Lichenoid Dysplasia Misdiagnosed as Oral Lichen Planus: 3-Year Follow-up Case Report

심영주,윤정훈 대한안면통증∙구강내과학회 2015 Journal of Oral Medicine and Pain Vol.40 No.4

Lichenoid dysplasia is a lichenoid features with epithelial dysplasia clinically and histopathologicallysimilar to oral lichen planus. It can be clinically mistaken for oral lichen planus,but has histopathologic features of dysplasia and a true malignant predisposition. The clinicianshould be able to differentiate between oral lichen planus and lichenoid dysplasia for theproper management. We experienced a 75-year-old man with erosive, erythematous lesion onthe left buccal mucosa previously diagnosed as oral lichen planus. He underwent surgical excisionand the final histopathological result confirmed it to be lichenoid dysplasia with massivecandidal infection. We report this case with a review of the related literature.

일반인에서 자율신경계 기능 평가

심영주,정호중 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.1

Background : To evaluate the autonomic nervous system functions, sympathetic skin response (SSR) and R-R interval variation (RRIV) were tested in general persons. Methods : The SSR and the RRIV were evaluated in 24 subjects with a mean age of 39.56 year (24 ~ 56 year). Bilateral SSRs were recorded on the palm and sole with stimulation of median and tibial nerves. The RRIVs were estimated at rest, during deep breathing and valsalva maneuver. Results : The SSR and the RRIV were obtained from all subjects. The mean latencies of SSR recorded from both palms and soles were 1.41 ± 0.05 sec (right palm), 1.28 ± 0.03 sec (left palm), 1.80 ± 0.09 sec (right sole) and 1.75 ± 0.11 sec (left sole). The mean amplitudes of SSR were 5.98 ± 0.67 mV (right palm), 5.70 ± 0.06 mV (left palm), 3.17 ± 0.45 mV (right sole) and 2.23 ± 0.15 mV (left sole). The mean values of RRIV at rest, during deep breathing and valsalva maneuver were 1.14 ± 0.05, 1.18 ± 0.09 and 1.27 ± 0.22. Conclusion : Functional status of autonomic nervous system is obtained easily with SSR and RRIV. Our results can be a useful basis of control values.

Comparison of Clinical and Psychological Characteristics between Self-Reported Bruxism and Clinically Detected Bruxism by Wear Facet on Splint

심영주,강진규,이유미,임현대 대한안면통증∙구강내과학회 2015 Journal of Oral Medicine and Pain Vol.40 No.4

Purpose: Bruxism is commonly considered a major risk factor for temporomandibular disorders(TMD), and the psychosocial factors had been one of the etiologic factor of bruxism. But thereare still unsolved issues on the relationship between sleep bruxism and TMD and the etiologicfactors of bruxism. This study is aim to evaluate the clinical and psychosocial characteristicsaccording to diagnostic grade of bruxism in TMD patients. Methods: Three hundred subjects were enrolled who were under the stabilization splint therapyfor TMD. Recently international consensus proposed a diagnostic grading system of “possible”,“probable”, and “definite” sleep or awake bruxism for clinical and research purpose. Accordingto their suggestion, we classified these subjects as self-reported bruxism (SRB) and wearfacet bruxism (WFB). We investigated the clinical characteristics (sex, age, chief complaint,pain duration, visual analogue scale), sum of tenderness (temporomandibular joint, masticatorymuscles, cervical muscles), diagnosis of TMD according to research diagnostic criteria (the ResearchDiagnostic Criteria for Temporomandibular Disorders, RDC/TMD), headache, subjectivesleep quality (Pittsburgh Sleep Quality Index, PSQI), and psychosocial characteristics (SymptomChecklist-90-Revised, SCL-90-R) in enrolled subjects. We compared the clinical and psychosocialcharacteristics between these bruxism groups. Results: There were no significant correlation between self-reported and WFB (p=0.13). SRBsubjects more reported pain as a chief complain than subject who did not report bruxism(p=0.014). The mean score of global PSQI was significantly higher in SRB than in did not reportpositively subjects (p=0.045). The mean score of anxiety and phobic anxiety was significantlyhigher in SRB than in did not reported positively subjects (p=0.045, p=0.041). Conclusions: Although bruxism is regarded as risk factor of TMD, this study showed inconsistentresult between SRB and clinically detected bruxism by wear facet on slpint. We suggestthat the clinician should consider with extreme caution when they assess SRB.

재활의학과적 검사 결과가 임상증상과 차이를 보인 잠수병 환자

심영주,정호중,김기찬 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Decompression sickness is divided into 2 types based on clinical symptoms and severity. Type I decompression sickness involves usually the musculoskeletal system and cardiopulmonary system. Type II decompression sickness involves commonly the central nervous system. We experienced a case of type II decompression sickness involving cervical spinal cord. The patient showed hypesthesia below C5 dermatome and quadriplegia. But the whole spinal magnetic resonance image revealed high signal of the spinal cord below T2 levels and electrodiagnostic study showed thoracic cord level lesion. In decompression sickness, diagnosis of injured spinal cord levels is very delicate problem because in some cases clinical symptoms can be unmatched with magnetic resonance findings and electrodiagnostic study. In this kind of case there are little studies of diagnostic tools and prognostic factors. Therefore, focusing on clinical symptoms need to help more proper treatment and provide better prognosis to decompression sickness patients

구강점막의 Pachyonychia Congenita

심영주,윤정훈,강진규,Shim, Young-Joo,Yoon, Jung-Hoon,Kang, Jin-Kyu 대한안면통증구강내과학회 2013 Journal of Oral Medicine and Pain Vol.38 No.2

