논문 상세보기

대한피부과학회> 대한피부과학회지> 수포형이 동반된 다발성 모기질종

KCI등재SCOUPUS

수포형이 동반된 다발성 모기질종

Multiple Pilomatricomas with a Bullous Appearance

허영 ( Young Her ) , 함지은 ( Ji Eun Hahm ) , 이진용 ( Jin Yong Lee ) , 이상렬 ( Sang Yeul Lee ) , 김상석 ( Sang Seok Kim )
  • : 대한피부과학회
  • : 대한피부과학회지 56권5호
  • : 연속간행물
  • : 2018년 06월
  • : 329-332(4pages)
대한피부과학회지

DOI


목차

서 론
증 례
고 찰
REFERENCES

키워드 보기


초록 보기

Pilomatricoma or calcifying epithelioma of Malherbe is a benign tumor originating from the matrix of hair follicles. Clinically, these tumors are classified as familial, perforating, multinodular, exophytic, anetodermic, bullous, and giant pilomatricomas. The bullous variety is observed only in 3 to 6% of cases. Furthermore, multiple pilomatricomas are rare and are usually associated with genetic disorders. To date, only 13 cases of bullous pilomatricoma and 8 cases of multiple pilomatricomas have been reported in Korean dermatologic literature. Among these cases, no case of multiple bullous pilomatricomas has been reported. This report describes a 23-year-old healthy man who was diagnosed with multiple pilomatricomas with bullous features, based on clinical and histopathological findings. (Korean J Dermatol 2018;56(5):329∼332)

UCI(KEPA)

I410-ECN-0102-2018-500-004089750

간행물정보

  • : 의약학분야  > 피부과학
  • : KCI등재
  • : SCOPUS
  • : 월간
  • : 0494-4739
  • : 2713-7627
  • : 학술지
  • : 연속간행물
  • : 1960-2021
  • : 9606


저작권 안내

한국학술정보㈜의 모든 학술 자료는 각 학회 및 기관과 저작권 계약을 통해 제공하고 있습니다.

이에 본 자료를 상업적 이용, 무단 배포 등 불법적으로 이용할 시에는 저작권법 및 관계법령에 따른 책임을 질 수 있습니다.

59권8호(2021년 09월) 수록논문
최근 권호 논문
| | | |

KCI등재 SCOPUS

1단기간 피부과 의료봉사와 세계보건: 기후 변화 분석을 통한 후향적 연구

저자 : 함민석 ( Min Seok Ham ) , 김대연 ( Dae Yeon Kim ) , 김대현 ( Dai Hyun Kim ) , 서수홍 ( Soo Hong Seo ) , 안효현 ( Hyo Hyun Ahn )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 581-586 (6 pages)

다운로드

(기관인증 필요)

초록보기

Background: The coronavirus disease pandemic has directly impacted global health. In developing countries, health service problems are more serious because of the lack of healthcare infrastructure. In this situation, if medical needs could be predicted, it would be helpful to bridge the medical gap with the provision of appropriate medical support.
Objective: The aim of this study was to evaluate the association between climate change and skin diseases in developing countries to better prepare for medical missions.
Methods: From 2012 to 2016, except for 2014, we visited a mission site located in Luzon, Philippines, every July. We retrospectively reviewed 499 patient data as well as weather information.
Results: The total number of patients decreased each year. The climate change analysis using Pearson correlation showed that the temperature and ultraviolet index tended to increase every year (r2=0.99, 0.93, respectively; p< 0.05). Conversely, humidity and rainfall decreased (r2=-0.99, -0.96, respectively; p<0.05). The Cochran-Armitage test showed that the rate of infectious skin disease diagnoses decreased every year compared to that of eczematous diseases.
Conclusion: The total number of patients decreased by approximately 50% during medical service. We believe that the improvement in living standards and hygiene through continuous medical support has influenced the change in the incidence of skin diseases. Climate change was also thought to have affected the rate of skin disease diagnoses; in fact, the rate of infectious disease diagnoses tended to decrease compared to that of eczematous diseases. This analysis would be helpful for preparing for medical support. (Korean J Dermatol 2021;59(8):581∼586)

