• Title/Summary/Keyword: manifestation

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Acute Respiratory Distress Syndrome as the Initial Clinical Manifestation of an Antisynthetase Syndrome

  • Kim, Seo-Hyun;Park, I-Nae
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.3
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    • pp.188-192
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    • 2016
  • Antisynthetase syndrome has been recognized as an important cause of autoimmune inflammatory myopathy in a subset of patients with polymyositis and dermatomyositis. It is associated with serum antibody to aminoacyl-transfer RNA synthetases and is characterized by a constellation of manifestations, including fever, myositis, interstitial lung disease, mechanic's hand-like cutaneous involvement, Raynaud phenomenon, and polyarthritis. Lung disease is the presenting feature in 50% of the cases. We report a case of a 60-year-old female with acute respiratory distress syndrome (ARDS), which later proved to be an unexpected and initial manifestation of anti-Jo-1 antibody-positive antisynthetase syndrome. The present case showed resolution of ARDS after treatment with high-dose corticosteroids. Given that steroids are not greatly beneficial in the treatment of ARDS, it is likely that the improvement of the respiratory symptoms in this patient also resulted from the prompt suppression of the inflammatory systemic response by corticosteroids.

Osteosarcoma of the mandible: A case report with an early radiographic manifestation

  • Samraj, Lavanya;Kaliamoorthy, Sriram;Venkatapathy, Ramesh;Oza, Nirima
    • Imaging Science in Dentistry
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    • v.44 no.1
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    • pp.85-88
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    • 2014
  • Osteosarcoma is a classical malignant bone-forming neoplasm which usually presents with an aggressive clinical course. The current case is presented with the radiographic feature of widening of the periodontal ligament space of the involved teeth, which is considered to be the earliest radiographic manifestation of osteosarcoma involving the jaw bone. The main aim of this case report was to focus on the importance of early diagnosis of this tumor based on clinical and radiographic examinations, and confirmation by histopathology. Considering the rarity of the disease type and particularly taking into account the fast progression and aggressiveness of this neoplasm, it is clear that the presentation of a clinical case represents a major contribution to better understanding of osteosarcomas involving the jaw bone.

Did the current correspondence scheme between Five Viscera and Five Phases arise from social and humane hegemony conflict? -some clues from "Changgongyeoljeon(倉公列傳)" in "Sagi(史記)" (현행 오장-오행 배속은 사상 논쟁의 산물인가 -"사기.창공열전"을 중심으로-)

  • Jang, Mi-Jung;Kim, Ki-Wang
    • Journal of Korean Medical classics
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    • v.23 no.3
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    • pp.127-138
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    • 2010
  • Traditional Chinese Medicine is based on Five Phase theory that link Liver, Heart, Spleen, Lung, Kidney to Wood, Fire, Earth, Metal, Water respectively. Recently, some argue that this correspondence scheme had been established by political or socio-humane issues in early Eastern Han dynasty. But according to our analysis on Changgongyeoljeon(in Sagi), it has been revealed that this scheme had their own history from early Western Han dynasty. So we may conclude that people with medical profession had preserved the current correspondence scheme in Five Phase theory regardless trends of literature and politics in Western and Eastern Han dynasty.

Chao Medicine Treatment Combining Pattern Manifestation(Constitutional Identification, Disease Identification) with Pattern Identification (조의(朝醫) 변상(辨象)(변체질(辨體質), 변병(辨病))과 변증(辨證)을 결합한 치료)

  • Cui, Zhengzhi;Cui, Xingxie
    • Korean Journal of Oriental Medicine
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    • v.14 no.2
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    • pp.155-163
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    • 2008
  • State Administration of Traditional Chinese Medicine of the People's Republic of China lead Research on Chao medicine's Constitutional Treatment project by which could involve the following principles. First, constitution can be identified, second, constitution correlates to ones susceptibility to diseases, third, constitution can be harmonized, fourth, prescription made according to ones constitution and patterns. These ideas is originated by Lee Je-ma's theory of Four Constitution Type in "DongEuiSooSeBoWon"(Longetivity and Life Preservation in Eastern Medicine). This is much similar to currents trends of personalized medicine in western medical sciences. Therefore further developing Lee's theory would have significant value on various fields of medicine.

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Diagnosis of Morton's Neuroma Using MR Imaging scans (지간 신경종의 자기 공명 영상을 이용한 진단)

  • Hong, Ki-Do;Ha, Sung-Sik;Sim, Jae-Cheon;Kim, Jae-Young
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.131-134
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    • 2003
  • Most interdigital neuroma can be diagnosed clinically. But, diagnostic local injection method, sonography and magnetic resonance image(MRI) have been used as secondary tests for clinical confirmation or surgery. Recently, there have been active discussions on the method of interdigital neuroma diagnosis for which sonography or MRI is used. For finding out the location or the number of interdigital neuroma particularly in non-typical clinical manifestation or surgery, MRIs, which are exellent in tissue contrast, may be quite helpful. This case had an interdigital neuroma showing non-typical manifestation. MRIs were used for clinical diagnostic confirmation and finding out the location and the number of interdigital neuroma. Thus, the validity along with literary consideration is being reported.

