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Eosinophilic gastroenteritis in an 18-year-old male with prolonged nephrotic syndrome

  • Choi, Da Min;Pyun, Jung Eun;Yim, Hyung Eun;Yoo, Kee Hwan;Shim, Jung Ok;Lee, Eun Jung;Won, Nam Hee
    • Clinical and Experimental Pediatrics
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    • v.59 no.sup1
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    • pp.72-75
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    • 2016
  • Eosinophilic gastroenteritis is a rare disease characterized by prominent eosinophilic tissue infiltration of the gastrointestinal tract. Here, we report a case of eosinophilic gastroenteritis in an 18-year-old patient with prolonged nephrotic syndrome who presented with abdominal pain and peripheral hypereosinophilia. During the previous 2 years, he had visited local Emergency Department several times because of epigastric pain and nausea. He had been treated with steroid-dependent nephrotic syndrome since 3 years of age. Tests ruled out allergic and parasitic disease etiologies. Gastroduodenoscopy with biopsy revealed marked eosinophilic infiltration in the duodenum. Renal biopsy findings indicated minimal change disease spectrum without eosinophilic infiltration. The oral deflazacort dosage was increased, and the patient was discharged after abdominal pain resolved. To our knowledge, this is the first report of eosinophilic gastroenteritis in a patient with minimal change disease.

Two Cases Reports of Behcet's Disease with Arthritis Treated with Oriental Medical Treatment Including Cheongsimyeonja-tang and Cheonglijagam-tang on each (청심련자탕(淸心蓮子湯)과 청리자감탕(淸離滋坎湯)을 투여한 관절염 동반 베체트병 환자 2례에 대한 한방치료 증례보고)

  • Lim, Tae Hyung;Park, Hye Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.6
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    • pp.643-649
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    • 2014
  • This study was designed to report treatment for Behcet's disease with arthritis We treated 2 Behcet's disease patients with arthritis. A 46-year-old female patient was treated with Cheongsimyeonja-tang. Another case, 44-year-old female patient was diagnosed as Sjogren's disease at first and diagnosed as The Behcet's diseases about 1 year later, treated with Cheonglijagam-tang. The progress was evaluated with the visual analogue scale for joint pain and hot flush, and length of sleeping time. There was improvement in the symptoms of visual analogue scale for joint pain and hot flush, also length of sleeping time. Cheongsimyeonja-tang, Cheonglijagam-tang can be considered as a treatment for patient diagnosed as Behcet's disease suffering from arthritis, especially.

A study on the recognition of dental implant of dental patient in the city of Jin-ju (J시 일부 치과 내원환자의 치과 임플랜트 인식도 조사)

  • Park, Hong-Ryurn
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.3
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    • pp.285-299
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    • 2007
  • The purpose of this study was to provide basic data of education program and consult for dental implant patient. The 210 of dental patients were selected at five dental clinic located in Jin-ju city. Data were collected by self-administrated questionnaire. A SPSS 10.10 for Windows was used for statistical analysis. The results of the study are summarized as follows: 1. The female responser was 56.2%, the rate of age was thirty years old 26.7%, education level was more than university and college 45.7%, job is company unit 15.2%, income was 100~200man won of 48.6%. 2. Recognition of dental implant was that incase of 'yes' is more than sixty years old 77.3%. 3. The information of implant was from neighborhood 29.0%, and when dental consult 24.3%. 4. The responsor who is everyone can take the dental implant operation is 39.5%, can not take is 32.9%. 5. The responsor who is everyone wants implant operation was 45.2%, 'do not' is 17.1%. 6. Using period of implant tooth is 'forever' 40.0%. In limited of twenty years' is 23.8%. 7. When everyone select to dental clinic was because of dentist medical technique is 64.3%, dental treatment cost is 15.9%. In conclusion, it is necessary for the dental implant patient to make dental consult and education program. So, try to study for make basic data with analysis recognition of dental implant patients.

