1.Results of observation versus operation for right lower abdominal pain in pediatric patients.
Sang Hoon CHO ; Min Jeong JEONG ; Tae Hoon LEE
Journal of the Korean Surgical Society 1992;42(2):245-254
No abstract available.
Abdominal Pain*
;
Humans
2.Results of observation versus operation for right lower abdominal pain in pediatric patients.
Sang Hoon CHO ; Min Jeong JEONG ; Tae Hoon LEE
Journal of the Korean Surgical Society 1992;42(2):245-254
No abstract available.
Abdominal Pain*
;
Humans
3.A Case of CREST Syndrome.
Kwang Iee HONG ; Tae Hoon CHO ; Eil Soo LEE
Korean Journal of Dermatology 1989;27(4):430-434
No abstract available.
CREST Syndrome*
;
Nifedipine
4.A Case of Pruritic urticarial Papules and Plaques of Pregnancy.
Kwang Lee HONG ; Tae Hoon CHO ; Eil Soo LEE
Korean Journal of Dermatology 1989;27(4):421-424
We report. herein a case of pruritic urticatial papules and plaques of pregnancy in a Z8-year-old primigravida. She had the urticarial papules and plaques on the abdomen and thighs, which developed at 30th week of pregnancy. She was treated with topical fluorinated steroid and chlorpheniramine, 6mg/ day. The itching sensation was relieved within 24 hours after the therapy and the skin lesions resolved after delivery.
Abdomen
;
Chlorpheniramine
;
Pregnancy*
;
Pruritus
;
Sensation
;
Skin
;
Thigh
5.Primary Signet Ring Cell Carcinoma with Widespreand Metastasis.
Nam Hoon CHO ; Soon Hee JUNG ; Tae Sung KIM
Korean Journal of Pathology 1988;22(4):448-455
We present an autopsy case of signet ring cell carcinoma of urinary bladder which underwent widespread metastsis through nearly entire organ. The patient, 45-year old male, suffered from hematuria, dysuria and flank pain for 6 months. Under the diagnosis of the signet ring cell carcinoma by the cystoscopic biopsy, radical cystectomy and ileocutaneous ureteral division were performed. But he died after 11-months after the diagnosis. The autopsy confirmed the widespread metastasis at the lung, kidney, adrenal gland, parathyroid gland, heart, stomach, ileum, spine, rib and meninges. The preveously resected urinary bladder discolosed the well defined fungating mass at the dome and anterio-lateral portion without apparent evidence of the remnant of the urachus. Histologically, the signet ring cells were predominent and focally mucinous pool floating the signet ring cells was noted. We could find several foci of the well differentiated adenocarcinoma and poorly differentiated adenocarcinomas. The above findings may reflect that the origin of carcinoma may be from the multipotential transitional cell epithelium.
Adenocarcinoma
;
Neoplasm Metastasis
6.Clinical and Histopathologic Study of Steroid Acne.
Tae Hoon CHO ; Jong Min KIM ; Chong Ju LEE
Korean Journal of Dermatology 1985;23(1):25-32
This study was performed to investigate clinical and histopathologic features of steroid acne, which was induced by systemic administration and topical application of corticosteroids. Thirty five cases of steroid acne visited to Department of Dermatology, Hangang Sacred Heart Hospital from September, 1g79 to June, 1984 were analyzed, and the results obtained can be summarized as follows: 1. The peak age of the subjects was third decade(42.9%) with an average age of 30. 1 years, and male to female ratio was l.9: 1,2. The skin lesions had unique clinical features that showed many, uniform sized, erythematous papules and pust;ules. 3 The predilection sites of steroid acne induced by systemic steroid therapy were anterior chest(93.1%), back(44,8%), neck(31.0%), shoulder(31.0%) and face (20.7%) 4 Among thirty five cases of steroid acne, twenty cases were induced by parenteral adrninistration of dexamethasone disodium phosphate(group A), nine cases by oral administration of prednisolone(group B), and six cases by topical application of three kinds of steroid creams(group C). 5. The mean induction time after starting steroid in group A(ll. 3 days) was shorter than those in group B and C(18.9 days and l4.8 days respective)y). The mean total dosage of used steroid in group A was 191. 3mg of dexamethasone disodium phosphate and that in group B was 515. 7mg of prednisolone. On histopathologic findings of twenty two skin biopsy specimens of the three groups, perivascular inflammatory reaction was the most common finding followed by intra-and peri-follicular inflammatory reaction, dermal vascular dilatation, necrosis of follicular epithelium, comedo, intraand periollicular abscess and rupture of follicle.
Abscess
;
Acne Vulgaris*
;
Administration, Oral
;
Adrenal Cortex Hormones
;
Biopsy
;
Dermatology
;
Dexamethasone
;
Dilatation
;
Epithelium
;
Female
;
Heart
;
Humans
;
Male
;
Necrosis
;
Prednisolone
;
Rupture
;
Skin
7.A Case of Bullous Pemphigoid Treated with Plasmapheresis and Pulse Cyclophosphamide.
Hoon KANG ; Sang Hyun CHO ; Tae Yoon KIM ; Baik Kee CHO ; Won HOUH
Annals of Dermatology 1993;5(2):146-150
A 54-year-old woman with severe bullous pemphigoid (BP) associated with insulin dependent diabetes mellitus (DM), who showed unresponsiveness to conventional therapy with corticosteroids in combination of either cyclosporme or dapsone, was successfully treated with plasmapheresis followed each time by 3 successive days of pulse therapy of cyclophosphamide (500mg, intravenously). After six times of plasmapheresis, anti-basement membrane zone (BMZ) antibody titer decreased from 1:1280 to 1:40 and no new lesions developed at all. In severe refractory BP patients with uncontrolled DM, plasmapheresis is one of the valuable treatment modalities for a short period and the need for corticosteroids thus avoiding corticosteroid induced side effects. Herein we report a case of BP with uncontrolled DM who showed an excellent response to a low dose of corticosteroid and 150 mg oral azathioprine following plasmapheresis and cyclophosphamide pulse therapy.
