No abstract available.
Mycobacterium tuberculosis* ; Mycobacterium* ; Polymorphism, Restriction Fragment Length*

The placements of silicone tube and silicone stent are helpful in maintaining the patency of lacrimal passage in endoscopic intranasal dacryocystorhinostomy(DCR). Hwoever, they can cause obstruction of internal ostium due to complications, such as inflammation and granuloma formation. The authors evaluated the rates of granuloma formation in 33 cases who had undergone endoscopic DCR with placement of silicone tube and silicone stent and the optimal removal timing to increase patency rates. Granuloma formation was noted in 19 of 33 cases; 12 of the 19 cases developed granuloma formation between 7 and 12 week after operation. Therefore, we concluded that the rates of granuloma formation were higher in placement of both silicone tube and silicone stent than those of silicone tube alone, and the optimal time for their removal seemed to be between 4 and 6 weeks postoperatively.
Dacryocystorhinostomy* ; Granuloma* ; Inflammation ; Silicones* ; Stents*

Classical urodynamic findings associated with diabetes mellitus (DM) has been described as decreased bladder sensation, increased bladder capacity and impaired detrusor contractility. However, various urodynamic findings may be found according to the duration, treatment and concomitant complications of disease. In this study, clinical and urodynamic results of 30 patients with diabetic cystopathy(DCP) were retrospectively analyzed to ascertain the correlation of the duration with specific types of voiding dysfunction associated with DM. Patients with DCP were classified either as irritative symptom group (frequency, nocturia and urgency) or obstructive symptom group (hesitancy, abdominal strain, urinary retention and decreased stream). Mean duration until the onset of voiding symptoms after diagnosis of diabetes were 5.3 years in irritative and, 10 years in obstructive symptom group. Urodynamic findings were classified as impaired detrusor contractility with hyposensitivity (ICHS), detrusor hyperreflexia with impaired contractility(DHIC), detrusor hyperreflexia(DH), and normal. Of the 30 patients, 15(50%) had ICHS, 8(27%) had DH, 4(13%) had DHIC and 3(10%) had normal findings. Mean duration until the onset of voiding symptoms after diagnosis of diabetes were 10.5 years in ICHS, 9.5 years in DHIC, 6.8 years in DH and 2.7 years in normal findings. Of the 10 patients with irritative voiding symptoms, DH was noted in 6 cases(60 %); whereas ICHS was the most common(15 cases) abnormality found among 20 patients with obstructive symptoms. Of the 15 patients showed ICHS, 12 patients(75%) were treated with insulin; whereas only 3 were treated either with hypoglycemic agent or diet alone. These results suggests that shorter the duration of DM, irritative symptoms with DH were predominant; whereas longer the duration of DM, obstructive voiding symptoms with ICHS were predominantly observed. It is also suggested. that the incidence of ICHS were more frequent in the patients with worse degree of DM treated with insulin. Conclusively, various types of urodynamic finding are present in the patients with diabetic cystopathy in addition to the classical DCP(ICHS), which was noted predominantly in the patients with longer duration of diabetes and treated by insulin.
Diabetes Mellitus ; Diagnosis ; Diet ; Humans ; Incidence ; Insulin ; Nocturia ; Reflex, Abnormal ; Retrospective Studies ; Sensation ; Urinary Bladder ; Urinary Retention ; Urodynamics*

Cutaneous or subcutaneous metastases occur in 2% to 9% of visceral malignancies. Skin metastases are seen most commonly from carcinomas of the breast, lung, large intestine. Skin metastases of prostatic origin are quite uncommon and preferentially localized to the lower abdomen and genital area. Two cases of cutaneous metastases of prostatic origin have been reported in the Korean dermatological literature in our review. We report a case of cutaneous metastases from prostatic cancer
Abdomen ; Breast ; Intestine, Large ; Lung ; Neoplasm Metastasis* ; Prostatic Neoplasms* ; Skin

Nevus lipomatosus superficialis is a fairly uncommon disease characterized by ectopic fat tissue in the dermis. Lesions most commonly occur on the lower trunk, especially on the back, buttocks or abdomen. Rarely, lesions also occur on the knee, axilla, arm, ear and scalp. To our knowledge this is the first case of nevus lipomatosus superficialis developing on the dorsal foot.
Abdomen ; Arm ; Axilla ; Buttocks ; Dermis ; Ear ; Foot* ; Knee ; Nevus* ; Scalp

Ticlopidine is a powerful inhibitor of platelet aggregation which is induced by adenosine diphosphate. Ticlopidine has been shown to be effective in reducing combined stroke, myocardial infarction, reocclusion of coronary stent. The principal side effects of ticlopidine are severe neutropenia, rash and gastrointestinal upset. Recently, we experienced two cases of severe neutropenia associated with ticlopidine. One was administered ticlopidine to prevent subacute thrombosis after intracoronary stent implantation in unstable angina pectoris. Thirty days of therapy, her absolute neutrophil count (ANC) had dropped to 14/mm3 . The other patient was presented with recurrent episodes of cerebral infarction, for which he had undergone right carotid angiogram. The carotid angiogram demonstrated tight stenosis of right internal carotid artery. Carotid artery stenting was performed at right internal carotid artery without any complications. Twenty seven days of ticlopidine therapy, his ANC had dropped to 111/mm3. The ticlopidine was stopped, and they were given granulocyte-colony stim-ulating factor 250 microgram/day subcutaneous injection until their ANC was up to 1000/mm3. They were discharged with normal neutrophil count and no other complications.
Adenosine Diphosphate ; Angina, Unstable ; Carotid Arteries ; Carotid Artery, Internal ; Cerebral Infarction ; Constriction, Pathologic ; Exanthema ; Granulocyte Colony-Stimulating Factor ; Humans ; Injections, Subcutaneous ; Myocardial Infarction ; Neutropenia* ; Neutrophils ; Platelet Aggregation ; Stents ; Stroke ; Thrombosis ; Ticlopidine*

No abstract available.

No Abstract available.
Diagnosis* ; Echocardiography*

No abstract available.
Carcinoma, Papillary*

Patients with symptomatic BPH have different patterns of obstruction: compressive (difficulty in opening the urethra) and constrictive (decreasing elasticity of urethra) obstruction. 26 patients with symptomatic BPH were classified into two different groups according to the types of obstruction as shown by pressure/flow study and clinical outcomes were compared between these groups. There were no differences in the mean age and weight of the prostate at presentation between two groups. Of the 26 patients, 16 had compressive, and 10 had constrictive obstruction. Amount of postvoiding residual urine (PVR), maximal detrusor contraction pressure (Pdet. max.), detrusor maximal flow pressure (Pdet. Qmax.), and minimal urethral opening pressure (Pmuo) were significantly higher in compressive obstruction group than in constrictive obstruction group as shown by analysis of the urodynamic parameters before treatment. Patients were treated with VLAP followed by TURP for obstructing prostate tissues to facilitate early voiding after catheter removal. Postoperative results were evaluated using the parameters such as peak flow rate (Qmax.), amount of PVR and AUA symptom score. Significant increases in Qmax, decreases of symptom score and amount of PVR were evident for both groups of obstruction after treatment. Improvements of the clinical parameters were substantially better in constrictive,than compressive obstruction groups, but without statistically significant differences.
Catheters ; Elasticity ; Humans ; Prostate ; Transurethral Resection of Prostate ; Treatment Outcome* ; Urinary Bladder* ; Urodynamics