Rheumatoid arthritis can result in progressive deformity of the forefoot, which leads to marked limitation in shoe wear, significant pain, and substantial diminution in standing and walking ability. Twenty feet of seventeen patients with severe forefoot deformities underwent surgical correction hy means of first metatarso-phalangeal arthrodesis and resection arthroplasties of the lesser M-P joints from May, I 994 to March, l996. The results were as follows; l. Suhjective improvement in pain, standing and walking ability, and shoe wear was excellent in fifteen (7~5%) feet, good in three (l5%), fair in one (5%), and poor in one (5%) foot. 2. The average hallux valgus angle (HVA), 1st intermetatarsal angle (IMA) were improved from 46.7 and 13.7 to 11. 1 and 8.2 degree individuaIly. 3. The average angle of dorsiflexion after the first metatarsophalangeal (MP) joint arthrodesis was 12.9 degree. 4. Complications of the procedures were minimal; three delayed wound healing, one non-displaced fracture of fusion site due to trauma, one malunion of the 1st MTP joint, one recurrence of the fibular deviation of the lesser toes.
Arthritis, Rheumatoid ; Arthrodesis ; Arthroplasty ; Congenital Abnormalities* ; Foot ; Hallux Valgus ; Humans ; Joints ; Recurrence ; Shoes ; Toes ; Walking ; Wound Healing

CT findings of twenty-four patients with adrenal gland tumors were analyzed to evaluate their location, size,shape, density etc. The post-surgical confirmation was made in 17 cases. The findings were as follows: 1. 4-10cmsized tumor messes were most common (42%). 2. Round or oval shaped forme were most common (59%). 3. Functionaltomors were 71% (17/24) including Cushing's syndrome of 10 cases, pheochromocytomas of 6 cases and aldosteronismof 1 case. 4. Abnormal adrenal glands were delineated in 88%(21/24), most effectively by CT. We concluded that CTwas the valuable study in the evaluation of the adrenal gland tumors and in the determination of surgicaloperation.
Adrenal Glands ; Cushing Syndrome ; Humans ; Pheochromocytoma

No abstract available.
Ultrasonography, Prenatal*

No abstract available.
Humans ; Infant, Newborn*

We report a case of Darier's disease occuring in 49-year-old female patient. She had hyperkeratotic crusted eruptions on her forehead, neck and posterior auricular area. The skin lesions aggravated in summer and improved in winter, but never been healed completely. Histopathologic features from neck lesions revealed hyperkeratosis with corps ronds and grains as well as formation of villi and laeunae. We treated her with oral etretinate, and she was almost completely free of disease after 3 months treatment. We suggested that etretinate is an importnat advance in the treatment of Darier's disease.
Acitretin* ; Edible Grain ; Darier Disease ; Etretinate* ; Female ; Forehead ; Humans ; Middle Aged ; Neck ; Skin

We report a case of childhood dermatomyositis t.hat developed in a 10-year-old boy. Skin lesion showed malar erythema, Gottron's papule, and poikiloderma those were compatible with dermatomyositis. And other clinical, laboratory, and histopathologic findings supported the diagnosis of derrnatomyositis. We treated him with oral corticosteroid, the lesion was improved and regular periodic follow up was attempted. From summary of all data of patient, this case was typical Brunsting type of childhood dermatomyositis.
Child ; Dermatomyositis* ; Diagnosis ; Erythema ; Follow-Up Studies ; Humans ; Male ; Skin

The pathogenesis of vitiligo is still unresolved. The three classically held theories are the immune hypothesis, neural hypothesis, and self destruct hypothesis. Recently the immunologic hypothesis is the most important. We analysed natural killer cell activities of 30 cases of vitiligo by Cr release assay, also analysed T cells and T cell subsets of 7 cases of vitiligo in peripheral blood by monoclonal antibody. The result were as follows l. A statistically significant increase of natural killer cell activity was observed in patients with vitiligo(67.5+/-19.2%) in comparison with control subjects(54.7+/-14.7%) 2. 5lo significant difference of natural killer cell activity was observed in patients whose onset of disease was less than 1 year(66.2+/-19.6%) in comparison with more than 1 year(72.0+/-18.4%) 3. No significant difference of natural killer cell activity was observed in patients with vitiligo between generalized(68.3+/-20.6) and localized type(70.3+/-18.0%). 4. The mean value of T cell, T cell subsets(T3, T4, TS) in patients with vitiligo(78. 8+/-10.8, 42.4+/-6.1, 26.46.8%) showed no significant difference in comparison with control subjects(75.3+/-6.3, 43.5+/-8.7, 26.1+/-6.69).
Humans ; Killer Cells, Natural* ; T-Lymphocyte Subsets* ; T-Lymphocytes* ; Vitiligo*

PURPOSE: TThe purpose of this retrospective study was to demonstrate the characteristic findings of ultrasonogram and the functional result in the surgical excision of the interdigital neuroma. MATERIALS AND METHODS: Forty feet of thirty-five patients with clinical sign and symptoms of interdigital neuromas were examined by ultrasound with a 7.5MHz transducer, In 23 of these patients, surgical excision and pathological analysis of their interdigital masses were subsequently performed. RESULTS: Interdigital neuromas were seen sonographically as well-defined, ovoid, hypoechoic masses located just proximal to the metatarsal heads in the intermetatarsal space. The diameter of neuroma on average was 5.6 mm in the 2nd interspace, 5.4 mm in the 3rd and 4 mm in the 1st. Postoperatively, the satisfactory result was exellent in five (22%), good in twelve (52%), fair in four (17%) and poor in two (9%). CONCLUSIONS: These results suggest that ultrasonographic examination is an accurate diagnostic technique, and surgical excision is most effective method of treatment in the view of pain management than other therapeutic modalities in patients with clinically suspected interdigital neuroma.
Diagnosis* ; Foot ; Head ; Humans ; Metatarsal Bones ; Neuroma* ; Pain Management ; Retrospective Studies ; Transducers ; Ultrasonography

No abstract available.
Cystadenocarcinoma, Mucinous* ; Mucins*

Three patients(1%) with recurrent molar pregnancy were managed arnong 317 registered molar pregnancies at the department of Obstetrics and Gynecology, Hanyang University Hospital between 197S and 1991. Reeurrent molar pregnancy seemed to be oaiated with a worsening histology and an increased incidence of proliferative trophoblastic sequelae in the successive episodes of hydatidiform mole. The treatment of recurrent mole is discussed and the literature regardmg recurrent rnolar pregnancy is reviewed.
Female ; Gynecology ; Hydatidiform Mole ; Incidence ; Obstetrics ; Pregnancy ; Trophoblasts