• 제목/요약/키워드: Perianal

검색결과 87건 처리시간 0.034초

Minocycline as a treatment of dog with calcinosis cutis

  • Jang, Hye-Jin;Kang, Min-Hee;Sur, Jung-Hyang;Park, Hee-Myung
    • 대한수의학회지
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    • 제53권4호
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    • pp.253-256
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    • 2013
  • An 8-year-old, castrated male, Schnauzer dog was presented for evaluation of gradually worsening erythematous papules. Physical examination revealed multiple erythematous papules having a firm, gritty texture located in bilateral ears, dorsal midline, perianal and inguinal area. Skin biopsy revealed aberrant structure, characterized by atrophic epidermal-dermal layer structure with granular materials which was presumed as calcinosis cutis secondary to iatrognic hyperadrenocotricism. By initiating minocycline for 14 days, there was reduction in size, number of calcium deposit with remarkably decreased erythema. This case report presents the clinical trial of minocycline as a potential agent in treating dogs with calcinosis cutis.

외톨이 교감신경절 차단을 이용한 직장암성 통증의 치험 -증례 보고- (Blockade of the Ganglion Impar in Rectal Cancer Pain -A case report-)

  • 이영복;윤경봉;박정심
    • The Korean Journal of Pain
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    • 제9권2호
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    • pp.419-422
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    • 1996
  • Pain arising from pelvic viscera and perineum is frequently associated with discomfort and disability and caused by local trauma, inflammation and malignancy within the pelvis. Although various interventions have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. The ganglion impar is a solitary retroperitoneal structure located at the level of the sacrococcygeal junction that marks the terminations of sympathetic chains. We propose that blockade of the ganglion impar is an effective method in the management of patient suffered from perianal pain due to advanced rectal cancer.

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Nalbuphine 천골강내 주입에 의한 술후 제통효과 (Postoperative Analgesia by Caudal Nalbuphine HCL)

  • 신증수;윤덕미;이경민;오흥근
    • The Korean Journal of Pain
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    • 제3권1호
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    • pp.44-50
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    • 1990
  • Epidural injection of narcotics for postoperative pain relief has been well reported. Caudal nalbuphine was assessed as a postoperative analgesic in a randomized double blind study of 80 patients after perianal surgery. Caudal block was carried out with 1.5% lidocaine 25 ml (Group 1) in 20 patients, and mixed with nalbuphine 3 mg (Group 2) in 20 patients, nalbuphine 5 mg (Group 3) in 20 patients, and nalbuphine 10 mg (Group 4) in 20 patients. Pain relief was evaluated by the subsquent need for systemic analgesics (Pethidine). In group 4, the use of systemic analgesics was significantly reduced for the first 24 hours postoperatively. Urinary retention was not correlated with nalbuphin dose.

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키르키스탄 일부 초등학교 아동들의 요충 감염 양성율 보고 (Enterobius vermicularis egg positive rate of primary school children in a part of Kyrgyzstan)

  • 주종필;조유정;김덕곤
    • 대한한방소아과학회지
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    • 제15권2호
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    • pp.189-193
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    • 2001
  • School children were examined for the presence of Enterobius vermicularis egg by perianal swab method at 52nd and 41st primary school between September 30, 1998 and October 7, 1998 in Kyrgyzstan, 281 children examined, 80(28.5%) were found to be positive for E. vermicularis egg. The egg positive rate of boys and girls were 41(29%) and 39(28%), respectively. Through this survey, we found that E. vericularis infection is still prevalent among children in Kyrgyzstan.

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Two Cases of Symptomatic Perineural Cysts (Tarlov Cysts) in One Family - A Case Report

  • Park, Hyun-Jun;Kim, Il-Sup;Lee, Sang-Won;Son, Byung-Chul
    • Journal of Korean Neurosurgical Society
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    • 제44권3호
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    • pp.174-177
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    • 2008
  • Symptomatic sacral perineural cysts are uncommon. Several hypotheses have been proposed to explain the etiologies of perineural cysts, but the accurate etiologies remain unclear. We experienced two cases of symptomatic sacral perineural cysts (Tarlov cysts) in one family, who presented with perianal paresthesia. Both of them were operated and postoperatively their symptoms were disappeared immediately. We experienced the excellent treatment outcome with the surgical management of symptomatic perineural cysts in the sacral region. We assume that the theory of congenital origin including a familial tendency is the most plausible of the hypotheses that have been proposed.

