• The Korean Journal of Pain
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• 제18권2호
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• pp.171-175
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• 2005

Background: Hyperhidrosis is the troublesome disorder of excessive perspiration, which affects as much as 0.15-1% of the population. There are many methods for treating hyperhidrosis. In this report, we present our experience of dorsal percutaneous thoracic sympathetic ganglion block (TSGB) using 99.9% ethyl alcohol for treating palmar hyperhidrosis. Methods: Between March 1992 and July 2003, a total of 856 patients underwent TSGB for the treatment of palmar hyperhidrosis of which 625 were followed up for 2 years. There were 297 and 328 male and female patients, respectively, with a mean age of $23.9{\pm}7.7years$. TSGB was performed under fluoroscopic guidance using 99.9% ethyl alcohol at the T2 and T3 sympathetic ganglia. Results: In the 625 patients, the recurrence rates within the 1st and 2nd years were 29 and 8%, respectively. Compensatory sweating occurred in 42.1% of patients, which was severe in 7.5%. Of the 625 patients 21.0 and 36.9% were either very satisfied or relatively satisfied with the outcome, respectively. Conclusions: Our report confirms that TSGB may be a good alternative to endoscopic thoracic sympathectomy in the treatment of palmar hyperhidrosis.

• The Korean Journal of Pain
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• 제21권3호
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• pp.206-210
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• 2008

Background: Although the cause of hyperhidrosis has not been the subject of close investigation, there are cases for which excessive sweating happens at the hands, feet and armpits due to hyperactivity of the sympathetic nervous system. This usually occurs in people less than 25 years old and it often causes difficulties for their social and occupational life and there is a decrease in the quality of life. Therefore, this should also be examined according to the mental state of the patient who suffers from hyperhidrosis. Methods: The Minnesota Multiple Personality Inventory was administered to 59 patients in the Hyperhidrosis Center from March, 2006 to March, 2007. The MMPI's validity and 10 clinic standards were analyzed. The results were compared according to gender and age. Results: Of the standard clinical items, psychopathy and conversion hysteria were 21.1% and 17.5%, respectively. On comparison between males (47.5%) and females (52.5%), the females had a higher score for the hypochondriasis item. The patients above 18 years old had a significantly higher level of hypochondriasis and hypomania compared to the patients below 18 years old. Conclusions: When analyzing the personality of the patients with essential hyperhidrosis with using the MMPI, it was difficult to look for relations with the mental factor. Therefore, it is necessary to develop diagnostic tests for younger people with considering the relations with the period of morbidity.

• 대한두경부종양학회지
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• 제16권2호
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• pp.212-215
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• 2000

Background and Objective: Kikuchi's disease(KD) is an idiopathic, self-limited lymphadenopathy that was described as a distinctive type of necrotizing lymphadenitis affecting primarily cervical lymph nodes of young adults independently by Kikuchi and Fujimoto et al at first in 1972. The purpose of this study is a knowledge about clinicopathologic findings, many laboratory tests and differentiation of KD from other lymphadenitis due to lymphoma, systemic lupus erythematosus(SLE) and many viral disease. Materials and Methods: Thirty-four case of KD collected at Chonnam University Hospital in Kwang-Ju from 1992 through 2000 were evaluated with retrospective chart review. Results: The patients were consisted of 11 men and 23 women. All patients had tender or nontender cervical mass and fever was the most common associated symptom. The others was pain, weight loss, chills, cold sweating and headache et al. Multiple bilateral involvement of cervical lymphnodes was 25 cases(74%) and solitary involvement was 9 cases(26%). In laboratory tests, leukopenia was 12 cases(75%), elevated ESR 5 cases (34%) and elevated LDH 11 cases(69%). Conclusion: KD is necessary to differentiate from lymphoma and SLE, because of the different of therapeutic modality and prognosis. The diagnosis is established on the basis of histopathologic studies with excisional biopsy of lymph node.

