We report a case of pulmonary infarction probably related with Henoch-Schönlein purpura, which presented with purpura on both lower extremities in a 27-year-old woman. The purpura had developed 4 days previously and it had no itching or tend'erness. She complained of mild fatigue, chest tightness, but no dyspnea or hemoptysis. On routine examination, chest radiography showed a poorly defined nodular opacity on the left lung field, and it was diagnosed by a follow up chest CT as a pulmonary infarction secondary to pulmonary vasculitis.
Adult ; Dyspnea ; Fatigue ; Female ; Follow-Up Studies ; Hemoptysis ; Humans ; Lower Extremity ; Lung ; Pruritus ; Pulmonary Infarction* ; Purpura* ; Radiography ; Thorax ; Tomography, X-Ray Computed ; Vasculitis

Most insects including the honeybee cause erythema and edema at the site of a sting in non-allergic individuals. This reaction usually resolves within a few days. However, in certain cases, the persistence of inciting materials in the cutaneous tissue may promote a local inflammatory foreign body reaction. Localized nodular lesions were seen in our two patients and erythemstous patches were present in one patient due to rarely encountered complications induced by retained sting materials. In these cases histopathology showed multiple foci of foreign body granuloma containing yellow refraetile material in the center surrounded by histiocytes and foreign body giant cells. The granulomatous skin lesions in these patients were treated with intralesional injections of triamcinolone acetonide and partial excisions of the nodular masses were performed.
Bites and Stings ; Edema ; Erythema ; Foreign-Body Reaction ; Giant Cells, Foreign-Body ; Granuloma* ; Granuloma, Foreign-Body ; Histiocytes ; Humans ; Injections, Intralesional ; Insects ; Skin ; Triamcinolone Acetonide

PURPOSE: Pigmented villonodular synovitis (PVNS) is a rare soft tissue tumor, which usually arises in larger joints, such as the knee. It has a high recurrence rate after surgical treatment. The purpose of this study is to evaluate and analyze the clinical results of diffuse-type pigmented villonodular synovitis cases that were treated with open total synovectomy. MATERIALS AND METHODS: Between 1994 and 2006, 21 patients who had diffuse-type pigmented villonodular synovitis were selectively reviewed. Among the 21 cases studied, 14 patients presented at the knee, 5 at the ankle, and 2 at the shoulder and elbow. The mean follow up period was 5.5 years (range, 36-157 months). The average age of the patients was 34 years consist of 7 men and 14 women. Clinical outcomes were analyzed retrospectively, including range of motion and complications. RESULTS: Open total synovectomy and adjuvant electrocautrization were done in all cases except one. During the regular follow-up period after the surgery, two patients showed symptoms of recurrence. After re-operation, only one case was pathologically confirmed as a recurrence. The patient who had partial synovectomy and the other patient who had second operation due to recur rence received additional radiation therapy. Clinical outcome scores were improved in every aspect (p<0.0001). 2 out of 14 Patients who had pigmented villonodular synovitis at the knee developed stiff knee after the surgery. CONCLUSION: After the open total synovectomy with electrocautrization, a low recurrence rate and satisfactory clinical outcome was achieved, observed in a minimum of 3 years of follow-up.
Animals ; Ankle ; Elbow ; Female ; Follow-Up Studies ; Humans ; Joints ; Knee ; Male ; Range of Motion, Articular ; Recurrence ; Retrospective Studies ; Shoulder ; Synovitis ; Synovitis, Pigmented Villonodular

PURPOSE: We analyzed disease free survival and the prognostic factors of liposarcoma in the extremity. MATERIALS AND METHODS: Between 1994 and 2005, of 44 patients who were diagnosed and treated for liposarcoma of the extremity, 40 patients were restrospectively analysed. 13 out of 40 patients got postoperative radiotherapy. We examined local recurrence, distant metastasis and disease free 5-year survival rate. We also analyzed clinical prognostic factors, such as age, gender, size of tumor, prior unplanned excision, histologic type, surgical excision margin and postoperative radiotherapy respectively. RESULTS: There were 3 cases of local recurrence and 4 cases of distant metastasis. The disease free 5-year survival rate was 85.0%. 26 patients presented with myxoid, 8 well differentiated, 4 round cell, 1 pleomorphic and 1 dedifferentiated histology. The disease free 5-year survival rate of mixoid, well differentiated and round cell liposarcoma were 100.0%, 84.6% and 75.0% (p=0.419). The 5-year disease free survival rate was 90.6% in negative surgical margin (n=25) and 62.5% in positive surgical margin (n=15) (p=0.003). CONCLUSION: Our study suggests that surgical excision margin is significant prognostic factor for 5-year disease free survival rate.
Disease-Free Survival ; Extremities ; Humans ; Liposarcoma ; Neoplasm Metastasis ; Recurrence ; Survival Rate

No abstract available.
Infarction*

We examined the variations in the limbus-insertion distance, the width and the insertion shape of 260 horizontal recti muscles in 137 strabismic patients, and evaluated the relationship between insertion shape and postoperative results. The average limbus-insertion distance of medial rectus muscle was 4.72 +/- 0.49mm and that of lateral rectus muscle was 6.29 +/- 0.58mm. The width of medial rectus and lateral rectus mascle was 9.84 +/- 0.83mm and 9.57 +/- 0.84mm. The insertion shapes of horizontal rectus muscle were divided into 5 groups, straight, oblique type I and II, concave and convex patterns. According to insertion shape, insertion shape of the medial rectus muscle had no statistic difference in esotropia and exotropia(P=0.179), but in case of the lateral rectus muscle, it was staistically significant in both exotropia and esotropia(P=0.036). When the deviation angle was larger than 40 delta, the length of limbus width was statistically significant in lateral rectus muscle(P=0.018). The insertion shape divided into straight and non-straight pattern was statistically insignificant on postoperative success rate.
Esotropia ; Exotropia ; Humans ; Muscles

No abstract available.
Androgen-Insensitivity Syndrome* ; Male

No abstract available.
Androgen-Insensitivity Syndrome* ; Male

Retrospective study was conducted in 13 eyes of 9 Behcet's disease patients who have undergone cataract extraction with or without intraocular lens implantation. According to Shimizu's criteria, 5 eyes(55.6%) were classified as incomplete type and 3 eyes(33.3%) as suspect type. Among 13 eyes, only 3 eyes achieved final visual acuity of 0.1 or better and 4 eyes resulted in final visual acuity of 0.01 or worse. Postoperative complications included after-cataract in all 11 eyes which had undergone extracapsular cataract extraction(ECCE) and vitreous opacity in 10 eyes. Our results shows that the visual prognosis after cataract extraction is poor in general, although it may be improved in selected cases if inflammation has been controlled for a sufficient duration.
Behcet Syndrome* ; Cataract Extraction* ; Cataract* ; Humans ; Inflammation ; Lens Implantation, Intraocular ; Postoperative Complications ; Prognosis ; Retrospective Studies ; Visual Acuity

No abstract available.
Gonadotropin-Releasing Hormone* ; Puberty, Precocious*