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대한피부과학회지 update

Korean Journal of Dermatology

  • : 대한피부과학회
  • : 의약학분야  >  피부과학
  • : KCI등재
  • : SCOPUS
  • : 연속간행물
  • : 월간
  • : 0494-4739
  • : 2713-7627
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수록정보
51권7호(2013) |수록논문 수 : 22
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51권7호(2013년) 수록논문
권호별 수록 논문
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KCI등재 SCOPUS

1원저 : 갑상선 수술 후 발생한 비대흉터와 켈로이드에서 스테로이드 병변내 주사 단일요법과 스테로이드 병변내 주사 및 냉동치료 병용요법에 관한 비교 연구

저자 : 박지혜 ( Ji Hye Park ) , 박지윤 ( Ji Youn Park ) , 장용현 ( Yong Hyun Jang ) , 이정훈 ( Jung Hoon Lee ) , 소의영 ( Euy Young Soh ) , 김유찬 ( You Chan Kim )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 489-493 (5 pages)

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Background: Various treatment modalities for hypertrophic scars and keloids have been used. However, there is no consensus as to what the optimum approach should be. Most common treatments are corticosteroid intralesional injection (ILI) and cryotherapy as well as combination of these two modalities. To this date, however, there are no prospectively comparative, scar-split studies between steroid ILI monotherapy and combination of steroid ILI and cryotherapy. Objective: The purpose of this article is to investigate and compare the efficacy of steroid ILI monotherapy and the combination of steroid ILI and cryotherapy. Methods: Eighteen women who had thyroid operation scars were recruited. Patients received steroid ILI with cryotherapy on the right half, and steroid ILI monotherapy on the left half of the scar. Patients were treated for four sessions with three weeks of intervals. Subjects were evaluated on their scar status with the modified Vancouver scar scale (MVSS) and scar redness by using colorimeter at baseline and every visit day. Results: After four treatment sessions, MVSS was significantly improved on both sides of scar. Significant improvement was observed after one treatment session on the right half, and after two treatment sessions on the left half. There was no significant difference between left and right side after four sessions of treatment. The scar redness of both sides of scar showed no significant differences between the baseline and at the end of the study. Conclusion: Both corticosteroid ILI with cryotherapy and corticosteroid ILI monotherapy are effective treatment modalities for hypertrophic scars. However, the results of the present study suggest that a combination therapy might lead to more rapid improvements. (Korean J Dermatol 2013;51(7):489∼493)

KCI등재 SCOPUS

2원저 : 지루각화증과 유사한 임상 양상을 나타낸 안면부 병변의 임상 및 병리조직학적소견에 대한 연구

저자 : 김흥열 ( Heung Yeol Kim ) , 김한수 ( Han Soo Kim ) , 조은별 ( Eun Byul Cho ) , 박은주 ( Eun Ju Park ) , 김광호 ( Kwang Ho Kim ) , 김광중 ( Kwang Joong Kim )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 494-500 (7 pages)

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Background: The most of typical seborrheic keratoses (SKs) can be clinically differentiated with ease from other dermatoses. However, its differential diagnosis can sometimes be difficult and recently reported cases clinically suggest that SKs with the skin biopsy result being some other diseases can bring on the need for further evaluations. Objective: The aim of this study is to examine the diagnostic yield in submitting clinically diagnosed SKs which showed single discoid lesions of the face for routine microscopic examinations. Methods: We conducted a retrospective review of cases for histological examinations with a clinical diagnosis of SKs or with a differential diagnosis that includes SKs which shows single discoid lesion of the face. A total of 94 pathology reports containing a diagnosis of SKs in the clinical information field were identified. The accuracy of the clinical diagnosis and clinic histopathological correlations were studied. Results: In this study, 45.7% of patients was clinically assumed to have SKs but turned out to be some other diseases according to the histopathology test results - a total of 19 cases (44.2%) with some considered to be precancerous (actinic keratosis 25.6%, benign lichenoid keratosis 16.3% or cancerous (basal cell carcinoma 9.3%, squamous cell carcinoma 4.7%). Conclusion: Lesions suggested to be SKs need more examinations and lesions of atypical clinical appearances which cannot completely exclude the possibility of precancerous or malignant lesions are strongly recommended for skin biopsies. (Korean J Dermatol 2013;51(7):494∼500)

