1.Stevens-Johnson Syndrome as a Side Effect of Topical Immunotherapy with Diphenylcyclopropenone.
Kyoung Pyo HAN ; Sun Young LEE ; Young Jo KIM ; Kyu Chul CHOI
Korean Journal of Dermatology 1998;36(2):326-330
Topical immunotherapy with diphenylcyclopropenone(DPCP) has been used for the treatment of alopecia areata. Due to the therapeutic principle of producing a contact eczema, itching, erythema and scaling are inevitable or even desired side effects. However, erythema multiforme-like reactions following topical DPCP treatment have been rarely reported with an estimated incidence of 1.2%. We present herein a case of Stevens-Johnson syndrome, the severe form of erythema multiforme as a side effect of topical DPCP. A 57-year old male patient visited us for the treatment of alopecia totalis. After sensitization with 0.2% DPCP in acetone, we applied DPCP on the scalp once a week for three weeks. Following the 3rd challenge of DPCP, iris-shaped lesions, erosions, vesicles, and bullae developed with fever. Also, he had vesicles and erosions in the oral cavity. The patient was treated with systemic antibiotics, steroids, and antihistamines. The cutaneous lesions were cleared with hyperpigmentation, and pronounced hair regrowth was observed.
Acetone
;
Alopecia
;
Alopecia Areata
;
Anti-Bacterial Agents
;
Dermatitis, Contact
;
Erythema
;
Erythema Multiforme
;
Fever
;
Hair
;
Histamine Antagonists
;
Humans
;
Hyperpigmentation
;
Immunotherapy*
;
Incidence
;
Male
;
Middle Aged
;
Mouth
;
Pruritus
;
Scalp
;
Steroids
;
Stevens-Johnson Syndrome*
2.A Case of Disseminated Perforating Granuloma Annulare in a Child.
Sun Young LEE ; Kyung Pyo HAN ; Kyu Chul CHOI ; Young Kyoon KIM
Annals of Dermatology 1996;8(3):223-226
Granuloma annulare is a common, benign, inflamatory, usually self-limited dermatosis. Disseminated perforating granuloma annulare is a rare variant of granuloma annulare. A 23-month-old female patient had asymptomatic, multiple umbilicated papules on the face, limbs including palms and soles, buttock and trunk for about 5 months. The new lesions have developed with mild fever or symptoms of upper respiratory infection. Histopathological examination revealed transepidermal elimination of mucinous degenerated collagen fibers and surrounding palisading lymphohistiocytic granuloma. After she was treated with prednisolone and antibiotics, the lesions slightly resolved, but thereafter, new lesions have developed frequently with mild fever. We herein reported a rare case of disseminated perforating granuloma annulare in the youngest patient yet reported.
Anti-Bacterial Agents
;
Buttocks
;
Child*
;
Collagen
;
Extremities
;
Female
;
Fever
;
Granuloma Annulare*
;
Granuloma*
;
Humans
;
Infant
;
Mucins
;
Prednisolone
;
Skin Diseases
3.Drug resistance of mycobacterium tuberculosis in Korea.
Sang Jae KIM ; Young Pyo HONG ; Yong Chul HAN ; Sung Jin KIM
Tuberculosis and Respiratory Diseases 1991;38(2):99-107
No abstract available.
Drug Resistance*
;
Korea*
;
Mycobacterium tuberculosis*
;
Mycobacterium*
4.Clinical Analysis of Cranial Nerve Injuries in Craniocerebral Trauma.
Jang Soo YOO ; Young Pyo HAN ; Hun Joo KIM ; Soon Ki HONG ; Chul HU
Journal of Korean Neurosurgical Society 1991;20(1-3):20-27
The clinical analysis of cranial nerve injuries was performed on 435 cases with cranoicrerbral trauma. This prospective study included the correlation between cranial nerve injuries and risk factors such as intracranial hematoma, initial Glasgow Coma Scale(GCS) score, pneumocephalus, and other combined injuries. The results were revealed as follows : 1) 133 cranial nerve injuries(on 97 patients) were noted among 435 craniocerebral trauma victims(97/435=22.2%). 2) The order of frequent cranial nerve injuries was facial nerve(7.3%), olfactory nerve(6.9%), oculomotor nerve(4.4%), abducens nerve(3.9%), optic nerve(3.2%), etc. 3) Bilateral involvment of cranial nerve injuries was noted in 16.5%(22/133). 4) The incidence of immediate onset of cranial nerve injuries was 66.9%(89/133). 5) The incidence of cranial nerve injuries was significantly high in patients with pneumocephalus and low initial GCS score. 6) The functional recovery of injured cranial nerve within 3 months was noted in 30.1%(40/133).
