A 79-year-old man with balanitis circumscripta plasmacellularis(BCP), presenting as an erythematous constricting band of the inner surface of the prepuce encircling the penile shaft is described. The biopsy specimen of the lesion showed, in addition to the typical histologic findings of BCP, increased fibrosis and decreased amount of elastic fibers which correlate well with our clinical observations. Electron microscopic examination revelaed no viral particles or elastic fibers. Immunohistologically, IgG was found to be the major immunoglobulin class in the plasma cellular inf iltrate.
Aged ; Balanitis* ; Biopsy ; Elastic Tissue ; Fibrosis ; Humans ; Immunoglobulin G ; Immunoglobulins ; Male ; Plasma ; Virion

BACKGROUND: Adult with congenital heart disease represents a new category of specialized cardiovascular interest that requires the cooperation of a number of medical and surgical disciplines, and also requires the interactions among traditional departmental jurisdiction. Uninterrupted, long-term continuity care is essential if the concerns inherent in this new and increasing patient population are to be addressed. The purpose of this study was to analyze the clinical characteristics of congenital heart disease in adolescents and adults. METHODS: Between October 1994 and July 1996, retrospective follow-up records and registry chart of 229 consecutive patients with congenital heart disease for over 16 years in GUCH (grown-up congenital heart) clinic were reviewed by a physician and a nurse specialist. RESULTS: There were 126 female and 103 male GUCH patients with the mean age of 34+/-14.6 years old. Among the 229 patients, there were 179 natural survivors, those without cardiac repair, and 50 postoperative survivors. Congenital heart defects were 167 shunt legions, 17 obstructive and valvular legions, 14 tetralogy of Fallot, 15 complex congenital heart anomalies and 16 others. Among the 179 natural survivors; 122 (68%) required heart surgery or continuous medical surveillance, and among the 50 surgically repaired survivors; 37 (74%) required reoperation for residual heart defects, constant medical treatment or consultation from other medical divisions. The reasons for the hospital vistis were:cardiac operation or cardiac diagnosis in 128 (56%) patients, symptomatic heart conditions in 43 (19%), routine heart examinations since childhood in 31 (14%) and others in 27 (11%). Also, the patient compliances were higher in the GUCH clinic than the traditional departmental jurisdiction (p<0.001). CONCLUSIONS: To achieve continuing care for the patients with congenital heart disease in adolescents and adults, it is important to develope a specialized clinic addressing the specific needs of the congenital heart disease in adolescents and adults.
Adolescent* ; Adult* ; Diagnosis ; Female ; Follow-Up Studies ; Heart ; Heart Defects, Congenital* ; Humans ; Male ; Reoperation ; Retrospective Studies ; Specialization ; Survivors ; Tetralogy of Fallot ; Thoracic Surgery

No abstract available.
Hemorrhage* ; Hepatoblastoma* ; Rupture*

A clinical observation was made on 412 cases of diabetes mellitus who were admitted to Eul Ji General Hospital, Seoul, Korea, during the period from January 1980 to June 1983 with regard to urogenital compilations. The results were as follows: 1. The incidence rate of urogenital complications among 412 cases of D.M. was found in 21.1% (87 cases). 2. Concerning the frequency of genitourinary complications (87 cases) in each disease, urinary infection was found in 70 cases (80.5%), nephrotic syndrome in 7cases (8%), Kimmelstiel-Wilson syndrome in 5 cases (5.8%), neurogenic bladder in 3 cases (3.4%). 3. The most .frequent age distribution of urogenital complications of D.M. showed more than 50 years of age with 75% (65 cases). 4. The longer the duration of the diabetes was, the higher the incidence rate of urogenital complications. 5. Complications of D.M. except genitourinary tract were hypertension; 18.5%, pulmonary T.B.; 11.9%, retinopathy 10.4%, respiratory infection; 6.1%, neuropathy; 5.8%.
Age Distribution ; Diabetes Mellitus* ; Diabetic Nephropathies ; Hospitals, General ; Hypertension ; Incidence ; Korea ; Nephrotic Syndrome ; Seoul ; Urinary Bladder, Neurogenic

