• Title/Summary/Keyword: recurrence symptoms

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Two Cases of Hemorrhoid Treated with SaAhm(舍岩) Acupuncture (舍岩鍼을 이용한 痔疾 치험 2例)

  • Chung, Sae-yeon;Kim, Yoon-bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.3
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    • pp.252-259
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    • 2003
  • Hemorrhoid generally refers to a prolapsed nodule in the anus, and major symptoms are swelling, bleeding, pain. itching, and rectal discharge. For severe conditions, that is stage Ⅲ & Ⅳ, hemorrhoidectomy is commonly performed by surgeons. Yet, many patients are afraid of postoperative recurrence, and complications such as pain, wound bleeding, urinary retention, and dyschezia are not avoidable. We treated two patients with Stage Ⅱ and Ⅲ. and both of the cases were diagnosed as the hemorrhoid due to "moist and heat of the large intestine". After a couple of times of treatment only with SaAhm acupuncture, the symptoms were improved to the degrees where no discomfort could be found in the daily living.

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Tuberculous Tenosynovitis of the Elbow - A Case Report

  • Oh, Chi-Hun;Park, Jung-Ho;Kim, Jung-Wook
    • Clinics in Shoulder and Elbow
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    • v.17 no.2
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    • pp.80-83
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    • 2014
  • A 29-year-old man visited our clinic owing to a persistent swelling in the anterior part of the left elbow joint that began one year ago. Through magnetic resonance imaging (MRI), we observed tenosynovitis with multiple rice bodies, and so we performed an excisional biopsy and tenosynovectomy. Through pathology and culture tests, we identified tuberculosis in the tissue biopsy that we harvested intraoperatively. Following the anti-tuberculosis medication relieved the patient's symptoms without recurrence. Since tuberculosis of the elbow occurs only rarely, and the symptoms mimic those of rheumatoid synovitis or of non-specific chronic synovitis, early diagnosis and appropriate treatment are often delayed. The authors report this rare case of tuberculous tenosynovitis of the elbow with a review of the relevant literature.

Dienogest in endometriosis treatment: A narrative literature review

  • Joowon Lee;Hyeon Ji Park;Kyong Wook Yi
    • Clinical and Experimental Reproductive Medicine
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    • v.50 no.4
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    • pp.223-229
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    • 2023
  • Endometriosis is characterized by the implantation of endometrial cells outside the uterus. This hormone-dependent disease is highly prevalent among women of reproductive age. Clinical symptoms of endometriosis include dysmenorrhea, pelvic pain, and infertility, which can negatively impact the overall quality of life of those affected. The medical treatment of endometriosis serves as an important therapeutic option, aimed at alleviating pain associated with the condition and suppressing the growth of endometriotic lesions. As such, it is employed as an adjuvant therapy following surgery or an empirical treatment after the clinical diagnosis of endometriosis. Dienogest, a fourth-generation progestin, has received approval for the treatment of endometriosis in many countries. A growing body of evidence has demonstrated its efficacy in managing endometriosis-associated pain, preventing symptoms, and reducing lesion recurrence. In this review, we examine the clinical efficacy, safety, and tolerability of dienogest in treating endometriosis. We also provide updated findings, drawing from clinical studies that focus on the long-term use of this medication in patients with endometriosis.

Cubital tunnel syndrome associated with previous ganglion cyst excision in the elbow: a case report

  • Woojin Shin;Taebyeong Kang;Jeongwoon Han
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.131-135
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    • 2024
  • Cubital tunnel syndrome refers to compression neuropathy caused by pressure on the ulnar nerve pathway around the elbow. A 63-year-old male patient visited the clinic complaining of decreased sensation and weakness in his left ring finger and little finger, stating that the symptoms first began 6 months prior. He had undergone surgery to remove a ganglion cyst from his left elbow joint about 5 years prior in Mongolia. Magnetic resonance imaging revealed a cystic mass located at the previous surgical site, which was compressing the ulnar nerve within the cubital tunnel. Ulnar nerve decompression and anterior transposition were performed, and the cystic mass was excised. Upon pathological examination, the mass was diagnosed as a ganglion cyst. The patient's symptoms including sensory dysfunction and weakness improved over the 1-year follow-up period. This report describes a rare case of ganglion cyst recurrence compressing the ulnar nerve in the cubital tunnel after previous ganglion cyst excision.

