1.The classification and the surgical management of degenerative lumbar segmental instability.
In KIM ; Kee Won RHYU ; Seong Jin PARK
The Journal of the Korean Orthopaedic Association 1992;27(1):65-77
No abstract available.
Classification*
3.Clinical effect of topical ketoconazole in seborrheic dermatitis of scalp.
Seong Jin KIM ; Young Ho WON ; Inn Ki CHUN
Korean Journal of Dermatology 1992;30(5):625-632
An etiologic agent in seborrheic dermatitis is now considered to be due to Pityrosporum ovale. The connection between the yeast and the disease has been clearly dernonstrated in a number of patients treatd with antifungal agents. However, the fact, that Pityrosporum ovale (Pityrosporum orbiculare) belongs to the normal human cutaneou. flora makes it difficult, to explain the role of the organism in seborrheic dermatitis. In this clinical study, twenty eight subjects were divided into two group by treatment regimen of topical 2% ketoconazole shampoo(TKS)and 0.3% prednisolone valerate solution (PVS). Before and during the four weeks treatment periods, the number of Pityrosporum ovale on the scalp were evaluated by scrub Giemsa staining method, which estimat,ed by score scale, under direct. microscopic examination. Also clinical symptoms including erythema, scales and itching were recorded by scores every week and compared between two treatment group. Topical application of 2% ketoconazole shampoo(TKS) is a very effective treatment regimen to reduce the yeasr cell score(from 5.8+1.3 to 1.8+1.4) than PVS(from 6.4+1.3 to 3.5+1.5), significantly(p<0.05). So the results of this study acconsistent with the view that density of Pityrosgourum ovale plays a role in the cause and course of seborcheic derrnatitis on the scalp. And antifungal agent(TKS) shows favorable effects ori tnis disease clinically and mycologically.
Antifungal Agents
;
Azure Stains
;
Dermatitis, Seborrheic*
;
Erythema
;
Humans
;
Ketoconazole*
;
Malassezia
;
Prednisolone
;
Pruritus
;
Scalp*
;
Weights and Measures
;
Yeasts
4.A case of mycetoma due to pseudallescheria boydii.
Seong Jin KIM ; Young Ho WON ; Inn Ki CHUN
Korean Journal of Dermatology 1993;31(5):765-768
Mycetoma is a clinical syndrome of localized, indolent, deforming, swollen lesions and sinuses, involving cutaneous and subcutaneous tissues, fascia, and bone. Its lesions. are composed of suppurat.ing abscesses, granulomata, and dra ning sinuses and the etiologic agents are wide variety of bacteria (actinomycotic mycetoma) and fungi(eumcotic mycetoma) from plant and soil. The patient was a 65-year-old female and a farnier. She was referred by the skin lesion loalized on the dorsum of her lefther left hand and wrist for three months. It showed multiple subcutaneclis nodules, abscesses, and discharging fitula based on the erythematous plaque. The skin biopsy frorn the lesion revealed the PAS positive hyphae in the granulocytic infiltration. Fungus cult,ure with a piece of tissue on sabouraud media shows hin, floccose, white colonies. Slide culture and biochemical idcrtification of pathogen led to the final diagnosis as Mycetoma caused by Pseudallescheria boydii(Monosporium apiospermum). The lesions disappeared gradualy following systemic oral administratior of Itraconazole 200mg daily for six weeks.
Abscess
;
Aged
;
Bacteria
;
Biopsy
;
Diagnosis
;
Fascia
;
Female
;
Fungi
;
Hand
;
Humans
;
Hyphae
;
Itraconazole
;
Mycetoma*
;
Plants
;
Pseudallescheria*
;
Skin
;
Soil
;
Subcutaneous Tissue
;
Wrist
5.The p53 Mutation and DNA Ploidy in Human Metastatic Breast Cancer.