KCI등재 SCOPUS

2화농성 한선염 환자의 병변 평가와 중증도 설정을 위한 초음파 검사의 유용성

저자 : 김고은 ( Ko Eun Kim ) , 정재영 ( Jae Yeong Jeong ) , 박병근 ( Byeong Geun Park ) , 김일환 ( Il-hwan Kim )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 587-595 (9 pages)

다운로드

(기관인증 필요)

초록보기

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterized by recurrent abscesses, nodules, and fistulous tracts. Recently, novel staging systems, including sonographic scoring system of hidradenitis suppurativa (SOS-HS), have been widely introduced in HS.
Objective: To assess the efficacy of SOS-HS compared with Hurley staging and modified sartorius scoring (MSS) system and determine the necessity of ultrasound evaluation.
Methods: A radiologist performed an ultrasound evaluation, and three dermatologists reviewed the images and videos. Clinical characteristics, including staging and demographic data, were recorded by three dermatologists. The correlation of each staging system and the significance of vascularity (Doppler mode) and lesion depth on sonography were statistically analyzed.
Results: Among the 46 patients, 34.8% were classified as stage 1 and 3, and 30.4% were classified as stage 2 in the SOS-HS system, which was statistically higher than the Hurley staging (p<0.0005). MSS score increased according to the SOS-HS stages (p<0.0005, p=0.001). Vascularity and depth of involvement also increased with SOS-HS and Hurley staging.
Conclusion: Sonographic examination can be applied in HS severity assessment and documentation of the clinical characteristics of each lesion in detail. Special tools, such as Doppler mode and depth assessment, can also be useful in HS evaluation. (Korean J Dermatol 2021;59(8):587∼595)

KCI등재 SCOPUS

3최근 8년간(2012∼2020) 단일기관 피부과에서의 연조직염 입원환자에 대한 임상적 고찰

저자 : 정홍필 ( Hong Pil Jeong ) , 김창일 ( Chang Il Kim ) , 허은필 ( Eun Phil Heo ) , 고재완 ( Jae Wan Go )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 596-603 (8 pages)

다운로드

(기관인증 필요)

초록보기

Background: Cellulitis is one of the most common infectious skin diseases treated by hospitalization, and presents with various clinical features and treatment responses. Therefore, more detailed analysis on this condition is required.
Objective: To investigate the clinical characteristics of cellulitis among dermatology inpatients in a single center.
Methods: We retrospectively reviewed the medical records of 84 patients hospitalized with cellulitis between January 2012 and August 2020. We analyzed the differences by dividing them into <60-year-old and >60-year-old age groups.
Results: The average age of the 84 inpatients in this study was 48.8 years with the peak incidence in fifties. Cellulitis was most prevalent in the calf (39.8%). Erythrocyte sedimentation rate (ESR) and risk factors such as obesity and smoking had positive correlations with duration of hospital stay (p<0.05). There was no significant difference in duration of hospital stay between those administered first-generation cephalosporin and other antibiotics.
Conclusion: Our data showed that ESR, obesity, and smoking were correlated to the hospitalization periods. In particular, it showed positive correlation of C-reactive protein and ESR with duration of hospital stay in those below the age of 60 years. (Korean J Dermatol 2021;59(8):596∼603)