A Case Study of 1 Soyangin patient with sequence of Adult type Still's disease who reported symptomatic improvement after being treated with Hyeongbangjihwang-tang (형방지황탕(荊防地黃湯)으로 증상 호전을 보인 성인형 스틸병 후유증 소양인(少陽人) 환자 1례(例))

  • Kang, Mi-Jeong;Lee, Ji-Won;Jang, Hyun-Su;Kim, Yun-Hee;Lee, Jun-Hee;Lee, Eui-Ju;Koh, Byeong-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.2
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    • pp.144-152
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    • 2009
  • 1. Objective : This study aims to report symptomatic improvement of a Soyangin patient reporting general weakness, dizziness, gait disturbance, cold sensitivity, nocturnal sweating, and anorexia after treatment with Hyeongbangjihwang-tang. 2. Method : The patient's subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout the hospitalization period. 3. Result : The general condition of the patient improved by the end of the hospitalization period, where the VAS score dropped from VAS 10 to VAS 5 and the symptoms of dizziness, general weakness, cold sensitivity, and nocturnal sweating disappeared by day 4 of admission without recurrence. 4. Conclusion : Although the patient did not report diarrhea, one of the main Mangeum symptoms, the general symptoms improved with Hyeongbangjihwang-tang medication. This indicates that Hyeongbangjihwang-tang can be used to treat chief and subsidiary symptoms related to Mangeum symptomatic pattern when applied to the appropriate base and manifesting symptomology.

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Elimination of Aster Yellows Phytoplasma from Dendranthema grandiflorum by Application of Oxytetracycline as a Foliar Spray

  • Chung, Bong-Nam;Park, Gug-Seoun
    • The Plant Pathology Journal
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    • v.18 no.2
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    • pp.93-97
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    • 2002
  • Aster yellows phytoplasma-infected chrysanthemums showing stunt, rosette, and excessive branching were treated with a foliar spray of 400 mg/I oxytetracycline at three-day interval for 1,2,3 and 4 months. Two months after the final treatment, new shoots from the recovered chrysanthemums showed the recurrence of the disease symptoms. However, cuttings from chrysanthemums treated with oxytetracycline did not express any photoplasma infection symptoms for more than 10 months. Also, chrysanthemums dipped in 100 mg/I oxytetracycline solution combined with a foliar spray of 400 mg/I oxytetracycline for 4 weeks showed the same results. Using an electron microscope, ultrathin sections of leaf midribs of chrysanthemum cuttings treated with oxytetracycline for 4 months did not show phytoplasma bodies 10 months after treatment. Nucleic acids from chrysanthemums, which did not express phytoplasma infection symptoms for more than 10 months, did not amplify 16S rRNA gene of phytoplasma by polymerase chain reaction. These results may have implications in the propagation of phytoplasma-free healthy stocks for a wide range of plant species.

The Therapeutic Value of Ultrasound-Guided Irrigation in Sialodochitis: A Case Report

  • Ahn, Chi-Hyuk;Auh, Q-Schick;Lee, Yeon-Hee
    • Journal of Oral Medicine and Pain
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    • v.43 no.2
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    • pp.52-55
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    • 2018
  • In the present case study, we reported a female patient with sialodochitis fibrinosa in which a conservative ultrasound (US)-guided irrigation method was used to relieve her symptoms. A 30-year-old female patient visited Kyung Hee University Dental Hospital with chief complaints of persistent swelling and discomfort in the left facial area. Her primary symptom was facial swelling that was accompanied by neuropathological symptoms, such as itching, tingling, and warmth that usually continued for 3 to 4 days. During clinical examination of orofacial area, mild swelling and fever were noted in the left face including parotid region, and mild induration could be felt at the corresponding site; sialadenitis of the left parotid gland was tentatively diagnosed. Herein, we performed intraductal irrigation of the left parotid gland in three times per month and prescribed some medication. Thus, her signs and symptoms have been improved, and she did not experience a recurrence for 12-month follow-up to date. This study can support the usefulness of the US-guided irrigation method to treat the sialodochitis fibrinosa without remarkable side effects.