Coma
;
Cranial Nerve Injuries*
;
Cranial Nerves*
;
Craniocerebral Trauma*
;
Hematoma
;
Humans
;
Incidence
;
Pneumocephalus
;
Prospective Studies
;
Risk Factors
5.A Case of Delayed Intracerebellar Hematoma after Head Injury.
Sahng Hyun KIM ; Kum WHANG ; Jin Soo PYEN ; Chul HU ; Soon Ki HONG ; Young Pyo HAN
Journal of Korean Neurosurgical Society 2000;29(3):407-410
No abstract available.
Craniocerebral Trauma*
;
Head*
;
Hematoma*
6.A Case of Cardiac Tamponade in Chronic Renal Failure Patient Receiving Minoxidil.
Sang Wook KIM ; Sang Youb HAN ; Dong Kyu JIN ; Young Joo KWON ; Heui Jung PYO
Korean Journal of Nephrology 1998;17(5):823-826
Minoxidil is a potent direct-acting peripheral vasodilator indicated in the management of severe or refractory hypertension. Well-known adverse effects include reflex tachycardia, fluid retention and hypertrichosis. This drug has also been reported to cause pericardial effusion in about three percent of nondialyzed patients with compromised renal function and to cause cardiac tamponade less frequently. Many studies have reported that the mean duration of therapy that caused pericardial effusion was about 8 months (range 1 month-53 months). We report a case of cardiac tamponade in nondialyzed patient with chronic renal failure receiving minoxidil for 10 years. A 58-year-old female was admitted to our hospital with dyspnea of NYHA III. She was a chronic renal failure patient without dialysis treatment and received kidney transplantation from cadaver donor and was dignosed chronic rejection in 1994. Minoxidil 10mg has been used for past 10 years. Lasix has been used for past 2 years, with dosage of 40mg to 240mg. On admission, blood pressure was 90/60mm Hg. Cardiomegaly was seen on chest radiograph. The two-dimensional echocardiogram showed a large amount of pericardial effusion. Emergency treatment with pericardiocentesis removed 2500ml of straw- colored pericardial fluid and resulted in marked improvement of dyspnea and stabilized blood pressure. The minoxidil was discontinued. The evidence of pericardial effusion was not seen for 12 months after minoxidil had been discontinued.
Blood Pressure
;
Cadaver
;
Cardiac Tamponade*
;
Cardiomegaly
;
Dialysis
;
Dyspnea
;
Emergency Treatment
;
Female
;
Furosemide
;
Humans
;
Hypertension
;
Hypertrichosis
;
Kidney Failure, Chronic*
;
Kidney Transplantation
;
Middle Aged
;
Minoxidil*
;
Pericardial Effusion
;
Pericardiocentesis
;
Radiography, Thoracic
;
Reflex
;
Tachycardia
;
Tissue Donors
7.Multiple Arterial Aneurysms and Thrombosis in Behcet's Disease.
Pyo Jin SHIN ; Jang Young KIM ; Seung Hwan LEE ; Jung Han YOON
Korean Circulation Journal 1998;28(8):1420-1420
Behcet's disease is characterized by recurrent orogenital ulcers and ocular and cutaneous inflammatory lesions. Cardiovascular involvement, which may be artrial or venous, is rare but carries a particularly poor prognosis. One of the known vascular complications of Behcet's disease is aneurysm formation or venous thrombosis. We recently experienced a Behect's disease with multiple arterial aneurysms and thrombosis and report this case with review of literatures.
Aneurysm*
;
Prognosis
;
Thrombosis*
;
Ulcer
;
Vasculitis
;
Venous Thrombosis
8.The Effect of PLCgamma1 Pleckstrin Homology Domain on Il - 6 - induced B Cell Response.
Kwang Ho PYUN ; In Pyo CHOI ; Mi Young HAN ; Sun Young YOON ; Hyun Keun SONG ; Hyeon Yong LEE
Korean Journal of Immunology 1997;19(4):525-532
The pleckstrin homology (PH) domain is a protein module of approximately 100 amino acids, that has been found in signaling molecules, including serinelthreonine kinase, GTPase-activating protein, phospholipase, and some cytoskeletal proteins. Although the specific function of PH domain has not been defined yet, it is believed that this domain is involved in the regulation of signal transduction pathway. The expression plasmids of human PLCg PH domains were constructed to see the roles of them in IL-6 signal transduction. When these expression plasmids are transfected into B9 cells, only N-terminal of PH domain inhibited IL-6-induced B9 cell proliferation. These results suggest that N-terminal of PH domain is critical for IL-6 signal transduction in B9 cells. To search the binding proteins associated PH domains of PLCy1 in B9 cells, Glutathione S-trnaferase (GST) fusion proteins containg PH domains were expressed in E. coli. Then, IL-6-dependent B9 cells were treated with 10 unit/ml IL-6 and the cell lysates were immunoprecipited with GST-PH doman fusion proteins. In vitro kinase assay of immune complex demonstrated that p38 (38 KDa) protein was coprecipitated with NC fusion protein, but IL-6 had no additional effect on it. When S-methaionine labelled cell lysates were used for immunoprecipitation, the same result was observed, conforming the association of p38 with NC motive of PH domain.