KCI등재 SCOPUS

4스티븐스 존슨 증후군 및 독성표피괴사융해증 88예의 임상적 고찰

저자 : 홍정연 ( Jeong Yeon Hong ) , 정의현 ( Euy Hyun Chung ) , 양나경 ( Na Gyeong Yang ) , 김재윤 ( Jae Yun Kim ) , 허남훈 ( Nam Hun Heo ) , 이설희 ( Sul Hee Lee ) , 김정은 ( Jung Eun Kim ) , 이성열 ( Sung Yul Lee )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 604-610 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are potentially fatal acute hypersensitivity reactions that involve the skin and mucous membranes. Because they are relatively rare diseases, it is difficult to obtain well-organized epidemiological data. The clinicodemographic characteristics, culprit drugs, and factors related to disease prognosis may vary.
Objective: To identify the characteristics of SJS/TEN by investigating patient clinicopathological characteristics, laboratory findings, suspected drugs, and mortality through a retrospective study using medical record data.
Methods: The clinical records of patients diagnosed with SJS/TEN between February 2009 and February 2019 at three medical institutions of Soonchunhyang University were retrospectively reviewed. Data pertaining to sex, age, history, suspected drugs, latent period, laboratory findings, and mortality were collected, and their correlations were analyzed.
Results: We identified SJS/TEN in 88 patients. Among the probable causative agents, antibiotics were the most common (29 cases, 33.0%), followed by nonsteroidal anti-inflammatory drugs (NSAIDs) in 20 cases (22.7%). The period between drug administration and symptom onset varied with the causative agent. Patients who died had high SCORTEN scores. In addition, hypertension, diabetes, renal failure, and cardiac disease had a statistically significant association with high SCORTEN.
Conclusion: Antibiotics, NSAIDs, antiepileptics and allopurinol were the most commonly implicated drugs in our retrospective study. There was a significant correlation between comorbidities. Because SJS/TEN is a life-threatening condition, early recognition of the suspected drug are important. The results of this study may provide insights that aid in the early diagnosis and prediction of disease outcomes of SJS/TEN in the Korean population. (Korean J Dermatol 2021;59(8):604∼610)

KCI등재 SCOPUS

5외국인 어업 노동자의 바닷물 첩포검사에 대한 보고

저자 : 서지민 ( Ji Min Seo ) , 윤소연 ( So Yeon Yoon ) , 구하예린 ( Ha Yeh Rin Koo ) , 김경문 ( Gyong Moon Kim ) , 유동수 ( Dong Soo Yu ) , 이영복 ( Young Bok Lee )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 611-617 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background: Occupational allergic contact dermatitis accounts for about half of all occupational skin diseases. Patch testing is essential for establishing a diagnosis of occupational allergic contact dermatitis. To date, allergic contact dermatitis caused by seawater has rarely been reported.
Objective: The aim of this study was to investigate the patch test results of seawater in foreign maritime workers.
Methods: We retrospectively reviewed the clinical photos and medical records of patients who underwent the patch test with the Korean standard series and sea-water at Uijeongbu St. Mary's Hospital and St. Vincent's Hospital from January 2017 to August 2020.
Results: A total of 26 patients were enrolled in the study. All patients were men with a median age of 26.5 years. Twenty-five patients were Sri Lankan, and 25 patients (96.2%) showed a positive reaction to seawater. Patients showed positive reactions with multiple allergens (average: 4), and the positive rates were higher than those reported in previous studies. Atypical reactions, such as pricking patterns or erosive patches, have been observed. A marked erosive reaction was observed even at the site without allergen attachment in a patient who showed a negative reaction to seawater.
Conclusion: These results suggest the possibility of artificially inducing positive reactions to seawater in maritime workers. Therefore, it is necessary to identify atypical reactions and confirm the relationship between positive reactions and medical history when judging contact dermatitis with unknown substances such as seawater. This study emphasizes education on the standardization of the reading of results. (Korean J Dermatol 2021;59(8):611∼617)

KCI등재 SCOPUS

6조갑진균증에서 병리조직검사의 진단적 가치 및 Periodic Acid-Schiff와 Gomori's Methenamine Silver 염색의 민감도 비교

저자 : 백가연 ( Gayun Baek ) , 구태한 ( Taehan Koo ) , 이동훈 ( Donghoon Lee ) , 강현지 ( Hyun Ji Kang ) , 김민수 ( Min-soo Kim ) , 김영혜 ( Younghye Kim ) , 주민숙 ( Mihn-sook Jue )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 618-623 (6 pages)

다운로드

(기관인증 필요)