Adrenal Cortex Hormones
;
Azathioprine
;
Cyclophosphamide*
;
Dapsone
;
Diabetes Mellitus
;
Female
;
Humans
;
Insulin
;
Membranes
;
Middle Aged
;
Pemphigoid, Bullous*
;
Plasmapheresis*
8.A Case of Intravenous Pyogenic Granuloma.
Jong Min KIM ; Tae Hoon CHO ; Chong Ju LEE ; Chul Woo KIM
Korean Journal of Dermatology 1983;21(4):451-456
Cooper at al and Mills et al asserted that the essential pathologic finding of pyogenic granuloma (PG) is a unique lobular organization of capillaries. This pathologic pattern is present not only in conventional cutaneous PG, oral-nasal PG but also rarely in intradermal PG, subcutaneous PG and intravenous PG. A 32-year-old man presented with a two-day history of an asymptomatic, movable, pea-sized nodule on his left forearm. Excision biopsy revealed a pink, oval, cyst-like nodule within the vein of the subcutaneous tissue of the medio-lateral aspect of the forearm. Histopathologic finding of the nodule showed rnultiple lobules of capillaries and the lumens of the capillaries were lined by normal endothelial cells. The nodule was connected with the venous wall by a thin stalk. Each lobule was separated and surrounded by fibrous stroma. There was no evidence of thrombi.
Adult
;
Biopsy
;
Capillaries
;
Endothelial Cells
;
Forearm
;
Granuloma, Pyogenic*
;
Humans
;
Subcutaneous Tissue
;
Veins
9.Respiratory Gas Exchange and Ventilatory Functions at Maximal Exercise.
Tuberculosis and Respiratory Diseases 1995;42(6):900-912
BACKGROUND: Although graded exercise stress tests are widely used for the evaluation of cardiorespiratory performance, normal standards on respiratory gas exchange and ventilatory functions at maximal exercise in Koreans have not been well established. The purpose of this study is to provide reference values on these by sex and age, along with derivation of some of their prediction equations. METHOD: Symptom-limited maximal exercise test was carried out by Bruce protocol in 1,000 healthy adults consisting of 603 males and 397 females, aged 20~66 years. Among them VC, FEV1 and MVV were also determined in 885 cases. All the subjects were members of a health center, excluding athletes. During the exercise, subjects were allowed to hold on to front hand rail of the treadmill for safety purpose. RESULTS: The VO2 max/m2, VCO2 max/m2 and VE max/m2 were greater in males than in females and decreased with age. The RR max in men and women was similar but decreased slightly with age. The VT max was markedly greater in men but showed no significant changes with age in either gender. The mean of VT max/VC, VE max/MVV and BR revealed that there were considerable ventilatory reserves at maximal exercise even in older females. The regression equations of the cardinal parameters obtained using exercise time(ET, min), age(A, yr), height(Ht, cm), weight(W, kg), sex(S, 0=male; l=female), VC(L), FEV1(L) and VE max(L) as variables are as follows: VO2 max/m2(L/min)=1.449+0.073 ET-0.007A+0.010W-0.006Ht-0.209S, VCO2 max/m2(L/min)= 1.672+0.063ET-0.008A + 0.010W -0.005Ht -0.319S, VE max/m2(L/min)=58.161 +1.503ET - 0.315A-9.871S or VE max/m2(L/min)=47.873+6.548 FEV1-5.715 S, and VT max(L)=1.497+ 0.223VC-0.493S. CONCLUSION: Respiratory gas exchange and ventilatory variables at maximal exercise were studied in 1,000 non-athletes by Bruce protocol. During exercise, the subjects were allowed to hold on to hand rail of the treadmill for safety purpose. We feel that our results would provide ideal target values for patients and healthy individuals to be achieved, since our study subjects were members of a health center whose physical fitness levels were presumably higher than ordinary population.
Adult
;
Athletes
;
Exercise Test
;
Female
;
Hand
;
Humans
;
Male
;
Physical Fitness
;
Reference Values
10.A Case of Rectal Adenocarcinoma Metastatic.
Jong Min KIM ; Yean Sub JANG ; Tae Hoon CHO ; Eil Soo LEE
Korean Journal of Dermatology 1988;26(6):951-955
Adenocarcinoma metastatic to the skin usually originates in the lung, breast, large intestine or ovary. Cutaneous metastatic tumors from rectum or colon tend to appear in the abdominal or perineal area, but rarely appear in the perianal and genital skin. A 53-year-old female presented multiple nodules in and near the surgical scars of inguinal, pubie, vulvar, perianal areas and normal skin of left thigh two months after surgical removal of rectal adenocarcinoma. Biopsy specimens from the nodules of the perianal area and left thigh showed adenocarcinoma of well differentiated atruetures like the primary rectal carcinoma.
Adenocarcinoma*
;
Biopsy
;
Breast
;
Cicatrix
;
Colon
;
Female
;
Humans
;
Intestine, Large
;
Lung
;
Middle Aged
;
Ovary
;
Rectum
;
Skin
;
Thigh