• Archives of Plastic Surgery
• /
• 제38권6호
• /
• pp.879-882
• /
• 2011

Purpose: Superior orbital fissure syndrome is a rare neurological complex. Superior orbital fissure syndrome may result from a variety of inflammatory, infectious, neoplastic, iatrogenic, traumatic, vascular cause. The author report a patient who suffered from superior orbital fissure syndrome after inferior orbital wall reduction. Methods: A 26-year-old female suffered from inferior orbital wall fracture with inferior gaze limitation and orbital soft tissue herniation. On posttrauma 10 day, inferior orbital wall was reduced using endoscope and porous polyethylene ($Medpor^{(R)}$) was inserted. On immediate postoperation, she reported that extraocular movement was limited in almost any directions. She underwent exploration surgery to release the presence of extraocular muscle impingement. But, there was no observation of extraocular muscle impingement. On postoperative one day, high-dose steroid therapy was started to release superior orbital fissure syndrome which was defined in postoperative computed tomography. Results: After one month of high-dose steroid therapy, extraocular movement limitations improved progressively in all directions. In four months, extraocular movement recovered completely. Conclusion: Superior orbital fissure syndrome may occur after surgical procedure of orbital wall reduction. Prompt diagnosis and treatment with mega-dose corticosteroid is an effective option for avoiding disaster from compressive syndrome.

• Childhood Kidney Diseases
• /
• 제5권2호
• /
• pp.210-212
• /
• 2001

망막박리증은 소아에서는 드물게 발생하는 질환이나 스테로이드를 사용한 환아에서 장액성 망막박리가 발생한 경우가 국내외에서 종종 보고되고 있다. 신증후군으로 전신적 스테로이드를 사용하던 환아에서 양안에 열공성 망막박리가 발생하여 우안에는 레이저 치료를 좌안에는 공막돌륭술을 시행하였던 1례가 있어 보고하는 바이다.

• Journal of Yeungnam Medical Science
• /
• 제11권2호
• /
• pp.375-380
• /
• 1994

저자들은 말초 혈액에서 현저한 호산구 증가를 보이면서 간, 임파선, 골수 및 폐에 호산구 침윤을 보여 hydroxyurea로 치료한 특발성 과호산구 증후군 1례를 경험하였기에 문헌고찰과 함께 보고하는바이다.

• The Korean Journal of Pain
• /
• 제3권1호
• /
• pp.34-39
• /
• 1990

급성 대상 포진환자 51예를 분석하여 다음과 같은 결과를 얻었다. 1) 발생 빈도는 50대 이상 고령층의 여자에서 높았다. 2) 이환 부위는 흉추부가 가장 많았다. 3) 통증 성격은 매우 다양하였으나 쏜다, 찌른다, 쑤신다가 가장 많았다. 4) 진통제는 aspirin과 phenobarbital을 가장 많이 사용하였다. 5) 스테로이드는 전신적으로 사용한 예가 가장 많았고 전신적 및 경막외로 병용했던 예가 많았다. 6) 신경차단으로 두경부 질환에는 성상 신경절 차단, 그 이하는 경막외 차단이 가장 많았다. 7) 대상 포진후 신경통으로 이행하는 율은 11.8%였다. 이상의 결과는 급성 대상 포진의 치료에 탁월한 효과를 갖는 단독적인 방법이 없다는 것을 의미하며 통계적으로 명확히 증명되지는 않았으나 국소 마취제에 스테로이드를 혼합하여 경막외에 주입하는 것이 확실한 교감신경 차단과 병소 및 전신적인 약물 효과를 얻을수 있다는 점에서 유리할 것으로 사료된다.

• Tuberculosis and Respiratory Diseases
• /
• 제38권3호
• /
• pp.304-308
• /
• 1991

Corticosteroid has been extensively used for the treatment of many medical diseases caused by immune and inflammatory response. And recently it becomes the first choice of treatment for bronchial asthma in a point of it's anti-inflammatory effects. However, this therapy has been associated with many well-known complications including truncal obesity, diabetes mellitus, excerbation of hypertension, delayed wound healing, easy bruisy, atropy of proximal muscles, psychotic symptoms, and/or osteoporosis. We report a case of patient with bronchial asthma who developed an uncommon side reaction, intractable hiccup persisting longer than 48 hours after treatment with oral corticosteroid.

