An 8-year-old female has suffered from intense burning with redness and increased temperature of the feet and hands since 5-year-old. We observed increase of the skin temperature in relation of pain attack by the digital thermometer and the color television thermography. No specific abnormalities were noted in the laboratory studies. Treatment with various systemic and topical medication revealed of unfavorable result, but for the conservative mangement, the pain was relieved by the exposure to the cold environment-laying bare in the outdoors and the wind of the electric fan.
Burns ; Child ; Child, Preschool ; Erythromelalgia* ; Female ; Foot ; Hand ; Humans ; Skin Temperature ; Television ; Thermography ; Thermometers ; Wind

Low back pain is probable the second most common disease entity to upper respiratory infection in developedconuntry. We were missing at least 50% of the pathologic conditions by using conventional diagnostic modalities inlow back pain. They did tell us nothing or little about facet abnormalities, lateral recesses, vertebral canal andsoft tissues surrounding lumbar spines. High resolutional CT has been the biggest turning point in the diagnosisand management of low back pain. CT make a contribution to reducing the morbidity and probable the cost ofevaluating patiens with low baack pain, and to increasing diagnostic accuracy. We observed 100 cases of lumbar CTusing TCT 80A scanner for the evaluation of low back pain during the period from Apr. 1985 to Sept. 1985 atChung-Ang University Hospital. Lumbar CT scan reveals high-positive findings(98%) in low back pain patients.Common low back disorders in CT are disc bulging(53%), herniated nucleus pulposus(32%), degenerative arthritis inposterior facet joints (27%), spinal stensosis(20%) and postoperative spines(15%). Uncommon low back disorders inCT are compression fracture of verebral bodies, spondylolysis or spondylolisthesis, tropism, transitionalvertebra, Scheuerman's disease, limbic fracture, transverse process or articular process fracture, sacroiliacjoint subluxation, conjoined nerve root and meningocele.
Back Pain ; Fractures, Compression ; Humans ; Low Back Pain ; Meningocele ; Osteoarthritis ; Spine ; Spondylolisthesis ; Spondylolysis ; Tomography, X-Ray Computed ; Tropism ; Zygapophyseal Joint

BACKGROUND: Exercise is a very common precipitant of asthma. Broncho-constriction associated with exercise can occur in 75~90% of individuals with asthma. The estimated prevalence ( 30~85% ) of gastroesophageal reflux ( GER ) in patients with asthma is significantly higher than in general population. We performed pH monitoring during the exercise in order to evalute whetherexercise induced asthma EIA ( 6 men, 12 women ) were studied. Monitoring of intraesophageal pH, ECG and spirometry was done for 1 hour before treadmill exercise. After baseline monitoring, subjects underwent symptom-limited treadmill exercise with Bruce protocol and continuous monitoring for 60 min after exercise. Spirometry was done at baseline prior to exercise, and repeated every 10 min after full exercise for 60 min. RESULTS: Exercise-induced bronchoconstriction was noted in 15 patients, who performed MBPT and 12 patients confirmed for bronchial asthma and 3 patients were diagnosed exercise-induced astham. Five 15 EIA patients demonstrated a pathologic degree of GER. CONCLUSION: We suggest that GER may be one of pathophysiologic factors of ELA and evoke further concentration on the GER in the EIA patients.
Asthma ; Asthma, Exercise-Induced* ; Bronchoconstriction ; Electrocardiography ; Female ; Gastroesophageal Reflux* ; Humans ; Hydrogen-Ion Concentration ; Male ; Prevalence ; Spirometry

With rapid advancement in techniques of correcting multiple facial anomalies, surgical planning has become more sophisticated, and knowledge of the exact relationship between various areas of the head and face is now indispensible. The importance of capturing the face in proportions has been emphasized by many surgeons. The neoclassical canons are known to modern plastic surgeons, but their usage in surgical planning has been limited to the role of working guides. They are useful, however, in serving as standards. The authors measured 800 normal young Korean females, ranged from 19 to 26 in age, and 21 beauty contestants in Korea, ranged from 20 to 27 in age. Seven vertical and seven horizontal linear measurements were taken from each subject by one examiner. These measurements of normal face and attractive face are compared with each other, and followed by comparison with neoclassical canons. Attractive face of Korean female comprises shorter lower face, especially from stomion to menton, narrower bigonial distance, and longer midface than normal face. It also has wide palpebral fissure and narrow intercanthal distance. Korean female face comprises shorter and narrower lower face than neoclassical canons. We think that it is valuable to take into consideration of this modern concept of beauty when making a preoperative plan for facial plastic surgery.
Beauty ; Female* ; Head ; Humans ; Korea ; Surgery, Plastic

