• 제목/요약/키워드: A case report

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Mucoepidermoid Carcinoma with Distant Metastases to the Kidney, Adrenal Gland, Skull and Gluteus Maximus Muscle: a Case Report

  • Son, Sang-wook;Lee, Kye-ho;Lee, Jai Hyuen;Myong, Na-Hye;Yoo, Dong-soo
    • Investigative Magnetic Resonance Imaging
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    • 제20권1호
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    • pp.66-70
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    • 2016
  • Introduction: Distant metastases of mucoepidermoid carcinoma (MEC) are reported with the most common sites being the soft tissue of skin, lung, liver, and bone. We report here a very rare case of MEC with multiple metastases to the kidney, adrenal gland, skull and gluteus maximus muscle. Case report: A 63-year-old male patient presented with left-sided headache. Radiologic evaluations including CT and MRI showed ill-defined soft tissue lesion involving the left infratemporal fossa and left sphenoid sinus, and multiple enlarged lymph nodes in neck and mediastinum. PET-CT demonstrated multiple hypermetabolic lesions in and around the left kidney, left adrenal gland, right ischium, right gluteus maximus and skull base. These lesions were confirmed as MEC with multiple metastases through biopsy. Discussion: Only one case of metastasis to the skull has been previously reported, and moreover, there has not been a case of metastatic MEC to the kidney, adrenal gland and gluteus maximus muscle so far in the medical literature. It is important to acknowledge the possibility of every unusual MEC metastases, since the presence of metastasis has statistically significant influence on the survival of MEC.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 갈근황련황금탕(葛根黃連黃芩湯)을 투여한 일차성 월경통 증례 1례 (A Case Report of Dysmenorrhea Treated by Galgunhwangryunhwanggum-tang based on Shanghanlun Provisions)

  • 이경재
    • 대한상한금궤의학회지
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    • 제9권1호
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    • pp.29-36
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    • 2017
  • Objectives : This case report presents the effect of Galgunhwangryunhwanggum-tang on dysmenorrhea. The patient was diagnosed with Taeyang-byung based on Shanghanlun provisions. Methods : According to Shanghanlun seven meridian patterns diagnostic system, we diagnosed the patient as Taeyang-byung and she has been suffering from dysmenorrhea. The patient was treated with Galgunhwangryunhwanggum-tang. and it was provided for 2 months. Results : After the treatment, the degree of dysmenorrhea reduced from 10 to 2 on VAS. Conclusions : This case study show an effectiveness of using Galgunhwangryunhwanggum-tang according to Diagnostic system based on Shanghanlun provisions on hyperhidrosis.

법랑기질유도체와 결합조직이식술을 이용한 치근피개술: 치은퇴축과 관련된 다양한 증례 (Subepithelial connective tissue graft in combination with enamel matrix derivative for root coverage within different case of gingival recession: Case report)

  • 이재홍
    • 대한치과의사협회지
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    • 제55권3호
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    • pp.230-239
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    • 2017
  • Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.

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대전자 동통 증후군에 대한 복합 한의진료 경과: 증례보고 (Greater Trochanteric Pain Syndrome Managed with Korean Medicine Therapy: A Case Report)

  • 서지혜;조희근
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.127-134
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    • 2019
  • The Objective of this study is to report the results of greater trochanteric pain syndrome (GTPS) patient with Korean medicine therapy. There were insufficient clinical trials and case reports of GTPS treated with Korean medicine, we report the GTPS case remarkably improved treatment results. We treated the patient with acupuncture, acupotomy, pharmacopuncture, Chuna manual therapy and herbal medication. To evaluate the treatment effects, we used the measures including Verbal numerical rating scale, Oswestry disability index and Victorian Institute of Sport Assessment-gluteal tendinopathy scale. After total of 26 days of treatment, the patient's hip pain and disability were greatly reduced, and the outcome measures showed this great improvement. Korean medicine therapy might be effective in GTPS, although further study is needed to determine the role for Korean medicine.

종일 지속되는 소양인 원발성 전신 다한증의 치험 1례 (A Case of Soyangin Daylong Generalized Primary Hyperhidrosis)

  • 채수연;박성식
    • 사상체질의학회지
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    • 제35권4호
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    • pp.65-71
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    • 2023
  • Objectives This case study aimed to report the improvement of stress-induced generalized primary hyperhidrosis of Soyangin patient. Methods Soyangin patient suffering from daylong generalized primary hyperhidrosis was treated with acupuncture, psychological counseling, and herbal medicine. The severity of hyperhidrosis was measured using Visual Analog Scale (VAS). Results & Conclusions After treatment with Tae-Geuk acupuncture, Dojeokganggi-tang, and psychological counseling, the VAS score of hyperhidrosis was reduced from 10 to 2 during three days of admission. Herbal medicine was prescribed for 30 more days after discharge. The relieved state was maintained when monitored after two months. This case report proposes the potential of Sasang constitutional medicine for stress-induced generalized primary hyperhidrosis.

