Humans
;
Infant
;
Mucins
;
Prednisolone
;
Skin Diseases
7.Primary tuberculosis of the submandibular gland.
Ho Soo PYO ; Seoung Dae PAEK ; Jae Sun LIM ; Seong Ho CHUN ; Chang Won KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(1):193-197
No abstract available.
Submandibular Gland*
;
Tuberculosis*
8.Two Cases of Bronchial Injury in Patients with Blunt Chest Trauma.
Hong Joo SEO ; Kyung Hoon SUN ; Sun Pyo KIM
Journal of Acute Care Surgery 2017;7(1):39-43
Traumatic bronchial injury (TBI) is rare and often fatal, usually a result of blunt or penetrating chest trauma. Clinical manifestations of TBI include pneumothorax, pneumomediastinum, subcutaneous emphysema and continuous air leakage despite thoracostomy with negative pressure. However, TBI is initially difficult to diagnose because its signs are similar to other chest traumas. Delayed diagnosis of TBI can result in sepsis, bronchial stenosis, hypoxic injury, and eventually can cause death. We experienced two patients with TBI, possibly a result of blunt chest trauma. We did not diagnose TBI in the emergency room because we did not suspect it. During surgery, we discovered right bronchial rupture, so performed end to end anastomosis of bronchus in two patients. This report discusses the rare occurrence of TBIs due to chest trauma; our aim is to increase awareness of this diagnosis in the trauma center.
Bronchi
;
Constriction, Pathologic
;
Delayed Diagnosis
;
Diagnosis
;
Emergency Service, Hospital
;
Humans
;
Mediastinal Emphysema
;
Pneumothorax
;
Rupture
;
Sepsis
;
Subcutaneous Emphysema
;
Thoracic Injuries
;
Thoracostomy
;
Thorax*
;
Trauma Centers
9.High VPP combination chemotherapy for advanced non-small cell lung cancer.
Seok Cheol HONG ; Pyo Seong HAN ; Jong Jin LEE ; Hai Jeong CHO ; Ju Ock KIM ; Sun Young KIM
Tuberculosis and Respiratory Diseases 1993;40(4):367-377
No abstract available.
Carcinoma, Non-Small-Cell Lung*
;
Drug Therapy, Combination*
10.A Case of Central Pontine Myelinolysis Presenting as Continuous Nausea in the 16th week of Pregnancy.
Sun Pyo KIM ; Seong Jung KIM ; Nam Soo CHO
Journal of the Korean Society of Emergency Medicine 2007;18(2):168-172
Central pontine myelinolysis (CPM) is a demyelinating disease of the pons often associated as well with the demyelination of extrapontine areas of the central nervous system. Although the etiology and pathogenesis are unclear, CPM is usually associated with states such as too rapid correction of hyponatremia, alcohol intoxication, malnutrition, liver disease, burn, cancer, addison's disease, dehydrated disease, and electrolyte imbalance. Clinical presentations are nonspecific but are typically characterized by confused mentation, bulbar or pseudobulbar palsy (dysarthria, dysphagia, tetraplegia), rock-in syndrome, and common symptoms such as lethargy and dysarthria. Brain magnetic resonance imaging(MRI) in CPM results in diffuse high signal intensity in the pons on T2-weighted images, and shows slightly decreased signal intensity and no enhancement in the central pons on T1-weighted images. We described a case of a 30-year-old woman presenting with continuous nausea and vomiting in the 16th week of pregnancy. In order to achieve early diagnosis of CPM, We recommend that emergency physicians should consider CPM during differential diagnosis. Prompt diagnosis and management of associated complications are essential for favorable clinical outcomes in CPM.
Addison Disease
;
Adult
;
Brain
;
Burns
;
Central Nervous System
;
Deglutition Disorders
;
Demyelinating Diseases
;
Diagnosis
;
Diagnosis, Differential
;
Dysarthria
;
Early Diagnosis
;
Emergencies
;
Female
;
Humans
;
Hyponatremia
;
Lethargy
;
Liver Diseases
;
Malnutrition
;
Myelinolysis, Central Pontine*
;
Nausea*
;
Pons
;
Pregnancy*
;
Pseudobulbar Palsy
;
Vomiting