1.Radiologic Findings of Emphysematous Pyelonephritis.
Kyung Sub SHINN ; Jae Young BYUN ; Taek Geun KIM ; Jung Im JUNG ; Hee Jeoug RO
Journal of the Korean Radiological Society 1995;32(1):157-163
PURPOSE: Emphysematous pyelonephritis is a rare, life threatening infection of kidney and the pennephric space, characterized by the production of gas within the renal parenchyma. The aim of this study is to analyze the clinical and radiologic characteristics of emphysematous pyelonephritis. MATERIALS AND METHODS: We reviewed 7 cases of the emphysematous pyelonephritis. Six patients had plain abdominal radiographs, ultrasonograms and abdominal CT scans. Only one patient had plain radiograph and ultrasonogram. In 5 operated cases, CT findings were compared with surgical records. RESULTS: Plain radiographs showed characteristic diffuse mottling of gas in renal fossa. On sonogram, intrarenal gas was identified as echogenic loci with dirty shadows. CT scan showed inflammatory mass with gas and fluid levels in adjacent to the kidney. CT findings corresponded relatively wall with the surgical findings in regard to disease extent. CONCLUSION: lntrarenal gas in appropriate clinical setting is highly specific for emphysematous pyelonephritis. CT is the most sensitive method for demonstrating the disease extent as well as specific diagnosis.
Diagnosis
;
Humans
;
Kidney
;
Pyelonephritis*
;
Tomography, X-Ray Computed
;
Ultrasonography
2.Radiologic Findings of Emphysematous Pyelonephritis.
Kyung Sub SHINN ; Jae Young BYUN ; Taek Geun KIM ; Jung Im JUNG ; Hee Jeoug RO
Journal of the Korean Radiological Society 1995;32(1):157-163
PURPOSE: Emphysematous pyelonephritis is a rare, life threatening infection of kidney and the pennephric space, characterized by the production of gas within the renal parenchyma. The aim of this study is to analyze the clinical and radiologic characteristics of emphysematous pyelonephritis. MATERIALS AND METHODS: We reviewed 7 cases of the emphysematous pyelonephritis. Six patients had plain abdominal radiographs, ultrasonograms and abdominal CT scans. Only one patient had plain radiograph and ultrasonogram. In 5 operated cases, CT findings were compared with surgical records. RESULTS: Plain radiographs showed characteristic diffuse mottling of gas in renal fossa. On sonogram, intrarenal gas was identified as echogenic loci with dirty shadows. CT scan showed inflammatory mass with gas and fluid levels in adjacent to the kidney. CT findings corresponded relatively wall with the surgical findings in regard to disease extent. CONCLUSION: lntrarenal gas in appropriate clinical setting is highly specific for emphysematous pyelonephritis. CT is the most sensitive method for demonstrating the disease extent as well as specific diagnosis.
Diagnosis
;
Humans
;
Kidney
;
Pyelonephritis*
;
Tomography, X-Ray Computed
;
Ultrasonography
3.Complete Remission of Recalcitrant Plantar Wart Treated with Quadrivalent Human Papilloma Virus Vaccine.
Taek Geun LEE ; Hyun HWANGBO ; Se Won JUNG ; Sook Kyung LEE
Korean Journal of Dermatology 2014;52(6):442-443
No abstract available.
Humans
;
Papilloma*
;
Warts*
4.A Case of Potter Syndrome Type I.
Jong Cheol RYU ; Jae Kwang HONG ; Jun Taek PARK ; Jung Sik MIN ; Chang Jee CHOI ; Je Geun CHI
Journal of the Korean Pediatric Society 1986;29(10):104-108
No abstract available.
5.Eccrine Syringofibroadenoma Arising from Nevus Sebaceous.
Hyun HWANGBO ; Taek Geun LEE ; Se Won JUNG ; Sook Kyung LEE
Korean Journal of Dermatology 2014;52(9):654-657
Eccrine syringofibroadenoma (ESFA) is a rare, benign adnexal neoplasm of eccrine differentiation. It is typically located on the limbs and presents as a plaque or a solitary hyperkeratotic nodule in an adult. However, there are several clinical subtypes, ranging from a solitary papule or nodule to multiple lesions with linear or diffuse distribution. Despite the diverse clinical presentation, ESFA is histologically similar. It commonly shows proliferation of anastomosing cords and strands of cuboidal epithelial cells with or without lumina embedded in a fibrovascular stroma. Herein, we report an unusual case of ESFA with verrucous surfaced plaque present on the scalp since birth in a 22-year-old man.
Adult
;
Epithelial Cells
;
Extremities
;
Humans
;
Nevus*
;
Parturition
;
Scalp
;
Young Adult
6.Emergency Trephination Site of Acute Subdural Hematoma.
Soo Hyeon MOON ; Geun Hoe KIM ; Taek Hyun KWON ; Youn Kwan PARK ; Hung Seob CHUNG ; Jung Keun SUH
Journal of Korean Neurosurgical Society 2000;29(5):659-663
No abstract available.
Emergencies*
;
Hematoma, Subdural, Acute*
;
Trephining*
7.Effect of Zhubin (KI9) acupuncture in reducing alcohol craving in patients with alcohol dependence: A randomized placebo-controlled trial.
Jin-Seong LEE ; Sung-Gon KIM ; Taek-Geun JUNG ; Woo Young JUNG ; Seong-Yeon KIM
Chinese journal of integrative medicine 2015;21(4):307-311
OBJECTIVETo examine the effect of acupuncture on Zhubin (KI9) in reducing alcohol craving in alcohol-dependent patients.
