No abstract available.
Arm* ; Busan* ; Child* ; Humans

No abstract available.
Headache*

In order to elucidate the mast cell changes challenged by various antihistaminic preparations and its role to the mast cells challenged by inflammation, male albino rats weighing 120-130gm were used for this investigations. Benadryl hydrochloride, Phenergan hydrochloride and Chlor-Trimeton maleate were choosed for antihistaminic challengers and ultraviolet ray was irradiated for an inflammatory challenger. 1. When rats were challenged by various antihistaminics the numbers of mast cell reached to the least after 2 days and later followed by an increasing mast cell numbers. 2. The mast cell changes were severer in order of Phenergan hydrochloride, Benadryl hydrochloride and Chlor-Trimeton maleate. 3. Degranulated mast cell was proportionally increased as the numbers of mast cell decrease after being challnged by antihistaminics and also it was decreasing when the numbers of mast cell were re-increasing
Animals ; Chlorpheniramine ; Diphenhydramine ; Humans ; Inflammation* ; Male ; Mast Cells* ; Promethazine ; Rats ; Ultraviolet Rays*

One hundred and four biopsy specimens of various dermatoses were stained with Periodic Acid-Schiff and examined. The lesions were grouped into five groups; A. twenty two cases of vesicob-ullous diseases; B. twenty one cases of maculopapulosquamous diseases; C. eighteen cases of chronic granulomatous infection; D. seventeen cases of precancerosis and benign and malignant neoplasms; and E. twenty six cases of miscellaneous skin diseases. Special attention was given to the morph-ological changes of the dermoepidermal junction and the basement membrane. The results were as follows. 1. Among 10 cases of erythema multiforme, partial fraying appeared in 4 cases, partial thicken-ing in 4 and hyperchromasia in 4. Marked convolution was noted in the thickened basement membrane. PAS-positive material was scattered in the edemateus papillary dermis in some cases. 2. All of 6 cases of pemphigus erythematosus and pemphigus vulgaris showed normal basement membrane. 3, In bullous pemphigoid, partial absence in the areas of bulla formation appeared in 2 cases am-ong 3 cases. PAS positive material was present within the bullae and in the upper dermis. 4. All of 3 cases of dermatitis herpetiformis showed partial absence or fraying, 5. Half of 10 cases of psoriasis showed normal basement membrane. Among the remainder, fraying and partial thickening appeared in 3 and 2 cases respectively. 6. Among 6 cases of lichen planus, almsot total absence appeared in 2 cases and fraying in 3 cases. PAS positive material appeared focally in the upper dermis in some cases. 7. Four of 5 cases of pityriasis rubra pilaris showed diffuse thickening and marked convolution ef the basement membrane. 8. Half of 4 cases of lupus vulgaris showed normal basement membrane. Fraying and partial thickening appeared in 2 and 2 cases respectively. 9. All but 1 among 5 cases of lepromatous leprosy showed poor staining and poor visualization of the basement membrane. 10. One case of tuberculoid leprosy showed partial fraying, partial thickening and hyperchromasia with marked convolution, among 5 cases. il. Among 4 cases of condyloma latum, only one showed partial fraying. 12. One of 3 cases of senile keratosis showed partial fraying of the basemement membrane. 13. One case of Bowens disease showed partial thickening and hyperchromasia among 3 cases. PAS-positive material was present focally in the upper dermis in some cases. 14. All of 6 cases of basal cell carcinoma, showed normal basement membrane. PAS-positive ma-terial were present focally in the uppermoet dermis in some vases. 15. All of 3 cases of squamous cell carcinoma showed total absence of the basement membrane. 16. All of the 2 cases of keratoacanthoma showed partial fraying. 17. Among 10 cases of chronic discoid lupus erythematosus, 9 cases showed partial thickening and hyperchromasia with marked convolution of the basement membrane. Two cases showed partial fraying in areas of marked liquefaction degeneration of the basal cells. PAS positive material appe-ared in the uppermost dermis in some cases. 18. All of 3 cases of fixed drug eruption, 2 cases of seborrheic keratosis and 6 cases of verrucae showed normal basement membrane. 19. One case of poikiloderma atrophicans vasculare showed partial fraying, among 2 cases. 20. All of 2 cases of chronic radiodermatitis showed diffuse thickening and hyperchramasia. The thickened basement membrane showed marked convolution focally.
Basement Membrane* ; Biopsy ; Bowen's Disease ; Carcinoma, Basal Cell ; Carcinoma, Squamous Cell ; Dermatitis Herpetiformis ; Dermis ; Drug Eruptions ; Erythema Multiforme ; Keratoacanthoma ; Keratosis ; Keratosis, Seborrheic ; Leprosy, Lepromatous ; Leprosy, Tuberculoid ; Lichen Planus ; Lupus Erythematosus, Discoid ; Lupus Vulgaris ; Membranes ; Pemphigoid, Bullous ; Pemphigus ; Pityriasis Rubra Pilaris ; Psoriasis ; Radiodermatitis ; Skin Diseases ; Warts

