1.Disseminated Superficial ACtinic Porokeratosis Occuring in 3 Generations.
Eun Jung CHUNG ; Tae Yoon KIM ; Hyung Ok KIM ; Chung Won KIM ; Won HOUH
Korean Journal of Dermatology 1981;19(6):963-967
Disseminated superficial actinic porokeratosis (DSAP) has an autosomal dominant mode of inheritance with reduced penetration at young age, characterized by multiple superficial keratotic lesions surrounded by a slightly raised border. The aggrevation of the lesion by exposing UV light indicates that phenotypic expression of gene regluating DSAP is related to sun light. We observed a family of which 13 members had DSAP in 3 successive generations. They were grandrnother, two sons of her 3 offsprings, 2 grandsons and 8 granddaughters. Lesions of all cases were found on the sun exposed areas, especially, face, extremities and upper trunk but exceptionally one had a lesion on the unex posed area, abdomen below the iliac crest. The number of lesions of the individual patient were 12-116, and there appeared to be increasing number of lesions with age.
Abdomen
;
Extremities
;
Family Characteristics*
;
Humans
;
Porokeratosis*
;
Solar System
;
Ultraviolet Rays
;
Wills
2.Radiologic evaluation of globus symptom
Tae Sub CHUNG ; Jong Tae LEE ; Hyung Sik YOO ; Jung Ho SUH ; Ki Whang KIM ; Tae Young JANG ; In Yong PARK
Journal of the Korean Radiological Society 1986;22(6):999-1004
The globus symptom is a condition in which a patient, often middle aged women, complains of a lump andchocking sensation in the throat, Functional disturbance of the cricopharyngeal muscle, rendering it incapable ofrelaxing during swallowing, has long been recognized as a cause of globus symptom and dysphagia. We wanted to findout how often and to what extent distrubed relaxation of the cricopharyngeal muscle can be seen in patients withglobus symptom with routine examination and video esophagogram. The results were as follows: 1. Male : femaleratio was 1:2.4. 2. Globus symptom was most frequent in the age group between 30-39 of female. 3. Organic lesionswere seen in 43.6%(24 Pts) of globus patients. 4. Cricopharyngeal muscle was visualized in 29.1%(16Pts), esophageal diverticulum in 3.6%(2 Pts) and degenerative spondylosis in 3.6%(2 Pts). 5. Incidence of visualizationof cricopharyngeal muscle were higher in male group (50%) than female one (20.5%). 6. Cricopharyngeal muscle wasmost frequently visualized on early swallowing phase(12/16 Pts).
Deglutition
;
Deglutition Disorders
;
Diverticulum, Esophageal
;
Female
;
Humans
;
Incidence
;
Male
;
Middle Aged
;
Pharynx
;
Relaxation
;
Sensation
;
Spondylosis
3.Three Cases of Letterer - Siwe Disease.
Hyung Gi CHA ; Doo Chan MOON ; Kyung Soll KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1994;32(1):186-192
Letterer-Siwe disease is one of Langerhans cell histiocytosis, with Hand-Schuller-Christian disease and eosinophilic granuloma, characterized by proliferation of Langevha is cell. The clinical course of Letterer-Siwe disease is acute fulmunant of casionally fatal, involving skin and many other internal organs, such as the lymph node, liver, spleen, ung and bone. We present 3 cases of Letterer-Siwe disease with characteristic cutaneous findings and revealed Langerhans granules by imrriunohistochemical stain and electronmicrc scopic examination. All patients died in spite of combined chernotherapy.
Eosinophilic Granuloma
;
Histiocytosis, Langerhans-Cell
;
Humans
;
Liver
;
Lymph Nodes
;
Skin
;
Spleen
4.Ureteroscopic Management of Large Distal Ureteral Stones.
Hyung Keun PARK ; Sang Hyeon CHEON ; Hong Sik KIM ; Sang Uk CHUNG ; Tae Han PARK
Korean Journal of Urology 2000;41(10):1234-1238
No abstract available.
Ureter*
5.Evaluation of Tumor Invasion in Gastric Carcinoma with CT Using Water as an Oral Contrast Agent in Prone Position.
Hyung Sik YOO ; Byung Hee LEE ; Jong Tae LEE ; Jin Ill CHUNG ; Jong Yup BAE
Journal of the Korean Radiological Society 1994;31(2):307-312
PURPOSE: To evaluate the accuracy of CT using water as an oral contrast material in a prone position in determining the depth of tumor invasion in gastric cancer patients. MATERIALS AND METHODS: Thirty three patients(19 male, 14 female) with surgically confirmed gastric cancer were studied. We performed CT in a prone position after ingestion of 1 liter of pure water. CT findings were classified into 4 groups by the morphologic appearances of infiltrates in the perigastric fat plane :normal perigastric fat(SO), fine mottled densities(S1), irregular aggregated or linear densities(S2) and direct extension and invasion of tumor into contiguous structures(S3). Also we prospectively compared the CT staging with pathologic T staging according to the TNM systems. RESULTS: The overall accuracy of CT staging in determining the pathologic T factor was 69.6%. As we regarded T1 and T2 lesions as one group on CT, the accuracy of CT staging was increased to 80.2% because of a limitation of CT for distinguishing T1 from T2 lesions. CONCLUSION: Prone position CT using water as an oral contrast agent is quite accurate in determining the T staging of gastric carcinoma.
Eating
;
Humans
;
Male
;
Prone Position*
;
Prospective Studies
;
Stomach Neoplasms
;
Water*
6.Angiographic Diagnosis for Various Causes of Gastrointestinal Bleeding.