초록보기

Background: A direct potassium hydroxide (KOH) smear is used to diagnose onychomycosis despite its broad sensitivity range. For a more accurate diagnosis, histopathologic examination can be used and consistently show high sensitivity.
Objective: We investigated the value of histopathologic examination of the nail plate as a diagnostic tool for onychomycosis. We proposed effective routine diagnostic staining to compare sensitivity between periodic acid-Schiff (PAS) and Gomori's methenamine silver (GMS) staining.
Methods: This retrospective study was conducted from January 1, 2019 to May 31, 2020, and included 97 patients who showed negative results on direct KOH smear but had clinical manifestations that implied onychomycosis. We performed nail plate biopsy and PAS or GMS staining to identify fungal hyphae missed in the direct KOH smear. Sensitivity comparison between PAS and GMS was performed in co-stained samples.
Results: Among 97 patients with 102 cases, 55 cases (53.9%) of onychomycosis were confirmed by histopathologic examination. A total of 68 patients (70.1%) had a previous medical history of antifungal agents within previous six months. PAS and GMS staining were concurrently performed in 73 cases, and onychomycosis was confirmed in 41 cases. The sensitivity of PAS was 100% (41/41), while that of GMS was 87.8% (36/41); this difference was not significant.
Conclusion: This study suggests that histologic examination of the nail plate is an effective tool to diagnose onychomycosis and can be performed with a direct KOH smear. Two staining methods, PAS and GMS, are recommended for concurrent performance to enhance the identification of fungal hyphae. (Korean J Dermatol 2021;59(8):618∼623)

KCI등재 SCOPUS

7주사 환자의 임상적 고찰 및 주사의 진단 분류 체계의 비교에 대한 연구

저자 : 임준수 ( Joon Soo Lim ) , 권은선 ( Eun Sun Kwon ) , 명기범 ( Ki Bum Myung ) , 정승현 ( Seung Hyun Cheong )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 624-633 (10 pages)

다운로드

(기관인증 필요)

초록보기

Background: Rosacea is a common chronic inflammatory skin disease, which primarily affects the central face. In 2002, the National Rosacea Society (NRS) committee developed the first diagnostic criteria for rosacea, based on its subtypes. The revised classification in 2017 prompted a proposal to transit from a subtyping to a phenotyping approach, reflecting current insights into rosacea pathogenesis, pathophysiology, and management.
Objective: This study aimed to elucidate the clinical features of rosacea and compare two diagnostic criteria in rosacea patients.
Methods: We performed a clinical study on 100 patients with rosacea diagnosed according to the 2002 NRS criteria. The age, sex, clinical features, subtypes, severity, and predisposing factors were evaluated using the questionnaire. In addition, we compared the 2002 and 2017 criteria, and evaluated patients if they met the revised criteria.
Results: According to the 2002 NRS classification, the erythematotelangiectatic type (88.0%) was the most frequent, followed by the papulopustular (43.0%), ocular (13.0%), and phymatous (6.0%) types. There were 44 overlapping cases, including 38 cases with 2 subtypes mixed and 6 cases with three subtypes. Six patients were diagnosed with rosacea using the 2002 NRS criteria but they did not satisfy the revised 2017 criteria.
Conclusion: We found that the diagnostic features of the 2002 criteria are too ambiguous for the diagnosis of rosacea. Therefore, we recommend that dermatologists recognize the necessity of a transition from a subtyping to a phenotyping approach, according to the 2017 criteria for the diagnosis of rosacea. (Korean J Dermatol 2021;59(8): 624∼633)

KCI등재 SCOPUS

8Histopathological and Immunohistochemical Differentiation between Psoriasis and Seborrheic Dermatitis of the Scalp: Based on Langerin and CD1a

저자 : Ji Ha Yoon , Hye Rim Park , Eun Joo Park , Kwang Joong Kim , Kwang Ho Kim

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 634-639 (6 pages)

다운로드

(기관인증 필요)

