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A Case of Cavernous Lymphangioma of the Mediastinum in Adult (성인에서 진단된 종격동 해면상 임파관종 1예)

  • Kim, Shin-Tae;Yong, Suk-Joong;Lee, Won-Yeon;Kim, Mi-Hye;Shin, Kye-Chul;Kim, Sang-Ha;Ahn, Min-Soo;Sung, Ki-Jun
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.6
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    • pp.640-644
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    • 2002
  • Lymphangiomas in the mediastinum are rare benign tumors, characterized proliferating lymphatic vessels. They are usually found in children and young adults, but rarely in order adults. Most are located in the neck, with less than 1 percent found in the mediastinum, with mediastinal lymphangiomas comprising 0.7-4.5 percent of all tumors in this location. They are often classified pathologically according to the size of the cystic spaces within them, as simple or capillary, cavernous and cystic, or just cystic, hygromas, Of the 3 types above, the cavernous type of mediastinal lymphangioma is very rare. We report a case of a mediastinal lymphangioma of the cavernous type that was confirmed from pathological findings, a CT and MRI scan.

A Case of Giant Cell Interstitial Pneumonia without History of Exposure to Hard Metal (경금속에 대한 노출력이 없는 거대세포 간질성 폐렴(Giant Cell Interstitial Pneumonia) 1예)

  • Hong, Ji Hyun;Lee, Jae Myung;Kang, Min Jong;Kim, Dong Gyu;Jung, Ki-Suck;Jang, Kee-Tark;Park, Hye-Rim;Lee, In Jae
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.4
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    • pp.419-424
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    • 2002
  • A 44 year old man was admitted complaining fo exertional dyspnea. The patient denied any occupational history of hard metal exposure. Chest radiography showed an increased interstitial marking at the peripheral portion of both lower lung fields. The spirometric values were within the normal ranges. However, the diffusion capacity of the lungs was lower. In the bronchial lavage fluid, the characteristic multinucleated giant cells were noticed, and the macrophage compartment was 96% and the neutrophils were 4%. High-resolution CT scan revealed ground glass opacities with emphysematous lung changes at the peripheral portion of the whole lung. An open lung biopsy confirmed the presence of numerous multinucleated giant cells (define GIP) with an associated interstitial fibrosis throughout the lung. The radiographic abnormailities and symptoms subsequently improved following treatment with oral corticosteroids.

A Case of Hypersensitivity Pneumonitis by Alternaria as a Suspected Etiology (Alternaria가 원인으로 추정되는 과민성 폐장염 1예)

  • Do, Yun Kyung;Kim, Yeon Jae;Kang, Hyun Jae;Yu, Kyung Sul;Yun, Hae Jin;Jun, Jae Hyun;Lee, Byung Ki;Song, Do Young
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.3
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    • pp.338-345
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    • 2003
  • A 65-year-old man was admitted due to low grade fever, dry coughing, and dyspnea on exertion. The chest radiograph and CT scan showed diffuse ground glass opacities and small nodules in the both lung fields resulting in a diagnosis of severe interstitial pneumonia. Conservative treatment with antibiotics and bronchodilators decreased the symptoms, but the dyspnea and cough reappeared when he returned home. An inspection of his house revealed the presence of fungi under the wallpaper. His symptoms disappeared completely after these were removed. His clinical course raised the suspicion of hypersensitivity pneumonitis and these fungi believed to be the cause of hypersensitivity pneumonitis. The histological findings of a lung specimen by video-assisted thorachoscopy were compatible with hypersensitivity pneumonitis. The fungi were identified as Alternaria.

A Clinical Study of the Patients in Stroke Treated with Bojungikki-tang and Bojungikki-tang-gamibang (보중익기탕(補中益氣湯) 및 그 가미방(加味方)을 투여한 중풍환자에 대한 임상적 고찰)

