• Title/Summary/Keyword: Case-report

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Cone beam computed tomography findings of ectopic mandibular third molar in the mandibular condyle: report of a case

  • Kim, Jin-Soo
    • Imaging Science in Dentistry
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    • v.41 no.3
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    • pp.135-137
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    • 2011
  • Impaction of third molar is a common developmental abnormality. However, ectopic impaction of the mandibular third molar in condylar region is an extremely rare condition. This report describes a case of impacted tooth in the mandibular condyle without any associated pathologic condition. Also, this report presents the spatial relationship of the impacted mandibular third molar to the surrounding anatomic structures using cone beam computed tomography.

Respiratory Depression After the Second Dose of Intravenous Tramadol in a Rectal Cancer Patient with Normal Renal Function: A Clinical Case Report (정상 신기능 직장암 환자에서 Intravenous Tramadol 이회 투여 후 호흡곤란 발생 증례 보고)

  • Kang, Hee-Won;Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.1
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    • pp.36-38
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    • 2011
  • We report an unusual case of respiratory depression and prolonged apnea after the second dose of 100-mg intravenous tramadol. Due to continuous pain at foley catheter keep site, intravenous tramadol was administered to the patient. Soon after the second dose of tramadol injection, the patient became apneic. The patient did not respond to verbal command and started exhibiting oxygen desaturation. The patient was quickly treated with 100% oxygen, and it took 4 hours for the spontaneous respiration to return to regular. This case report demonstrates that even two doses of tramadol administered intravenously may manifest as sudden and prolonged apnea. Respiratory depression with tramadol has been reported in patients with impaired renal functions and Cytochrome P(CYP) 2D6 gene duplication.

Letter to Editor : A case of Seganmeongmok-tang for choroidal melanoma-related eye pain and headache (맥락막 흑색종으로 유발된 안구통증과 두통이 세간명목탕으로 호전된 환자 1례)

  • Chang, Sung-Hwan
    • Journal of Korean Traditional Oncology
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    • v.21 no.1
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    • pp.35-40
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    • 2016
  • Objectives : choroidal melanoma is a rare solid tumor and has been known that thers is few effective drugs for the treatment. The purpose of this case report is to report a case of reduction of choroidal melanoma-related eye pain and headache treated with Seganmeongmok-tang. Methods : A patient with choroidal melanoma-related eye pain and headache was treated with Seganmeongmok-tang. The changes in clinical findings were evaluated. Results : The symptoms of patients were improved after about 1 week taking Seganmeongmok-tang. Conclusion : This case report suggests that Seganmeongmok-tang may have an effect on reduction of choroidal melanoma-related eye pain and headache. Further rigorous studies are necessary to investigate the therapeutic effects of Seganmeongmok-tang on choroidal melanoma.

Vancomycin Induced Lupus Flare in a Patient with Systemic Lupus Erythematosus: A Clinical Case Report (전신성 홍반성 루푸스 환자에서 Intravenous Vancomycin 투여로 인한 루푸스 활성기 증례 보고)

  • Kim, Hyeon-Jin;Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.3
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    • pp.276-279
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    • 2011
  • We report an unusual case of lupus flare induced by intravenous vancomycin in a patient with systemic lupus erythematosus. Due to methicillin resistant staphylococcus aureus in wound culture, intravenous vancomycin was administered to the patient. The patient had been on vancomycin for several days then she experienced fever, malar rash, and vomiting. Based on laboratory results, it was confirmed as lupus flare. Oral prednisolone was given to the patient for symptom control. However, when vancomycin was readministered, the patient had similar symptom to the previous one more intensively. Vancomycin was stopped then the patient became stable. This case report demonstrates that intravenous vancomycin may manifest as lupus flare in patients with systemic lupus erythematosus.

End Stage Renal Disease caused by IgA Nephropathy : One Case Report (IgA 신증에 의한 말기 신질환에 대한 증례보고)

  • Jeong, Jong Jin;Sun, Seung Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.6
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    • pp.823-826
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    • 2013
  • This case is to report the effect of renal function of chronic kidney disease(CKD) caused by IgA nephropathy. A 37-year-old man visited a Korean medicine hospital, who has been diagnosed with end stage renal disease(ESRD), 5 stage of CKD, caused by IgA nephropathy, has had no improvement of western medical treatment, and wanted to be treated using Korean medicine before renal transplantation. The decrease of creatinine value, the increase of glomerular filtration rate(GFR), and the decrease of CKD stage (5 to 4) was observed after combination treatment of Ikkigeonbiisuhwalhyeoltang and saam acupuncture was applied. This case report is suggested that combination treatment of acupuncture and herbal medicine could be effective to renal function of CKD in spite of a single case.

