• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.9 no.1
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• pp.114-128
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• 1996

"Chimumchang" seems to be a kind eczema. The cause and symptom of eczema is similar to that of chimumchang. so, I investigated the literatures of oriental medicin and recent medicine. The results are summarized as follows. 1. Chimumchang seems to be a kind of eczema. Allergic contact dermatitis, atopic dermatitis, seborrheic dermatits, neurodermatitis, nummular dermatitis, xerotic eczema and so on are similar to chimumchang on cause & symptom. 2. The cause of chimumchang are summer vital energy excess(夏脈太過), sehwa excess(歲火太過), herat meridian wind-heat(心經風熱), heart fire(心火), wind taken spleen dampnees(脾濕受風), and so on. The cause of eczema are contact of external agent, immunological problem, heridity, infection, abnormalities of sebaceous glands, neurologic dysfuction, and so on. 3. The symptoms of chimumchang have been described to the three pattern on literature of oriental medicine until now. 1) scratching slightly, It has exudation, and combination. 2) Vital energy on skin is irritable by psychological problem. At the acute stage the patient is complain of itching & pain, and gradually the exudation expands in whole body. 3) early peorid it's size is very small, and at first the patient is complain of itching, later complain of pain. The exudation change to ulcer and expands in the whole body. 4. In the investigation of prescription(Total: 34, Oral medicine: 4, Ointment: 30), the most frequently used oral medicine is sungmatang(4 times), and the most frequently used ointment are kohosan, korvunsan and kegwanhyuldobang.

• Korean Journal of Veterinary Service
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• v.47 no.2
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• pp.95-100
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• 2024

An 11-year-old neutered male Dachshund dog weighing 7 kg presented with acute onset of respiratory distress after subcutaneous administration of cytosine arabinoside (CA). The patient previously diagnosed with meningoencephalitis of unknown origin and was being treated with oral prednisolone, levetiracetam, potassium bromide, gabapentin, and periodic subcutaneous CA administration (50 mg/m², q 12 h, subcutaneous, 4 times, every 3 weeks). The patient developed tachypnea with labored respiratory effort after 9th CA administration. Thoracic radiograph revealed bilateral diffuse interstitial to alveolar pulmonary opacities, and echocardiogram indicated no evidence of left-sided heart failure. Based on the onset coinciding with the administration of CA, low possibility of other pulmonary disease, remission of symptom showed after discontinuation of CA, we suspected CA-induced interstitial lung disease. The patient's pulmonary opacities on the radiograph improved to a similar degree as before the adverse event over time, but respiratory symptoms were not fully resolved. Sildenafil (2 mg/kg, per oral, q 12 h) was given as therapeutic trial to manage possible pulmonary hypertension, suspected a sequela of the lung disease, based on an echocardiographic evidence and clinical signs. The patient's respiratory symptom was well managed since, and achieved discontinuation of sildenafil.

• Journal of Korean society of Dental Hygiene
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• v.13 no.5
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• pp.759-767
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• 2013

Objectives : The purpose of this study was to investigate the relationship between the oral health status of elderly people and their oral health-related quality of life. Methods : The subjects were the elderly people over 65 years old in Busan. A total of 479 elderly people participated in the study from general hospital, two research institutes, eight dental clinics, six welfare institutions, sixteen senior centers, and three nursing homes. The oral health impact profile-14 (OHIP-14) was used in the routine dental checkups of the elderly people. Results : Those who had no oral symptoms had a better oral health-related quality of life. Among the subfactors of the OHIP-14, significant differences were shown in functional limitation(p=0.001), physical pain(p<0.001), emotional discomfort(p<0.001), physical disability(p=0.001), emotional disability (p=0.001), social disability(p=0.005), physical handicap(p=0.003) and total OHIP-14(p<0.001). Those who had 18 sound teeth(natural teeth) or more had a better oral health-related quality of life. Among the subfactors of the OHIP-14, significant differences were shown in functional limitation(p<0.001), physical pain(p=0.007), emotional discomfort(p=0.019), physical disability(p=0.018), Emotional disability(p=.032) and total OHIP-14 (p=0.006). Conclusions : The results revealed a close relationship between oral health status and oral health-related quality of life. The number of sound teeth(natural teeth) and frequency of toothbrushing had a more positive influence. Therefore oral health programs for the elderly people can preserve remaining teeth. Toothbrushing is the best way to improve the quality of life in the elderly people.

