No abstract available.
Ankle* ; Arthroplasty*

We present a case of mycosis fungoides of an 52-year-old woman who showed multiple pruritic erythematous papules, plaques with ulcers on the trunk, extremities and face. Her skin biopsy specimens were studied irnmunohistochemically with, monoclonal antibodies against T cells(80%, Leu-4, OKT11), T-cell subsets (60% Leu-3a, OKT4a, 40% OKT8) and Langerhans cell(OKT6). We think that this case should be considered in the differential diagnosis of adult T-cell leukemia/lymphoma. The proliferating cells were negative for anti-Tac.
Adult ; Antibodies, Monoclonal ; Biopsy ; Diagnosis, Differential ; Extremities ; Female ; Humans ; Middle Aged ; Mycosis Fungoides* ; Skin ; T-Lymphocyte Subsets ; T-Lymphocytes ; Ulcer

The perineum refers to the anatomical area immediately below the pelvis, and is comprised of diverse anatomic and somatic innervation. Although various interventions have been proposed for the management of intractable cancer-related perineal pain, their efficacy are limited because the target of nerve blocks has focused on somatic rather than sympathetic components. Recently, blockade of the ganglion impar has been introduced as an alternative means of managing intractable neoplastic perineal pain of sympathetic origin. We successfully treated a patient who had suffered from cancer-related intractable perineal pain with ganglion impar block.
Ganglion Cysts* ; Humans ; Nerve Block ; Pelvis ; Perineum ; Rectal Neoplasms

A 23-year-old man had multiple small, skin-colored firm papules on the both sides of the nasolabial folds since the age of approximately 17. His mother had a similar skin lesions on her face. The histopathological findings of skin biopsy specimens from patient(son) showed horn cysts consist of a fully keratinized center surrounded by basophilic cells and tumor islands composed of basophilic cells arranged in a lacelike or adenoid network and occasional solid aggregates and there are also a foreign body giant cell reaction in the vicinity of the ruptured horn cysts.
Adenoids ; Animals ; Basophils ; Biopsy ; Giant Cells, Foreign-Body ; Heredity ; Horns ; Humans ; Islands ; Mothers* ; Nasolabial Fold ; Skin ; Young Adult

The cryopathic hemolytic anemia is an autoimmune hemolytic anemia induced by cold antibody. Authors report a case of cryopathic hemolytic anemia confirmed by immunohematologic examination. A 22-year-old man was admitted at Kyung Hee Medical Center in March, 1994, with a past history of Kleinerfelter's syndrome and complained jaundice as well as dizziness. Direct antiglobulin test using polyvalent and anti-C3d monovalent antisera was positive, but was negative against anti-IgG, anti-IgA, and anti-IgM monovalent antisera. Cold agglutinin titer was as high as 1:1024 at 4 degrees C and anti-I specificity was confirmed by using cord bloods. The patient was not improved despite transfusion of washed red cells and administration of prednisolone, and on 16th day of hospitalization he manifested sudden episode of headache and loss of conscioussness, soon followed by death.
Anemia, Hemolytic* ; Anemia, Hemolytic, Autoimmune ; Coombs Test ; Dizziness ; Fetal Blood ; Headache ; Hospitalization ; Humans ; Immune Sera ; Jaundice ; Prednisolone ; Sensitivity and Specificity ; Young Adult

A clinical observation was made on the injuries of genitourinary tract of the in-patients in the Department of Urology, Kyung Hee University Hospital during the period from July 1, 1972 to June 30. 1977. The following results were obtained. 1) Of 689 cases hospitalized, 61 cases were injuries of genitourinary tract, giving a rate of 8.9%. 2) The age ranged from 3 to 70 years and most favorable age was in from 20 to 39 years for 47.6%. The sex ratio, male to female, was 11.2 : 1. 3) The urethra was involved most frequently in 39.3 %, the kidney in 32.8 %, the bladder in 14.8 %, the external genitalia in 11.5 % and the ureter in only one case which was caused by grnecologic operation. 4) Traffic accident was most common cause of the injury in 39.3% and the next was kick and blow in 26.2 %, fail in 13.1 %. 5) Operation in renal injuries was performed in 5 of 20 cases. 6) In bladder injuries, the extraperitoneal type was in 5 cases, the intraperitoneal in 2 cases and Contusion in only one case. 7) 66.7 % of urethral injuries were associated with pubic bone fracture.
Accidents, Traffic ; Contusions ; Female ; Genitalia ; Humans ; Kidney ; Male ; Pubic Bone ; Sex Ratio ; Ureter ; Urethra ; Urinary Bladder ; Urology

