1.Two Case of Systemic Candidiasis in Premature Infants.
Dae Kyun KIM ; Woo Chul SUH ; Eun Gyeoung JUNG ; Eun Seok YANG ; Sang Kee PARK
Journal of the Korean Pediatric Society 1995;38(11):1558-1564
No abstract available.
Candidiasis*
;
Humans
;
Infant, Newborn
;
Infant, Premature*
2.A Case of Van Wyk-Grumbach Syndrome.
Young Dai KIM ; Sung Kyun PARK ; Seung YANG ; Jeh Hoon SHIN
Journal of Korean Society of Pediatric Endocrinology 2001;6(1):92-95
Van Wyk-Grumbach Syndrome is an advanced sexual development in association with primary hypothyroidism. The clinical feature in this syndrome is more consistent with stimulation of the FSH receptor by the markedly elevated TSH levels. Treatment of the hypothyroidism results in a rapid return to normal of the biochemical and clinical manifestations. We experienced a case of Van Wyk-Grumbach Syndrome and report with the brief review of related literature.
Hypothyroidism
;
Puberty, Precocious
;
Receptors, FSH
;
Sexual Development
3.Lower Leg Salyage Orccedure in Massive Bone & Soft Tissue Defects: Combined Free Flap&Lixarov Destraction Osteogenesis.
Dae Hyun LEW ; Ji Yung YUN ; Kwan Chul TARK ; Beyoung Yun PARK ; Hak Sun KIM ; Kyun Hyun YANG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):938-944
The treatment of massive bone and soft tissue defect in the lower leg has a high complication rate of nonunion, chronic infection, and amputation without well-vascularized tissue coverage of the open fracture. Despite adequate free soft tissue coverage, massive skeletal defect may result in segmental bone defects, angulation deformity, and limb length discrepancies. In the last decade, major advances have occurred in the Ilizarov method of distraction osteogenesis in lower leg salvage as a delayed procedure or simultaneous distraction after free-tissue transfer. The authors have performed Ilizarov transport in conjunction with muscle and musculocutaneous flap coverage in nine cases of lower leg salvage. The flaps consist of rectus, gracilis, latissimus dorsi, parascapular, and serratus muscle or musculocutaneous fashioning using ipsilateral or contralateral pedicle in consideration of vessel condiation. Revision, recorticotomy and flap elevation were also used as a secondary procedure for satisfactory results. The conclusions, were as follows: 1) Multidisciplinary team approach with conjoining departments at the time of preoperative evaluation, postoperative care and rehabilitation care; 2) Muscle flap covered with split-thickness skin graft was preferred to musculocutaneous flap; 3) To reduce the total reconstructive period, simultaneous free tissue transfer with Ilizarov distraction should be considered.
Amputation
;
Congenital Abnormalities
;
Extremities
;
Fractures, Open
;
Ilizarov Technique
;
Leg*
;
Myocutaneous Flap
;
Osteogenesis*
;
Osteogenesis, Distraction
;
Postoperative Care
;
Rehabilitation
;
Skin
;
Superficial Back Muscles
;
Transplants
4.Aplastic Crisis Secondary to Parvovirus B19 Infection.
Yang Joon PARK ; Dae Kyun KOH ; Jin Hee OH
Journal of the Korean Pediatric Society 2003;46(11):1139-1142
Human parvovirus(HPV) B19 infection causes erythema infectiosum in children, sometimes red cell aplastic crisis with hemolytic anemia and chronic bone marrow failure in immunocompromised hosts. HPV B19 is directly cytotoxic for erythroid progenitor cells and inhibits erythropoiesis. Infrequently, HPV B19 inhibits hematopoiesis of three cell lineages and causes transient pancytopenia in patients with hemolytic disorders. We report three patients with hereditary spherocytosis who developed transient aplastic crisis. A HPV B19 infection was confirmed by IgM anti-B19 parvovirus titers and characteristic findings of bone marrow examination as the causative agent associated with severe pancytopenia. Three patients recovered spontaneously after a short period of supportive care with red cell transfusions and intravenous immunoglobulin.