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Effective dose of cone-beam computed tomography for orthodontic analysis in pediatric patient (소아환자에서 교정분석을 위한 콘빔CT 촬영시 유효선량에 관한 연구)

  • Kim, Eun-Kyung
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.558-568
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    • 2015
  • Objective: The objectives of this study were to measure pediatric organ and effective doses of cone-beam computed tomography (CBCT) for orthodontic analysis and to compare them to those of panoramic and lateral cephalometric radiography, the conventional radiography for orthodontic analysis. Materials and Methods: Alphard VEGA for CBCT, Planmeca Proline XC for panoramic radiography and Orthophos CD for cephalometric radiography were used for this study. Thermoluminescent dosimeter (TLD) chips were located at 24 anatomic sites of 10-year-old anthropomorphic phantom and exposed during CBCT (C-mode; $200{\times}179mm$ FOV), panoramic and lateral cephalometric radiographic procedures at the clinical exposure settings for 10-year-old patient. Pediatric organ and effective doses were measured and calculated using ICRP 2007 tissue weighting factors. Results: Effective doses of CBCT, panoramic radiography and lateral cephlometric radiography in pediatric clinical exposure settings were $292.5{\mu}Sv$, $19.3{\mu}Sv$, and $4.4{\mu}Sv$ respectively. The thyroid gland contributed most significantly to the effective dose in all the radiographic procedures. Conclusion: Effective dose of CBCT was about 12 times to conventional radiographic procedures for orthodontic analysis in pediatric patient. The use of CBCT for orthodontic analysis should be fully justified over conventional radiography and dose optimization to decrease thyroid dose is needed in pediatric patients.

Implant-supported overdenture with prefabricated bar attachment system in mandibular edentulous patient

  • Ha, Seung-Ryong;Kim, Sung-Hun;Song, Seung-Il;Hong, Seong-Tae;Kim, Gy-Young
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.254-258
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    • 2012
  • Implant-supported overdenture is a reliable treatment option for the patients with edentulous mandible when they have difficulty in using complete dentures. Several options have been used for implant-supported overdenture attachments. Among these, bar attachment system has greater retention and better maintainability than others. SFI-Bar$^{(R)}$ is prefabricated and can be adjustable at chairside. Therefore, laboratory procedures such as soldering and welding are unnecessary, which leads to fewer errors and lower costs. A 67-year-old female patient presented, complaining of mobility of lower anterior teeth with old denture. She had been wearing complete denture in the maxilla and removable partial denture in the mandible with severe bone loss. After extracting the teeth, two implants were placed in front of mental foramen, and SFI-Bar$^{(R)}$ was connected. A tube bar was seated to two adapters through large ball joints and fixation screws, connecting each implant. The length of the tube bar was adjusted according to inter-implant distance. Then, a female part was attached to the bar beneath the new denture. This clinical report describes two-implant-supported overdenture using the SFI-Bar$^{(R)}$ system in a mandibular edentulous patient.

Dental Treatment of Pediatric Patients with Mouth Opening Limitation under General Anesthesia (개구 장애가 심한 소아환자에서 전신마취 하 치과치료를 위한 기도관리)

  • Han, Hyo-Jo;Seo, Kwang-Suk;Kim, Hyun-Jeong;Shin, Teo-Jeon;Kwoen, Young-Sun
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.11 no.2
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    • pp.172-176
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    • 2011
  • For dental treatment of children with severe dental phobia, sedation or general anesthesia is usually selected for enhancement of cooperation. But in the case of mouth opening limitation due to temporomandibular disorders, general anesthesia administration is a challenge for anesthesiologist. Because airway management failure was concerned, awake fibroscopic intubation is selected first. But, skillful fibroscopic intubation is not easy in case of uncooprative children patients. In this report, we present two cases of pediatric patients with mouth opening limitation. In the first case, the patient was 52 months old and the maximum opening distance was 1.2 cm, and in the second case the patient was 38 months old and the maximum opening distance was 1.5 cm. Both patients showed severe dental phobia. After sevoflurane inhalation without any intravenous drug, we successfully performed intubation using a fibroscope.