METHODSTwenty male alcohol-dependent patients were randomly assigned to two groups, a treatment group (10 cases, age 43.0±6.8 years) and a placebo group (10 cases, age 44.5±7.9 years). The treatment group was treated with real needle acupuncture on Zhubin (KI9) twice a week for 4 weeks, and the control group was treated with placebo needle acupuncture. Both groups were given acupuncture treatment using Park Sham Device (PSD). Alcohol craving was measured by the Visual Analogue Scale (VAS) before treatment to establish a baseline, and after 1, 2, and 4 weeks of treatment. Repeated measures ANOVA was used to determine the main and interaction effects of time and on the outcome measure (VAS).
RESULTSThere was a significant effect of time on VAS score (df=3, F=13.3, P<0.01). Main effect of group on VAS score was significant (df=1, F=10.9, P<0.01) and the time×group interaction was also significant (df=3, F=4.7, P<0.01).
CONCLUSIONSReal-needle acupuncture therapy on Zhubin (KI9) showed effectiveness in reducing alcohol craving. These results strongly suggest the usefulness of acupuncture therapy on Zhubin (KI9) in preventing a relapse in alcohol dependent patients.
Acupuncture Points ; Acupuncture Therapy ; methods ; Adult ; Alcoholism ; therapy ; Craving ; drug effects ; Ethanol ; pharmacology ; Humans ; Male ; Middle Aged ; Placebos ; Treatment Outcome
8.Squamous Cell Carcinoma Originating from Frostbite-induced Osteomyelitis.
Hyun HWANGBO ; Taek Geun LEE ; Se Won JUNG ; Hyun Ho SON ; Sook Kyung LEE
Korean Journal of Dermatology 2015;53(7):556-559
Squamous cell carcinoma commonly originates from recalcitrant wound sites, including burn scars, pressure sores, stasis ulcers, osteomyelitis, and sites of frostbite. A 62-year-old male was referred to the dermatology department for skin necrosis of his right great toe and walking difficulty. He had a history of smoking, drinking alcohol, and frostbite of his right great toe 9 years prior, which deteriorated into osteomyelitis due to poor care. Although a skin biopsy was recommended before amputation, the two procedures were performed simultaneously due to a lack of toe function due to severe osteolysis. Biopsy of the amputated toe tip showed many lobules consisting of atypical keratinocytes with hyperchromatic nuclei, and severe dermal pleomorphism. After evaluation for distant metastasis, including a (99m) Tc-MDP bone scan, 18F-FDG positron emission tomography scan, computed tomography, and ultrasound, no metastasis was detected.
Amputation
;
Biopsy
;
Burns
;
Carcinoma, Squamous Cell*
;
Cicatrix
;
Dermatology
;
Drinking
;
Fluorodeoxyglucose F18
;
Frostbite
;
Humans
;
Keratinocytes
;
Male
;
Middle Aged
;
Necrosis
;
Neoplasm Metastasis
;
Osteolysis
;
Osteomyelitis*
;
Positron-Emission Tomography
;
Pressure Ulcer
;
Skin
;
Smoke
;
Smoking
;
Toes
;
Ultrasonography
;
Varicose Ulcer
;
Walking
;
Wounds and Injuries
9.Wells' Syndrome Associated with Molluscum Contagiosum in a Child: A Case Report.
Seung Hyun MOON ; Woo Jung JIN ; Woo Seok JEONG ; Taek Geun LEE ; Sook Kyung LEE
Korean Journal of Dermatology 2018;56(8):499-503
Wells' syndrome or eosinophilic cellulitis is usually observed in adults who present with pruritic, erythematous and edematous plaques associated with papules or vesicles. It is a rare inflammatory dermatosis of unknown etiology showing an eosinophil-mediated immune response. Classical histopathological features observed in patients are eosinophil-predominant inflammatory infiltration and marked dermal edema, along with ‘flame figures’. An 11-year-old boy presented with edematous plaques surmounted by vesicles on his abdomen and lower extremities. A month prior to presentation, these skin lesions occurred on other parts of his abdomen; however, they resolved spontaneously within a week. Skin biopsies from the recurrent lesions showed features consistent with Wells' syndrome and a few molluscum bodies in the epidermis. Laboratory tests showed peripheral eosinophilia. We concluded that Wells' syndrome in this young patient was caused by preceding molluscum contagiosum infection.
Abdomen
;
Adult
;
Biopsy
;
Cellulitis
;
Child*
;
Edema
;
Eosinophilia
;
Eosinophils
;
Epidermis
;
Humans
;
Lower Extremity
;
Male
;
Molluscum Contagiosum*
;
Skin
;
Skin Diseases
10.Acute Myocardial Infarction with Elevated ST-segment Only in Lead aVR.
Taek Geun OHK ; Gu Hyun KANG ; Jung Rae CHO ; Yong Soo JANG ; Hee Cheol AHN ; Gyu Jong CHO ; Jung Hwan AHN ; Jun Hwi CHO
Journal of the Korean Society of Emergency Medicine 2014;25(2):210-214
Lead aVR ST segment elevation in patients with clinically suspected acute coronary syndrome strongly suggests the possibility of occlusion of the left main coronary artery (LMCA), and stenosis or occlusion in this area can cause severe life-threatening left ventricular dysfunction or malignant arrhythmias. Thus, it could be a sign suggestive of a poor prognosis for patients. In this study, we report on the case of a 67-year-old male who presented to the emergency department with total occlusion of LMCA with ST-segment elevation in only lead aVR, and without ST-segment elevation in other leads.
Acute Coronary Syndrome
;
Aged
;
Arrhythmias, Cardiac
;
Constriction, Pathologic
;
Coronary Vessels
;
Electrocardiography
;
Emergency Service, Hospital
;
Humans
;
Male
;
Myocardial Infarction*
;
Prognosis
;
Ventricular Dysfunction, Left