1.A Case of Faun Tail associated with Tethered Cord Syndrome.
Hana BAK ; Joo Young KIM ; Yae Lee CHUNG ; Soo Chan KIM
Korean Journal of Dermatology 2004;42(6):781-783
Tethered cord syndrome is a kind of spinal dysraphism with low-lying conus frequently associated with intraspinal lipoma, diastematomelia or fibrous band. The clinical manifestations varies from long periods of no overt symptoms to back pain, scoliosis, progressive neurological deficit of legs and incontinence. Therefore the diagnosis requires a strong clinical suspicion and aggressive investigation. It shows various cutaneous manifestations including hyperpigmentation, skin dimple, dermal sinus or hypertrichosis. This 34-year-old female patient has had a lozenge shaped hair tuft with terminal hair on the lumbosacral area since her birth. Her MRI scan showed dermal sinus and a low-lying conus at the lower border of L5. The filum terminale was also thickened. These findings are compatible for tethered cord syndrome.
Adult
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Back Pain
;
Cauda Equina
;
Conus Snail
;
Diagnosis
;
Female
;
Hair
;
Humans
;
Hyperpigmentation
;
Hypertrichosis
;
Leg
;
Lipoma
;
Magnetic Resonance Imaging
;
Neural Tube Defects*
;
Parturition
;
Scoliosis
;
Skin
;
Spina Bifida Occulta
;
Spinal Dysraphism
2.A case of hemolytic disease of the newborn due to anti-C.
Tae Woo KIM ; Young Soo BAK ; Sung Gi PRK ; Chang Yeun LEE ; Woong Heum KIM ; Woo Taek KIM ; Gyoung Yim HA ; Young Chul OH
Korean Journal of Blood Transfusion 1993;4(1):109-115
No abstract available.
Humans
;
Infant, Newborn*
3.Clinical Experiences in the Treatment of Far Lateral Lumbar Disc Herni.
Jae Seok NHO ; Hwan Young CHUNG ; Uhn LEE ; Dong Soo KANG ; Young Bo KIM ; Koang Hum BAK
Journal of Korean Neurosurgical Society 1995;24(11):1385-1391
The authors present 12 cases of far lateral disc herniation(FLDH) diagnosed and treated in our institution from march, 1992 to February, 1994. In the author's series the incidence of far lateral disc herniation was 5% of all lumbar disc herniations. The average age of the patients was 4 years and there were 7 men and 5 women. The L4-5 intervertebral disc level was the most commonly involved level. All patients initially presented with symptoms of radiculopathy. Cases with double herniations at the same level and on the same side seemed to have the most potential source of misdiagnosis and mismanagement, and a careful surgical consideration was needed for such cases. In 4 cases, a combined intraspinal and extraforaminal approach was performed with preservation of facet joints and in 2 cases, paramedian muscle splitting approach was performed. Chemonucleolysis and the usual partial hemilaminectomy were undertaken in 5 cases and in 1 case, respectively. The combined approaches proved to be an effective means of treatment for cases with double herniations, but misdiagnosis of such lesion can lead to an inappropriate and an ineffective treatment and poor surgical results. Furthermore, in the diagnosis of far lateral disc herniation, differentiation must be made from symptoms of conjoined nerve root and congested epidural vein.
Diagnosis
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Diagnostic Errors
;
Estrogens, Conjugated (USP)
;
Female
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Humans
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Incidence
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Intervertebral Disc
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Intervertebral Disc Chemolysis
;
Male
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Radiculopathy
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Veins
;
Zygapophyseal Joint
4.The Changes of Serum Soluble Intercellular Adhesion Molecule-1(ICAM-1) According to the Clinical Course of Graves' Disease Treated with Antithyroid Drug
Jin Hong LEE ; Jae Kyu SHIN ; So Young BAK ; Bong Soo AN ; Bon Jeong KU ; Mee Ae AHN ; Jun Sik JEON ; Young Kun KIM ; Heung Kyu RO
Journal of Korean Society of Endocrinology 1996;11(3):293-301
Background: TSH binding inhibiting imunoglobulins(TBII) are autoimmune antibody causing autoimmune thyroid diseases such as Graves disease or Hashimoto's thyroiditis, while intercellular adhesion molecule-1(ICAM-1) is known as a substance expressed at the site of autoimmune reaction in relation with lymphocyte infiltration. The serum TBII activity is used as an index of the disease course and prognosis of Graves disease treated with antithyroid drugs, propylthiouracil or methimazole. The aim of this study is to understand the change of serum ICAM-1 level according to the change of the degree of autoimmunity and clinical course of Graves disease. Methods: In order to study the change of soluble ICAM-1 and relationship to the immune mechanism of Graves' disease, we measured serum levels of TBII and ICAM-1 in patients(n 35) with Graves disease before and after treatment with antithyroid drugs and in relapsed patients using a highly sensitive ELISA method. Results: The serum levels of TBII and ICAM-1 were markedly elevated in patients with Graves disease before treatment than normal controls and there were good correlation between TBII and ICAM-1 level. In patients with normalized TBII levels after 22 months antithyroid drug treatment, the ICAM-1 levels became normal but in the patients with high serum TBII level showed high serum level of ICAM-1 even with clinical remission with same treatment. The serum levels of TBII and ICAM-1 in relapsed patients were elevated as those of patients before treatment. Conclusion: With the above results, we can conclude that not only the TBII level but seru ICAM-1 level also reflect the degree of autoimmune activity of Graves disease and may be used as an index of the disease course and prognosis of Graves disease treated with antithyroid drugs.