초록보기

Background: Psoriasis and seborrheic dermatitis are difficult to distinguish if the lesion is localized to the scalp.
Objective: To validify the use of langerin and CD1a as markers of Langerhans cells to distinguish scalp psoriasis from seborrheic dermatitis.
Methods: We retrospectively evaluated 25 seborrheic dermatitis cases and 17 psoriasis cases diagnosed at a tertiary medical center in Korea from 2010 to 2019. The histopathological features and expression of CD1a and langerin were analyzed by dermato-pathologists.
Results: Hyperkeratosis, parakeratosis, and the presence of neutrophils in the parakeratotic mound were observed more frequently in the psoriasis group than in the seborrheic dermatitis group (p=0.016, p=0.027, and p=0.021, respectively). Other features examined did not show statistically significant differences. Dermal expression of langerin occurred more frequently in the psoriasis group than in the seborrheic dermatitis group (76.5% vs. 36.0%, p=0.010). Additionally, stronger CD1a dermal expression was observed in the psoriasis group than in the seborrheic dermatitis group (p=0.049), although the difference in overall dermal CD1a expression regardless of strength was not significant. In contrast, the epidermal expressions of CD1a and langerin did not show significant differences. Similarly, the follicular expressions of CD1a and langerin did not demonstrate significant differences.
Conclusion: In this retrospective study, histopathological findings that favored psoriasis over seborrheic dermatitis included hyperkeratosis, parakeratosis, and the presence of neutrophils in the parakeratotic mound. The use of Langerhans cells, CD1a, and langerin as markers could help distinguish scalp psoriasis from seborrheic dermatitis. (Korean J Dermatol 2021;59(8):634∼639)

KCI등재 SCOPUS

9아랫입술에 발생한 육종성 편평세포암

저자 : 남경화 ( Kyung-hwa Nam ) , 이일재 ( Il-jae Lee ) , 이상경 ( Sang-kyung Lee ) , 박진 ( Jin Park ) , 김한욱 ( Han-uk Kim ) , 윤석권 ( Seok-kweon Yun )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 640-643 (4 pages)

다운로드

(기관인증 필요)

초록보기

Sarcomatoid squamous cell carcinoma (SSCC) is a rare malignancy with distinct carcinomatous and sarcomatous features. SSCCs involving the lung, esophagus bladder, and skin have been reported as rare case reports. It may also occur infrequently in the oral region. Moreover, the lower lip is still one of the rare sites, and such a case has not been reported in Korean literature. An 82-year-old man presented an exophytic protruding, huge, warty crusted lesion on the entire lower lip. The lesion started as a small, tender, erosive papule and suddenly enlarged in recent months. His medical history was unremarkable. A biopsy revealed atypical squamous and sarcomatous components with transition zones between the two cell types. These two cell types also showed characteristic immunohistochemical features. Based on these findings, the lesion was diagnosed as SSCC. The study, including positron emission tomography-computed tomography, showed no metastasis. We recommended surgical excision, but the patient refused therapy. (Korean J Dermatol 2021;59(8):640∼643)

KCI등재 SCOPUS

10Cutaneous Adverse Events of Anti-Programmed Cell Death Receptor-1 Antibody: Two Case Reports and a Literature Review

저자 : Joon Soo Lim , Hyun Hee Kim , Eun Sun Kwon , Ki Bum Myung , Seung Hyun Cheong

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 59권 8호 발행 연도 : 2021 페이지 : pp. 644-648 (5 pages)

다운로드

(기관인증 필요)

초록보기

The introduction of immune checkpoint inhibitors, including anti-programmed cell death receptor-1 antibodies (anti-PD-1 Ab), such as nivolumab and pembrolizumab, represents a major breakthrough in cancer therapy. The PD-1 pathway inhibits T cell activation, maintaining a normal and balanced immune response. Anti-PD-1 Ab induces T cell activity by inhibiting the suppressive effect of PD-1 signaling on T cells. Excessive stimulation of T cells represents a potential mechanism for multiple skin lesions. To the best of our knowledge, reports on cutaneous adverse effects during treatment with anti-PD-1 Ab are limited in the dermatological literature of Korea. Herein, we report two rare cases of nivolumab-induced lichenoid drug eruption and pembrolizumab-induced psoriasis. (Korean J Dermatol 2021;59(8):644∼648)