Amino Acids
;
Antigen-Antibody Complex
;
Carrier Proteins
;
Cell Proliferation
;
Cytoskeletal Proteins
;
Glutathione
;
GTPase-Activating Proteins
;
Humans
;
Hydrogen-Ion Concentration
;
Immunoprecipitation
;
Interleukin-6
;
Phospholipases
;
Phosphotransferases
;
Plasmids
;
Signal Transduction
9.The Mechanisms of Resistance to TNF in TNF-Sensitive Cancer Cells Transfected with TNF-alpha Gene Using Retroviral Vector.
Hyuk Pyo LEE ; Yeon Mok OH ; Chul Gyu YOO ; Young Whan KIM ; Young Soo SHIM ; Sung Koo HAN
Tuberculosis and Respiratory Diseases 1997;44(3):547-558
BACKGROUND: Tumor necrosis factor(TNF) has been considered as an important candidate for cancer gene therapy based on it9 potent anti-tumor activity. However, since the efficiency of current techniques of gene transfer is not satisfactory, the majorities of current protocols is aiming the in vitro gene transfer to cancer cells and re-introducing genetically modified cancer cells to host In previous study, it was shown that TNF-sensitive cancer cells transfected with TNF-α CDNA would become highly resistant to TNF. Understanding the mechanisms of TNF-resistance in TNF-α gene transfected cancer cells would be an important step for improving the efficacy of cancer gene therapy as we]1 as for better understandings of tumor biology. This study was designed to evaluate the role of new protective protein synthesis in the acquired resistance to TNF of TNF-α gene transfected cancer cells. METHOD: We transfected TNF-α c-DNA to WEHI l64, a murine fibrosarcoma cell line, using retroviral vector (pLT12SN(TNF)) and confirm the expression of TNF with PCRf ELISA, MTT assay. Then we determined the TNF resistance of TNF gene transfected cells(WEHI 164-TNF) and the changes of TNF sensitivities after treatments with actinomycin D(transcription inhibitor) and cycloheximide(translation inhibitor). RESULTS: WEHI 164 which was sensitive to TNF became resistant to TNF after being trsnsfected with TNF-α gene and the resistance to TNF was partially reversed after treatment with actinomycin D, but not with cycloheximide. CONCLUSION: The acquired resistance to TNF after TNF-α gene transfection may be associated with synthesis of some protective proteins.
Biology
;
Cell Line
;
Cycloheximide
;
Dactinomycin
;
DNA, Complementary
;
Enzyme-Linked Immunosorbent Assay
;
Fibrosarcoma
;
Genes, Neoplasm
;
Necrosis
;
Transfection
;
Tumor Necrosis Factor-alpha*
;
Zidovudine*
10.Clinical Observation on Ruptured Aortic Sinus of Valsalva.
Kyung Pyo HONG ; Myung Mook LEE ; Yun Shik CHOI ; Jeongdon SEO ; Young Woo LEE ; Yung Kyoon LEE ; Man Chung HAN
Korean Circulation Journal 1980;10(1):57-63
A Clinical observation was made on five patients with ruptured aortic sinus of Valsalva who visited Seoul National university hospital during the period of May, 1975~Jan., 1980. 1. Age distribution was from 19 to 32 years and four patients were male and the rest one case was female. 2. Chief complaints on admission were dyspnea in 3 cases and chest pain in 2 cases. Onset of symptoms was abrupt in 4 cases. 3. Continuous murmur was heard at third and fourth intercostal space along left sternal border with thrill in all cases. 4. Cardiac catheterization and aortography showed regurgitant flow from aorta to right ventricle in all cases. 5. Operation was done successfully in 3 cases, of which aortic insufficiency was persistent in one case.
Age Distribution
;
Aorta
;
Aortography
;
Cardiac Catheterization
;
Cardiac Catheters
;
Chest Pain
;
Dyspnea
;
Female
;
Heart Ventricles
;
Humans
;
Male
;
Seoul
;
Sinus of Valsalva*