A Case Report of a Chronic Migraine Patient Who Did Not Respond to Triptan (트립탄 계열 약물에 반응하지 않는 만성 편두통 환자 치험 1례)

  • Kim, Cheol-hyun;Moon, Yeon-ju;Chu, Hong-min;Yang, Mu-hack
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.154-158
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    • 2018
  • Introduction: This case report assessed the effects of Korean medicine treatments on a chronic migraine patient who did not respond to triptan. Case Presentation: The patient received Korean medicine treatments, such as acupuncture, moxibustion, cupping, and herbal medication, during a hospitalization period. The effects of treatments were assessed with the Numerical Rating Scale (NRS) and migraine attack frequency. The intensity and attack frequency of migraines were significantly reduced after the complete treatment. Conclusions: For migraines, Korean medicine such as acupuncture and herbal medication could be an alternative to conventional therapy.

A Case Report of Seborrheic Dermatitis With a Gastrointestinal Symptom Treated by Jeokseokji-uyeoryang-tang Based on Shanghanlun (상한론에 근거하여 소화기 이상을 동반한 지루성 피부염 환자에 대한 적석지우여량탕 치험 1례)

  • Lee, Sung-Jun;Yoon, Hye-ji;Lee, Soong-In
    • Herbal Formula Science
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    • v.24 no.1
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    • pp.45-52
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    • 2016
  • objective The purpose of this case report is to review the possibility of utilizing Jeokseokji-uyeoryang-tang as a therapy of seborrheic dermatitis, and to consider clinical using possibility of Shanghanlun.method Patient's Diagnosis and progress of seborrheic dermatitis was evaluated based on the patient's chart and picture. And diagnosis based on Shanghanlun was organized by table.results When analyzing the patient's history and symptoms, it can be found in article No. 159 in Shanghanlun. The area and intentsiy of erythema were reduced when viewed photos findings, so diagnosis and therapies used in this case showed valid results in seborrheic dermatitis.conclusion Jeokseokji-uyeoryang-tang is efficient to patient of this case report as a treatment.

A Case Report of Dysmenorrhea Treated by Galgunhwangryunhwanggum-tang based on Shanghanlun Provisions (『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)

  • Lee, Kyoungjae
    • 대한상한금궤의학회지
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    • v.9 no.1
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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.

Orbital Dirofilariasis in Iran: A Case Report

  • Tavakolizadeh, Sepideh;Mobedi, Iraj
    • Parasites, Hosts and Diseases
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    • v.47 no.4
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    • pp.397-399
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    • 2009
  • Dirofilariasis is a common parasitic disease in both domestic and wild animals around the world, with canines as the principal reservoir host and mosquitoes as the vector. Human ophthalmic dirofilariasis is an uncommon condition, but there have been reports from many parts of the world, including Africa, Australia, the Americas, Europe, and Asia. Ophthalmic involvement with Dirofilaria may present itself as periorbital, subconjunctival, orbital, or intraocular infections. In this report, we present a case of orbital dirofilariasis with lateral rectus muscle involvement. To our knowledge, this is the first orbital dirofilariasis case reported in Iran. Although debulking of the tumor usually leads to resolution, our patient showed an episode of recurrence after biopsy. Complete recovery was achieved after a spontaneous discharge, without the need for systemic medication.

A Case Report of Patient with Recurrent Aphthous Stomatitis and Pompholyx Treated with Modified Palmulgunja-tang (팔물군자탕 가미방으로 호전된 재발성 아프타성 구내염 및 한포진 환자 치험 1례)

  • Kim, Ji Hwan
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.2
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    • pp.80-95
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    • 2020
  • Introduction This study is the first case report to observe a significant improvement of clinical symptoms of both Recurrent Aphthous Stomatitis(RAS) and pompholyx treating with modified Palmulgunja-tang for Soeum-type. Case presentation A 37-year-old female patient complained of pain by ulcers on her mouth and tongue, and of itching caused by vesicles on her palms and soles was diagnosed with RAS, pompholyx, and, especially moderate pattern of 'Congestive Hyperpsychotic symptomatology' according to the theory of Sasang Constitutional Medicine(SCM). During inpatient and outpatient treatment, she took modified Palmulgunja-tang, and was treated with acupuncture, moxibustion, and cupping therapy. The effectiveness of these therapies was assessed with subjective Neumeral Rating Scale(NRS) and Dyshidotic Eczema Area and Severity Index(DASI). Conclusion After the treatment according to the theory of SCM, NRS, and DASI score about RAS and pompoholyx was decreased, and the general condition of the patient also has improved.