Antithyroid Agents
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Autoimmunity
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Enzyme-Linked Immunosorbent Assay
;
Graves Disease
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Humans
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Intercellular Adhesion Molecule-1
;
Lymphocytes
;
Methimazole
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Methods
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Prognosis
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Propylthiouracil
;
Thyroid Diseases
;
Thyroid Gland
;
Thyroiditis
5.Two Cases of Primary Sclerosing Cholangitis.
Chang Hong LEE ; Jae Seon KIM ; Young Tae BAK ; Jin Ho KIM ; Jong Guk KIM ; Kwan Soo BYUN ; Jong Eun YEON ; Kyoung Min KIM ; Ie Byung PARK
Korean Journal of Gastrointestinal Endoscopy 1995;15(4):788-795
Prirnary sclerosing cholangitis, a chronic progressive cholestatic hepatobiliary disorder of unknown etiology, is characterized by inflammation, scarring and obliteration of bile duct leading to biliary cirrhosis and liver failure. Because histologic finding has only a limited role in the diagnosis, the gold standard for establishing the diagnosis is cholangiographic demonstration of typical diffuse biliary stricutre or beading. The natural history is extremely variable. We report two cases of primary sclerosing cholangitis diagnosed by repeated endoscopic retrograde cholangiographies. They were followed up for 7 and 2 years, respectively.
Bile Ducts
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Cholangiography
;
Cholangitis, Sclerosing*
;
Cicatrix
;
Diagnosis
;
Inflammation
;
Liver Cirrhosis, Biliary
;
Liver Failure
;
Natural History
6.Post-augmentation Burst Fracture at the Same Fractured Vertebra.
Jaewoo CHUNG ; Hyoung Joon CHUN ; Hyeong Joong YI ; Koang Hum BAK ; Young Soo KIM ; Yong KO
Korean Journal of Spine 2010;7(1):37-40
A 56-year-old woman was admitted for management of low back pain from compression fracture on L3 vertebral body. Vertebroplasty was performed, and she discharged without any neurologic deficit. She revisited our institute with low back pain with sciatica but without myelopathy after three months. At admission image studies revealed fractured bony particles caused canal encroachment on the same level vertebrae. Surgical management was perfor- med including wide posterior decompression and transpedicular screw fixation on L2, L3, and L4 with posterolateral bony fusion. Authors present a rare case of post-augmentation fracture led to spinal fusion. Additionally, we suggest that filling material for vertebroplasty or kyphoplasty should be, as much as possible, inserted into the posterior half of vertebral body to prevent the refracture or burst fracture.
Decompression
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Female
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Fractures, Compression
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Humans
;
Kyphoplasty
;
Low Back Pain
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Middle Aged
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Neurologic Manifestations
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Sciatica
;
Spinal Cord Diseases
;
Spinal Fusion
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Spine
;
Vertebroplasty
7.Cutaneous Cholesterol Embolism.
Hannah HONG ; Sung Yul LEE ; Soo Young JEON ; Hana BAK ; Sung Ku AHN
Korean Journal of Dermatology 2011;49(8):762-764
A cholesterol embolism is a systemic disease resulting from the occlusion of arteries by cholesterol crystals released from atheromatous plaques. It has been associated with inflammation, sheering forces from blood flow due to hypertension, aneurysm formation, infection, mechanical manipulation during surgery or vascular procedures, and anticoagulation. We report a case of a cutaneous cholesterol embolism in a 66-year old man who had purpuric skin lesions on both feet associated with diabetes mellitus, hypertension, and anticoagulation for a cerebral infarction.
Aneurysm
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Arteries
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Cerebral Infarction
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Cholesterol
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Diabetes Mellitus
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Embolism, Cholesterol
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Foot
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Hypertension
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Inflammation
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Plaque, Atherosclerotic
;
Skin
8.A Case of Adult-onset Lichen Striatus.
Seung Phil HONG ; Min Jeong KIM ; Soo Young JEON ; Hana BAK ; Sung Ku AHN
Korean Journal of Dermatology 2007;45(6):629-631
Lichen striatus and linear lichen planus are rare disorders that can be confused because they share similar clinical and histopathologic findings. We report a case of lichen striatus on the left wrist and fingers in a 54-year-old woman, who was initially diagnosed with linear lichen planus. She had overlapping clinico-histopathologic features of both lichen striatus and linear lichen planus. To discriminate between the two disorders, careful histological and clinical evaluations are needed, especially when a lichen striatus-like eruption occurs in adults.
Adult
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Female
;
Fingers
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Humans
;
Lichen Planus
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Lichens*
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Middle Aged
;
Wrist
9.A Case of Cutaneous Lymphadenoma.
Yoonseok OH ; Minjeong KIM ; Jawoong GOO ; Soo Young JEON ; Hana BAK ; Sung Ku AHN
Korean Journal of Dermatology 2007;45(6):603-607
Cutaneous lymphadenoma (CL) is a rare, benign, epithelial neoplasm with a prominent lymphocyte infiltration of unknown histogenesis. Both pilosebaceous and eccrine origins have been suggested, and the current view is that CL is a variant of trichoblastoma with adamantinoid features. We report a case of cutaneous lymphadenoma which developed on the left postauricular area of a 46-year-old woman, plus a review of the related literature.
Female
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Humans
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Lymphocytes
;
Middle Aged
;
Neoplasms, Glandular and Epithelial
10.Clinical Assessment of Intracranial Mesenchymal Tumors with Relevant to Non-meningothelial Tumors.
Hyeong Joong YI ; Choong Hyun KIM ; Koang Hum BAK ; Young Soo KIM ; Jae Min KIM ; Yong KO ; Suck Jun OH ; Kwang Myung KIM
Journal of Korean Neurosurgical Society 2000;29(1):44-50
No abstract available.