A case of angioedema associated with eosinophilia / 천식및알레르기

Episodic angioedema with eosinophilia was described by Gleich, et al. as a distinct entity characterized by recurrent angioedema, urticaria, leukocytoeis with remarkable eosinophilia, fever and periadically increased body weight. Since then, several cases of this disorder have been reported in the United States, Europe and Japan. We present a Korean patient whose clinical, histopathologic, and laboratory findings are consistent with the syndrome of episodic angioedema with eosinophilia. This case supports the previous study that revealed some differences between Asian and Caucasian patients.

Anterior Interosseous Nerve Syndrome following Bowling: A case report

The anterior interosseous nerve is the largest branch of the median nerve. The anterior interosseous nerve syndrome is a rare focal neuropathy with typical clinical and electromyographic features. Most commonly reported etiologies include fracture of the forearm and arm, trauma or prolonged pressure on the forearm. A 26-year-old man was evaluated for weakness of the flexor pollicis longus, the second flexor digitorum profundus and the pronator quadratus muscles that occured following bowling. We report one case of anterior interosseous nerve syndrome following bowling, which was not related to trauma.

Polyneuropathy in Multiple Organ Dysfunction of Critically Ill Patients

A sepsis or multiple organ dysfunction occurs frequently in the intensive care unit and causes a significant number of mortality and morbidity. Somtimes polyneuropathy of varying severity occurs in association with a sepsis or critical illness. Since the clinical evaluation is often difficult, electrophysiologic studies are employed to reveal a definitive evidence for polyneuropathy. The purpose of this study was to investigate the frequency of polyneuropathy and to determine the electrophysiologic features of critically ill patients. The subjects were 23 patients between ages of 42 and 72 with a sepsis or systemic inflammatory response syndrome combinded with the multiple organ failure. The results revealed reductions in the amplitude of compound motor action potential and sensory nerve action potential, as the most marked abnormality. Needle EMG revealed the signs of denervation of limb muscles. Approximately 65.3% of adult patient with sepsis or multiple organ dysfunction has an axonal polyneuropathy. We suspect that the axonal polyneuropathy is related to the severity of multiple organ dysfunction.

Visual Verticality and Horizontality in the Stroke Patients

Visual Perception in stroke patients is very important in the respect of prognosis and functional recovery. Therefore understanding and knowledge of the visual perceptual dysfuction should be the base for the training in activities of daily living. The present study was designed to test the disturbance of visual perceptions, espescially for error in visual perception of verticality or horizontality of rod in hemiplegic patients. In additions, we assessed the hemiplegic and control groups, for the balance index, the duration of disease onset, and the lateralization and localization of lesions by computerized tomography or magnetic resonance image respectively with analysis of an each factor. The vertical average error angles of hemiplegic patients are greater than those of controls. The error angles of the left hemiplegic patients are greater than those of the right hemiplegia. Correlation between the vertical average error angles and the balance index has the reversed coefficient factors. Verticality recovers mostly in 2-3 months of onset.