• Journal of Yeungnam Medical Science
• /
• 제10권2호
• /
• pp.512-517
• /
• 1993

임신전 만성 ITP로 진단되어 prednisolone 경구투여와 vincristine 정맥주사로 치료후에 추적관찰중 환자가 임신하였으나 조기진통으로 질식 둔위분만했으며 증세가 재발하여 prednisolone, 감마글로불린을 투여하였으나 호전이 없이 비장적출술을 시행한 임신과 동반된 특발성 혈소판 감소성 자반증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
• /
• 제75권4호
• /
• pp.161-164
• /
• 2013

Eosinophilic pleural effusion (EPE) is defined as a pleural effusion that contains at least 10% eosinophils. EPE occurs due to a variety of causes such as blood or air in the pleural space, infection, malignancy, or an autoimmune disease. Undifferentiated connective tissue disease (UCTD) associated with eosinophilic pleural effusion is a rare condition generally characterized by the presence of the signs and symptoms but not fulfilling the existing classification criteria. We report a case involving a 67-year-old man with UCTD and EPE, who has been successfully treated with a single intrapleural corticosteroid injection.

• 대한핵의학회지
• /
• 제14권1호
• /
• pp.23-28
• /
• 1980

This is an analysis of 32 patients who received long continuous corticosteroid drug due to some diseases. Patients were collected from June 1976 to March 1980. Blood cortisol level, variation of diurnal rhythm and side effects were studied. The Result as follows: 1. Side effects were observed in 24 patients(75%) and most common complaint was obesity. 2. Diurnal rhythm analysed by Doe's method shows abnormal diurnal rhythm is 21 out of 32(66%). 3. Mean durations or therapy of abnormal diurnal rhythm and normal diurnal rhythm were $55.7{\pm}4.4$ months and $43.9{\pm}7.0$ months respectively which shows statistically significant difference. 4. Mean cortisol value of steroid treated patients were lower than normal. 5. Reverse diurnal rhythm was 4 out of 21 patients. 6. 8 A.M. cortisol value is lower than 2 times of 8 P.M. in all patients who showed abnormal diurnal rhythm except one.

• Tuberculosis and Respiratory Diseases
• /
• 제53권3호
• /
• pp.332-336
• /
• 2002

흔히 응급상황에서 이루어지는 기관내삽관의 경우 무균적 조작의 중요성이 간과되어왔다. 특히 발관 후 발생하는 흡기성 천명음이 있을 때 먼저 발관 후 기관부종이나 기관협착을 고려하게 되고 세균성 기관염은 성인에서 보고된 예가 드물므로 간과되기가 쉽다. 그러나 저자들은 스테로이드 사용과 기관내삽관후 발생한 세균성 기관염을 경험하였으며 기관협착에 연관된 여러가지 후유증들을 고려할 때 기관내삽관시 무균적 조작이 필요할 것으로 사료되었다.

• 한방안이비인후피부과학회지
• /
• 제29권1호
• /
• pp.157-167
• /
• 2016

Objective : The purpose of this study is to know the effect of Korean medical treatments on sudden sensorineural hearing loss(SSNHL) without systemic or intratympanic steroid treatments.Method : We conducted retrospective review who was diagnosed as SSNHL and treated with Korean medicine in Dept. of Otolaryngology Kyung Hee University Hospital at Gangdong. There were two patients with SSNHL who refused to be treated with western medicine and were treated with Korean medicine including acupuncture, moxibustion, and herbal medicine.Result : One patient recovered completely after eight days of admission, and another patient partial recovered during 30 days through Korean medical treatments.Conclusion : Through these studies, SSNHL is expected to treated more effectively by conventional Korean medical treatments than corticosteroid treatments alone. But the additional study is needed to reveal the exact effects of Korean medical treatments.