Seong Jin CHO ; Ae Ree KIM ; Nam Hee WON
Korean Journal of Pathology 1997;31(2):135-144
The p53 gene, one of the tumor suppressor genes, is believed to play an important role through mutation and overexpression in the progression of various human malignant tumors. To compare the p53 mutation status between the primary and metastatic lesions of breast cancers and to investigate the mutational pattern of p53, immunohistochemistry (IHC) and polymerase chain reaction and single strand conformational polymorphism (PCR-SSCP) were performed in 25 cases of breast cancers with paraffin embedded tissue. Mutant protein products or point mutation were detected through IHC or PCR-SSCP method. And flow cytometrical (FCM) analysis were performed in the same paraffin blocks to correlate the DNA ploidy and p53 mutation. The following results are summarized. 1. The detection of the p53 gene mutation and overexpression of the p53 protein were measured in 40% and 48%, respectively, in 25 primary tumors, either or both methods was detected in 64%. 2. A concordance rate of the p53 protein expression between the primary and metastatic lesions of 25 breast cancers was 100%, but the concordance rate of the p53 gene mutation was 72%. 3. The correlation between the p53 mutation and the DNA aneuploidy was not statistically significant (p=0.38) 4. A p53 mutation by IHC or PCR-SSCP was more frequently detected in grade III breast cancers than in grade I or II. 5. Among 5 to 9 exons of the p53 gene, exon 7 was the most frequent mutation spot in this study. 6. Additional mutation of the p53 gene was developed in the three metastatic lesions. With the above results it is suggested that the p53 protein overexpression by immunohistochemistry is not correlated with the p53 mutation by PCR-SSCP. The p53 mutation pattern between the primary and metastatic lesions are not idenitical and an additional point mutation can occur in the metastatic lesion. The DNA aneuploidy is more frequently detected in the cases with the p53 protein overexpression than in the p53 protein negative, but it is not statistically significant.
Aneuploidy
;
Breast Neoplasms*
;
Breast*
;
DNA*
;
Exons
;
Genes, p53
;
Genes, Tumor Suppressor
;
Humans*
;
Immunohistochemistry
;
Mutant Proteins
;
Paraffin
;
Ploidies*
;
Point Mutation
;
Polymerase Chain Reaction
6.The p53 Mutation and DNA Ploidy in Human Metastatic Breast Cancer.
Seong Jin CHO ; Ae Ree KIM ; Nam Hee WON
Korean Journal of Pathology 1997;31(2):135-144
The p53 gene, one of the tumor suppressor genes, is believed to play an important role through mutation and overexpression in the progression of various human malignant tumors. To compare the p53 mutation status between the primary and metastatic lesions of breast cancers and to investigate the mutational pattern of p53, immunohistochemistry (IHC) and polymerase chain reaction and single strand conformational polymorphism (PCR-SSCP) were performed in 25 cases of breast cancers with paraffin embedded tissue. Mutant protein products or point mutation were detected through IHC or PCR-SSCP method. And flow cytometrical (FCM) analysis were performed in the same paraffin blocks to correlate the DNA ploidy and p53 mutation. The following results are summarized. 1. The detection of the p53 gene mutation and overexpression of the p53 protein were measured in 40% and 48%, respectively, in 25 primary tumors, either or both methods was detected in 64%. 2. A concordance rate of the p53 protein expression between the primary and metastatic lesions of 25 breast cancers was 100%, but the concordance rate of the p53 gene mutation was 72%. 3. The correlation between the p53 mutation and the DNA aneuploidy was not statistically significant (p=0.38) 4. A p53 mutation by IHC or PCR-SSCP was more frequently detected in grade III breast cancers than in grade I or II. 5. Among 5 to 9 exons of the p53 gene, exon 7 was the most frequent mutation spot in this study. 6. Additional mutation of the p53 gene was developed in the three metastatic lesions. With the above results it is suggested that the p53 protein overexpression by immunohistochemistry is not correlated with the p53 mutation by PCR-SSCP. The p53 mutation pattern between the primary and metastatic lesions are not idenitical and an additional point mutation can occur in the metastatic lesion. The DNA aneuploidy is more frequently detected in the cases with the p53 protein overexpression than in the p53 protein negative, but it is not statistically significant.
Aneuploidy
;
Breast Neoplasms*
;
Breast*
;
DNA*
;
Exons
;
Genes, p53
;
Genes, Tumor Suppressor
;
Humans*
;
Immunohistochemistry
;
Mutant Proteins
;
Paraffin
;
Ploidies*
;
Point Mutation
;
Polymerase Chain Reaction
7.Two Cases of Graft-Verwuw-Host Disease(GVHD) Manifested with Vitiligo-like Skin Lesions.
Won Sik PYO ; Young Ho WON ; Seong Jin KIM ; Seung Chul LEE
Korean Journal of Dermatology 1999;37(6):756-760
The skin is a frequently involved organ in graft-versus-host disease(GVHD). Various skin lesions including erythematous eruption, bullae, desquamation, lichenoid, and sclerodermoid lesions have been reported in GVHD, but vitiligo-like lesions were. We present two cases of chronic GVHD presenting multiple hypopigmented patches following allogenic bone marrow transplant(BMT) due to severe aplastic anemia. The histopathologic studies showed focal vacuolar degeneration of basal cells, absence of melanocytes in the epidermis, and perivascular lymphocytic infiltration consisting of T cells in the upper dermis, These cases suggest that vitiligo-like lesions may develop due to marked melanocyte- lymphocyte interaction after BMT.