BACKGROUNDS: In adult, the clinical seizure characteristics of complex partial seizure(CPS) originated from temporal lobe are pretty stereotypic, and could be used as one of the important guidelines for the preoperative localization of the epileptogenic zone. Recently, surgical treatment for the intractable childhood temporal lobe seizure is frequently performed. However, most of the clinical studies to describe the seizure patterns of CPS in childhood included CPS of extratemporal lobe origin. There is still controversy about the typical pattern of temporal lobe seizure(TLS) in childhood. Therefore, we intend to investigate the clinical seizure patterns of CPS originated from temporal lobe, and the difference of seizure characteristics in different age group. SUBJECTS AND METHODS: On June 1996, 33 patients among 172 patients who presented CPS had CPS of temporal lobe origin, and were treated with antiepileptic drugs at the Pediatric Epilepsy Clinic of Ajou University Medical Center. We classified 33 patients according to age group; Group A(1-6 yr, 16 cases) and Group B(7-15 yr, 17 cases). We selected following criterias to determine CPS of temporal origin; focal spike in the temporal area with interictal or ictal EEG, mesial temporal sclerosis(MTS) or other epileptogenic lesion in the temporal area on brain MRI, and/or decreased rCBF in the temporal area on brain SPECT. We have analyzed the clinical seizure patterns with 24-48 hr Video-EEG monitoring in 3 patients, ictal EEG in 4 patients, and questionnaire or medical record in 26 patients. RESULTS: 1) Commonly observed ictal symptoms of TLS in children are versive movement(46%), motor phenomenon(42%), simple automatism(42%), complex automatism(24%), secondary generalization(21%), and dystonic posture(12%). If we analyzed the ictal symptoms of TLS according to age group, school age children showed relatively similar ictal symptom to those of adult. However, ictal symptoms in the preschool age group disclosed a significant differences to those of school age children as follows; frequent motor phenomenon(63%) and simple automatism(48%), but rarity of secondary generalization(6%) and complex automatism(0%). 2) Motor phenomenon of extremity, tonic posture, showed pretty different pattern; highly symmetric presentation in the preschool age group(78%) but always unilateral presentation in the school age group. 3) Commonly observed initial symptoms of TLS are aura(46%), behavioral arrest(30%), versive movement(12%), arousal response(9%), and motor phenomenon(3%). School age children always presented aura(70%) or behavioral arrest(24%) as an initial symptom. However, preschool age children showed variable initial symptoms as follows; behavioral arrest(37%), versive movement(19%), aura(19%), and arousal response(19%). 4) Aura was presented as initial symptom in 15 patients with TLS; visceral sensation in 7 cases, psychic symptoms in 5 cases, and cephalic symptoms in 3 cases. CONCLUSION: The clinical seizure characteristics of CPS originated from temporal lobe was similar to those of adult in the school age group, but quietly different in preschool age group. Preschool age children frequently showed behavioral arrest, versive movement, and arousal response as an initial symptom of TLS. Most frequent clinical characteristics of TLS in the preschool age group is symmetric tonic posture which we frequently observed in the frontal lobe epilepsy. Therefore, clinical seizure characteristics of CPS of temporal lobe origin could not be used as an important guideline for the preoperative localization of the epileptogenic zone in the young children.
Academic Medical Centers ; Adult ; Anticonvulsants ; Arousal ; Brain ; Child* ; Electroencephalography ; Epilepsy ; Epilepsy, Frontal Lobe ; Extremities ; Humans ; Magnetic Resonance Imaging ; Medical Records ; Posture ; Surveys and Questionnaires ; Seizures* ; Sensation ; Temporal Lobe* ; Tomography, Emission-Computed, Single-Photon

Although penicillin still remains the drug of choice in the treatment of gonorrhoea in many countries, treatment failures are becoming more and more coramon. Recently, the prohlem cauaed, by antibiotic resistant strains of N. gnorrhoeae has been aggravated by appearance of penicillinase producing N. gonorrheeae. Good results were reported with the use of spectinomycin, cefuroxime and efotaxime. These drugs are, as yet, quite expensive. A lower cost regimen has to be sought. In this study, the effect of fortified penicillin G was compared with kanarnycin in the treatment of uncomplicated male gonorrhoeae. The subjects were 446 rnale patients with uncomplieated gonocoacal urethritis at VD clinic of ChoongKu Public Health Center in Seoul between June and November, 1981. The patients are assigned randomly to one of the regimens. Among 181 patients treated with kanamycin, 2. 0 gm, IM, 148 recovered with 27 (19%) postgonococcal urethritis (PGU) and 39(21,6%) failed. Among 168 patients treated with fortified penicillin G, 6 mega-units IM, plus probenecid, l. 0 gm, PO., 100 recovered with 31(81%) PGU and 68(40. 5%) failed. -countinue-
Cefuroxime ; Gonorrhea* ; Humans ; Kanamycin* ; Male* ; Penicillin G* ; Penicillinase ; Penicillins* ; Probenecid ; Public Health ; Seoul ; Spectinomycin ; Treatment Failure ; Urethritis