• 한국산업융합학회 논문집
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• 제3권2호
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• pp.155-166
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• 2000

In order to elucidate the interrelationship between electrolytes and exercise the investigation was undertaken to determine the electrolyte levels in young males took on varied environmental temperatures ($13^{\circ}C$, $24^{\circ}C$ or $34^{\circ}C$). 10 healthy young males were used for the experiments. Our results showed the following significant changes; 1. The raising of the environmental temperature, the weight reduction were increased due to marked sweating. 2. In the electrolytes of serum, decreased the $K^+$ concentration at $13^{\circ}C$, but increased the $Na^+$ or $Cl^-$ concentration at $24^{\circ}C$, and increased the $Na^+$ or $Cl^-$, or $Mg^{+}^{+}$ concentrations at $34^{\circ}C$. 3. The raising of environmental temperature appear to be increased PRA,Ang I, Ang II and ALD levels, whereas no changed ADH level. 4. Serum levels of PRA, Ang I, Ang II and ALD were incresed after exercise, and their increments were incresed paralel ttie incresed environmental temperature. However, there no significant change in ADH, level. In conclusion, exercise induced not only changes of serum electrolytes levels such as $Na^+$, $Cl^-$, $K^+$, $Mg^{+}^{+}$, but also serum hormonal changes such as PRA, Ang I, Ang II, ALD. However, ADH level was not changed significantly, These changes were more prominent in exercise at hot temperature than in lower temperature.

• 대한한의학회지
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• 제41권3호
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• pp.173-179
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• 2020

양명열증(陽明熱證)으로 변증(辨證)된 안면홍조형 주사피부염 환자 1례에게 백호탕(白虎湯)을 투여한 결과, 약 1~2주 후 안면홍조가 호전되었음을 확인하였으며, 주증상에 동반되었던 열감 및 기타 제반증상 역시 전반적으로 호전되는 모습을 보였다.

• Journal of Yeungnam Medical Science
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• 제5권1호
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• pp.181-189
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• 1988

저자들은 경련성 발작후 의식소실이 자주 발생하였으며 그로 인해 항경련제를 장기간 투여하였고 저혈당으로 인한 의시소실의 상태로 내원한 비만한 여자 성인 환자에서 Insulinoma를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.

• The Korean Journal of Pain
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• 제11권2호
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• pp.220-225
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• 1998

Background: The patients of facial hyperhidrosis have been known that they had much difficulties in interpersonal relationships and social activities due to excessive hidrosis when they were in stress, hot weather, or having meals. Previous drug therapy and stellate ganglion block have only temporary effects. The surgical method, $T_1$ sympathetomy has the risk of Hornor's syndrome. For that reasons, the sympathicotomy of proximal and distal portions of $T_2$ sympathetic ganglion with electroresectoscope used in transurethral resection seemed to be appropriate procedure, and we would like to report the results of our procedure. Method: Under the general anesthesia with semi-sitting position, and the portal was made through the small incision along the upper border of the 4th rib at the crossing point of mid-axillary line. After the partial collapse of lung by insufflation of 300 to 500 ml of $CO_2$, $T_2$ sympathetic ganglion was identified and resected proximally and distally with electro-cauterization. Finally the lung was expanded by limiting flow until the airway pressure reached 30 to 40 cm$H_2O$, and the wound was closed after removal of electroresectoscope. Result: There was no postoperative complication requiring surgical interventions. The facial sweating was stopped immediately after the operation and all the patients appeared to be satisfied. Conclusion: $T_2$ sympathicotomy with TUR electroresectoscope is thought be the minimal invasive and highly successful method in the treatment of facial hyperhidrosis. But longer terms follow-up will be needed to prove this result.

• 대한한방소아과학회지
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• 제16권2호
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• pp.143-161
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• 2002

We proceeded the judgement of Sasang constitution of 79 children(the age 101 between 15) who have visited Dongguk Bundang Oriental Medical Hospital during 3 months from August 2002 to October 2002 by Questionnaire of Sasang Constitution Classification and conducted questionnaire survey about the type of disease and symptom occurred frequently. The conclusion is following. 1. The distribution of Sasang constitution: Soeum group(少陰人) 32, Taeeuml group(太陰人) 29, Soyang group(少陽人) 18. 2. The distribution of systemic disease occurred frequently : in digestive system, Soeum (46.9%) & Soyang(44.4%) group more than Taeeum group(34.5%) and in genitourinary system and others, Soeum(28.1%) more than Taeeum group(17.2%). 3. The distribution of symptom occurred frequently : in rhinitis and sinusitis, Taeeum(60.0%) & Soeum(60.0%) more than Soyang(45.5%), in abdominal pain, Soeum(58.8%) & Soyang(62.5%) more than Taeeum(36.4%), and in diarrhea, Taeeum(45.5%) more than Soeum(123.5%) & Soyang group(25.0%). Headache & vexation(心煩) are almost found in Soeum group with abdominal pain and excessive sweating is only found in Taeeum group. 4. The efficacy of herbal medication combined with Cervix Cornu Pranum (鹿茸加味劑) : after the medication, change of condition have showed in Taeeum group at the most high rate(31.0%) and showed in Soeum(15.6%) and Soyang(11.1%) group. 5. The distribution of allergic disease: allergic rhinitis and atopic dermatitis took up the majority of all allergic diseases. In morbidity of allergic rhinitis, Taeeum(62.1%) & Soyang(55.6%) more than Soeum(37.5%). In morbidity of other allergic diseases and degree of severity, it has no difference among three Sasang constitution groups.