12
권호별 보기
같은 권호 다른 논문
| | | | 다운로드

KCI등재SCOUPUS

1한국인 재색 피부병(Ashy Dermatosis) 74례의 임상 및 조직학적 특징 분석

저자 : 김나희 ( Na Hee Kim ) , 윤숙정 ( Sook Jung Yun ) , 이지범 ( Jee-bum Lee ) , 김성진 ( Seong-jin Kim ) , 이승철 ( Seung-chul Lee ) , 원영호 ( Young Ho Won )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 301-307 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background: Ashy dermatosis is a disorder of pigmentation, characterized by asymptomatic symmetric blue-graycolored macules of unknown pathophysiology.
Objective: Our aim was to evaluate ashy dermatosis in Koreans and to describe its clinical and histopathological features.
Methods: Medical records, photographs, and biopsy specimens obtained from 74 patients were assessed.
Results: Of the 74 patients, 38 were men and 36 were women. Clinically, most patients showed lesions on the trunk (83.8%), followed by the extremities (44.6%). At the time of the mean age was 29.9 years, and disease duration was 18.4 months before the institution. We tentatively classified the lesions into the following 3 groups: generalized confluent, generalized macular, and localized type. Clinically, the most common lesion was the generalized macular type (67.6%). Peripheral erythematous borders or concomitant erythematous lesions were observed in 18 patients (24.3%). Histopathologically, the lesions showed perivascular inflammation, dermal melanophages, and pigmentary incontinence.
Conclusion: Our study classified ashy dermatosis into 3 groups, and this categorization may contribute to a better understanding of ashy dermatosis. (Korean J Dermatol 2018;56(5):301∼307)

KCI등재SCOUPUS

2한국인 건선관절염 환자의 임상적 특징과 치료양상에 대한 후향적 단일기관 연구

저자 : 이민석 ( Minseok Lee ) , 이재원 ( Jae Won Lee ) , 김태균 ( Tae-gyun Kim ) , 이민걸 ( Min-geol Lee )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 308-313 (6 pages)

다운로드

(기관인증 필요)

초록보기

Background: Psoriatic arthritis (PsA) is a seronegative inflammatory arthritis associated with psoriasis. The prevalence of PsA varies across different countries, and a few previous studies have reported that 9∼17% of Korean patients with psoriasis present with PsA. However, limited data are available regarding the clinical features and treatment of Korean patients with PsA.
Objective: To evaluate the clinical features of Korean patients with PsA and the treatment modalities used in the real-world setting.
Methods: This study was a retrospective single-center study. We analyzed 101 Korean patients who had been diagnosed with PsA based on the Classification Criteria for Psoriatic Arthritis (CASPAR). We reviewed the patients' medical records, Psoriasis Area and Severity Index (PASI) score, body surface area (BSA), manifestation pattern of PsA, and treatment course.
Results: Our study included 101 patients. The mean age was 50.7 years. The mean PASI score was 8.6, and the mean BSA was 11.5%. Spondylitis was the most common manifestation (40.6%). In most patients, psoriatic lesions preceded the onset of PsA (57.4%). Psoriasis and PsA occurred simultaneously in 32.7%, and PsA developed prior to psoriasis in 9.9% of patients. The administration of nonsteroidal anti-inflammatory drugs (NSAIDs) was the most commonly utilized treatment strategy (82.2%), followed by the use of methotrexate and sulfasalazine. Twenty-two patients were treated with biologics with favorable efficacy.
Conclusion: Spondylitis was the most common manifestation in patients. NSAIDs, methotrexate and sulfasalazine were the drugs most commonly used to treat Korean patients with PsA. Dermatologists should be mindful of this entity, and during history taking at the patient's initial visit, those with psoriasis should be asked, “Do you have any pain or swelling of joints?” to ensure early diagnosis of PsA. (Korean J Dermatol 2018;56(5):308∼313)

KCI등재SCOUPUS

3피부과로 협진의뢰된 입원환자의 약진에 대한 임상적 고찰

저자 : 이민영 ( Min Young Lee ) , 변지연 ( Ji Yeon Byun ) , 최혜영 ( Hae Young Choi ) , 최유원 ( You Won Choi )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 314-321 (8 pages)

다운로드

(기관인증 필요)