Jin Wook CHUNG ; Jae Hyung PARK ; Hye Weon JUNG ; Tae Kyoung KIM
Journal of the Korean Radiological Society 1994;31(2):243-249
PURPOSE: To evaluate the specific findings of angiography for various causes of gastrointestinal bleeding. MATERIALS AND METHODS: We retrospectively analyzed 35 patients of gastrointestinal bleeding detected by angiography, between April 1987 and July 1993. There were 28 men and 7 women, 19 to 83 years old (mean, 47 years). Of these 35 cases of gastrointestinal bleedings, there were 12 gastric bleedings, 4 duodenal bleedings, 9 small intestinal bleeings, 6 ileocecal bleedings, and 4 large intestinal bleedings. RESULTS: Of 35 cases, we could diagnose the specific cause of bleeing in 13 patients (37%) by angiography. Of these 13 cases, there were 4 cases of gastric ulcers showing contrast pooling in ulcer crater, 5 cases of vascular malformations showing anomalous vascular mass with early dilated venous drainage, 2 cases of direct invasion of hepatocellular carcinoma showing invasion of hypervascular mass into small bowel, one case of pseudoaneurysm at gastroduodenal artery in a patient of acute pancreatitis, and one case of small intestinal lymphoma showing contrast pooling in a irregular dilated small intestinal lumen. CONCLUSION: in gastrointestinal bleeding, angiography is useful not only in detecting the bleeding site, but also for evaluating the specific causes such as gastric ulcers or vascular malformations.
Aged, 80 and over
;
Aneurysm, False
;
Angiography
;
Arteries
;
Carcinoma, Hepatocellular
;
Diagnosis*
;
Drainage
;
Female
;
Hemorrhage*
;
Humans
;
Lymphoma
;
Male
;
Pancreatitis
;
Retrospective Studies
;
Stomach Ulcer
;
Ulcer
;
Vascular Malformations
7.A Case of Pedunculated Pigmented Eccrine Poroma Combined with Congenital Melanocytic Nevus on the Scalp.
Kyung Hyung SEO ; Ho Sun JANG ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1997;35(1):169-173
It has been generally assum d that eccrine poroma arises from acrosyringium, the epidermal sweat duct unit. Eccrine poroma mainly involves the non hairy surfaces of the skin, but it has also been found on hair-bearing areas. One of the characteristics of this structure is absence of melanocytes and melanin granules arnong its cells. However a complete absence of melanocytes and melanin granules in eccrine poroma is not invariable and a few reports of such an occurrence have been presented. The authors report herein a case of unusual and rare eccrine poroma. The eccrine poroma had melanin pigment and melanocytes, was pedunculated and occurred on the parietal scalp which was the unusual site of involvement. The eccrine poroma was also combined with a pedunculated congenital melanocytic nevus on the supraauricular scalp.
Melanins
;
Melanocytes
;
Nevus, Pigmented*
;
Poroma*
;
Rabeprazole
;
Scalp*
;
Skin
;
Sweat
8.Secondary Biliary Cirrhosis in A Case with Intraductal Growth of Hepatocellular Carcinoma.
Hyung Geun SONG ; Yong Il KIM ; Chung Yong KIM ; Soo Tae KIM
Korean Journal of Pathology 1987;21(3):185-191
A case of hepatocellular carcinoma (HCC) complicating with secondary biliary cirrhosis due to intrahepatic bile duct growth of the tumor is presented. The patient was 34 years-old male who had been suffered from right upper quadrant pain with intermittent fluctuating jaundice for 4 months. Left lobectomy specimen contained a single, 4 cm sized, relatively well circumscribed and partly protruding nodular HCC in the medial seqment of left lobe. It compressed the left hepatic duct, and the intra and extra-hepatic ducts were completely plugged with tumor casts (extending to the common bile duct at the operating table). Remaining hepatic parenclyma was the seat of advanced secondary biliary cirrhosis in which were abundance of HBsAg-containing hepatocytes possibily representing a HBsAg carrier status. Biliary cirrhosis in HCC is an extremely rare manifestation, reflecting the delayed adequate clinical procedure by unusual pattern of obstructive jaundice. In such a case presenting as persisting and fluctuating obstructive jaundice in HCC, an intrabile duct tumor growth should be suspected.
Male
;
Humans
;
Carcinoma, Hepatocellular
9.A Case of Malignant Acanthosis Nigricans Associated with Gastric Adenocarcinoma.
Hyung Geun PARK ; Seong Min PARK ; Doo Chan MOON ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1989;27(3):316-319
A 51-year-old female had disseminated, symmetrically distributed, brownish black pigmentation and papillary hypertrophy on the intertriginous and flexural areas for 6 months, and gastric adenocarcinoma was confirmed during the evaluation of internal malignancy, The cutaneous finding of acanthosis nigricans was a significant cutaneous marker of internal malignancy in this case.
Acanthosis Nigricans*
;
Adenocarcinoma*
;
Female
;
Humans
;
Hypertrophy
;
Middle Aged
;
Pigmentation
10.A Case of Generalized Granuloma Annulare.
Hyung Geun PARK ; Doo Chan MOON ; Kyung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1989;27(3):299-303
We experienced a case of generalized granuloma annular e in a 68-year-old man. Many factors have been implicated in the genesis of this disease, but in this case no etiologic factors were identified. He was treated successfully with systemic corticosteroid for about l year.
Aged
;
Granuloma Annulare*
;
Granuloma*
;
Humans