No abstract available.
Humerus*

Synovial cysts are uncommon lesions that may occur within the spinal canal. Most commonly synovial cysts arise from degenerative apophyseal joints, in particular at the L4-5 level, and are associated with spondylolisthesis. We present one case of lumbar synovial cyst located both intraspinally and extraspinally and originated from the defect of the pars interarticularis. The content of the synovial cyst was infected. The patient progressively developed low back pain and fever. The lesion was diag nosed by computed tomography and a magnetic resonance imaging. The synovial cyst was presented a huge lobulacted intraspinal and extraspinal mass and connected with the L4-5 facet joint on the right side. The dural sac was displaced by the intraspinal mass. Relieve of symptoms was achieved with decompressive laminectomy and removal of the mass. The content of the synovial cyst was infected with Staphylococcus aureus confirmed by the synovial fluid culture. The reasons for our report are to describe the previously unreported appearance of this lesion that was huge lobulated intraspinal and extraspinal mass with infected fluid content originated from the defect of the pars interarticularis.
Fever ; Humans ; Joints ; Laminectomy ; Low Back Pain ; Magnetic Resonance Imaging ; Nose ; Spinal Canal ; Spine* ; Spondylolisthesis ; Staphylococcus aureus ; Synovial Cyst* ; Synovial Fluid ; Zygapophyseal Joint

No abstract available.
Hand*

No abstract available.
Orthopedics* ; Superficial Back Muscles*

No abstract available.
Osteosarcoma*

A 21-year-old male had have a one-year history of persistent left hip pain that was aggrevated at night. The diagnosis was osteoid osteoma that was based on clinical examination, simple radiography, and computed tomography. Under spinal anesthesia, the tumor was localized using an image intensifier and its nidus was excised successfully using the burr down technique. We report upon a single case of arthroscopic excision of an osteoid osteoma using the burr down technique and the good result obtained at the 2 year follow-up.
Anesthesia, Spinal ; Diagnosis ; Femur Neck* ; Follow-Up Studies ; Hip ; Humans ; Male ; Osteoma, Osteoid* ; Radiography ; Young Adult

Enterovesical fistula is a relatively rare disease and usually caused by primary intestinal disease (diverticulitis, colon cancer and inflammatory bowel disease including Crohn's disease etc.). We experienced a rare case of ileocolovesical fistula caused by Crohn's disease. The 34 year old man had had chronic dysuria, lower abdominal pain and turbid urine for 3 years. Contrast studies including cystography, small bowel series, barium enema and abdominal Of showed ileocolovesical fistula. Small bowel segmental resection, Hartmann's colostomy and suprapubic cystostomy were performed. Histological examination of operative specimen showed a granulomatous inflammation caused by Crohn's disease. Our case suggests that Crohn's disease may be a rare cause of enterovesicalfistula in Korean.
Abdominal Pain ; Adult ; Barium ; Colonic Neoplasms ; Colostomy ; Crohn Disease* ; Cystostomy ; Dysuria ; Enema ; Fistula* ; Humans ; Inflammation ; Inflammatory Bowel Diseases ; Intestinal Diseases ; Rare Diseases

Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease that often results in a severely reduced quality of life due to its irritating symptoms. Cooling the skin can be an effective supplement for pruritus in the case of AD, since it can modulate itch sensitivity, which has an antipruritic effect. Objective: The aim of this study was to evaluate the effect of a soothing cooler on relieving pruritus in the case of mild AD. Methods: Thirty patients with mild AD were enrolled in this study. They were advised to use the soothing cooler on their left forearms twice daily for eight weeks. Immediate responses were assessed at baseline, and follow-up was done at weeks 2, 4, and 8 to evaluate long-term responses. The effect of the soothing cooler was evaluated using the visual analogue scale for pruritus, transepidermal water loss, hydration capacitance, and the Investigator’s Global Assessment scale for AD. Safety was monitored through the report of adverse events during the study period. Results: There were immediate and long-term improvements in the visual analogue scale scores of left forearm pruritus (p＜0.05), which were statistically significant. No adverse event was reported during the study period. Conclusion The results of this study demonstrated the pruritus-relieving effect of the soothing cooler for patients with mild AD.

Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease that often results in a severely reduced quality of life due to its irritating symptoms. Cooling the skin can be an effective supplement for pruritus in the case of AD, since it can modulate itch sensitivity, which has an antipruritic effect. Objective: The aim of this study was to evaluate the effect of a soothing cooler on relieving pruritus in the case of mild AD. Methods: Thirty patients with mild AD were enrolled in this study. They were advised to use the soothing cooler on their left forearms twice daily for eight weeks. Immediate responses were assessed at baseline, and follow-up was done at weeks 2, 4, and 8 to evaluate long-term responses. The effect of the soothing cooler was evaluated using the visual analogue scale for pruritus, transepidermal water loss, hydration capacitance, and the Investigator’s Global Assessment scale for AD. Safety was monitored through the report of adverse events during the study period. Results: There were immediate and long-term improvements in the visual analogue scale scores of left forearm pruritus (p＜0.05), which were statistically significant. No adverse event was reported during the study period. Conclusion The results of this study demonstrated the pruritus-relieving effect of the soothing cooler for patients with mild AD.

Cutaneous angiosarcoma is a rare, aggressive vascular malignancy with a grave prognosis. It usually arises in the scalp or face as a locally-advanced patch, plaque or tumor at presentation and most often affects males and the elderly. Histopathologically, well-differentiated angiosarcomas are composed of well- or ill-formed vascular channels, often lined by flattened atypical endothelial cells and are distinguished from benign counterparts by their so-called "collagen dissection pattern" and anastomosing architecture. Varied differentiation may be observed even in the same tumor. Epithelioid angiosarcoma is a rare variant of poorly-differentiated angiosarcoma. The patients were seven cases of angiosarcomas including an epithelioid variant. They were six males and one female with an age range between 65~84 years (avg. 74 years). Lesions resembled seborrheic dermatitis, erysipelas or "spreading bruise" that varied from blue to red in color and from papule to mass in size. They revealed satellite lesions far from the main lesion in some cases. Skin biopsies were performed for all patients and histopathologic features were compatible with angiosarcoma and epithelioid angiosarcoma. We herein report seven angiosarcomas of diverse clinical features because their early detection and precise differential diagnosis should be mandatory for effective management.
Aged ; Biopsy ; Dermatitis, Seborrheic ; Diagnosis, Differential ; Endothelial Cells ; Erysipelas ; Female ; Hemangiosarcoma* ; Humans ; Male ; Prognosis ; Scalp* ; Skin