Pachyonychia congenita는 케라틴 유전자의 돌연변이로 발생하며, 상염색체 우성으로 유전되는 매우 드문 유전성 피부질환이다. 주로 손톱과 발톱, 발바닥, 구강점막 등에 이환되며, 주된 증상으로는 손발톱구만증, 손과 발의 과각화증, 소포성 각화증, 구강점막의 백색각화증 등이 있다. 구강점막의 조직학적 소견으로는 과각화증, 극세포증, 상피세포의 핵 주위 세포질내 공포 형성이 나타난다. 피부병소의 치료법으로는 수술적 요법, 기계적인 방법의 치료, 화학적 요법, 약물요법 등이 이용되고 있으며, 구강병소는 대개 치료를 필요로 하지는 않지만 환자의 불편함이 발생하면 대증요법을 시행한다. 피부병소와 구강병소가 동반되는 환자의 경우 면밀한 관찰을 통해 손톱과 발톱의 이영양증, 발바닥의 과각화, 구강점막의 백색각화증 등의 특징적인 병소가 나타나면 조직 생검을 시행하여 이를 확진할 수 있어야 하며, 환자가 호소하는 불편감에 따른 적절한 치료를 시행하여야 한다. Pachyonychia congenita is a very rare group of an autosomal dominant genodermatosis caused by heterozygous mutations in the keratin genes. The clinical findings affect nail and toenails, soles, and oral mucosa, etc. The main symptoms include nail and toenail dystrophy, hyperkeratosis of hands and feet, follicular hyperkeratosis, oral leukokeratosis. Many therapeutic modalities have been used to treat skin lesion, including surgical and mechanical procedures, chemical agents, medications. Oral lesions but not usually require treatment, if the patient's discomfort occurs, symptomatic therapy is performed. In the patients accompanied by oral and skin lesions, clinician have to observe specific manifestations with dystrophy of the fingernails and toenails, plantar hyperkeratosis, oral leukokeratosis and tissue biopsy is required for diagnosis confirmed.

최근 일본 초등학교의 건축개념에 관한 연구

심영주,유영주,류호섭 대한건축학회지회연합회 2006 대한건축학회지회연합회 학술발표대회논문집 Vol.2 No.1

This research is analyzed Japan primary school's construction concept on the latest good commendation school. To achieve purpose of this research, it arrange plan of school and concept explanation through documents that were published in Japan construction magazine and Education Facility Society of Japan, and analyze about current present condition of investigation school and block plan. Construction concept is classified following 5 types. : 1.Space composition that consider general education environment. 2.Space composition that consider so that children may can move as active. 3.Space composition that apply residing concept. 4.Space composition that consider local resident. And classify 5th concept that apply all concept and analyze the latest construction concept of Japan primary school. This data can may become database of our country educational facility hereafter when plan educational facility.

Treatment for Burning Mouth Syndrome: A Clinical Review

심영주 대한안면통증∙구강내과학회 2023 Journal of Oral Medicine and Pain Vol.48 No.1

Burning mouth syndrome (BMS) is a chronic idiopathic orofacial pain. BMS is currently classified as a neuropathic pain condition, but it is difficult to pinpoint the precise neuropathic mechanisms involved in each patient. It is challenging to complete the cure for BMS. Clinicians should treat BMS patients based on evidence. There is pharmacological and non-pharmacological therapy in the treatment modalities of BMS. The provision of objective information and reassurance as part of cognitive behavioral therapy is critical in the treatment of BMS. This paper will review the evidence-based treatment of BMS and discuss what we need to do.

외상 후 발생한 이차성 만성 하지 림프부종 1례

심영주,서정환,고명환,정성후 대한재활의학회 2007 Annals of Rehabilitation Medicine Vol.31 No.2

창경원 동물조사

심영주 중앙대학교 문리과대학 1960 생록원 Vol.3 No.-

양심적 병역거부에 대한 형사처벌의 문제 검토 대상판결: 2018. 11. 1. 선고 2016도10912 전원합의체 판결〔병역법위반〕

심영주 한국형사판례연구회 2019 刑事判例硏究 Vol.27 No.-

The Supreme Court en banc Decision 2016Do10912 changing the previous case and acquitted him of the charges, considering that conscientious objection constitutes a legitimate reason for his crimes, including draft dodging under the Military Service Act. However, the logic and conclusion of the majority opinion of the decision seems to have been put together to make a proactive decision based on the changing times and social needs. This is because the current legal system, in which there is no alternative service system in place, cannot be found innocent and is a matter to be solved through the preparation of alternative service systems. And the Supreme Court’s ruling and logic seem to be somewhat unreasonable in concluding that it is innocent even when reviewed in the order of the criminal system theory. Considering the purpose and purpose of the Military Service Act, conscientious objection does not constitute a justification for carving out elements of draft dodging, such as enlistment in the military service law, and domestic and international regulations are not allowed to be justified for acts according to the principle of clarity, and there is no room for illegality to be carved, and the scope of responsibility to be excessively reduced in the areas of responsibility, it is difficult to consider the standard person’s editorial. In this regard, the majority opinion and the Supreme Court’s interpretation of the law are regrettable. In order to acquit the conclusion, it would have been more logical and persuasive to take the theory of the standard of actors rather than the average theory and deal with it as a matter of responsibility. Despite this regret, however, the development of the idea that interest in minorities increases depending on the changing times and that their ideas should not be treated differently from the majority is a positive change, and finding the logic of innocence through the introduction of new laws or alternatives, and finding the logic of innocence in the interim process may be an alternative to judging it as an exemption structure of excessive defense.