No abstract available.
Carcinoma, Hepatocellular* ; Spleen*

PURPOSE: The aim of this study was to describe the epidemiological pictures and clinical profiles of Kawasaki disease(KD) in infants 3 months and younger. METHODS: For the epidemiologic study of KD in Korea as a task of Korean Pediatric Cardiology Society, data of total 3,862 KD patients were collected from 1997 to 1999 by survey. Among them, clinical data of 71 KD patients aged 3 months and younger were analyzed and compared with those of the total KD patients group. RESULTS: 71 patients aged 3 months and younger(1.8% of total 3,862 KD patients) included 1 case aged under 1 month, 22 cases aged 1-2 months, and 48 cases aged 2-3 months. The male-to-female ratio was 1.96:1, and the recurrence rate was 1.4%, and the prevalence of cases in sibling was zero. Coronary arterial (CA) abnormalities were detected by echocardiography in 27.5% of the cases, including 10.1% of CA aneurysm cases. There were no case with myocardial infarction or death. CONCLUSION: Comparing with the data of total KD patients group, data from 71 patients aged 3 months and younger showed a somewhat higher male-to-female ratio, incidence of CA abnormalities, and incidence of CA aneurysms, however those had no statistical significance.
Aneurysm ; Cardiology ; Coronary Aneurysm ; Echocardiography ; Epidemiologic Studies ; Epidemiology ; Humans ; Incidence ; Infant* ; Korea ; Mucocutaneous Lymph Node Syndrome* ; Myocardial Infarction ; Prevalence ; Recurrence ; Siblings

Budd-Chiari syndrome (BCS) is a rare disease caused by the obstruction of the hepatic venous outflow or the inferior vena cava above the hepatic vein. It has been attributed to various etiologic factors. Including intrinsic vascular thrombosis, hepatic tumor invasion/compression, or associated with an idiopathic obstructing membrane. However, in most cases no definitive etiologic factors have been identified. Recently, we experienced a case of 21-year-old man who had Budd-Chiari syndrome associated with diaphragmatic hernia. Venous flow returned to normal on reintroduction of the liver into the abdominal cavity and closure of the defect in the diaphragm. To our knowledge, this is the rare report in our country. Here, we report this case with review of literatures.
Abdominal Cavity ; Budd-Chiari Syndrome* ; Diaphragm ; Hepatic Veins ; Hernia ; Hernia, Diaphragmatic* ; Humans ; Liver ; Membranes ; Rare Diseases ; Thrombosis ; Vena Cava, Inferior ; Young Adult

No abstract available.
Coal* ; Rhabdomyolysis*

No abstract available.
DNA* ; Heart* ; Humans*

Rheumatoid arthritis (RA) is a connective tissue disease involving the larynx in 30% of the patients. Foreign body sensation, hoarseness, and cough are common symptoms in laryngeal involvement. An urgent tracheostomy is required when acute airway obstruction occurs in case of bilateral vocal fold paralysis. The most common cause of bilateral vocal fold paralysis in RA patients is a cricoarytenoid joint arthritis. Laryngeal nerve degeneration is rare cause of bilateral vocal fold paralysis in RA patients. In this case report, an emergent tracheostomy was performed on a 64-years-old male patient with acute dyspnea, and concurrent involvement of RA on laryngeal nerve and cricoarytenoid joint was revealed by laryngeal electromyography and histopathology. The vocal fold mobility was restored after 3-months medical treatment.
Airway Obstruction ; Arthritis ; Arthritis, Rheumatoid* ; Connective Tissue Diseases ; Cough ; Dyspnea ; Electromyography ; Foreign Bodies ; Hoarseness ; Humans ; Joints* ; Laryngeal Nerves* ; Larynx ; Male ; Paralysis* ; Sensation ; Tracheostomy ; Vocal Cords*

Parapharyngeal abscess is relatively common but it can cause life-threatening complications like internal jugular vein thrombophlebitis, septic shock, airway obstruction, and mediastinitis. The diagnosis is dependent on physical examination, endoscopic view, and CT and MR imaging. The treatment is antibiotics but sometimes incision and drainage are necessary. Pseudoaneurysm in deep neck space is very rare and mainly caused by trauma, postoperative state of head and neck surgery and radiation therapy. We herein report a case of massive oropharyngeal bleeding from pseudoaneurysm of the superior thyroid artery associated with parapharyngeal abscess with a review of related literature.
Abscess* ; Airway Obstruction ; Aneurysm, False* ; Anti-Bacterial Agents ; Arteries* ; Diagnosis ; Drainage ; Head ; Hemorrhage* ; Jugular Veins ; Magnetic Resonance Imaging ; Mediastinitis ; Neck ; Physical Examination ; Shock, Septic ; Thrombophlebitis ; Thyroid Gland*