A Clinical Case Report of Soyangin Patient with Dyshidrosis (한포진으로 진단된 소양인 환자 치험 1례)

  • Park, Minyoung;Oh, Hyunjoo;Hwang, Minwoo
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.3
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    • pp.104-115
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    • 2018
  • Introduction The aim of this study was to report significant improvement of Dyshidrosis(Pompholyx) patient who was diagnosed with 'Soyangin chest-bind symptomatic pattern' based on Sasang Constitutonal medicine. Methods The patient was treated with herbal medicine, acupuncture, as well as western medicine. To evaluate the results of this treatment, the patient assessed discomfort of dyshidrosis by using Numeral Rating Scale(NRS), percentage(%) and we assessed severity of dyshidrosis by using Dyshidrotic Eczema Area and Severity Index(DASI). Results At the time of admission, the degree of discomfort in the dyshidrosis symptoms was NRS 8 and the severity of dyshidrosis was DASI 16(moderate). After the treatment, her symptoms was improved(NRS 0, DASI 0). Sleep, digestion and defecation condition were also improved. Discussion The patient who had frequent recurrence showed a significant improvement of dyshidrosis and accessory symptoms without any side effects, who was treated with Hyeongbangdojeok-san, acupuncture and western medicine.

Hemophagocytic lymphohistiocytosis with recurrent Kikuchi-Fujimoto disease

  • Lee, Sang Min;Lim, Young Tae;Jang, Kyung Mi;Gu, Mi Jin;Lee, Jong Ho;Lee, Jae Min
    • Journal of Yeungnam Medical Science
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    • v.38 no.3
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    • pp.245-250
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    • 2021
  • Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is a self-limiting lymphadenitis. It is a benign disease mainly characterized by high fever, lymph node swelling, and leukopenia. Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening disease with clinical symptoms similar to those of KFD, but it requires a significantly more aggressive treatment. A 19-year-old Korean male patient was hospitalized for fever and cervical lymphadenopathy. Variable-sized lymph node enlargements with slightly necrotic lesions were detected on computed tomography. Biopsy specimen from a cervical lymph node showed necrotizing lymphadenitis with HLH. Bone marrow aspiration showed hemophagocytic histiocytosis. The clinical symptoms and the results of the laboratory test and bone marrow aspiration met the diagnostic criteria for HLH. The patient was diagnosed with macrophage activation syndrome-HLH, a secondary HLH associated with KFD. He was treated with dexamethasone (10 mg/m2/day) without immunosuppressive therapy or etoposide-based chemotherapy. The fever disappeared within a day, and other symptoms such as lymphadenopathy, ascites, and pleural effusion improved. Dexamethasone was reduced from day 2 of hospitalization and was tapered over 8 weeks. The patient was discharged on day 6 with continuation of dexamethasone. The patient had no recurrence at the 18-month follow-up.

Maxillary Sinusitis Resembling Trigeminal Neuralgia

  • Ahn, Hyung-Joon;Hong, Yoo Ree;Kim, Sora;Kim, Bok Eum;Park, YounJung;Kwon, Jeong-Seung;Kim, Seong-Taek;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.47 no.3
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    • pp.144-147
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    • 2022
  • Chronic maxillary sinusitis is a common disease, with symptoms of dull, aching pain or pressure below the eyes and signs such as tenderness over the involved sinus, whereas trigeminal neuralgia is described as severe, paroxysmal, and lancinating brief pain limited in distributions of one or more divisions of trigeminal nerve. In cases where these two non-odontogenic toothache symptoms overlaps, the diagnostic process can be confusing. Here, we report a case of a 54-year-old male patient with chief complaints of intermittent, severe, and electric-like pain in the upper left premolar and first molar area, initially diagnosed with trigeminal neuralgia but finally with maxillary sinusitis after pain recurrence 2 years after that. Therefore, thorough history taking and precise imaging interpretation should be considered to make correct diagnose especially in case of a patient with newly developed or altered or atypical symptoms.