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계지원 ( Ji Won Gye ),홍승필 ( Seung Phil Hong ),김명화 ( Myung Hwa Kim ),박병철 ( Byung Cheol Park ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.3
Background: As the number of dermatologic surgical procedures increases, home care wound management is growing in frequency. Objective: The aim of this study was to evaluate the efficacy and surgical site infection rate of home care wound manageme nt according to the use of oral antibiotics and the characteristics of the wound and of the patient. Methods: Our study included 207 patients that had undergone a dermatologic surgical procedure and the subsequent management of their wounds in the home. We checked overall infection rate of home care wound management and compared the result according to the use of oral antibiotics. We evaluated surgical site infection rate after we classified each surgical wound based on age, sex, surgical method, site, size, and depth. In addition, we surveyed efficacy of home care wound management. Results: Overall surgical site infection rate was 1.86%, and the infection rate was not significantly different between the group that utilized home care wound management without oral antibiotics and the group with oral antibiotics (p >0.05). There was no statistically significant difference of surgical site infection rate according to sex, age, wound`s size and depth (p>0.05). However, patients with younger age, male sex, greater size, and depth of wounds showed a numerical increase in surgical site infection rate. Staged partial excision for nevus sebaceous in scalp showed significantly higher rate of surgical site infection (p<0.05). In our survey, most patients preferred home care wound management after dermatologic surgical procedures and patients were able to perform the wound care well. Conclusion: We expect to utilize home care wound management after dermatologic surgical procedures, provided that physicians appropriately educate patients and their caretakers on proper dressings. (Korean J Dermatol 2013;51(3):173∼178)
단순 절제술 후 흉터를 따라 반복 재발한 복부의 원발성 피부 선상 낭종성 암
정지민 ( Ji Min Chung ),김지영 ( Jee Young Kim ),계지원 ( Ji Won Gye ),남궁선 ( Sun Namkoong ),홍승필 ( Seung Phil Hong ),김명화 ( Myung Hwa Kim ),박병철 ( Byung Cheol Park ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.8
Primary cutaneous adenoid cystic carcinoma is a rare, slow-growing malignancy that consists of basaloid cells. It characteristically follows an indolent course but has a high tendency to recur locally after excision. We experienced a recurrent primary adenoid cystic carcinoma of the abdomen in a 69-year-old female. It had recurred locally three times over 13 years despite repeated excisions. Wide spreading and perineural invasion of tumor cells were identified during Mohs micrographic surgery, and it seemed to be related to the repeated recurrences. Herein, we report this rare case with clinical and histological features of a recurrent nature. (Korean J Dermatol 2011;49(8):757∼761)
콧망울과 코입술 주름을 침범한 악성종양의 제거 후 피하 도서 유경 피판 및 골막고정봉합을 이용한 결손부의 복원
정지민 ( Ji Min Chung ),계지원 ( Ji Won Gye ),남궁선 ( Sun Namkoong ),정경은 ( Kyoung Eun Jung ),김명화 ( Myung Hwa Kim ),박병철 ( Byung Cheol Park ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.12
Skin cancers usually occur on the face and so successive cutaneous reconstruction after surgery is very important for the patients` quality of life. Cutaneous reconstruction is especially difficult when the defects after surgery involve the nasolabial fold. The nasolabial folds run from each side of the nose to the corners of the mouth, separating the cheeks from the upper lip. This area has complex contours, unique skin color and texture and the limited availability of mobile adjacent skin. We reconstructed such a defect after Mohs micrographic surgery for basal cell carcinoma of the nasolabial fold area, and we used a subcutaneous island pedicle flap and periosteal suspension suture. Herein we report on the details with the pictures, and we discuss the cosmetic effect and limitations of this method. (Korean J Dermatol 2010;48(12):1091∼1093)
국소 피부경화증에서 발생한 경표피배출을 보이는 이상증 피부석회증
정경은 ( Kyoung Eun Jung ),계지원 ( Ji Won Gye ),남궁선 ( Sun Nam Koong ),정지민 ( Ji Min Chung ),박병철 ( Byung Cheol Park ),김명화 ( Myung Hwa Kim ) 대한피부과학회 2010 大韓皮膚科學會誌 Vol.48 No.8
Localized scleroderma is a connective tissue disorder characterized by thickening and fibrosis of the skin due to excessive collagen deposition in the dermis. Dystrophic calcinosis occurs when calcium is deposited in the previously damaged skin tissue, and calcium and phosphorous levels in the blood are within normal limits. It occurs secondary to connective tissue disease, infection, inflammatory processes, chronic venous stasis, cutaneous neoplasm, and trauma. We report a rare case of dystrophic calcinosis cutis with transepidermal elimination secondary to localized scleroderma. (Korean J Dermatol 2010;48(8):711~713)
남궁선 ( Sun Nam Koong ),김지석 ( Ji Seok Kim ),김지영 ( Jee Young Kim ),계지원 ( Ji Won Gye ),정지민 ( Ji Min Chung ),최혜인 ( Hye In Choi ),홍승필 ( Seung Phil Hong ),박병철 ( Byung Cheol Park ),김명화 ( Myung Hwa Kim ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.5