• Journal of Oral Medicine and Pain
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• v.42 no.1
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• pp.8-15
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• 2017

Purpose: The purpose of this study was to assess the association of vocational interest and personality with temporomandibular disorders (TMD). Methods: Four hundred and fourteen college students in Gyeonggi-do completed Vocational Preference Inventory L form and a questionnaire and collected data were analyzed by R program. Results: The percentage of subjects who responded that they had at least one contributing factor for TMD was significantly different among 27 two-letter Holland codes (p<0.05). The two-letter Holland codes of which the first-letter was social (S) (S artistic [A], S investigative [I], S realistic [R], S conventional [C], S enterprising [E]) or C (CE, CS, CA, CI) had tendency of having the relatively higher prevalence of symptoms and contributing factors for TMD. Among 6 one-letter Holland codes, the prevalence of a symptom of frequent fatigue in the jaw and a habit of gum chewing showed the significant difference (p<0.05). E code seemed to have lower prevalence of a symptom of frequent fatigue in the jaw than other codes. S code appeared to use chewing gum more frequently than other codes. High scorers on emotional instability showed the significantly higher prevalence of TMD symptoms (p<0.05) and contributing factors for TMD (p<0.001) than low scorers. Furthermore, high scorers on emotional instability had significantly higher mean scales of the number of positive answers of TMD symptoms (p<0.01) and of contributing factors for TMD (p<0.001) than low scorers. Conclusions: Symptoms and contributing factors for TMD were related to emotional instability. Vocational Preference Inventory L form might be utilized in assessing emotional factors of persons with TMD symptoms.

• Journal of Oral Medicine and Pain
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• v.44 no.1
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• pp.16-24
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• 2019

Purpose: The purpose of this study was to assess the association of personality characteristics with temporomandibular disorders (TMDs). Methods: Four hundred and fifty one college students in Gyeonggi-do completed the revised version of the Minnesota Multiphasic Personality Inventory (MMPI-2) and a questionnaire and collected data were analyzed by IBM SPSS Statistics ver. 25.0 software (IBM Co., Armonk, NY, USA). Results: Mean values of the number of positive answers of TMD symptoms were significantly higher in higher scorers on hypochondriasis (Hs), depression (D), paranoia (Pa) (Hs>60, D>64, Pa>59) (p<0.01). Higher scorers on Hs, hysteria (Hy), schizophrenia (Sc), Pa, psychasthenia (Pt) (Hy>64, Sc>64, Pt>64) exhibited significantly higher mean values of the number of positive answers of contributing factors for TMD (p<0.01, p<0.001). Low scorers on social introversion ($Si{\leq}44$) exhibited significantly lower mean value of the number of positive answers of contributing factors for TMD than high or moderate scorers on Si (Si>64, 45-64) (p<0.01, p<0.05). The percentage of subjects who responded that they had at least one TMD symptom was significantly higher in higher scorers on Hs, Pt, D (p<0.05, p<0.01). The significantly higher percentage of higher scorers on D, Pa reported at least one contributing factor for TMD (p<0.05). The percentage of subjects who responded that they had at least one TMD symptom or one contributing factor for TMD was significantly different among three groups divided by T-score on Si (p<0.01, p<0.05). T-scores of Hs, D, Hy, Pt and Sc showed significant correlation with the numbers of TMD symptoms and contributing factors for TMD, respectively (p<0.001). A correlation was found between T-score of Pd and the number of TMD symptoms (p<0.001). T-score of Si correlated to the number of contributing factors for TMD (p<0.001). Conclusions: Most clinical scales of MMPI-2 were found to be related to TMD. Psychological assessment including MMPI-2 may play a role in predicting treatment outcome and planning treatment of TMD.