초록보기

Background: Drug eruptions are common in hospitalized patients. Rapid and accurate diagnosis is essential but often difficult.
Objective: This study defined the clinical features and causative drugs among inpatients presenting with drug eruptions.
Methods: We retrospectively analyzed the clinical and laboratory data of inpatients who sought consultations with the Dermatology Department for a diagnosis of drug eruptions.
Results: A total of 228 patients were diagnosed with drug eruptions, and this study included 139 patients. The highest incidence of drug eruptions was observed in patients in their 50s (22.3%). The most common latent period was up to 1 week (57.6%). The most common drug eruptions were exanthematous eruptions (59.7%), acneiform eruptions (10.8%), and urticaria (9.3%). The most common causative drugs were antibiotics (53.2%), followed by anticancer drugs (19.4%), and contrast media (6.5%). Laboratory abnormalities included eosinophilia (15.8%), abnormal liver function tests (7.9%), leukopenia (4.3%), an elevated serum creatinine level (2.2%), and leukocytosis (0.7%).
Conclusion: In descending order, the most frequent drug eruptions were exanthematous eruptions, acneiform eruptions, and urticaria, and the most common causative drugs were antibiotics, anticancer agents, and contrast media. Prompt diagnosis and discontinuation of the causative drug are important in this context. Clinicians should be aware of cutaneous adverse drug reactions. (Korean J Dermatol 2018;56(5):314∼321)

KCI등재SCOUPUS

4콜히친으로 치료한 성인에서의 재발성 특발성 호중구성 한선염 1예

저자 : 박지현 ( Ji Hyun Park ) , 천승현 ( Seung Hyun Chun ) , 김보영 ( Bo Young Kim ) , 유화정 ( Hwa Jung Ryu )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 322-324 (3 pages)

다운로드

(기관인증 필요)

초록보기

Idiopathic neutrophilic eccrine hidradenitis is usually observed in healthy children with tender erythematous nodules on the soles or palms. We report a case of a 26-year-old man with a painful erythematous swollen patch on both hands and feet. His symptom recurred once monthly over 2 years; thus, he visited Orthopedics. However, no bony abnormality was identified. We performed a skin biopsy on an erythematous indurated patch on his right sole. Histopathological findings indicated neutrophilic eccrine hidradenitis. After 2 weeks of treatment with oral colchicine, his symptom resolved, and no relapses were observed during follow-up. Only a few case reports describe idiopathic neutrophilic eccrine hidradenitis in adults, which is not associated with malignant hematological disease, solid cancer, and chemotherapy. Conventional treatment comprises bed-rest and the administration of topical steroids. Colchicine can be a good treatment option for adults with severe or recurrent idiopathic neutrophilic eccrine hidradenitis. (Korean J Dermatol 2018;56(5):322∼324)

KCI등재SCOUPUS

5베체트병과 동반된 심부정맥 혈전증 1예

저자 : 안혜진 ( Hye-jin Ahn ) , 신은재 ( Eun-jae Shin ) , 곽민재 ( Min-jae Gwak ) , 정기헌 ( Ki-heon Jeong ) , 이무형 ( Mu-hyoung Lee )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 325-328 (4 pages)

다운로드

(기관인증 필요)

초록보기

Behcet's disease is a multisystem inflammatory disorder with a chronic relapsing course. It is considered a nonspecific systemic vasculitis involving both, venous and arterial circulation. Although lower extremity vein thrombosis (LEVT) is one of the most common manifestations of vascular involvement, a few cases are reported in the literature and to our knowledge, and only 2 cases were reported in Korea. We report a case of a 40-year-old Korean man with localized erythematous macules and patches on both lower extremities with a marked painful swelling on the right leg. The patient reported a history of similar lesions 10 years prior to presentation and also a history of recurrent aphthous oral ulcerations. Based on phlebographic findings of old LEVT in the right femoral vein, the patient was diagnosed with Behcet's disease associated with LEVT. (Korean J Dermatol 2018;56(5):325∼ 328)

KCI등재SCOUPUS

6수포형이 동반된 다발성 모기질종

저자 : 허영 ( Young Her ) , 함지은 ( Ji Eun Hahm ) , 이진용 ( Jin Yong Lee ) , 이상렬 ( Sang Yeul Lee ) , 김상석 ( Sang Seok Kim )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 329-332 (4 pages)