Anemia, Hemolytic
;
Bone Marrow
;
Bone Marrow Examination
;
Cell Lineage
;
Child
;
Erythema Infectiosum
;
Erythroid Precursor Cells
;
Erythropoiesis
;
Hematopoiesis
;
Humans
;
Immunocompromised Host
;
Immunoglobulin M
;
Immunoglobulins
;
Pancytopenia
;
Parvovirus*
5.A case of Behcets Esophageal Ulcer.
Young Il MIN ; Suk Kyun YANG ; Seon Mee PARK ; Hee Bok CHAE ; Ki Man LEE ; Weon Seon HONG
Korean Journal of Gastrointestinal Endoscopy 1996;16(3):469-474
A 38-year-old man, with recurrent oral ulcers for 10 years, was admitted because of recent aggravation of odynophagia and sore throat. About 4 years earlier, he had been performed abdominal surgery for intestinal perforation. Gastrofiberscopic examination showed small round ulcers at hypiopharynx and 6cm sized longitudinal linear ulcer at mid esophagus. Biopsy specimens at mid-esophagus showed chronic inflammation. Besides oral ulcer, he had perianal ulcers and skin rashes. He was managed with steroid, colchicine and sulfasalazine under the diagnosis of esophageal involvement in Behcet's disease. After 3 months from discharge, esophagogram and gastrofiberscopic examination showed some improved appearance, but symptoms recurred for steroid tapering. He has been followed in much improved status for 8 months after discharge.
Adult
;
Biopsy
;
Colchicine
;
Diagnosis
;
Esophagus
;
Exanthema
;
Humans
;
Inflammation
;
Intestinal Perforation
;
Oral Ulcer
;
Pharyngitis
;
Sulfasalazine
;
Ulcer*
6.Endoscopic Mucosal Healing as a Treatment Target in Ulcerative Colitis: Does It Have the Same Role in Asian Patients?
Suk-Kyun YANG ; Sang Hyoung PARK ; Byong Duk YE
Gut and Liver 2021;15(6):942-943
no abstract available
8.Development of Immobilization Devices for Patients with Pelvic Malignancies and a Feasibility Evaluation during Radiotherapy.
Jong Min PARK ; Yang Kyun PARK ; Woong CHO ; Charn Il PARK ; Sung Whan HA
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2007;25(2):134-144
PURPOSE: Immobilization devices that improve the setup reproducibility of pelvic cancer patients and that provide comfort to patients during radiotherapy were designed and the feasibility of the devices was evaluated. MATERIALS AND METHODS: A customized device was designed to immobilize a knee, thigh, and foot of a patient. Sixty-one patients with prostate cancer were selected and were divided into two groups-with or without devices. The setup errors were measured with respect to bony landmarks. The difference between digitally reconstructed radiographs (DRR) and simulation films, and the differences between DRR and portal films were measured. RESULTS: The left-right (LR), anterior-posterior (AP) and craniocaudal (CC) errors between the DRR and simulation films were 1.5+/-0.9 mm, 3.0+/-3.6 mm, and 1.6+/-0.9 mm, respectively without devices. The errors were reduced to 1.3+/-1.9 mm, 1.8+/-1.5 mm and 1.1+/-1.1 mm, respectively with the devices. The errors between DRR and portal films were 1.6+/-1.2 mm, 4.0+/-4.1 mm, and 4.2+/-5.5 mm, respectively without the devices and were reduced to 1.0+/-1.8 mm, 1.2+/-0.9 mm, and 1.2+/-0.8 mm, respectively, with the devices. The standard deviations among the portal films were 1.1 mm, 2.1 mm, and 1.0 mm at each axis without the devices and 0.9 mm, 1.6 mm and 0.8 mm with the devices. The percentage of setup errors larger than 3 mm and 5 mm were significantly reduced by use of the immobilization devices. CONCLUSION: The designed devices improved the setup reproducibility for all three directions and significantly reduced critical setup errors.