• Journal of Oral Medicine and Pain
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• v.46 no.4
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• pp.161-164
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• 2021

The foramen of Huschke (FH) or foramen tympanicum is a persistent bony defect connecting the external auditory canal (EAC) to the temporomandibular joint (TMJ). It arises from an incomplete ossification of the tympanic part of the temporal bone that persists after the age of 5. If a herniation exists in the TMJ, otological symptoms may occur. An 80-year-old female patient complained of noise in her left TMJ and otorrhea in her left ear. On her cone beam computed tomography images, there were only degenerative joint disease signs on her left mandibular condyle. However, her computed tomography images revealed that the soft tissue of the TMJ herniate into the EAC. Additional examination was planned for the further evaluation. But the patient no longer visited the hospital due to her systemic health status, and symptoms disappeared spontaneously without any treatments. Usually this type of herniation is very rare, but years of mechanical stress from mastication may result in weakening and widening of the foramen with age. Therefore, although FH is usually congenital, sometimes it may be acquired in the elderly. The treatment plan should be determined in consideration of the patient's symptom level and the patient's general health status. If the clinical symptoms are not severe, no treatment is required.

• Journal of The Korean Dental Society of Anesthesiology
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• v.5 no.2 s.9
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• pp.112-116
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• 2005

Facial nerve paralysis following delayed complication after trauma was rare and hard to find reason After symptom of facial nerve paralysis was found, careful clinical and neuropathic investigation needed through electromyography and nerve conduction velocity. It is necessery to Hewing that functional degenaration of nerve conduction was irresible or not. It is important to determine if palsy is already present alter trauma or some later time because origin of viral infection or temperature change may possible.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.13 no.1
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• pp.145-150
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• 1983

The author studied clinically and radiologically 55 cases which had been diagnosed as odontoma in SNUDH. The obtained results were as follows: 1. In sex distribution, there was no prevalence in both sexes. And the incidence was the highest in the 2nd decade. (16 patients, 29%) 2. There were 42 cases of compound odontoma (76%) and 13 cases of complex odontoma (24%). In most cases, compound odontoma was located at the anterior portion (34 cases, 81%) and complex odontoma at the posterior portions (9 cases, 69%). 3. There was no apparent clinical symptom in compound odontoma (83%), but in complex odontoma, 80% of case show swelling. 4. The adjacent root resorption was not observed in any case. 5. Five cases radiographically diagnosed as cystic odontoma were not confirmed histopathologically.

• Journal of Korean Dental Science
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• v.7 no.2
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• pp.99-105
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• 2014

Herpes zoster (HZ) is an acute, unilateral inflammatory viral infection characterized by a rash with painful blisters in a localized area of the body. HZ is often associated with intense pain in the acute phase and presents postherpetic neuralgia in the chronic phase. During the prodromal stage of the HZ from the trigeminal nerve, however, the only presenting symptom may be odontalgia, which could be particularly difficult to diagnose. This distinctive syndrome occurs predominantly in the immunocompromised or elderly individuals. In this article, we report a case of HZ developed in the trigeminal nerve of a 60-year-old immunocompromised female patient, whose symptoms including atypical, non-odontogenic odontalgia had improved after series of antiviral treatments.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.34 no.6
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• pp.484-487
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• 2012

Skull base osteomyelitis is a very rare disease that affects the bone marrow of the temporal bone, sphenoid bone, occipital bone. It occurs typically chronic ear canal infections by malignant otitis externa, but some of atypical osteomyelitis have been reported. It most commonly presents old diabetic patients, and have high morbidity and mortality rate if diagnosis and treatment are delayed. However with respect to pain or dysfunction, it appeared similar to the initial symptoms of temporomandibular joint disorder. So frequently, definitive diagnosis is tend to delayed. We have clinical experience that a patient who presented with symptom similar to temporomandibular disorder, and differential diagnosised by skull base osteomyelitis. We will report this case with literature review.