In this study, the effect of kanamycin sulfate was compared with fortified penicillin G in the treatment of uncomplicated penicillinase negative Neisseria gonorrhoeae(nonPPNG) urethritis in male. The subjects were 250 male patients with uncomplicated non-PPNG urethritis, at the Venereal Disease Clinic of Choong-ku Public Health Center in Seoul from May 1982 to August 1982. Among 103 patients treated with kanamycin sulfate, 2.0 gm, IM, 92 recovered and 11(10. 7%) failed. Among 100 patients treated with fortified penicillin G, 6 megaunits IM, plus probenecid, l.0 gm, 92 recovered and 8(8%) failed. No significant difference in the effect was found between these two regimens for non-PPNG urethritis. It is concluded that kanamycin sulfate as well as fortified penicillin G. have a good effect in the treatment of non-PPNG urethritis.
Gonorrhea* ; Humans ; Kanamycin* ; Male* ; Neisseria gonorrhoeae* ; Neisseria* ; Penicillin G* ; Penicillinase* ; Penicillins* ; Probenecid ; Public Health ; Seoul ; Sexually Transmitted Diseases ; Urethritis

We reviewed the knee radiographs of 68 cases of arthroscopically-proven discoid lateral meniscus to evaluate usefulness of plain radiographs in diagnosing discoid lateral meniscus. The subject included 42 cases of complete type and 26 cases of incomplete type discoid lateral meniscus. Knee radiographs of 70 cases which had no pathology of the meniscus in knee arthroscopy were used as controls. We excluded patients who had a significant history of trauma and who were under 16 years of age or over 60 to avoid measuring radiographs of skeletally immature or degenerative knees. The absolute values and relative normalized values of specific knee dimensions such as a squared-off appearance of the lateral femoral condyle, widened femorotibial joint space, cupping of the lateral tibial plateau, obliquity of the lateral tibial plateau articular surface, high fibular head and hypoplasia of the Iateral intercondylar spine in discoid lateral meniscus and normal controls were compared. Among these dimensions, high fibular head and widened lateral tibiofemoral joint space showed statistically significant difference between the discoid lateral meniscus group and normal control group. We suggest that these findings could be useful in screening lateral discoid meniscus in plain radiographs.
Arthroscopy ; Head ; Humans ; Joints ; Knee* ; Mass Screening ; Menisci, Tibial* ; Pathology ; Spine

Fractures of the proximal humerus in children are rare and according to Neer and Horwitz, fractures of the proximal humeral epiphysis constitute 3% of all epiphyseal injury. The most frequently reported complications are humeral shortening, varus angulation, and neurovascular complications. Closed anatomic reduction in frscture of the proximsl humerus is very difficult, so reported modes of treatment have ranged from aggressive attempts at reduction to simple neglect. Twenty nine fractures of the proximal humerus in children which were treated at Seve- rance Hospital, Yonsei University, College of Medicine from July 1982 to December 1986 were snalyzed both clinically and radiologically and the following results were obtained. 1. The age of the patients in this series ranged from 3 years to 18 years and the most frequently between the age of 12 years to maturity. And the oldest age was 18 years in male and 17 years in female. 2. Among the 29 frsctures, 21 cases were involving the proximal humeral epiphysis and all the injuries were Salter-Harris type Il epiphyse14 fracture. And 8 cases were fracture through the proximal humeral metaphysis not involving epiphysis. 3. Sixteen cases(55%) hsd associated injuries and the common associated injuries were fracture of the lower extremity, and fracture of same upper extremity were 5 cases(17%). 4. The fracture were graded according to their initial displacement(Neer snd Horwitz) and grade I, 6 cases, grade II, 3 csses, grade , 5 cases and grade IV were 15 cases. 5. Eight cases of grade I and II fractures were treated by simple immobilization. And among the twenty cases of grade III and 1V fractures, 12 cases were trested by closed reduction and immobilization and 9 cases, by open reduction. 6. Regardless of displacement of fractures and modes of treatment, all cases were united between six weeks to twelve weeks with full range of motion and no pain. 7. There were two cases of K-wire loosening, two cases of transient nerve palsy and one case of varus angulation.
Child ; Clinical Study ; Epiphyses ; Female ; Humans ; Humerus ; Immobilization ; Lower Extremity ; Male ; Paralysis ; Range of Motion, Articular ; Upper Extremity

No abstract available.
Blood Platelets* ; Monoamine Oxidase* ; Schizophrenia*