Axis, Cervical Vertebra
;
Foot
;
Humans
;
Immobilization*
;
Knee
;
Pelvic Neoplasms
;
Prostatic Neoplasms
;
Radiotherapy*
;
Thigh
9.A case of infected abdominal aortic aneurysm associated with liver abscess treated by endovascular stent.
Sung Gwon KIM ; Dong Kyun PARK ; Yang Suh KOO ; Dong Hoon KANG ; Duck Joo CHOI ; Hyun Chul PARK ; Ju Hyun KIM ; Ji Won SON ; Ik Kyun SHIN
Korean Journal of Medicine 2001;61(2):151-155
A 72-year-old diabetic male patient with high grade fever, right upper quadrant abdominal pain and Klebsiella pneumoniae septicemia is reported. He suffered from high fever and abdominal pain in spite of aspiration of liver abscess and antibiotic treatment. A few days later, we found a palpable pulsating abdominal mass on physical examination. Computed tomography and angiography revealed infected abdominal aortic aneurysm associated with pyogenic liver abscess. He was treated by antibiotics and Endovascular stent without surgical resection. He improved without complications and has been followed-up after discharge with excellent condition. To our knowledge, this is the first case of infected abdominal aortic aneurysm as a septic metastatic lesion secondary to liver abscess.
Abdominal Pain
;
Aged
;
Aneurysm, Infected
;
Angiography
;
Anti-Bacterial Agents
;
Aortic Aneurysm, Abdominal*
;
Fever
;
Humans
;
Klebsiella pneumoniae
;
Liver Abscess*
;
Liver Abscess, Pyogenic
;
Liver*
;
Male
;
Physical Examination
;
Sepsis
;
Stents*
10.Physicians Should Provide Shared Decision-Making for Anti-TNF Therapy to Inflammatory Bowel Disease Patients.
Jae Myung CHA ; Dong Il PARK ; Sang Hyoung PARK ; Jeong Eun SHIN ; Wan Soo KIM ; Suk Kyun YANG
Journal of Korean Medical Science 2017;32(1):85-94
Shared decision-making may increase the effectiveness of inflammatory bowel disease (IBD) treatment, as different anti-tumor necrosis factor (anti-TNF) administrations may have different effects on the quality of life (QOL). Patient preference is integral to the selection of anti-TNFs and their routes of administration, however, previous studies on the patient preference to anti-TNFs are inconsistent and limited. We evaluated the predictive factors for preferences to anti-TNF administrations in IBD patients between March and August in 2015. Consecutive adult IBD patients who received care at one of four university hospitals in Korea were invited to participate in this study. Patients were administered questionnaires about their preferences regarding anti-TNF therapy and QOL. During the study period, 322 IBD patients completed the questionnaires. IBD patients preferred intravenous anti-TNFs to subcutaneous anti-TNFs (2.4:1), and 58.4% of patients preferred shared decision-making. When comparing subcutaneous anti-TNF therapy with intravenous anti-TNF therapy, patients with higher income levels, patients who experienced adverse events with prior medication and patients with a longer disease duration preferred subcutaneous anti-TNF therapy over intravenous anti-TNF therapy (P = 0.043, P = 0.000, and P = 0.029, respectively). In a logistic regression analysis, high income level (odds ratio [OR] 2.0; 95% confidence interval [CI] 1.1–3.5; P = 0.026) and an adverse event with prior medication (OR 4.0; 95% CI 2.2–7.2; P = 0.000) and were found to be independent predictors for preference to subcutaneous anti-TNF therapy. Therefore, physicians should share decision-making with their IBD patients regarding the mode of anti-TNF administration.
Adult
;
Colitis, Ulcerative
;
Crohn Disease
;
Hospitals, University
;
Humans
;
Inflammatory Bowel Diseases*
;
Korea
;
Logistic Models
;
Necrosis
;
Patient Preference
;
Quality of Life