Anemia, Aplastic
;
Bone Marrow
;
Dermis
;
Epidermis
;
Lymphocytes
;
Melanocytes
;
Skin*
;
T-Lymphocytes
;
Vitiligo
8.Studies on the VP4 and VP7 Genes of Bovine Rotaviruses from Field Samples Using RT-PCR and RFLP Analysis.
Seong Jin JEON ; Shien Young KANG ; Chung Ho CHANG ; Chung Won CHUNG ; Won Yong KIM
Journal of the Korean Society of Virology 1998;28(2):165-174
Characterizations of the VP4 (P type) and VP7 (G type) genes of Korean isolates of bovine rotavirus were performed using RT-PCR/RFLP and nucleotide sequencing analysis. After RT-PCR amplification of partial length (1094bp) of the VP4 and full length (1062bp) of the VP7 genes, amplified PCR products were digested with restriction endonucleases and digestion patterns were compared with those of reference rotaviruses. With the VP4 genes, four RFLP (AD) profiles were observed; three (A, B and C) were the same as those of bovine rotavirus NCDV (P[1]), IND (P[5]) and B223 (P[11]), respectively, Profile D was the same as that of porcine rotavirus OSU (p[7]). With the VP7 genes, five RFLP profiles (I-V) were observed; three of them (1, II and III) were the same as those of bovine rotavirus NCDV (G6), Cody I-801 (G8), and B223 (G10), respectively, Profile IV and V were atypical to those of reference bovine rotaviruses used in this study. These two profiles were identified as G6 and G5, respectively, after analyzing and comparing the nucleotide sequences. The G typing analysis revealed that 61.9% (26/42) were G6, which included G6 subtype; 28.6% (12/42) were G5; 7.1% (3/42) were G10; 2.4% (1/42) were G8. The P typing analysis revealed that 54.8% (23/42) were P(5); 28.6% (12/42) were P(7); 11.8% (5/42) were P(11); 4.8% (2/42) were P(1). Our results showed that G6/P(5) were the most prevalent rotaviruses in diarrheic calves in Korea. Also, this is the first report that G5P(7) rotaviruses were identified from cattle with diarrhea.
Animals
;
Base Sequence
;
Cattle
;
Diarrhea
;
Digestion
;
DNA Restriction Enzymes
;
Korea
;
Polymerase Chain Reaction
;
Polymorphism, Restriction Fragment Length*
;
Rotavirus*
9.A Case of Widespread Follicular Mucinosis Associated with Mycosis Fungoides.
Do Hyun KIM ; Young Ho WON ; Seong Jin KIM ; Seung Chul LEE
Korean Journal of Dermatology 1999;37(5):665-669
We presented here a case of a 53-year-old male patient who was confirmed as follicular mucinosis associated with mycosis fungoides. He showed erythematous infiltrative papules and plaques on the face, scalp, trunk and extremities. Some of the lesions were observed as mycosis fungoides. A biopsy specimen showed both findings of follicular mucinosis and mycosis fungoides, such as reticular degeneration of follicles, deposit of mucin, Pautrier's microabscess, epidermotropism, rather dense perifollicular or perivascular infiltrates, and the presence of significant proportions of admixed eosinophils and plasma cells. To our best knowledge, this is the first reported case of follicular mucinosis associated with mycosis fungoides in Korea.
Biopsy
;
Eosinophils
;
Extremities
;
Humans
;
Korea
;
Male
;
Middle Aged
;
Mucinosis, Follicular*
;
Mucins
;
Mycosis Fungoides*
;
Plasma Cells
;
Scalp
10.Pityriasis Rubra Pilaris in Down Syndrome.
Min KIM ; Jee Bum LEE ; Seong Jin KIM ; Seung Chul LEE ; Young Ho WON
Annals of Dermatology 2001;13(4):258-261
A 23-year-old woman with Down syndrome presented erythematous keratotic plaques with whitish scales on the elbows, forearm, knee and leg. Histopathological findings revealed acanthosis with broad and short rete ridges, alternating orthokeratosis and parakeratosis oriented in both vertical and horizontal directions, and dermal superficial perivascular lymphocytic infiltration, compatible with pityriasis rubra pilaris.
Down Syndrome*
;
Elbow
;
Female
;
Forearm
;
Humans
;
Knee
;
Leg
;
Parakeratosis
;
Pityriasis Rubra Pilaris*
;
Pityriasis*
;
Weights and Measures
;
Young Adult