• 대한한방소아과학회지
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• 제16권2호
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• pp.101-110
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• 2002

The common cold is the most common pediatric infectious disease and occupies a great number of outpatients in oriental pediatrics. Because children's common cold has characteristic symptoms, we studied 276 children suffering from common cold Oriental Medicine Hospital in Kyungsan University and analyzed sex, age, chief complaints, characteristic symptoms.(period : summer 2001. 6.1.-2001.8.31, winter 2001.12.1-2002. 2. 28) The results were as follows : 1. Male to female ratios were 17: 1 in summer, 1.2: 1 in winter, 1.4: 1 in total 2. Age distribution of children from 0 to 1 was 20.29%, from 1 to 3 was 39.49%, from 3 to 6 was 32.97%, from 6 to 10 was 7.27%, over 10 was 0%, from 0 to 6 was 92.75%. 3. Frequency of chief complaints In summer : cough was 22.28%, nasal discharge was 18.39%, fever was 16.58%, secretion and sputum were 14.50%, sweating was 6.99%, nausea or vomitting were 4.92% etc. In winter : cough was 24.20%, nasal discharge was 18.03%, secretion and sputum were 16.43%, occlusion of nares was 11.64%, fever was 9.58%, nausea or vomitting were 3.88% etc. Frequency of chief complaints has seasonal difference. 4. Children's common cold has characteristic symptoms and seasonal difference. 5. Children's common cold has characteristic clinical subtype.

• 대한약침학회지
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• 제18권4호
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• pp.59-62
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• 2015

Objectives: A previous study showed that bee venom (BV) could cause anaphylaxis or other hypersensitivity reactions. Although hypersensitivity reactions due to sweet bee venom (SBV) have been reported, SBV has been reported to be associated with significantly reduced sensitization compared to BV. Although no systemic immediate hypersensitive response accompanied by abnormal vital signs has been reported with respect to SBV, we report a systemic immediate hypersensitive response that we experienced while trying to use SBV clinically. Methods: The patient had undergone BV treatment several times at other Oriental medicine clinics and had experienced no adverse reactions. She came to acupuncture & moxibustion department at Semyung university hospital of Oriental medicine (Je-cheon, Korea) complaining of facial hypoesthesia and was treated using SBV injections, her first SBV treatment. SBV, 0.05 cc, was injected at each of 8 acupoints, for a total of 0.40 cc: Jichang (ST4), Daeyeong (ST5), Hyeopgeo (ST6), Hagwan (ST7), Yepung (TE17), Imun (TE21), Cheonghoe (GB2), and Gwallyeo (SI18). Results: The patient showed systemic immediate hypersensitive reactions. The main symptoms were abdominal pain, nausea and perspiration, but common symptoms associated with hypersensitivity, such as edema, were mild. Abdominal pain was the most long-lasting symptom and was accompanied by nausea. Her body temperature decreased due to sweating. Her diastolic blood pressure could not be measured on three occasions. She remained alert, though the symptoms persisted. The following treatments were conducted in sequence; intramuscular epinephrine, 1 mg/mL, injection, intramuscular dexamethasone, 5 mg/mL, injection, intramuscular buscopan, 20 mg/mL, injection, oxygen ($O_2$) inhalation therapy, 1 L/minutes, via a nasal prong, and intravascular injection of normal saline, 1 L. After 12 hours of treatment, the symptoms had completely disappeared. Conclusion: This case shows that the use of SBV does not completely eliminate the possibility of hypersensitivity and that patients who received BV treatment before may also be sensitized to SBV. Thus, a skin test should be given prior to using SBV.