• 제목/요약/키워드: Chief complaint

검색결과 486건 처리시간 0.03초

다발성 치아경조직 결손을 동반한 구강 건조증에서 Sjogren syndrome으로 진단한 증례 (Diagnon of Sjogren Syndrome from a Xerotomia with Multiple Dental Hard Tissue Loss(Case Report))

  • 서덕규;김진;이찬영;박성호
    • 대한치과의사협회지
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    • 제42권6호통권421호
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    • pp.414-421
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    • 2004
  • Sjogren syndrome is a chronic systemic autoimmune disorder that chiefly involves the salivary gland and the lacrimal gland, resulting in xerostomia and xerophthalmia. Although the exact cause of the disease is not early diagnosis, treatment and observation must be emphasized because of its poor prognosis, such as the high occurrence of malignant lymphoma and other autoimmune disease that may be accompanied. In the present case, a twenty-year-old woman whose chief complaint was multiple dental hard tissue loss and xerostomia, which was misdiagnosed as iron deficiency anemia at first, but through re-evaluation and differential diagnosis it was Sjogren syndrome. the diagnosis approach was discussed in this report, suggesting that Sjogren syndrome should be considered as a differential diagnosis in a with xerostomia.

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혼합형 총폐정맥환류이상 수술치험 1례 (Total Correction of Mixed Type Total Anomalous Pulmonary Venous Return 1 Case)

  • 편승환;서정욱
    • Journal of Chest Surgery
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    • 제29권2호
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    • pp.213-218
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    • 1996
  • Total anomalous pulmonary venous return (TAPVR) is very rare congenital heart disease. 25-year old male was admitted our hospital with dyspnea, headache and syncope as chief complaint. He was confirmed as mixed type TAPVR by echocardiography and cardiac catheterization. In this case, mixed type TAPVR was consisted with supracardiac type connection of left pulmonary vein and cardiac type of right pulmonary vein. Supracardiac type of left pulmonary common channel was anastomosed to the left auricular appendage during total cardiopulmonary bypass with fibrillating heart. Cardiac type of right pulmonary vein was operated during moderate hypothermia and aortic cross clamping. Coronary sinus septum was incised into ASD and closed with Gore-Tex patch so that right pulmonary blood flow directed to the left atrium. The patient's post-operative course was uneventful.

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Neurilemmoma in the floor of the mouth: a case report

  • Shim, Seung-Kee;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제42권1호
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    • pp.60-64
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    • 2016
  • Neurilemmomas are well-encapsulated, benign, slow-growing tumors originating from Schwann cells of the nerve sheath surrounding cranial, peripheral, or autonomic nerves. Intraoral neurilemmomas are relatively rare and have a wide variety of morphologic and radiologic features. This makes differential diagnosis difficult, and only histopathological features can lead to a definitive neurilemmoma diagnosis. In this report, we present the case of a 30-year-old woman whose chief complaint was a solitary, nodular mass on the right floor of the mouth. After computed tomography and magnetic resonance imaging, we performed an incisional biopsy that showed the typical characteristics of a neurilemmoma. The mass was removed completely through an intraoral surgical approach. Despite losing a portion of the lingual nerve, the patient did not complain of any specific discomfort. Wound healing was uneventful and there were no signs or symptoms of recurrence.

KIMURA'S DISEASE 치험례 (THE CASE REPORT OF KIMURA'S DISEASE)

  • 이상철;김여갑;류동목;조선경
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권3호
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    • pp.332-337
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    • 1991
  • Kimura's disease is a chronic inflammatory condition producing subcutaneous tumor-like nodules mainly head and neck regions. Elevated serum Ig E levels and peripheral blood eosinophilia are common. Kimura's disease represents and aberrant immune reaction to an as yet unknown stimulus. This case presented is 27 year old female whose chief complaint were painful swelling on Rt cheek and temporal area and diagnosed as Kimura's disease. We preformed surgical excision of the mass on Rt. cheek and temporal area and reconstructed with temporal flap and about 100 cc of free fat graft on the defect of Rt. cheek.

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이구개지단 증후군 1례 (A Case of Otopalatodigital Syndrome)

  • 최경종;이성형;은선진;송계원
    • Journal of Yeungnam Medical Science
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    • 제8권1호
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    • pp.246-251
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    • 1991
  • In 1962, a case of "generalized skeletal dysplasia with multiple anomalies" was reported by Taybi as a new clinical syndrome. The most characteristic features of the syndrome seemed to be hearing loss, cleft palate and peculiar digital anomalies, so, the syndrome designated as otopalatodigital syndrome by Dudding, et al. Recently, The authors have experienced a case OPD syndrome who visited Yeungnam University Hospital with the chief complaint of hypernasality, and underwent pharyngoplasty for correction of VPI. We present here a new case and review the literature on the subject.