KCI등재 SCOPUS

3원저 : 5년간 경험한 소아 원형 탈모증 환자의 임상적 고찰(2007∼2012)

저자 : 손현옥 ( Hyun Ok Son ) , 노병인 ( Byung In Ro ) , 조한경 ( Han Kyoung Cho )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 501-506 (6 pages)

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Background: Alopecia areata (AA) is a non-scarring, autoimmune, inflammatory hair loss on the scalp and/or body. This disease affects both adults and children but there are limited data on AA in children than AA in adults. Objective: The purpose of this retrospective study is to evaluate the clinical characteristics, disease associations and psychosomatic dynamics of pediatric AA for the past 5 years. Methods: A retrospective study was performed on 120 out-patients under 14 years old who are diagnosed as alopecia areata in the department of dermatology from March, 2007 to February, 2012. Results: The proportion of pediatric group in total alopecia areata was 20.2% (120/595). According to clinical records, the alopecia areata were of 111 patients (79.9%) followed by those with alopecia universalis (4 patients; 2.8%) and alopecia totalis (5 patients; 3.6%). The ratio of males (57 patients; 47.5%) to females (63 patients; 52.5%) was 1 : 1.11. Alopecia areata was seen most frequently in the school age group (69 patients; 57.5%) and the duration period was less than one year in most cases (79.2%). Family history of alopecia areata was observed in 10.8% (13/120). The only child or eldest child being overloaded with homework and has deficient parent-child relationships including familial discord was accounted as the most susceptible group. A multiple bald patch was 51.4% in alopecia areata and the most common associated disease was atopic dermatitis (26 patients; 21.7%). Conclusion: We observed several clinical features of the pediatric AA, including epidemiology, clinical characteristics and disease associations. This study provided useful data for future research regarding AA in children. (Korean J Dermatol 2013;51(7):501∼506)

KCI등재 SCOPUS

4원저 : 파종 대상포진의 역학 및 임상양상

저자 : 김효진 ( Hyojin Kim ) , 강정난 ( Jeong Nan Kang ) , 설정은 ( Jeong Nan Kang ) , 서종근 ( Jong Keun Seo ) , 성호석 ( Ho Suk Sung )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 507-512 (6 pages)

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Background: There have been several studies about herpes zoster in the Korean dermatological literatures. However, there are few studies reported on disseminated herpes zoster. Objective: The aim of this study is to determine the epidemiology and clinical features of the disseminated herpes zoster as compared with herpes zoster. Methods: The authors retrospectively reviewed the medical records on 14 cases of disseminated herpes zoster and 402 cases of herpes zoster at the Department of Dermatology Busan Paik hospital during the 3 years from 2010 to 2012, and if necessary, telephone interviews were executed. Results: The rate of new disseminated herpes zoster outpatients at our dermatology clinic was 0.11% with the mean age of 67.7 years and the males to females ratio was 2.5. The most frequent involved dermatome was the lumbar (42.9%) area. The rate of patients with underlying diseases or immunosuppression, the rates of postherpetic neuralgia and the frequency of narcotic analgesics uses were significantly higher in disseminated herpes zoster as compared with herpes zoster. The patient treatment satisfaction was significantly higher in herpes zoster as compared with disseminated herpes zoster. Conclusion: These results demonstrated that the disseminated herpes zoster is associated with higher rates of underlying diseases, immunosuppression, frequent incidences of postherpetic neuralgia, more uses of narcotic analgesics and lower patient treatment satisfactions as compared with herpes zoster. (Korean J Dermatol 2013; 51(7):507∼512)