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Two Cases of Miller Fisher Syndrome Presenting with Internal Ophthalmoplegia (속눈근육마비로 발현한 Miller Fisher 증후군 2예)

  • Ahn, Joon-Sung;Kim, Min-Ah;Kim, Sang-Jin
    • Annals of Clinical Neurophysiology
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    • v.8 no.1
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    • pp.71-73
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    • 2006
  • Many neurologic signs are found in Miller Fisher syndrome (MFS) especially including pupillary abnormalities. But when internal ophthalmoparesis is first manifestation in MFS, diagnosis may be difficult in acute phase of illness. We report two cases of MFS presenting with internal ophthalmoplegia. Pupillary areflexia may be involved in acute phase of MFS. When acute bilateral internal ophthalmoparesis is encounted in clinical practice, initial manifestation of MFS should be included in differential diagnosis.

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A study of Problems with False Exaggerating Advertisements and Consumer's Protection. (허위, 과장광고와 소비자보호문제에 관한 고찰)

  • 조기중
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.6 no.9
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    • pp.97-110
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    • 1983
  • As the economic society develops very exceedingly, the gap of production and consumption elarges gradually. So the current function to connect them and the function to communicate are needed. I think the advertisement take the charge of this role. This advertisement is so essential to today's economic society that its power influences variably both the economic society and the consumers. The enterprisers, advertising owners stick to the maximization of profits and neglect the principle of true advertisements. They but tise not the information for the consumers to choose reasonably but the false, exaggerating advertisement and unfair manifestation very frequently, which is the main trouble in the current problems of consumption. Therefore, on the one hand, in this study from protecting the consumers not to be involved in the false, exaggerating advertisements, the establishment of advertising ethics as advertising owner's self-control is discussed. On the other hand, the legal control regulation in Korea, involving Japan and U.S.A. are analyzed. The cases of false, exaggerating advertisements and unfair manifestation in Korea are also demonstrated. Finally, the proposals to improve the advertisements are made from the Point of government, enterprisers, and consumers.

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Psychiatric Manifestation in Patients with Parkinson's Disease

  • Han, Ji Won;Ahn, Yebin D.;Kim, Won-Seok;Shin, Cheol Min;Jeong, Seong Jin;Song, Yoo Sung;Bae, Yun Jung;Kim, Jong-Min
    • Journal of Korean Medical Science
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    • v.33 no.47
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    • pp.300.1-300.17
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    • 2018
  • Parkinson's disease (PD) is the second most common neurodegenerative disorder. Although its major manifestation is motor symptoms, resulting from the loss of dopaminergic neurons in the substantia nigra, psychiatric symptoms, such as depression, anxiety, hallucination, delusion, apathy and anhedonia, impulsive and compulsive behaviors, and cognitive dysfunction, may also manifest in most patients with PD. Given that the quality of life - and the need for institutionalization - is so highly dependent on the psychiatric well-being of patients with PD, psychiatric symptoms are of high clinical significance. We reviewed the prevalence, risk factors, pathophysiology, and treatment of psychiatric symptoms to get a better understanding of PD for improved management.

Leri-Weill dyschondrosteosis in a newborn presenting with respiratory failure due to severe micrognathia

  • Gang, Mi Hyeon;Lee, Jianne;Lee, Yong Wook;Shin, Ji Hye;Lim, Han Hyuk;Kim, Yoo-Mi;Chang, Mea-young
    • Journal of Genetic Medicine
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    • v.17 no.2
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    • pp.108-111
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    • 2020
  • Short stature homeobox-containing gene (SHOX) is a well-known causative gene for the short stature in Turner syndrome. The clinical manifestation of SHOX gene related disorders varies from SHOX haploinsufficiency, presenting with idiopathic short stature, disproportionate short stature, or Leri-Weill dyschondrosteosis (LWD) to recessive form of extreme dwarfism and limb deformity in Langer mesomelic dysplasia. LWD is usually diagnosed upon suspicion based on short stature and skeletal abnormalities, and it is rarely accompanied with respiratory failure in the neonatal period. Here, we report the case of a newborn infant with LWD presenting with severe micrognathia that caused respiratory distress, which was diagnosed using microarray testing. Even when the manifestation of Madelung deformity is not yet apparent, LWD should be considered as one of underlying diseases related to congenital micrognathia.

Oral Manifestation of Unknown Hematopoietic Malignancy

  • Hyun Jun, Oh;Buyanbileg, Sodnom-Ish;Mi Young, Eo;Ju Young, Lee;Kyung-Hoe, Huh;Soung Min, Kim
    • Journal of Korean Dental Science
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    • v.15 no.2
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    • pp.162-165
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    • 2022
  • Burkitt lymphoma is a highly aggressive type of hematopoietic malignancy that is comparatively common in children and young people. It is important that Burkitt lymphoma be diagnosed as early as possible for prompt intervention due to its rapidly progressive, high-grade malignant nature. Dentists, especially maxillofacial surgeons, can play a life-saving role in patients with such unknown malignancy as the first clinical or radiological manifestation might occur in the oral region.