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태변성 복막염 3례 (Three Cases of Meconium Peritonitis)

  • 이영환;안수호;신손문;허영수
    • Journal of Yeungnam Medical Science
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    • 제8권1호
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    • pp.191-197
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    • 1991
  • Meconium peritonitis is an aseptic peritonitis caused by spill of meconium in the abdominal cavity through one or several intestinal perforations which have taken place during intrauterine life or early neonatal life. We experienced three cases of meconium peritonitis with ileal perforation in two cases 1 day-old male neonate and 2 day-old male neonate, respectively, which had the chief complaint of vomiting and abdominal distension, Literatures are reviewed, briefly.

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인두피판성형술 전후의 언어 평가 (SPEECH-LANGUAGE EVALUATION BEFORE AND AFTER PHARYNGOPLASTY)

  • 유양근;한진순;김정록;황순정
    • 대한구순구개열학회지
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    • 제3권2호
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    • pp.61-66
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    • 2000
  • General characteristics of speech in deft palate patients are hypemasality and articulation disorder, which are affected by velopharyngeal inadequacy(VPI). 17 subjects with a chief complaint of 'nasal sounds and inaccurate pronunciation' underwent a speech-language evaluation before and after pharyngoplasty. Hypemasality and obligatory articulation errors were improved but compensatory articulation errors remained after pharyngoplasty. Above mentioned results indicate that resonance may be normal or improved following successful surgical management of VPI but, compensatory articulation errors will still persist. The separate recognition of hypemasality, compensatory and obligatory articulation errors in deft palate patients is important in determining the timing of therapy and selection of appropriate targets in therapy.

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아킬레스건에 발생한 골화 - 1예 보고 - (Ossification in the Achilles tendon - A case report -)

  • 강재도;김광열;이성춘
    • 대한족부족관절학회지
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    • 제6권2호
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    • pp.221-223
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    • 2002
  • Ossification of the Achilles tendon is a very rare condition. We report a case with ossification of Achilles tendon, recently treated surgically. The patient was a 44 year old male whose chief complaint was discomfort around the Achilles tendon. He didn't have a previous history of surgery or trauma. The roentgenography showed that the bony mass was $15\times3cm$ on the right leg. Ossification of Achilles tendon was found in the Achilles tendon and treated by surgical removal of a bony mass and suturing the tendon. Microscopic examination of the extirpated specimen revealed bone formation through enchondral and intramembranous ossification in the Achilles tendon.

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TAURODONTISM의 증예보고 (REPORT OF (CASE OF TAURDONTISM)

  • 김규택
    • 대한치과의사협회지
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    • 제14권3호
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    • pp.263-267
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    • 1976
  • The author detected rare taurodontisms shown in full mouth standard films of a 21-years-old male patient for the chief complaint of hypersensitivity caused by cervical area to cold and came to the folloeing conclusions through an asthropolpgical and geographic study. 1. Anomaly of this kind was also found ina korean, a mongoloid descent. 2. This study shaw that two cases of hypertaurodont molars and nine cases of hypotaurodont molars were found in one single patient. 3. No particular relationship was found between the occurrence of dental caries and the anomaly of this kind. 4. The genetical study on the case was out of the question because the family of the patient did not offer co-operation.

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관상동정맥루의 외과적 수술 -1례 보고- (Operation of Coronary A-V Fistula - Report of a Case -)

  • 이성광
    • Journal of Chest Surgery
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    • 제21권4호
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    • pp.716-720
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    • 1988
  • Since Krause first described coronary arteriovenous fistula in 1865, there have been nearly 300 additional patients with this malformation reported in the literature. Increasing numbers of patients with this anomaly are being recognized each year resulting from the widespread use of cardiac catheterization and selective coronary arteriography in the evaluation of a variety of cardiac problems. A 9 month old male was admitted with the chief complaint of cardiac murmur and frequent URI and diagnosed as coronary A-V fistula at the distal portion of left anterior descending coronary artery to the apex of the right ventricle by cardiac catheterization and aortography. On the operative field, the left anterior descending coronary was markedly dilated about 1.5 cm in diameter from the aorta to the apex of the heart. The fistula opening was closed with 5-0 Prolene continuously under cardiopulmonary bypass and moderate hypothermia[28*C]. Postoperative course was uneventful and the patient was discharged without problem.

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