다운로드

(기관인증 필요)

초록보기

Pilomatricoma or calcifying epithelioma of Malherbe is a benign tumor originating from the matrix of hair follicles. Clinically, these tumors are classified as familial, perforating, multinodular, exophytic, anetodermic, bullous, and giant pilomatricomas. The bullous variety is observed only in 3 to 6% of cases. Furthermore, multiple pilomatricomas are rare and are usually associated with genetic disorders. To date, only 13 cases of bullous pilomatricoma and 8 cases of multiple pilomatricomas have been reported in Korean dermatologic literature. Among these cases, no case of multiple bullous pilomatricomas has been reported. This report describes a 23-year-old healthy man who was diagnosed with multiple pilomatricomas with bullous features, based on clinical and histopathological findings. (Korean J Dermatol 2018;56(5):329∼332)

KCI등재SCOUPUS

7두 가지 아형의 한공각화증이 공존하면서 악성 변환이 발생한 증례

저자 : 박형진 ( Hyung-jin Park ) , 임준혁 ( June-hyuck Yim ) , 김태인 ( Tae In Kim ) , 정기헌 ( Ki-heon Jeong ) , 이무형 ( Mu-hyoung Lee ) , 신민경 ( Min Kyung Shin )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 333-337 (5 pages)

다운로드

(기관인증 필요)

초록보기

The rate of malignant transformation in porokeratosis (PK) lesions is approximately 7.5%, and linear PK demonstrates the highest rate of malignancy. An 83-year-old woman presented with a rapidly enlarging mass on her left arm. Variably sized erythematous scaly patches were scattered across the left half of her trunk and arm. Additionally, generalized variably sized brownish annular patches with a hyperkeratotic outer ring were observed on her face, trunk and bilateral arms. A skin biopsy was performed on 3 lesions―a yellowish to erythematous appearing mass, an erythematous scaly patch, and a brownish annular patch. Histopathological evaluation of these 3 lesions revealed squamous cell carcinoma, actinic keratosis, and PK, respectively. The final diagnosis was disseminated superficial PK with linear PK on the left side of the body, and actinic keratosis and squamous cell carcinoma confined to the linear PK lesions. We report a case which represents the progressive and stepwise malignant transformation of PK into squamous cell carcinoma. (Korean J Dermatol 2018;56(5):333∼337)

KCI등재SCOUPUS

8진행성 체모양 대상포진모양 과색소침착증: 증례보고와 문헌고찰

저자 : 이수경 ( Soo Kyung Lee ) , 서중헌 ( Joong Heon Suh ) , 김명신 ( Myoung Shin Kim ) , 이운하 ( Un Ha Lee )

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 338-342 (5 pages)

다운로드

(기관인증 필요)

초록보기

Progressive cribriform and zosteriform hyperpigmentation (PCZH) is a distinctive pigmentary disorder observed along the lines of Blaschko. Clinically, the lesions appear as uniformly tan, cribriform macular hyperpigmentation with a zosteriform distribution, without a history of rash, injury, inflammation, or other associated cutaneous or internal abnormalities. Histopathological specimens show increased melanin pigmentation in the basal cell layer with a complete absence of nevus cells. We report 8 cases of PCZH and review the literature on this peculiar disorder. (Korean J Dermatol 2018;56(5):338∼342)

KCI등재SCOUPUS

9펀치 피부 생검 후 발생한 하지의 림프관 손상 1예

저자 : 김창민 , 김일환

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 343-344 (2 pages)

다운로드

(기관인증 필요)

초록보기

KCI등재SCOUPUS

10회전피판술로 재건한 외비공턱의 기저세포암 1예

저자 : 박은정 , 조민결 , 유지숙 , 김민수 , 주민숙 , 최광현

발행기관 : 대한피부과학회 간행물 : 대한피부과학회지 56권 5호 발행 연도 : 2018 페이지 : pp. 344-345 (2 pages)

다운로드

(기관인증 필요)

초록보기
12
발행기관 최신논문
자료제공: 네이버학술정보
발행기관 최신논문
자료제공: 네이버학술정보

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기