Surgery in Pediatric Crohn's Disease: Indications, Timing and Post-Operative Management

  • Kim, Seung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권1호
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    • pp.14-21
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    • 2017
  • Pediatric onset Crohn's disease (CD) tends to have complicated behavior (stricture or penetration) than elderly onset CD at diagnosis. Considering the longer duration of the disease in pediatric patients, the accumulative chance of surgical treatment is higher than in adult onset CD patients. Possible operative indications include perianal CD, intestinal stricture or obstruction, abdominal abscess or fistula, intestinal hemorrhage, neoplastic changes and medically untreatable inflammation. Growth retardation is an operative indication only for pediatric patients. Surgery can affect a patient's clinical course, especially for pediatric CD patient who are growing physically and mentally, so the decision should be made by careful consideration of several factors. The complex and diverse clinical conditions hinder development of a systemized treatment algorithm. Therefore, timing of surgery in pediatric CD patients should be determined with individualized approach by an experienced and well organized multidisciplinary inflammatory bowel disease team. Best long-term outcomes will require proactive post-operative monitoring and therapeutic modifications according to the conditions.

Perianal Adenocarcinoma in a Dog

  • Kim, Hee-Ju;Do, Sun-Hee;Jeong, Won-Il;Kim, Young-Do;Park, Sang-Joon;Chung, Jae-Yong;Ki, Mi-Ran;Kim, Dong-Hwan;Kim, Tae-Hwan;Jeong, Kyu-Shik
    • 한국수의병리학회:학술대회논문집
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    • 한국수의병리학회 2005년도 Proceedings of The 2nd Asian Society of Veterinary Pathology Symposium(Vol.2) and 2005 Annual Meeting of The Korean Society of Veterinary Pathology(Vol.9)
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    • pp.106-107
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    • 2005
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2세 이하 소아 치루에 대한 임상적 분석 (Fistula-in-Ano in Children less than 2 Years of Age)

  • 전시열
    • Advances in pediatric surgery
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    • 제16권2호
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    • pp.170-176
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    • 2010
  • The clinical characteristics of fistula-in-ano in infants are different from those of older children, and its treatment remains controversial. We suggest that fistula-in-ano in infants has a congenital etiology. To verify this hypothesis and to settle the controversies regarding fistula-in ano in infants, a retrospective analysis of 29 patients less than 2 years of age with anal fistulae treated between 1994 and 2009 at Samsung Changwon Hospital were reviewed retrospectively. Twenty two patients were male and mean age at diagnosis was $7.2{\pm}5.2$ months. Eleven out of 22 cases had previous surgical drainage for perianal abscess. 18 patients had fistulotomy (81.8 %) and four had fistulectomy (18.2 %). Cryptotomies with fistulectomy were performed in 10 patients (45.5 %) who had involved crypt. There was one recurrence. These results suggest that fistula-in-ano in young children less than two years of age is different from those in older children or adults. Fistulotomy is suggested to be the recommended treatment of choice. A future study involving non-operative management would be required to explore all treatment options.

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고양이 헤르페스 바이러스-1 감염과 관련된 고양이의 안면 및 회음부 피부염 (Feline Herpes Virus-1 Associated Facial and Perianal Dermatitis in a Cat)

  • 윤지선;;;박진호
    • 한국임상수의학회지
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    • 제30권3호
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    • pp.210-213
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    • 2013
  • 고양이 헤르페스 바이러스-1 감염과 관련된 고양이의 괴사성 안면 피부염의 증례를 보고하고자 한다. 3살된, 미거세 수컷 도메스틱 숏헤어 고양이가 2년간 지속된 소양성 피부염을 주증으로 내원하였다. 환자는 생후 약 2개월령부터 지속적인 눈꼽과 결막염을 가지고 있었으며, 눈 주위부터 안면 전체로 확대된 피부염의 병력을 가지고 있었다. 내원 당시에는 가피로 덮여있는 미란과 궤양성의 피부병변이 안면과 회음부에서 주로 관찰되었다. 피부 병변부위의 조직학적 검사 결과, 경계면 피부염을 동반한 기저층의 수포변성과 각질세포의 단세포 괴사 소견이 관찰되었으며, 호산구 침윤을 동반한 표피와 진피의 괴사와 각질세포의 핵내 봉입체도 관찰되었다. 이에 가피 부위의 가검물을 이용하여 PCR검사를 수행하였고, 그 결과 고양이 헤르페스 바이러스-1의 유전자가 검출되었다. 위의 소견으로부터, 본 증례는 고양이 헤르페스 바이러스-1 감염과 관련된 궤양성 피부염으로 진단되었고, 아시클로버의 경구투여와 고양이 인터페론 오메가의 국소투여로 피부 및 점막 병변의 뚜렷한 개선을 볼 수 있었다.