KCI등재 SCOPUS

5원저 : 보우선의 임상적 고찰

저자 : 이경진 ( Kyung Jin Lee ) , 정화영 ( Hwa Young Jung ) , 이영복 ( Young Bok Lee ) , 오신택 ( Shin Taek Oh ) , 조백기 ( Baik Kee Cho ) , 박현정 ( Hyun Jeong Park )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 513-522 (10 pages)

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Background: Beau`s lines are transverse furrows of the nail plates that can be caused by various conditions. Because the clinical manifestations of Beau`s lines tend to depend on its causes, the clinical manifestations may provide diagnostic clues of causative or underlying diseases. Objective: This study is conducted to provide a better understanding of Beau`s lines and to give dermatologists diagnostic clues from assessment of its morphological patterns. Methods: In order to investigate the clinical characteristics and patterns of Beau`s lines according to its clinical manifestations, a retrospective study was being performed. A total of 150 patients with Beau`s lines who visited the nails clinic of our hospital from January 1, 2006, to September 30, 2010, were included. Results: The group of patients with Beau`s lines consisted of 78 males (52%) and 72 females (48%). The onset age ranged from 1 to 82 years old. The most frequently involved fingernail was the right thumb nail. In this study, causes of Beau`s lines were grouped into eight categories: idiopathic, traumatic, nail/skin disease, systemic illness, bone marrow transplantation, chemotherapy, nail infection, and others. Idiopathic cause was observed the most frequently. The pattern of Beau`s lines was symbolized in each patient and was depicted in a row according to order of frequency. The pattern of N2B2L1D1M2 (Numerous/Multiple/Incomplete/Deep/Broad) was observed overall as the most frequently. The most common pattern in the nail/skin diseases category was N2B1L1D1M2 (Numerous/Single/ Incomplete/Deep/Broad). In the traumatic group, N1B2L1D1M2 (Confined/Multiple/Incomplete/Deep/Broad) was the most frequently observed pattern. Conclusion: This study explored the clinical manifestations of Beau`s lines. In some categories of causes, the morphological patterns showed a tendency to converge. Thus, the morphological patterns can provide certain diagnostic information. (Korean J Dermatol 2013;51(7):513∼522)

KCI등재 SCOPUS

6증례 : 형질세포 귀두염 1예

저자 : 이강모 ( Gang Mo Lee ) , 심지훈 ( Ji Hoon Sim ) , 조문균 ( Moon Kyun Cho )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 523-526 (4 pages)

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Plasma cell balanitis (Balanitis circumscripta plasmacellularis or Zoon`s balanitis) is an idiopathic, benign condition of the glans penis or prepuce. It occurs mostly as a solitary, persistent plaque among middle-aged to older uncircumcised males. It is characterized by chronic, shiny, smooth, red-orange plaques with small, dark red stippling. When the plasma cell balanitis is suspected clinically, diagnosis can be readily confirmed by microscopic examinations of the lesion. Differentiating this lesion from similar lesions such as premalignant, infective and other inflammatory penile lesions is important. The current preferred treatment is circumcision and this disorder can be treated relatively easily by circumcision. We, herein, report an interesting case of plasma cell balanitis on preputial mucosa. (Korean J Dermatol 2013;51(7):523∼526)

KCI등재 SCOPUS

7증례 : 308 nm 엑시머 레이저로 호전된 손발바닥 건선 1예

저자 : 유향석 ( Hyang Suk You ) , 문제호 ( Je Ho Mun ) , 좌승욱 ( Seung Wook Jwa ) , 송마가렛 ( Mar Ga Ret Song ) , 김훈수 ( Hoon Soo Kim ) , 고현창 ( Hyun Chang Ko ) , 김문범 ( Moon Bum Kim ) , 김병수 ( Byung Soo Kim )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 527-530 (4 pages)

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Various modalities have been used for the treatment of psoriasis, including phototherapy. The choice of psoriasis treatment is based on the characteristics of the lesions, locations and amount of involved body surface area. Narrowband ultraviolet (UV) B therapy is a widely used and highly efficient method for psoriasis. But, large areas of unaffected skin may be irradiated along with the psoriatic lesions during phototherapy. The 308-nm excimer laser is a further development of narrowband UVB and was reported to be an effective and safe treatment for localized psoriasis. We experienced an excellent effect without significant adverse reactions of 308-nm excimer laser in a 9-year-old patient with palmoplantar psoriasis who was recalcitrant to oral cyclosporine and topical calcipotriol/ betamethasone treatment. (Korean J Dermatol 2013;51(7):527∼530)