Penetrating Chest Injuries Caused by the Sideview Mirror of the Patient's Car - Report of 2 cases - (자동차의 사이드미러가 흉강에 박힌 채로 내원한 흉부관통상 - 2례 보고 -)

  • Kim, Soo Sung
    • Journal of Trauma and Injury
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    • v.20 no.1
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    • pp.47-51
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    • 2007
  • Penetrating chest trauma caused by the components of one's own car is rare in motor vehicle accidents. We experienced two cases of penetrating chest injury caused by the sideview mirror of the patient's vehicle. One was a 25-year-old man. The sideview mirror penetrated the left chest, went through the diaphragm, and ruptured the spleen. He was in shock upon arrival at the emergency room. An emergency thoracotomy and laparotomy were done. The ruptured spleen was resected, the lung and the diaphragm were debrided and repaired, and the chest wall was reconstructed. The other patient was a 57-year-old male, who was transported to our emergency room with the sideview mirror of his truck stuck into his right chest wall as the result of an accident. He also had a right Bennet's fracture and an open fracture of the right tibia. Air had been sucked into the right pleural cavity through the wound. Multiple rib fractures and lung lacerations had also occurred. Removal of the sideview mirror, repair of the lacerated lung, and reconstruction of chest wall were done immediately. Both patients recovered without complication and were discharged.

A Korean Family with Cholesterol Ester Transfer Protein Deficiency

  • Youn, Seo-Young;Shin, Ik-Soon;Hong, Yong-Hee;Lee, Dong-Hwan
    • Journal of Genetic Medicine
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    • v.9 no.1
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    • pp.38-41
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    • 2012
  • A 32-year-old female patient and her sister show high levels of high density lipoprotein (HDL) cholesterol in regular health checkups, since female patient was 11 years old. The patient's serum total cholesterol was 285 mg/dL and HDL cholesterol was 113 mg/dL. Her sister's total cholesterol was 240 mg/dL and the HDL cholesterol measured to be 90 mg/dL. Lipoprotein pattern and cholesteryl ester transfer activity gene analysis were examined in these patients. We found c.1321+1G>A (IVS14+1G/A) hetero mutation in cholesteryl ester transfer protein (CETP) genes. Generally, CETP mediates transfer and exchange of triglycerides and cholesteryl ester between plasma lipoproteins. Also we investigated a key role of HDL-CE and Apo A-1 metabolism. Patients with low levels of CETP have increased serum HDL levels. We hereby report two Korean cases of CETP deficiency in a family. Brief literature review ensues with the cases.

A case of nasopharyngeal mucoepidermoid carcinoma in a 5 year-old female patient (소아 비인강에서 발생한 점액표피양암종 1례)

  • Yoon, Soyeon;Kim, Mijoo;Kim, Minbum;Hong, Hyunjun;Song, Keejae
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.89-92
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    • 2018
  • Malignant salivary gland tumors only represent 0.08% of all childhood tumors. Especially, nasopharyngeal mucoepidermoid carcinoma(MEC) in pediatric age is an extremely rare malignancy. We hereby report a case of nasopharyngeal MEC in 5 year-old female patient. The patient underwent the complete removal of the tumor by endonasal endoscopic approach. Adjuvant postoperative radiotherapy was not considered. After 3.5 years of follow-up, there are no sign of recurrence and metastasis. Minor salivary gland tumor must be considered as a differential diagnosis of angiofibroma in nasopharynx in pediatric age. To our knowledge, the case we describe is the third case of nasopharyngeal MEC in pediatric age reported in literature.

Two Cases of Papillary Carcinoma Arising from Thyroglossal Duct Cyst (TGDC) (갑상설관낭종에서 기원한 유두상 암종 2례)

  • Jeong, Yong Jun;Yum, Gun Hwee;Kwon, Soon Young;Oh, Kyoung Ho
    • International journal of thyroidology
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    • v.11 no.2
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    • pp.189-193
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    • 2018
  • A thyroglossal duct cyst (TGDC) is the most common congenital anomaly of the neck. However, carcinoma arising from TGDC is extremely rare. We report 2 cases of TGDC carcinoma. In the first case, a 21-year-old male patient complained of an anterior cervical mass; computed tomography (CT) and sonography revealed cystic mass that was suspected to be a TGDC. Sistrunk operation was performed. Papillary carcinoma was confirmed in pathologic examination. Additionally, he underwent total thyroidectomy and central neck dissection. After radioactive iodine ablation (RAI) was performed. In the second case, a 28-year-old male patient visited our out-patient department complaining of submental mass. He had already been diagnosed TGDC carcinoma 13 years ago and had undergone Sistrunk operation and total thyroidectomy. Malignancy was confirmed using fine-needle aspiration; thus, lateral neck dissection was performed and following this, he underwent RAI. Till date, no evidence of recurrence has been observed in these patients.