  • Choi, In-Seon;Min, Sung-Soon;Kim, Jong-Hwan;Seo, Sang-Ho;Park, Sang-Eun;Kim, Young-Kyun;Kwon, Jung-Nam
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.388-397
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    • 2004
  • Object: This study was designed to investigate the clinical and practical characteristics of stroke patients treated with the age-old herbal medicines, Bojungikki-tang and Bojungikki-tang-gamibang. Methods: The 80 patients studied were all diagnosed with stroke by neurological examination, B-CT and B-MRI scan. They were treated with Bojungikki-tang and Bojungikki-tang-gamibang over 5 days and symptoms were observed. There were inpatients and outpatients at the Oriental Medical hospital of Dong-eui University from January in 2000 to June in 2003. All patients were interviewed and medical charts examined. Result and Conclusion: The results were found: 1.Many were in their sixties. Average age was 64.54. 2.Cerebral infarction was diagnosed in 86.25% of all cases. 3.30% of stroke cases occurred in spring. 4.Average blood pressure was 129/84mmHg on the fifth day of treatment with Bojungikki-tang and Bojungikki-tang-gamibang and 135/86mmHg on the first day. 5.The white color were best in facial color about 85.29%. 6.There were many who returned for treatment within 6 to 10 days. 7.Bojungikki-tang and Bojungikki-tang-gamibang were used Rt. hemiplegia more than for Lt. hemiplegia.

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A Case of Solid and Papillary Epithelial Neoplasm of the Pancreas (고형 및 유두상 췌장 종양 1례)

  • Kim, Jong-Keun;Lee, Hyung-Shin;Kim, Sang-Yong;Han, Ji-Whan;Lee, Kyung-Yil;Whang, Kyung-Tai
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.3 no.2
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    • pp.217-221
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    • 2000
  • Solid and papillary epithelial neoplasm of the pancreas is an uncommon low-grade malignant tumor found predominantly in young females. It is rare in childhood. The origin of the tumor is probably from a multipotential stem cell of the pancreas. Neoplasm usually behave like a very low grade malignancy, so that complete removal is the treatment of choice for the tumor arising anywhere in the pancreas. We report a case of solid and papillary epithelial neoplasm of the pancreas in a 14 year -old girl who presented with intermittent abdominal pain and abdominal mass. CT scan shows a large, about $7{\times}6\;cm$ sized, well-marginated hypodense round mass in the head of the pancreas with some ill defined enhancing solid internal portion. She had taken complete excision of the pancereatic mass and Roux-en-Y pancreaticojejunostomy and histologically comfirmed solid and papillary epithelial neoplasm of the pancreas. A brief review of literature was made.

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A Floppy Baby with Congenital Myotonic Dystrophy Complicated with Huge Subgaleal Hematoma Occurring in Non-instrumental Vaginal Delivery

  • Yim, Shin-Young;Cho, Kye-Hee;Kim, Jae-Young;Hong, Ji-Yeon;Lee, Il-Yung
    • Journal of Genetic Medicine
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    • v.6 no.2
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    • pp.166-169
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    • 2009
  • Not only is the concurrence of congenital myotonic dystrophy (CDM) and subgaleal hematoma (SGH) hardly ever seen but also the development of SGH during unassisted vaginal delivery is rare. We report a boy who developed huge SGH in vaginal delivery without any use of vacuum or forceps and later was diagnosed as maternally transmitted CDM. The boy had prenatal history of polyhydramnios and decreased fetal movement. Six hours after birth, severe molding of the skull associated with huge SGH on left parieto-occipital area was recognized by CT scan. At corrected age of two months, he was diagnosed as maternally transmitted CDM. This is the first report of CDM complicated by SGH occurring in non-instrumental vaginal delivery.

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Fatal Facial Mucormycosis on a Diabetic Patient: A Case Report (당뇨 환자에서 발생한 안면부 털곰팡이증에 대한 증례)

  • Choi, Jung-Hun;Kim, Young-Joon;Kwon, Ji-Eun;Kim, Hoon;Nam, Sang-Hyun;Choi, Young-Woong
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.93-95
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    • 2011
  • Purpose: Mucormycosis generally occurs in patients with uncontrolled diabetes mellitus and immunocompromised conditions. It is rare, but once a patient is infected with it, it can occur as a rapidly extending, aggressive, and life-threatening rhinocerebral infection with a high mortality rate. Methods: A 70-year-old female patient had a 40 years of history of adult onset diabetes mellitus. She presented herself with severe right hemifacial pain, swelling, and weakness for 3 days and was admitted to ENT. On a facial computed tomography (CT) scan, it was found that her infection extended from her inferior temporal scalp to her submental area and involved her submandibular, masseter, prevertebral, parapharyngeal, retropharyngeal, and pharyngeal mucosal space and pansinusitis. Through endoscopic sinus surgery, mucormycosis was confirmed via histologic examination. Results: Despite empiric antibiotics and amphotericin B administration, the patient was in a septic condition and in a coma. The patient's family wanted to withdraw her life support, and the patient expired. Conclusion: Mucormycosis is very rare, but is one of the disastrous complications of uncontrolled diabetes mellitus. Suspicion of its occurrence, based on identified risk factors, and its rapid diagnosis can enhance the chance of its cure.