KCI등재 SCOPUS

8증례 : 진성 백혈구 무형성증 환자에서 발생한 조직구양 Sweet 증후군 1예

저자 : 이혜영 ( Hye Young Lee ) , 김준기 ( Jun Ki Kim ) , 이지연 ( Ji Yeoun Lee ) , 김미경 ( Mi Kyeong Kim ) , 윤태영 ( Tae Young Yoon )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 531-535 (5 pages)

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Histiocytoid Sweet syndrome (HSS) is a rare inflammatory disease that has recently been described as a variant of Sweet syndrome. Histopathologically, HSS is characterized by papillary dermal edema with infiltration of histiocytoid cells into the upper dermis. The histiocytoid cells are easily misinterpreted as histiocyte, but in fact, they are immature myeloid cells. To demonstrate cells of myeloid lineage, specific staining must be performed, such as myeloperoxidase (MPO). To date, there are several HSS cases associated with hematological malignancy, drugs, and chronic inflammatory diseases. But, in Korea, only one case has been reported so far. Herein, we report a case of HSS developed in the patient with pure white cell aplasia and review the relevant literature. (Korean J Dermatol 2013;51(7):531∼535)

KCI등재 SCOPUS

9증례 : Blaschko 선을 따라 발생한 선상 반상 아밀로이드증

저자 : 고은정 ( Eun Jung Ko ) , 최선영 ( Sun Young Choi ) , 박귀영 ( Kui Young Park ) , 이갑석 ( Kap Seok Li ) , 김범준 ( Beom Joon Kim ) , 서성준 ( Seong Jun Seo ) , 김명남 ( Meuyng Nam Kim ) , 홍창권 ( Chang Kwun Hong )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 536-538 (3 pages)

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The primary localized cutaneous amyloidosis (PLCA) is classified into three types: macular amyloidosis, lichen amyloidosis, and nodular amyloidosis. Macular amyloidosis is characterized by pruritic, hyperpigmented macules and is most commonly located on the interscapular area. Skin lesion usually shows pigmentation with a reticulated or rippled pattern. We report an unusual case of linear macular amyloidosis along the lines of Blaschko. A 74-year-old male is presented with asymptomatic unilateral linear hyperpigmented macules on his right leg for 20 years. Skin biopsy has revealed eosinophilic cytokeratin-positive globular deposits occupying the dermal papillae. (Korean J Dermatol 2013;51(7):536∼538)

KCI등재 SCOPUS

10증례 : 임신 중 크기가 증가한 피부 상피양 혈관내피세포종: Dermoscopy 소견

저자 : 장민수 ( Min Soo Jang ) , 한상화 ( Sang Hwa Han ) , 박종빈 ( Jong Bin Park ) , 강동영 ( Dong Young Kang ) , 김상태 ( Sang Tae Kim ) , 서기석 ( Kee Suck Suh )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 51권 7호 발행 연도 : 2013 페이지 : pp. 539-543 (5 pages)

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Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor that has been reported in systemic organs and in the skin as a biologically “borderline” neoplasm with intermediate malignant potentials. Skin involvement in EHE is rare, but when present, it occurs most commonly in the upper and lower extremities, presenting as a solitary, slightly painful, soft tissue mass. Skin involvement is often associated with underlying soft tissues or bone tumors. Histopathological study reveals cords and nests of epithelioid endothelial cells in a myxoid or hyalinized background and small intracytoplasmic vacuoles containing red blood cells. There have been no reported cases yet describing the dermoscopic features of EHE. Herein, we describe a young woman who developed cutaneous EHE that enlarged during pregnancy, we provided the dermoscopic findings and a review of the relevant literature. (Korean J Dermatol 2013;51(7):539∼543)

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