1.A Case of Acute Lymphocytic Leukemia with Both Renal Enlargement.
Bok Hee OH ; Young Hoon SOUNG ; On Koo CHO ; Woo Gill LEE
Journal of the Korean Pediatric Society 1983;26(11):1149-1153
No abstract available.
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
2.Presacral Abscess with Bilateral Sciatica in a Patient with Crohn's Disease.
Won Chul KIM ; Sang Woo KIM ; Byoung Soung GO ; Sung Jin MOON ; Soung Hoon CHO ; Chul Hyun LIM ; Kyu Young CHOI ; In Sik CHUNG ; Won Kyung KANG
Intestinal Research 2012;10(2):196-200
Crohn's disease can cause intestinal strictures, perforations, fistulas, or abscesses. Although fistulas and abscesses are common complications of Crohn's disease, a presacral abscess with neuromuscular complications is very unusual. A delayed diagnosis and treatment may increase morbidity. The diagnosis is frequently delayed, because the clinical features of presacral abscess are variable and nonspecific. We experienced a case of a presacral abscess with bilateral sciatica in a 25-year-old male patient. He was diagnosed with Crohn's disease of the terminal ileum 2 months previously and has been managed with mesalazine. He visited our hospital due to pain in the buttocks and severe neuralgia in both thighs. We confirmed enteric fistulas, resulting in a presacral abscess, which extended symmetrically through both sciatic notches and the gluteus medius muscles. He was managed with antibiotics after a small bowel segmentectomy, right hemicolectomy, fistulectomy, and surgical drainage. The bilateral radicular pain resolved completely within 2 weeks of surgery. The patient has remained in remission and asymptomatic 1 year after surgery.
Abscess
;
Adult
;
Anti-Bacterial Agents
;
Buttocks
;
Constriction, Pathologic
;
Crohn Disease
;
Delayed Diagnosis
;
Drainage
;
Fistula
;
Humans
;
Ileum
;
Male
;
Mastectomy, Segmental
;
Mesalamine
;
Muscles
;
Neuralgia
;
Sciatica
;
Thigh
3.Early diagnosis of jaw osteomyelitis by easy digitalized panoramic analysis
Moo Soung PARK ; Mi Young EO ; Hoon MYOUNG ; Soung Min KIM ; Jong Ho LEE
Maxillofacial Plastic and Reconstructive Surgery 2019;41(1):6-
BACKGROUND: Osteomyelitis is an intraosseous inflammatory disease characterized by progressive inflammatory osteoclasia and ossification. The use of quantitative analysis to assist interpretation of osteomyelitis is increasingly being considered. The objective of this study was to perform early diagnosis of osteomyelitis on digital panoramic radiographs using basic functions provided by picture archiving and communication system (PACS), a program used to show radiographic images. METHODS: This study targeted a total of 95 patients whose symptoms were confirmed as osteomyelitis under clinical, radiologic, pathological diagnosis over 11 years from 2008 to 2017. Five categorized patients were osteoradionecrosis, bisphosphonate-related osteonecrosis of jaw (BRONJ, suppurative and sclerosing type), and bacterial osteomyelitis (suppurative and sclerosing type), and the control group was 117 randomly sampled. The photographic density in a certain area of the digital panoramic radiograph was determined and compared using the “measure area rectangle,” one of the basic PACS functions in INFINITT PACS® (INFINITT Healthcare, Seoul, South Korea). A conditional inference tree, one type of decision making tree, was generated with the program R for statistical analysis with SPSS®. RESULTS: In the conditional inference tree generated from the obtained data, cases where the difference in average value exceeded 54.49 and the difference in minimum value was less than 54.49 and greater than 12.81 and the difference in minimum value exceeded 39 were considered suspicious of osteomyelitis. From these results, the disease could be correctly classified with a probability of 88.1%. There was no difference in photographic density value of BRONJ and bacterial osteomyelitis; therefore, it was not possible to classify BRONJ and bacterial osteomyelitis by quantitative analysis of panoramic radiographs based on existing research. CONCLUSIONS: This study demonstrates that it is feasible to measure photographic density using a basic function in PACS and apply the data to assist in the diagnosis of osteomyelitis. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40902-019-0188-2) contains supplementary material, which is available to authorized users.
Decision Making
;
Delivery of Health Care
;
Diagnosis
;
Early Diagnosis
;
Humans
;
Jaw
;
Osteomyelitis
;
Osteonecrosis
;
Osteoradionecrosis
;
Seoul
;
Trees
4.Percutaneous Treatment of Renal Cysts with OK-432 Sclerosis.