During the period from October 1, 1973 to September 31, 1976, 227 cases of female urethritis, confirmed by endoscopy, classified four groups by endoscopic findings and studied clinically according to groups respectively. And also the effects of the transurethral electrofulguration on the female urethritis (Groups III and IV) were evaluated. The following results were obtained. 1) The endoscopic classifications were as follows. Group I: Almost normal urethra and bladder neck or with very mild mucosal changes, 13 cases. Group II: Mild granular hyperemia of the urethral mucosa with almost normal bladder neck, 55 cases. Group III: Marked bullous and granular hyperemia of the urethral mucosa and mild bullous bladder neck with a few pseudopolyps, 86 cases. Group IV: Marked bullous and granular hyperemia of the urethra and marked bullous bladder neck with many pseudopolyps, 73 cases. 2) Of 227 cases, 79 (34.8%) were observed most frequently in the groups of 31~40 years of age. 3) Common urinary symptoms were frequency 69.2%, tenesmus 61.7%, urgency 26%, dysuria 14.5%, painful urination 14.5%, small urinary stream 11.0%, hesitancy 10.5%, terminal hematuria 9.7%. Terminal hematuria was more commonly observed in Groups III and IV rather than Groups I and II. Non-urinary symptoms were suprapubic discomfort 33.5%, lumbago 20.3%, headache 9.3%, general weakness 7.5%. 4) Of 227 cases, 147 (64.8%) were normal urinalysis (Albumin (-), Sugar (-), below 5 WBC/HPF AND 3 RBC/HPF) and 187 (82.4%) were bacteriologically negative on Gram's stain. 5) On cystoscopy, the most frequently observable bladder change was trabeculation (More than 60% in all Gruops) In almost all cases of the bladder trabeculation, there were always mederate or remarkable changes in the urethral and in the bladder neck. 6) 23 out of 159 cases in Group III and IV, were treated with transurethral electrofulgulation, urethral instillation, urethral dilation, if necessary. Of 23 cases, 22 (more than 95%) were completely cured or improved. But in Groups III and IV cases, treated with only conservative method, failure rates of the treatment were 25.7%, 22.2% respectively.
Classification ; Cystoscopy ; Dysuria ; Endoscopy ; Female* ; Headache ; Hematuria ; Humans ; Hyperemia ; Low Back Pain ; Mucous Membrane ; Neck ; Rivers ; Urethra ; Urethritis* ; Urinalysis ; Urinary Bladder ; Urination

No abstract available.
Heart* ; Thoracic Surgery*

A bilateral facet dislocation after anterior cervical fusion with a plate in distraction-flexion injury without significant instability in plain radiography is very rare. This paper reports a case with a confirmed injury status (C6–7 and C7–T1) by magnetic resonance imaging and computed tomography with no visible fractures or displacement on plain radiography. Anterior cervical fusion (C6–T1) was performed with a cage and plate. On the other hand, three days later, C6–7 bilateral facet dislocation developed with severe neck and radiating pain, and posterior decompression and fusion were performed.

OBJECTIVE: Our purpose was to complete delivery during daytime through rapid and safe management with oral prostaglandin plus oxytocin, and to reduce the duration of induced labor, hospital stay and dispersion of human power. METHODS: Ninety pregnancies requiring induction of labor between December 1998 and July 1999 were analyzed prospectively. Patients were assigned to receive either oral PGE2 or oral PGE1. In one group, labor induction was performed with 0.5 mg of oral PGE2 (group 1, n=46), was orally taken every one hour since 06:00 AM to 09:00 AM and intravenous oxytocin infusion (The beginning dose was 2 mU/min, the dose increased by 2 mU/30 min) beginning at 09:00 AM, and in the other group (group 2, n=44), 100 microgram of PGE1 was orally taken at 11:00 PM the day before oxytocin infusion was commenced at 07:00 AM. If there was uterine contraction of more than 200 Montevideo units, intravenous oxytocin would not be given. RESULTS: The mean time (+/-standard deviation) to active phase labor (cervical dilatation more than 3 cm and uterine contraction more than 200 Montevideo units) with PGE2 group was 335.16+/-157.89 minutes versus 534.16+/-211.79 minutes with PGE1 group (P<0.001). The mean time from active phase to birth was 182.8+/-93 minutes in group 1 versus 236.4+/-88.8 minutes (P<0.001). These significances were due to the difference of time interval from taking prostaglandins to infusion of oxytocin between the two groups. The time zone of expected delivery was 13:28 PM to 15:48 PM and 10:22 AM to 13:18 PM (Confidence Interval 95%). The induction failure rates were 10.87% versus 9.09%. The induction failure rate was significantly different according to Bishop score (if <4, 15.3% versus if >or= 4, 0%) and the cesarean section rate was also (if < 4, 40.7% versus if >or= 4, 19.4%) in the two groups (P<0.05). There were no clinical or statistical differences in demographic data, clinical characteristics, maternal outcomes and complications, and neonatal outcomes. CONCLUSION: Both may be proper methods of inducing delivery during daytime and begun at outpatient office base.
Alprostadil ; Cesarean Section ; Dilatation ; Dinoprostone* ; Female ; Humans ; Labor, Induced ; Length of Stay ; Outpatients ; Oxytocin* ; Parturition ; Pregnancy ; Prospective Studies ; Prostaglandins ; Uterine Contraction