No abstract available.
Carbon Monoxide* ; Carbon*

Epstein's syndrome is a rare disease whish is characterized by the association of thrombocytopenia, macrothrombocytopathia, nephritis and deafness. We experienced a case of Epstein's syndrome in a 12 years old male patient who was presented with a life long history of bleeding, usually as epistaxis, bilateral sensorineural deafness and hematuria with proteinuria starting in late childhood. Hematologic studies showed thrombocytopenia with giant platelets and anemia. A bone marrow aspirate revealed the megakaryocytes to be adequate in number and many giant size platelets. Platelet do not respond to addition of A and epinephrine; collagen and ristocetin induced agglutination response is decreased. It is difficult to be certain the association of thrombocytopenia with giant platelets, nephritis and deafness constitutes a new hereditary disease with a distinct pathogenesis or if it is an expansion of the well recognized Alport's syndrome of hereditary nephritis deafness. We report a case of Epstein's syndrome syndrome with brief review of related literatures.
Agglutination ; Anemia ; Blood Platelets ; Bone Marrow ; Child ; Collagen ; Deafness ; Epinephrine ; Epistaxis ; Genetic Diseases, Inborn ; Hematuria ; Hemorrhage ; Humans ; Male ; Megakaryocytes ; Nephritis ; Nephritis, Hereditary ; Proteinuria ; Rare Diseases ; Ristocetin ; Thrombocytopenia

Minimal cleft lip has been defined as a cleft which does not extend over the vermilion. Minimal cleft lip has no specific classification and few methods for its correction. Based on our operative experience with secondary cleft lipnose deformities, we have developed principles of operation for minimal cleft lip: minimal incision, nostril and alar reconstruction, philtrum reconstruction. alignment of cupid's bow, and vermilial notching correction. Nine patients of minimal cleft lip were operated on from March 1992 to June 1998 in our department. Each partients was evaluated for lip and nose deformities presurgically: the nasal tip, columella, ala, scar, cupid's bow, lip pout and lip length. Every patients required a different technique for repair. Satisfactory results were obtained by treating the cleft following the principles.
Cicatrix ; Classification ; Cleft Lip* ; Congenital Abnormalities ; Humans ; Lip ; Nose

We studied sputum eosinophil count of patients with chronic cough. Differential count of sputum cells(simple direct smear with Wright stain) were successfully examined in 44(73%) among 60 patients with chronic cough. The patients were divided according to PC2O value; 20(45%) patients had increased airway hyper responsiveness(AHR) (PC2O < 24mg/ml), remained 24 Patients did not have any evidence of airway AHR. Age, sex, duration and severity of symptoms, serum total IgE and positive skin test reaction were not different between two groups. In patients with increased AHR, increased sputum eosinophil ratio(10%) was found in 11 patients (55%) and increased peripheral blood eosinophil ratio(>5%) was found in 66% of patients with increased AHR. In patients without increased AHR, increased sputum eosinophil ratio was found in three patients(12%) and increased peripheral blood eosinophil ratio was found in 24%. This discrepancy between two groups was statisticalla significant(p<0.01). In regarding to sputum eosinophilia, increased sputum eosinophil ratio was in 14(32%) of 44 patients with chronic cough. Eleven patients(78%) of them had increased AHR. Only nine(30%) among 30 patients without sputum eosinophilia had increased AHR. These discrepancies between two groups were statistically significant(p<0.01). To predict AHR, sputum eosinophilia has 55% of sensitivity and 88% of specificity. Significant positive correlation between peripheral blood eosinophil ratio and sputum eosinophil ratio was found in patients with cough-variant asthma (r=0.76, p<0.01), We suggest that simple direct smear for sputum eosinophil count could be an useful test to diagnose the patients with chronic cough.
Asthma ; Cough* ; Eosinophilia ; Eosinophils* ; Humans ; Immunoglobulin E ; Sensitivity and Specificity ; Skin Tests ; Sputum*

No abstract available.
Child* ; Humans ; Mycoplasma pneumoniae* ; Mycoplasma* ; Pneumonia* ; Pneumonia, Mycoplasma*

No abstract available.

No abstract available.
Hydronephrosis*

No abstract available.
Leg*

The orbital varices are rare venous malformation of the orbit. These lesions typically present in childhood or adolescence with mild to moderate proptosis that increase on crying, coughing, jugular vein compression, and Vasalva's maneuver. Barely, orbital varices are associated with venous malformations outside the orbit: the buccal mucosa(the uvula, the soft palate, and the hard palate), in the upper and lower limbs, in the side of the neck, and in the face and head. Diagnosis is made by clinical findings, simple skull X-ray, and orbital venography. Recently, orbital C-T scanning gives some beneficials in diagnosis for orbital varices. The authors experienced a case of the orbital varix with varix in the buccal mucosa. So, the brief literature of the orbital varix was reviewed.
Adolescent ; Cough ; Crying ; Diagnosis ; Exophthalmos ; Head ; Humans ; Jugular Veins ; Lower Extremity ; Mouth Mucosa* ; Neck ; Orbit* ; Palate, Soft ; Phlebography ; Skull ; Uvula ; Varicose Veins*

The orbital varices are rare venous malformation of the orbit. These lesions typically present in childhood or adolescence with mild to moderate proptosis that increase on crying, coughing, jugular vein compression, and Vasalva's maneuver. Barely, orbital varices are associated with venous malformations outside the orbit: the buccal mucosa(the uvula, the soft palate, and the hard palate), in the upper and lower limbs, in the side of the neck, and in the face and head. Diagnosis is made by clinical findings, simple skull X-ray, and orbital venography. Recently, orbital C-T scanning gives some beneficials in diagnosis for orbital varices. The authors experienced a case of the orbital varix with varix in the buccal mucosa. So, the brief literature of the orbital varix was reviewed.
Adolescent ; Cough ; Crying ; Diagnosis ; Exophthalmos ; Head ; Humans ; Jugular Veins ; Lower Extremity ; Mouth Mucosa* ; Neck ; Orbit* ; Palate, Soft ; Phlebography ; Skull ; Uvula ; Varicose Veins*