Although parovarian cysts constitute 10-20% of all adnexal masses, malignant parovarian tumors are extremely rare. Due to the rarity of this lesion, there are controversies concerning the origin, clinical behavior, and prognosis of these tumors. Currently, it is suggested that these paovarian tumors should be treated similarly to their ovarian counterparts. We experienced one case of parovarian serous cystadenocarcinoma of borderline malignancy, and report this with a brief review of the literatures.
Cystadenocarcinoma, Serous* ; Female ; Parovarian Cyst ; Prognosis

PURPOSE: Though the nonoperative management of liver injury (NOMLI) has frequently been employed for traumatic liver injuries, the indications for NOMLI for grade IV liver injuries are still controversial. To determine the usefulness of the NOMLI in grade IV liver injuries, the clinical features of an operative management (n=26) and a NOMLI group (n=20) were compared. METHODS: For the 10 years up until Feb. 2004, 46 grade IV liver injury cases, according to the AAST liver injury scale, at the Kyung Pook National University Hospital, were selected for this study. The clinical features, grade of liver injury and outcomes of treatments were reviewed retrospectively. RESULTS: Of the 46 cases 40 (87%) and 6 (13%) were male and female, respectively. The mean ages of the male and female cases were 37.6 (15.2 and 34.5 (16.7 years, respectively. The causes of liver trauma were vehicle accident (71.7%, 33/46), industry accident (26.1%, 12/46) and violence (2.2%, 1/46). The accompanying abdominal injury was not present in the NOMLI group compared to 30.8% (8/26) in the operative management group. NOMLI was more than 2 times more frequently indicated after Feb. 1999. The mortality in operative management group was 11.5% (3/26) compared with none in the NOMLI group. 20% (4/20) of NOMLI group failed due to delayed bleeding and eventually had to undergo operations and the 80% (16/20) of NOMLI group was successful. The morbidity in successful NOMLI group was bile collection (6.25%, 1/16) and empyema (6.25%, 1/16). CONCLUSION: Nonoperative management for grade IV liver injury in hemodynamically stable patients without accompanying abdominal injury was successful. However, continuous monitoring and immediate operative management should be prepared for the delayed bleeding.
Abdominal Injuries ; Bile ; Empyema ; Female ; Hemorrhage ; Humans ; Liver* ; Male ; Mortality ; Retrospective Studies ; Violence ; Wounds and Injuries

PURPOSE: To determine the epidemiology and rate of cardiac sequelae of Kawasaki disease in Korea. METHODS: On behalf of the Korean Pediatric Cardiology Society, we sent a questionnaire to 107 training hospitals two times; first period(Jan. 94-Sep. 95) and second period(Oct. 95-Dec. 96), and summarized the data of the survey from 58 hospitals which responded. RESULTS: The total number of patients was 2,680 cases, with male to female ratio and mean age 1.6 and 28.9+/-20.0 months, respectively. The total number of cases of 19 hospitals which participated in the first and second periods was 1,045, including 354 in 1994, 315 in 1995, and 376 in 1996, which showed no difference in annual incidence and higher incidence in Jan., May, June and July. The proportions of sibling cases was 0.26%(7/2,680) and rate of recurrent cases was 1.7% (46/2,680), and the proportion of patients with Kawasaki disease among total hospitalized pediatric patients was 1.13% in average, showing no significant difference according to regions. Echocardiogram was done in 93.5% of patients(2,507/2,680), and coronary abnormalities occurred in 20.1% of cases (505/2,507) including 16.8% of dilatations and 5.4% of aneurysms. CONCLUSION: Compared with a previous study in 1991-1993, this data showed somewhat increased mean age, increased recurrence rate and decreased incidence of coronary arterial abnormalities statistically. Studies like this needs to be continued in the future to determine the epidemiologic trends of Kawasaki disease in Korea.
Aneurysm ; Cardiology ; Coronary Aneurysm ; Dilatation ; Epidemiologic Studies* ; Epidemiology ; Female ; Humans ; Incidence ; Korea* ; Male ; Mucocutaneous Lymph Node Syndrome* ; Surveys and Questionnaires ; Recurrence ; Siblings