Inflammatory linear verrucous epidermal nevi (ILVEN) were first described in the literature, in 1971, by Altman and Mehregan. Most cases were reported as solitary lesions. In contrast, systematized ILVEN, involving wide areas of the integument, has only rarely been reported. A variety of treatment modalities has been reported, ranging from topical medications, such as potent corticosteroids or tretinoin 0.1% to variable procedures, including CO2 and pulsed dye laser, cryotherapy, and surgical excision. However, multifocal skin lesion is more difficult to treat. An 8-year old boy was presented with an extensive thick scaly plaques and patches, affecting the trunk and the four extremities sparing face. It developed when he was 3 years old, and he complained pruritus. On physical examination, linear, or whirl-like scaly plaques were seen, along with Blaschko lines. Pathologic finding was in accordance to ILVEN. We treated him with topical calcipotriol, tacrolimus and systemic acitretin. After 8 months, the lesion and symptoms improved. (Korean J Dermatol 2012;50(5):464∼467)
변형된 삼극 전진 피판술을 이용한 피부 결손부 복원의 임상적 의의
남궁선 ( Sun Nam Koong ),김지석 ( Ji Seok Ki ),김지영 ( Jee Young Ki ),계지원 ( Ji Won Gye ),홍승필 ( Seung Phil Hong ),김명화 ( Yung Hwa Ki ),박병철 ( Byung Cheol Park ) 대한피부과학회 2014 大韓皮膚科學會誌 Vol.52 No.12
Background: Triple advancement flap has been recently introduced to close the skin defect after Mohs microscopic surgery. Objective: The aim of this study is to evaluate the clinical advantage of the modified triple advancement flap compared with rhomboid excision and closure. Methods: The modified triple advancement flap was performed on nine patients with skin cancer. We observed the clinical course after surgery and compared the scar length and the amount of removed normal skin in triple advancement flap with those in rhomboid excision and primary closure, by using an image-analyzing program. Results: The overall cosmetic and functional result was good. Partial flap necrosis was detected in one of nine patients, and hypertrophic scar developed in one of nine patients. The average scar length from the modified triple advancement flap was 102.1 mm, whereas it was 95.0 and 111.0 mm in 1:3 and 1:3.5 rhomboid excision with closure. The amount of removed skin was 716.3 mm2 in modified triple advancement flap, whereas it was 794.0 mm2 (1:3) and 1116.9 mm2 (1:3.5) in rhomboid excision with closure. Conclusion: The triple advancement flap might be used to close a defect in the area of trifurcation or bifurcation of skin tension lines, to spare the normal surrounding tissue as much as possible. (Korean J Dermatol 2014;52(12): 839∼844)
비타민 K 의존성 응고 인자 결핍증과 동반된 열성 탄력섬유 가성황색종
김지영 ( Jee Young Kim ),김지석 ( Ji Seok Kim ),계지원 ( Ji Won Gye ),남궁선 ( Sun Koong Nam ),박병철 ( Byung Cheol Park ),김명화 ( Myunghwa Kim ),홍승필 ( Seung Phil Hong ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.2
Pseudoxanthoma elasticum is a multiorgan disorder, characterized by ectopic mineralization of elastic fibers of skin, eyes, and cardiovascular system. The dermatologic manifestations include laxity of skin, as well as cutis laxa-like wrinkling especially on both axillae. The classic forms of pseudoxanthoma elasticum are due to mutations in the ATP-binding cassette subfamily C member 6 (ABCC6) gene, a presumed transmembrane transporter expressed primarily in the liver and the kidneys. Recent case reports of mutations of gamma-glutamyl carboxylase (GGCX) gene describe associations with vitamin K-dependent coagulation factor deficiency and pseudoxanthoma elasticum as well. A 23-year old woman presented with laxity on both axillae and trunk and a history of vitamin K-dependent coagulation factor deficiency, diagnosed 2 years ago. Fragmented and markedly degenerated elastic fibers with calcium deposition were identified on biopsy specimens. Herein, we report a case of autosomal recessive pseudoxanthoma elasticum combined with vitamin K-dependent coagulation factor deficiency. (Korean J Dermatol 2013;51(2):131∼134)
남궁선 ( Sun Nam Koong ),김지영 ( Jee Young Kim ),계지원 ( Ji Won Gye ),정지민 ( Ji Min Chung ),홍승필 ( Seung Phil Hong ),김명화 ( Myung Hwa Kim ),박병철 ( Byung Cheol Park ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.10
Hypotrichosis simplex is a descriptive term of hair loss without other ectodermal or systemic abnormalities. Hypotrichosis simplex with non-familial and generalized types has been seldom reported. A 30-year-old man visited our clinic complaining of scalp hair loss since birth. There was no hair on the arms, axillae and legs. He had relatively scanty eyebrows and pubic hairs. None of his family members had known health problems or any hereditary disease. Hair shaft examination based on electron microscopy did not reveal any structural abnormalities. Microscopic examination of a scalp biopsy specimen showed a reduced number of hair follicles with vellus hairs replacing terminal hairs. Herein we report a rare and interesting case of non-familial generalized hypotrichosis simplex. (Korean J Dermatol 2011;49(10):940∼942)