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RISS 인기검색어
- 검색키워드
- 저자 : 박기완(Kee Woan Park) (검색결과 4 건)
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박기완(Kee Woan Park),박현정(Hyun Jeong Park),이준영(Jun Young Lee),김형옥(Hyung Ok Kim) 대한피부과학회 2000 대한피부과학회지 Vol.38 No.5
N/A Background:The prevalence of latex allergy has increased recently and health care workers are a known risk group for occupational allergy to latex gloves. Since latex allergy is a strong risk factor for perioperative anaphylactic reactions, operating room nurses should be screened before surgery. But there is no data or study of latex allergy in Korea. Objective:This study was aimed to assess the prevalence of type I and type IV allergy to latex gloves in a group of operating room nurses complaining symptoms related to latex glove wear and to evaluate the relationship between questionnaire responses and skin tests. Methods:Between January 1998 and July 1998, we evaluated 22 operating room nurses who reported symptoms suggestive of latex allergy. All were interviewed and underwent skin prick test with extracts of rubber gloves, scratch patch test with latex glove, rubber additives such as mercaptobenzothiazole, thiuram, mercapto mix and talcum powder. They were also underwent closed patch test with standard series and rubber additives series. Results:Of the 22 individuals involved, 15(68%) had been exposed to latex gloves for 3 months to 5 years and 7(32%) for 5 to 10 years. The average time of glove use was 23.2 h/week. Glove related symptoms which they complained were itching(95.4%), urticaria(45.5%), eczema(31.8%), redness(27.3%). One had atopic dermatitis and the others had no underlying disease including atopy, hand eczema, food allergy, dermographism etc. Most common allergens of standard patch test showing positive were nickel(36.4%), cobalt(27.2%), mercury(13.6%), thimerosal(13.6%). One nurse showed positive patch test to thiuram, one of the most common type IV allergens. Twenty one of the 22 individuals showed negative for skin prick test with latex solution. One who showed positive in skin prick test with latex solution had atopy and latex-specific IgE was demonstrated in this case. No one showed positive for scratch patch test with rubber additives and talcum powder. Conclusion:One of 22(4.5%) had type I immediate reaction to latex glove and 1 of 22(4.5%) had type IV delayed hypersensitivity to thiuram, one of rubber additives. And most of symptoms suggestive of latex allergy in operating room nurses would be due to irritation, not to type I and type IV allergy to latex gloves. It is likely that hand dermatitis and atopy may be risk factors for natural rubber latex allergy because one who showed positive in skin prick test with latex solution in this study had atopy and hand eczema. This result coincides with previous reports that hand dermatitis and atopy have been identified as risk factors for natural rubber latex allergy. (Korean J Dermatol 2000;38(5):616~621)
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김시용,이상진,장인강,박기완 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.4
Metastases to the skin from internal malignancy are very rare and have been reported to occur in 0.9% to 8% of patients with cancer. Particularly there are few cutaneous metastatic carcinomas from the urinary bladder and their incidence is 1% to 2% of the cutaneous metastasis. A 76-year-old man developed cutaneous metastasis six months later after the diagnosis of carcinoma of the bladder had been made. He was presented with asymptomatic erythematous indurated plaques on the left thigh and the inguinal area. This lesion was diagnosed histologically as poorly differentiated transitional cell carcinoma. We report a case of cutaneous metastasis from carcinoma of the urinary bladder showing the unusual clinical feature of an erythematous indurated plaque.
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이준영,조백기,이종육,박철종,박기완 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.2
Congenital onychodysplasia of the index fingers(COIF) is characterized by hypoplasia or dysplasia of the nails peculiarly restricted to the index fingers. The cause is unknown, but clinical study suggested that ischemia of the finger at a certain period of fetal life might play an important role in its pathogenesis. Major characteristics of this condition are anonychia, micronychia, and polyonychia restricted to the index fingers. We report two cases of COIF, one of which was presented with anonychia of the left index finger, micronychia of the right index finger, and ventricular septal defect of the heart in a 2-week-old male baby, and the other which was presented with polyonychia of the right index finger in a 1-month-old male baby.
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