Young Deuk CHOI ; Soung Yong CHO ; Kang Su CHO ; Dong Hoon LEE ; Seung Hwan LEE
Yonsei Medical Journal 2007;48(2):270-273
PURPOSE: The aim of this study was to demonstrate OK- 432 sclerotherapy efficacy for treatment of simple renal cysts. MATERIALS AND METHODS: Twenty patients with 25 symptomatic or large simple cysts were treated by ultrasonography (US)-guided percutaneous aspiration and injection of OK-432 (8 men and 12 women, mean age 63.6 years, SD 9.5). Six patients presented with flank pain, 14 presented with renal mass; renal cyst location was right, left, or bilateral sided in 9, 8, and 8 kidneys, respectively. Patients were evaluated by clinical assessment, US, or CT scan 3 months following the procedure. Complete and partial success was defined as symptom resolution with either total cyst ablation or greater than 70% reduction, respectively. Failure was defined as 30% of cyst size recurrence and/or persistent symptoms. RESULTS: Average reduction was 93.0%. Complete and partial resolution occurred in 11 (44.0%) and 13 (52.0%) cysts, respectively. One case was defined as failure, with a 64.2% size reduction from 10.9cm to 3.9cm (volume reduction rate 95.4%). Renal pain improved in all patients, regardless of complete or partial resolution. Minor complications occurred in 3 patients, 2 developed leukocytosis and 1 had mild fever (< 38.5 degrees C) following aspiration and sclerotherapy. Successful treatment was achieved with conservative measures and NSAID therapy. CONCLUSION: Percutaneous treatment of simple renal cysts with OK-432 sclerotherapy was found to be a safe, effective and minimally invasive procedure.
Treatment Outcome
;
*Sclerotherapy/adverse effects
;
Picibanil/*therapeutic use
;
Middle Aged
;
Male
;
Kidney Diseases, Cystic/pathology/*therapy
;
Humans
;
Functional Laterality
;
Female
;
Aged
;
Adult
5.The Effect of Extracorporeal Shock Wave Therapy for Calcific Tendinitis of the Shoulder.
Yun Tae LEE ; Jun Young PARK ; Sa Hyun SOUNG ; Sang Hoon PARK
The Korean Journal of Sports Medicine 2015;33(1):1-5
To evaluate the functional and radiologic outcomes of extracorporeal shock wave therapy (ESWT) in shoulders with chronic calcific tendinitis. We report a retrospective study to compare the outcome after ESWT (group l, 15 cases) with the effect of medication treatment (group 2, 15 cases) in patients with chronic calcific tendinitis. Patients were aged 42 to 58 years, mean of 48 years and treated with extracorporeal shock waves or medication from September 2012 to May 2014. The ESWT was performed six cycles of shock waves, weekly treatment for the three cycles and the rest cycles after 2 weeks of pause. In the same period, there were 12 women and 3 men treated with medication treatment for calcific tendinitis. The clinical outcomes were evaluated according to Constant and Murley score and pain visual analogue scale. Radiologic evaluation was performed to confirm disintegration of calcific deposits 3 months and 6 months after treatment. Clinical outcomes were significantly improved in ESWT group, and there was significant difference between ESWT group and medication group. In radiographic evaluation, the calcific deposit was significantly decreased in ESWT group. ESWT therapy is more effective to achieve functional improvement and to alleviate pain in the patients with calcific tendinitis of the shoulder.
Female
;
Humans
;
Male
;
Retrospective Studies
;
Shock*
;
Shoulder*
;
Tendinopathy*
6.Brucella Endocarditis with Splenic Abscess: A Report of the First Case Diagnosed in Korea.
Sang Hyun PARK ; Young Sill CHOI ; Yu Jeong CHOI ; Soung Hoon CHO ; Hee Jung YOON
Yonsei Medical Journal 2009;50(1):142-146
Human brucellosis has a broad spectrum of clinical manifestations, which includes endocarditis, a focal complication that is uncommon yet responsible for the majority of associated deaths. The most successful treatment outcomes of Brucella endocarditis have been reported with usage of both antimicrobial agents and surgery. However, there are few reports on the treatment of Brucella endocarditis using antibiotics only. We report the first case in Korea of Brucella endocarditis with aortic valve vegetations and an accompanying splenic abscess, which were treated successfully with antibiotic therapy alone.
