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전신성 홍반성 루프스와 이차성 항인지질 항체 증후군 환자에서 발생한 망상 청피반
김정욱 ( Jung Wook Kim ),오두진 ( Doo Jin Oh ),조경종 ( Kyung Jong Cho ),홍순권 ( Soon Kwon Hong ),이드보라 ( De Bo Rah Lee ),황선욱 ( Seon Wook Hwang ),박성욱 ( Sung Wook Park ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.6
Antiphospholipid syndrome is defined as the presence of lupus anticoagulant antibodies or anticardiolipin antibodies with vascular thrombosis or specific pregnancy complications. Antiphospholipid syndrome can be associated with autoimmune, malignant or infectious diseases. Cutaneous manifestations of antiphospholipid syndrome are variable and can be a first clue to the syndrome or other associated diseases. We report a case of systemic lupus erythematosus and secondary antiphospholipid syndrome presenting as livedo reticularis on both legs of a patient. We recommend that patients with livedo reticularis should be examined for systemic lupus erythematosus or antiphospholipid syndrome. (Korean J Dermatol 2007;45(6):622∼625)
김정욱 ( Jung Wook Kim ),오두진 ( Doo Jin Oh ),박정훈 ( Jeong Hoon Park ),이드보라 ( De Bo Rah Lee ),황선욱 ( Seon Wook Hwang ),박성욱 ( Sung Wook Park ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.1
Recurrent cutaneous eosinophilic vasculitis (RCEV) is a rare cutaneous disease characterized by necrotizing vasculitis of small vessels, with exclusive eosinophilic infiltration and minimal, or no leukocytoclasis. It presents with recurrent erythematous or purpuric papules or plaques, or angioedema associated with peripheral eosinophilia. This disease follows a benign chronic course without evidence of systemic involvement. Systemic corticosteroid therapy is effective but the disease commonly pursues a relapsing and remitting course. Herein, we report a case of RCEV that was effectively treated with systemic corticosteroids and dapson(R) (diaminodiphenylsulphone). Furthermore, the patient did not show a relapse of the disease in spite the tapering the systemic corticosteroid dose. (Korean J Dermatol 2007;45(1):47~50)
일광 비노출 부위에 발생한 Annular Elastolytic Giant Cell Granuloma
박정훈 ( Jeong Hoon Park ),오두진 ( Doo Jin Oh ),강승훈 ( Seung Hoon Kang ),황선욱 ( Seon Wook Hwang ),박성욱 ( Sung Wook Park ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.6
Annular elastolytic giant cell granuloma is a rare granulomatous skin disease characterized by phagocytosis of elastic fibers by multinucleated giant cells. The lesions are mainly localized on sun-exposed areas of skin, but rarely occur on covered areas. A 73-year-old woman presented with 1 year history of multiple, annular lesions with elevated erythematous borders and atrophic center on her back. Histopathologic finding showed a non-palisading granulomatous infiltration with multinucleated giant cells and engulfing elastic fibers. We, herein, report an unusual case of annular elastolytic giant cell granuloma which occurred on non-sun-exposed skin. (Korean J Dermatol 2006;44(6):734~737)
황선욱 ( Seon Wook Hwang ),홍순권 ( Soon Kwon Hong ),오두진 ( Doo Jin Oh ),이드보라 ( Deborah Lee ),김정욱 ( Jung Wook Kim ),박성욱 ( Sung Wook Park ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.3
Proliferating trichilemmal cyst is a rare benign tumor of external root sheath origin that usually occurs on the scalp of elderly women. It is rarely found on the face, neck, trunk and back. A 17 year-old man presented with a skin- colored, subcutaneous, tender nodule on the elbow with a history of bee sting. A histological examination revealed a well demarcated multilobular cystic mass characterized by trichilemmal keratinization in the dermis. The skin lesion was totally excised and recurrence has not been found. We present a case of proliferating trichilemmal cyst of unusual predilection site. (Korean J Dermatol 2008;46(3):381∼383)
황선욱 ( Seon Wook Hwang ),김상현 ( Sang Hyun Kim ),오두진 ( Doo Jin Oh ),이드보라 ( Deborah Lee ),김정욱 ( Jung Wook Kim ),박성욱 ( Sung Wook Park ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.1
Lupus erythematosus tumidus (LET) is a variant of chronic cutaneous lupus erythematosus (CCLE). Clinically, the lesions show erythematous, succulent, urticaria-like, nonscarring papules and plaques with a smooth surface, and are usually related to sun exposure. This condition resembles polymorphous light eruption, cutaneous lupus erythematosus, and reticular erythematosus mucinosis. Histopathological findings of the lesion showed perivascular and periadnexal lymphocytic cell infiltration with interstitial mucin deposition, but there is little or no epidermal or dermo-epidermal involvement. Only a few cases of LET have been described in the literature because no definitive clinical and histopathologic diagnostic criteria for LET have been accepted. Linear cutaneous lupus erythematous is an unusual presentation of CCLE. Moreover linear LET is extremely rare. Therefore we present herein a case of unilateral linear lupus erythematosus tumidus on left upper extremity in a 37-year-old Korean woman. (Korean J Dermatol 2008;46(1):109∼112)
피부 이완의 소견을 보인 상염색체 열성 2형 탄력섬유 가성황색종
황선욱 ( Seon Wook Hwang ),조경종 ( Kyung Jong Cho ),오두진 ( Doo Jin Oh ),이드보라 ( Deborah Lee ),김정욱 ( Jung Wook Kim ),박성욱 ( Sung Wook Park ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.10
Pseudoxanthoma elasticum is a rare, heritable disorder of elastic fibers characterized by yellowish, coalescing papules on the loose and wrinkled flexural skin. An 18-year-old man presented cutis laxa-like marked wrinkling on the axillae, trunk and thighs for about 10 years. There was no similar skin lesion on his family members and no other systemic involvement was found. Histopathological examination of the abdomen revealed fragmentation and calcification of elastic fibers in the middle and lower dermis. Von Kossa staining showed calcium deposition along the altered elastic fibers. Herein, we report a rare case of autosomal recessive pseudoxanthoma elasticum presenting generalized cutaneous laxity. (Korean J Dermatol 2007;45(10):1083∼1086)
황선욱 ( Seon Wook Hwang ),조경종 ( Kyung Jong Cho ),오두진 ( Doo Jin Oh ),이드보라 ( Deborah Lee ),김정욱 ( Jung Wook Kim ),박성욱 ( Sung Wook Park ) 대한피부과학회 2006 大韓皮膚科學會誌 Vol.44 No.12
A 17-year-old woman was stung by a jellyfish on her right lower leg in waters off the Korean coastline. The lesions presented as erythematous, painful patches and cleared-up within 2 weeks. However, 2 weeks later, erythematous band-like patches and crusts developed at the previous contact site and similar lesions occurred on non-contact areas. Histologic examination revealed hyperkeratosis, focal spongiosis in the epidermis and perivascular lymphohistiocytic infiltrate, with numerous eosinophils in the upper dermis. We report a case of jellyfish dermatitis which showed immediate toxic reaction and delayed cutaneous reaction following a jellyfish sting from a species present in Korea. (Korean J Dermatol 2006;44(12):1451~1453)