Teratocarcinoma is a form of mixed germ cell tumor composed of a mixture of teratoma and embryonal carcinoma. It is rarely found in the brain, but when present it is most commonly found in the pineal region. We investigated a case of primary teratocarcinoma in the pineal region. The patient was a 10 year old boy who had suffered from a bitemporal headache for one month. Brain CT and MRI revealed a rather well defined ovoid heterogenous mass in the pineal gland region, measuring 4.3 x 3.8 x 3.0 cm in size. Microscopically the tumor contained areas of immature teratoma and embryonal carcinoma. Immunohistochemical staining revealed positive reactions for cytokeratin, epithelial membrane antigen, carcinoembryonic antigen, and alpha-fetoprotein in the embryonal carcinoma component.

BACKGROUND: Extracorporeal shock wave therapy (ESWT) is one of the treatment options used for patients with myofascial pain syndrome (MPS), although its effectiveness is controversial. The purpose of this study was to evaluate the effectiveness of ESWT in the treatment of MPS in terms of pain relief and functional improvements. METHODS: We assessed 93 patients with MPS who underwent ESWT from March 2009 to July 2014. After exclusion of 25 patients with shoulder diseases, 68 patients were enrolled in the study. The mean follow-up period was 7.5 months (± 4.2 weeks), and the average duration of symptoms was 5 months (range, 2-16 months). ESWT was applied to intramuscular taut bands and referred pain areas once a week for 3 weeks. Visual analog scale (VAS) pain scores and American Shoulder and Elbow Surgeons (ASES) scores were obtained at an initial assessment and at the 6-week, 3-month, and 6-month follow-up assessments. RESULTS: VAS pain scores and ASES scores improved significantly after 3 sessions of ESWT (p<0.05). Both scores were improved, although not significantly, after 6 weeks (p>0.05). CONCLUSIONS: ESWT is an effective treatment option for patients with MPS.
Elbow ; Follow-Up Studies ; Humans ; Myofascial Pain Syndromes* ; Pain, Referred ; Shock* ; Shoulder ; Visual Analog Scale

No abstract available.
Brain* ; Neoplasm Metastasis*

No abstract available.
Zygapophyseal Joint*

No abstract available.
Endoderm* ; Endodermal Sinus Tumor*

The purpose of this study was to investigate the stress distribution of the abutment and supporting tissues according tot he slopes and types of the guiding plane of distal extension removable partial dentures. The 3-dimensional finite element method was used and the finite element models were prepared as follows. Model I : Kratochvil type guiding plane with 90degree to residual ridge Model II : Kratochvil type guiding plane with 95degree to residual ridge Model III : Kratochvil type guiding plane with 100degree to residual ridge Model IV : Krol type guiding plane with 90degree to residual ridge Distal extension partial denture which right mandibular first and second molar were lost was used and the second premolar was prepared as primary abutment with RPI type retainer. Then 150N of compressive force was applied to central fossae of the first and second molars and von Mises stress and displacement were measured. The results were as follows : 1. Model I and Model IV showed a similar stress distribution pattern and the stress was concentrated on the apex of the root of the abutment. 2. The stress was increased and concentrated on mesial side of the root of the abutment in Model II. The stress was concentrated on buccal and mesiobuccal side of the root of the abutment in Model III. 3. In Model I, the root of the abutment displaced and twisted a little in clockwise. In Model IV, the root of the abutment displaced to distolingually at apical region of the root and mesiobucally at cervical region of the root. 4. In Model II, the root of the abutment displaced to mesiolingually at apical region of the root and more displaced and twisted in counterclockwise at cervical region of the root. In Model III, the root of the abutment displaced to mesiobucally at apical region of the root and more displaced and twisted in clockwise at cervical region of the root.
Bicuspid ; Denture, Partial ; Denture, Partial, Removable* ; Molar