A Case of Hepatic Hemangioma (거대 간혈관종 1례(例))

  • Kim, Si-Hwan;Lee, Young-Hyun;Lee, Heon-Ju;Chung, Moon-Kwan;Choi, Soo-Bong;Kim, Chong-Suhl;Kwun, Koing-Bo;Hwang, Mi-Soo;Chang, Jae-Chun;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.1 no.1
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    • pp.161-169
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    • 1984
  • Hepatic hemangioma is a benign neoplastic disease of the liver and characterized by high vascularity and accompanied with bleeding episode. We report a case of giant hepatic cavernous hemangioma and review the literature briefly. A 44-year old female patient was admitted because of palpable abdominal mass, which growing for 15 years. She was diagnosed as hepatic hemangioma by abdominal CT scan and selective celiac angiography. She was performed the left lateral segmentectomy of liver and the pathological report was cavernous hemangioma of the liver.

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Femoral Bony Avulsion Fracture of the Posterior Cruciate Ligament in a Seventy one Year Old Man - A Case Report - (71세 남자에서 발생한 후방십자인대 대퇴골 부착부 견열 골절 - 1례 보고 -)

  • Lee, Yeong-Hyeon;Ahn, Gil-Yeong;Nam, Il-Hyun;Moon, Gi-Hyuk;Kim, Ki-Choul;Lee, Chae-Kyung;Lee, Sang-Chung
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.128-130
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    • 2010
  • Femoral avulsion fracture of posterior cruciate ligament (PCL) is rare, especially in adult. We experienced a case of femoral bony avulsion fracture of PCL. The patient was seventy one year old man with limitation of motion in the knee joint due to previous trauma and he was injured by fall down from 2 m height. We took CT scan and MRI study. We treated with arthroscopic repair technique using transfemoral two wire sutures. Second look arthroscopy was done for removal of the wires at postoperative one year.

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The Efficacy and Safety of Ephedra and Green Tea Mesotherapy on Localized Fat (피하지방 감량에 있어 경피침주요법의 유효성 및 안전성 평가)

  • Song, Mi-Young;Park, Ji-Hun;Lee, Jung-Ho;Kim, Ho-Jun;Lee, Myeong-Jong
    • Journal of Korean Medicine for Obesity Research
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    • v.7 no.1
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    • pp.71-85
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    • 2007
  • Objectives : This study was performed to identify the efficacy and safety of ephedra and green tea mesotherapy on localized fat. Methods : Twenty-five healthy $20{\sim}35$ year overweight women (body mass $index{\geq}23kg/m^2$) were recruited and randomly assigned to two groups : experimental(mahuang and green tea) group (n=13), placebo(Normal saline) group (n=12). Total 8 times of herbarl mesotherapy treatment were performed once per week, 4 times were performed on right thigh (1st period), after wash-out for 1 week, the other 4 times were performed on left thigh (2nd period) without any modification of diet or exercise. Body composition, thigh circumferences were measured at each period before and after the intervention. Subcutaneous fat was measured by CT scan at before and after the 1st period of intervention and free fatty acid(FFA) was measured immediately before 1st intervention, 1 hour later, 24 hours later, and 7 days later. Satisfaction score and adverse events were evaluated. Results : In the subcutaneous fat, there were no significances, but in the circumferences. Experimental group had significant change when compared with placebo group (p<0.05). In FFA, experimental group has significant elevation at after 1 hour (p<0.05) evaluation. There were no serious adverse events in both groups. Conclusions : Experimental group had some significant findings in circumference, FFA, and had no serious adverse events comparing with placebo group, and no serious adverse events have been reported in both group. Mesotherapy with herb have a possibility of treating localized fat

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