Abscess/*microbiology
;
Animals
;
Aortic Valve/microbiology
;
*Brucella abortus
;
Brucellosis/*diagnosis
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Cattle
;
Dairying
;
Endocarditis/*microbiology
;
Humans
;
Korea
;
Male
;
Middle Aged
;
Occupational Diseases/*microbiology
;
Spleen/microbiology
;
Zoonoses
7.Factors Associated with the Use of Pap Test in a Rural Area.
Kun Sei LEE ; Hye Won KOO ; Won Jin LEE ; Soung Hoon CHANG ; Keun Young YOO
Korean Journal of Preventive Medicine 1999;32(2):147-154
OBJECTIVES: To construct basic data to develop strategies for achieving higher Pap test coverage rate by evaluating factors associated with the use of Pap test through population-based survey. METHODS: 16.4%(671) of the 4,090 women, who were eligible population for this study, in 3 Myens of Chung-ju City participated in this study voluntarily from July 21 to 26, 1997. After basic physical examination by trained doctors, they were interviewed with structured questionnaire by well-educated interviewers. RESULTS: It shows that only 54.3% of study participants experienced Pap test. The strongest factor which is related with the use of Pap test was the history of having breast screening tests(aOR=8.71, 95% CI=4.25-17.84). Probability of ever having Pap test was also higher in married women(aOR of single=0.46, 95% CI=0.29-0.72), younger(Ptrend<0.05), more educated (Ptrend<0.001), non-smoker (aOR of smoker=0.26, 95% CI=0.12-0.55), women of ever having hepatitis test(aOR=2.60, 95% CI=1.73-3.88) in multiple linear logistic analysis. CONCLUSIONS: This study suggests that several factors significantly associated with the use of Pap test, and especially, high-risk population for cervical cancer such as women of older ages, less educated, living alone are less likely to have the Pap test. We should concentrate on encouraging high-risk women in the use of Pap test to improve Pap test coverage rate.
Breast
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Chungcheongbuk-do
;
Female
;
Hepatitis
;
Humans
;
Mass Screening
;
Physical Examination
;
Surveys and Questionnaires
;
Uterine Cervical Neoplasms
8.Treatment Duration and Cost of Work-related Low Back Pain in Korea.
Hyeong Su KIM ; Jae Wook CHOI ; Soung Hoon CHANG ; Kun Sei LEE ; Ji Young OH
Journal of Korean Medical Science 2005;20(1):127-131
The purpose of this study is to present the information on the duration of treatment and the cost of work-related low back pain. Using the compensation-database for 1997 work-related low back pain (n=9,277), this study estimated the duration of treatment, the cost of work-related low back pain, the relationship between them, and probability of being off treatment at different intervals. The mean and the median of the treatment duration are 252.6 days and 175 days. The mean and the median of the cost of total insurance benefit are 37,700,000 won and 14,400,000 won. The treatment duration of 51% of the study subjects was less than 6 months and their cost accounted for 10.2% of the total insurance benefit. The subjects who were treated more than 24 months were 5.8% but it accounted for 29.2% of the cost. It was found that approximately 50% of the subjects who will remain on treatment at the end of n months would be off treatment at the end of n+5 months. This study presents the point in time when the low back pain (LBP) workers need to prepare to return to work by forecasting their off-treatment period. From the treat duration and cost perspectives, this study may be utilized as evidence for active management of work-related LBP.
Absenteeism
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Back Injuries/*therapy
;
Bayes Theorem
;
*Cost of Illness
;
Costs and Cost Analysis
;
Disability Evaluation
;
Humans
;
Insurance, Health
;
Korea
;
Low Back Pain/*therapy
;
Sick Leave
;
Time Factors
;
Work
;
Workers' Compensation
9.Use of Epinephrine Infusion During CT Hepatic Arteriography (Pharmaco-CTHA):Clinical Application in Patients with Hepatocellular Carcinoma.