대양병(大陽病) 백호가인삼탕(白虎加人蔘湯)으로 호전된 건선 치험 1례 (A Case Report of Psoriasis treated by Bekhogainsam-tang)

  • 이성준;김남곤
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.21-27
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    • 2015
  • Objective : This study reports the effect of Bekhogainsam-tang on psoriasis. Methods : This is a case report on a patient who has been suffering from psorasis. According to Diagnostic system based on Shanghanlun provisions, Bekhogainsam-tang was provided for 47 days. The severity of psoriasis was evaluated by PASI score and pictures. Results : After taking Bekhogainsam-tang for 47 days, PASI score decreased $1.4{\rightarrow}0.2$ Conclusions : This case report showed an effectiveness of using Bekhogainsam-tang according to Diagnostic system based on Shanghanlun provisions on psoriasis.

A Case Report of the Angiosarcoma Involving Epicranial Muscle and Fascia : Is the Occipitofrontalis Muscle Composed of Two Different Muscles?

  • Kim, Ho Kyun;Lee, Hui Joong
    • Journal of Korean Neurosurgical Society
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    • 제59권1호
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    • pp.78-81
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    • 2016
  • The occipitofrontalis muscle is generally regarded as one muscle composed of two muscle bellies joined through the galea aponeurotica. However, two muscle bellies have different embryological origin, anatomical function and innervations. We report a case of angiosarcoma of the scalp in a 63-year-old man whose MR showed that the superficial fascia overlying the occipital belly becomes the temporoparietal fascia and ends at the superior end of the frontal belly. Beneath the superficial fascia, the occipital belly of the occipitofrontalis muscle becomes the galea aponeurotica and inserts into the underside of the frontal belly. The presented case report supported the concept of which the occipitofrontalis muscle appears to be composed of two anatomically different muscles.

상한론에 근거하여 오수유탕을 이용하여 호전된 건선 치험 1례 (A Case Report of Psoriasis Treated by Osuyu-tang Based on Shanghanlun)

  • 이성준;서희애;이숭인
    • 대한한의학방제학회지
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    • 제24권1호
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    • pp.53-61
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    • 2016
  • Objective The object of this case report is to evaluate the possibility of utilizing Osuyu-tang as a new therapy of psoriasis.Method Diagnosis and Psoriasis' progress was evaluated based on the patient's chart and picture. Diagnosis based on Sanghanlun was organized by graph. The severity of psoriasis' progress was evaluated by Psoriasis Area Severity Index(PASI) and visually analyzed through picture.Results On PASI and picture, we could confirm psoriasis’s area was decreased from hairline to middle of forehead and redness, thickness, scale of psoriasis also got better.Conclusion Osuyu-tang is efficient to patient of this case report as a treatment.

주기성 구토 증후군 환아에 대한 증례보고 (A Case Report of Cyclic Vomiting Syndrome in childhood by Sasang Constitution)

  • 이지영;정민정;이승연
    • 대한한방소아과학회지
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    • 제20권1호
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    • pp.85-91
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    • 2006
  • Objectives : The objectives of this study is a case report of Cyclic Vomiting Syndrome in childhood Methods : We experienced a child who ha diagnosed as Cyclic Vomiting Syndrome. We treated the patient with herb medicine, acupuncture and alimentotherapy of Sasang Constitution. Results : After the treatment of oriental medicine, the patient recovered from Cyclic Vomiting. Conclusions : We report one case of Cyclic Vomiting Syndrome in childhood the recovered after the treatment of Sasang Constitution. We think that the more follow-up is needed.

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편측 장골이 후방 회전된 여성의 보행분석 : 임상 사례보고 (A Gait Analysis of the Women with Unilateral Posterior Rotated Ilium : A Clinical Case Report)

  • 양경혜
    • 대한정형도수물리치료학회지
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    • 제20권1호
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    • pp.27-34
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    • 2014
  • Background: The purpose of this clinical case report is to confirm sacroiliac joint misalignment effects on the gait. Methods: A healthy women volunteered to participate in this case report. Measurement of the subject was performed two categories. One is physical examination of the pelvic by inspection, palpation, movement based tests and pain provocation tests. The other one is gait performance measurement by 3 dimentional motion analysis. Results: Diagnosis by physical examination of the subject was Lt. ilium posterior rotation. Pelvic, hip, knee and ankle in the 3 dimensional kinematic data, the most notable result was the ankle. Conclusion: To confirm the effect of the misalignment of the sacroiliac joint on the gait function, it must be evaluated by integrating the movement to the ankle from the lumbar.