No abstract available.
Electrocardiography, Ambulatory*

A clinical study was retrospectively made on 33 patients with prostatic adenocarcinoma who were admitted to the Department of Urology, Eulji General Hospital, Seoul and DaeJeon between May 1985 and April 1992. The results were as follows: 1. The age distribution range was from 47 to 86 years (mean age 68.2 years). 2. The major presentations were prostatism (69%), acute urinary retention, gross hematuria and pain. On digital rectal examination, 14 patients (42.4%) had hard nodules on the prostate, and 7 patients had multiple nodules. 3. The clinical stages were stage A in 2 cases, stage B in 3, stage C in 8, and stage D in 20. The grades were: grade I in 7 cases, grade II in 14 and grade III in 12. Distant metastasis was round in 28 patients (84.8%). The sites involved were bone in 20 patients, lymph node in 5 patients, lune, liver and kidney in 1 patient each. Skeletal sites most frequently involved were spine (65%), pelvis (55%) and rib (50%). 4. For the treatment of 28 patients, orchiectomy only (9), DES only (7), DES +orchiectomy (3), endocrine therapy(orchiectomy or DES) + irradiation (8) and radical prostatectomy + irradiation (1) were performed. 5. In the response rate of treated 28 patients, partial or stable response 12 cases (42.9%) and progression 16 cases(57.l%). 7 patients expired, the causes of death were multiple metastasis with cachexia (4), sepsis (2) and congestive heart failure (1).
Adenocarcinoma* ; Age Distribution ; Cachexia ; Cause of Death ; Digital Rectal Examination ; Heart Failure ; Hematuria ; Hospitals, General ; Humans ; Kidney ; Liver ; Lymph Nodes ; Neoplasm Metastasis ; Orchiectomy ; Pelvis ; Prostate ; Prostatectomy ; Prostatic Neoplasms ; Prostatism ; Retrospective Studies ; Ribs ; Seoul ; Sepsis ; Spine ; Urinary Retention ; Urology

A clinical observation was made on 46 cases of renal tuberculosis who were admitted to the Department of Urology, Eul Ji General Hospital, Seoul, Korea, during the period from January 1978 to December 1982. Following results were obtained. 1. The most common symptoms were urinary frequency (47.8%), gross hematuria (43.5%) flank pain (32.6%) and dysuria (21.7%). 2. Tubercle bacilli were demonstrated in 37% of patients by Ziehl-Neelson staining. The most common findings of urine were hematuria (73.9%), Pyuria (54.4%) and proteinuria (32.6%). 3. Excretory urographic findings in 46 cases of renal tuberculosis were non visualization (45.7%), calyectasis (28.3%), delayed visualization (15.2%), ureteral deformity (10.9%). 4. The most common finding of cystoscopy was hemorrhagic patches (44.4%), followed by sealed off ureteral orifice (s) in 30.6%, ulceration and tubercle formation in 25.0%. 5. Patients were managed by chemotherapy only in 47.8%, chemotherapy with nephrectomy in 43.5%, chemotherapy with reconstructive surgery in 8.7%.
Congenital Abnormalities ; Cystoscopy ; Drug Therapy ; Dysuria ; Flank Pain ; Hematuria ; Hospitals, General ; Humans ; Korea ; Nephrectomy ; Proteinuria ; Pyuria ; Seoul ; Tuberculosis, Renal* ; Ulcer ; Ureter ; Urology

Carbon monoxide (CO) is a kind of freq uent toxic gas around our living lives, for common use of briquet as fuel, and its pathologic effect has been known due to mainly hypoxia and direct cytotoxicity in some part to almost all organs, especially to the brain and heart. Some authors have reported pathologic and anatomic changes of the acute of posioning, although in a few cases, that bilaterally symmetrical lesions of the globus pallidus or cerebral white matter regarded as typical. After using computed tomography (CT), those findings have been discovered more easily and acurately. Authors analysed CT find ings of 32 cases, who had a history of acute CO posioning and performed CT at Hanyang University Hospital from May 1979 to June 1983. The results were as follows: 1. Of all 32 cases with CT scan, low density lesions were demonstrated in 28 cases (88%) and others were hemorrhagic and calcified in 2(6%), respectively. 2. AII lesions were seen as bilaterally symmetrical, exce pt 2 cases of hemorrhage and 1 of low density . 3. Of all 28 cases of the low densities, 15 cases(53.6%) were located in the globus pallidus, 10(35.7%) in the cerebral white matter and 3( 1 0.7%) in both of them. 4. Of all 13 cases of the low density lesions in the cerebral wh ite matter, common locations were in the frontal and parietal lobes (65.6%), and more in frontal (40.6%). 5. Of all 13 cases of low density lesions in the cerebral white matter, cases of involving all of the lobes were found in only 4. 6. All of 2 cases of the cal c ified lesions were seen at both sides of the globus pallidus, symmetrically. 7. All of 2 cases of the hemorrhage were seen at thalamus, ventricles and head of caudate nucleus, and these locations were different from those of the low densities or calcifications.
Anoxia ; Brain ; Carbon Monoxide Poisoning ; Carbon Monoxide ; Carbon ; Caudate Nucleus ; Globus Pallidus ; Head ; Heart ; Hemorrhage ; Parietal Lobe ; Thalamus ; Tomography, X-Ray Computed ; White Matter