Soung Hee KIM ; Soon Joo CHA ; Jung Hee YOON ; Young Hwan KIM ; Yong Hoon KIM ; Ghan HUR
Journal of the Korean Radiological Society 1999;41(5):929-935
PURPOSE: To evaluate the usefulness of epinephrine infusion (Pharmaco-CTHA) prior to liver to liver spiral CT during hepatic arteriography in patients with hepatocellular carcinoma. MATERIALS AND METHODS: Twenty-two patients in whom hepatocellular carcinoma had been diagnosed underwent three types of liver spiral CT during hepatic arteriography. In the first method, spiral CT scanning was started 5 seconds after injecting 8cc of contrast media at a rate of 0.3cc/sec. In the second, 10 microgram of epinephrine was slowly injected for 1 minute via the catheter and subsequent spiral CT scanning began 11 seconds after injecting 8cc of contrast media at a rate of 0.3cc/sec. In the third method, spiral CT scanning was started 5 seconds after injecting 25cc of contrast media at a rate of 1cc/sec. The following were evaluated and compared with the results of follow-up lipiodol CT: 1) the incidence of false positive lesions; 2) the incidence of false negative lesions; 3) portal enhancement; and 4) lesion conspicuity. RESULTS: Follow-up lipiodol CT of 22 patients showed 16 masses. In 12 patients there was no lipiodol uptake, and in five, four and one patient(s), uptake occurred once, twice, and three times, respectively. With method 1there were nine false-positive lesions, with method 2 there were 13, and with method 3, there were 49. The use of method 2(Pharmaco-CTNA) led to less false-positives than did method 3 (conventional CTHA)(p=0.000). Method 1 showed the lowest false positive rate (nine lesions), but its false-negative rate was two and four times higher than with method 2 (four lesions) and with method 3 (two lesions), respectively. Portal enhancement was observed four times using method 3 and once with method 1, but was absent with method 2. As regards the conspicuity of 16 masses, "good" and "excellent" lesions were seen four times with method 1(25%), ten times with method 2 (62.5%) and thirteen times with method 3 (81.3%). CONCLUSION: The infusion of epinephrine (Pharmaco-CTHA) prior to spiral CT during hepatic arteriography has the advantage of reducing the amount of contrast media required as well as the number of cases which are false positive and show no portal enhancement.
Angiography*
;
Carcinoma, Hepatocellular*
;
Catheters
;
Contrast Media
;
Epinephrine*
;
Ethiodized Oil
;
Follow-Up Studies
;
Humans
;
Incidence
;
Liver
;
Tomography, Spiral Computed
10.Cigarette Smoking, Alcohol Consumption, Tuberculosis and Risk of Lung Cancer: The Korean Multi-center Cancer Cohort Study.
Jisuk BAE ; Jin GWACK ; Sue Kyung PARK ; Hai Rim SHIN ; Soung Hoon CHANG ; Keun Young YOO
Journal of Preventive Medicine and Public Health 2007;40(4):321-328
OBJECTIVES: The aim of this study was to evaluate the roles of cigarette smoking, alcohol consumption, tuberculosis, and their interactions in the risk of lung cancer in a Korean cohort. METHODS: The study subjects comprised 13,150 males and females aged above 20 years old. During the follow up period from 1993 to 2002, 79 lung cancer cases were identified by the central cancer registry and the national death certificate database. Information on cigarette smoking, alcohol consumption and the history of physiciandiagnosed tuberculosis was obtained by interview. Indirect chest X-ray findings were also evaluated to ascertain tuberculosis cases. Cox proportional hazard models were used to estimate relative risks (RR) and 95% confidence intervals (CI) after adjusting for age and gender. RESULTS: Cigarette smoking was statistically significantly associated with an increased risk of lung cancer [for current smokers, RR = 2.33 (95% CI = 1.23 - 4.42) compared to non-smokers]. After further adjustment for cigarette smoking, both alcohol consumption and tuberculosis showed no statistically significant association with the risk of lung cancer [for current drinkers, RR = 0.80 (95% CI = 0.48 - 1.33) compared to non-drinkers] [for tuberculosis cases, RR = 1.17 (95% CI = 0.58 - 2.36) compared to noncases]. There was no statistically significant interaction between cigarette smoking and alcohol consumption (pinteraction = 0.38), or cigarette smoking and tuberculosis (p-interaction = 0.74). CONCLUSIONS: Although cigarette smoking was confirmed as a risk factor of lung cancer in this cohort study, this study suggests that alcohol consumption and tuberculosis may not be associated with the risk of lung cancer.
Adult
;
Aged
;
Alcohol Drinking/*adverse effects
;
Cohort Studies
;
Educational Status
;
Female
;
Humans
;
Korea/epidemiology
;
Lung Neoplasms/epidemiology/*etiology
;
Male
;
Middle Aged
;
Proportional Hazards Models
;
Smoking/*adverse effects
;
Tuberculosis, Pulmonary/*complications