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우발적 국소성 가시세포분리성 이각화증의 소견을 보인 화농성 육아종
박화영 ( Hwa Young Park ),안석용 ( Seok Yong Ahn ),홍승필 ( Seung Phil Hong ),전수영 ( Soo Young Jeon ),박하나 ( Ha Na Bak ),이상훈 ( Sang Hoon Lee ),안성구 ( Sung Ku Ahn ) 대한피부과학회 2008 大韓皮膚科學會誌 Vol.46 No.12
Incidental focal acantholytic dyskeratosis (IFAD) has been described for various cutaneous lesions. A 58-year-old man presented with a purple colored, 5 mm crusted papule on the back. An excisional biopsy was performed and histopathological examination showed angiomatous tissue occurring in a discrete mass. It was enclosed by a collarette of acanthotic epidermis. The angiomatous tissue comprised a variably dilated network of blood-filled capillaries, which was surrounded by myxoid stroma. Hyperkeratosis, acantholysis, dyskeratosis and intraepidermal clefts were also focally present. Correlation of the clinical features and the histopathology results established a diagnosis of pyogenic granuloma showing IFAD. (Korean J Dermatol 2008;46(12):1664∼1666)
윤나영 ( Na Young Yoon ),홍승필 ( Seung Phil Hong ),전수영 ( Soo Young Jeon ),신지수 ( Ji Soo Shin ),안성구 ( Sung Ku Ahn ) 대한피부과학회 2011 大韓皮膚科學會誌 Vol.49 No.10
Background: According to developments in socioeconomic status and medical science, the population of aged individuals has significantly increased. Therefore, this group needs a fundamental epidemiologic survey of dermatologic diseases. Objective: The purpose of this study was to evaluate the prevalence of dermatologic diseases in the elderly and to compare with those of previous studies. Methods: 729 out-patients over 65 years of age who had visited the Department of Dermatology, Yonsei University Wonju Christian Hospital from January, 2004 to December, 2010 were analyzed retrospectively. Results: The elderly group over 65 years of age accounted for 9.7% of all new patients (729/7,532 cases). The ratio of males to females was 1 to 0.99 (366 cases: 363 cases). Patients between 65 and 69 years of age were the majority (36.2%). They visited the hospital most frequently in the summer (31.8%), especially August (11.0%). The most common disease was herpes zoster (10.5%), followed by fungal infection (10.3%), and allergic contact dermatitis (8.4%). Fungal infection was the most frequent disease in patients between 65 and 69 years old and herpes zoster was the most frequent disease between 70 and 79 years old. Scabies was the most frequent disease in patients over 80 years old. Pruritis was found in 9.7% and xerosis in 7.0%. Eczema was the most common disease group (in 22.0%) and the second mmost common was viral infection (12.3%). Conclusion: This study provides useful data on the prevalence and characteristics of dermatologic diseases in elderly Korean patients. (Korean J Dermatol 2011;49(10):887∼895)
윤나영 ( Na Young Yoon ),지재홍 ( Jae Hong Ji ),홍승필 ( Seung Phil Hong ),전수영 ( Soo Young Jeon ),안성구 ( Sung Ku Ahn ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.1
Aberrant breast tissue is a subset of accessory breast tissue, and it exhibits similar consistency to that of the adjacent normal breast tissue, but it lacks an associated nipple complex. It is a developmental anomaly defined as the persistence of breast tissue along the embryonic mammary line. Aberrant breast tissue is most commonly located in the axilla, though it may be present anywhere along the embryonic mammary line. We report here on an 11-year-old girl with aberrant breast tissue and acanthosis nigricans. She had tender masses that became noticeable with the onset of menarche and mottled hyperpigmentation on both axillae. The histopathologic finding of the lesion revealed the typical features of aberrant breast tissue with acanthosis nigricans. (Korean J Dermatol 2011;49(1):93~95)
갑상선기능항진증과 동반된 원발성 부갑상선기능항진증 1 예
정운태(Woon Tae Jeong),전수영(Soo Young Jeon),함희용(Hee Yong Hahm),황성보(Seong Bo Hwang),윤진일(Jin Il Yoon),박태준(Tae Joon Park),이영수(Young Soo Lee),고경수(Kyung Soo Ko),이병두(Byoung Doo Rhee),김홍주(Hong Joo Kim),조혜제(Hye J 대한내과학회 1994 대한내과학회지 Vol.46 No.3
Hypercalcemia secondary to hyperthyroidism is common, but hypercalcemia due to concomitant hyperthyroidism and hyperparathyroidism after medical treatment of hyperthyroidism is relatively uncommon. We experienced a patient who presented with primary hyperthyroidism [triiodothyronine 5.9 nmol/L (1.2~3.4), total thyroxine 276.7 nmol/L (64.4~180.2), and TSH 0.7 mU/L (2.0~8.0)] and hypercalcemia [3.6 mmol/L (2.1~2.6)]. In spite of the treatment of hyperthyroidism, hypercalcemia persisted and hypercalcemic crisis developed. The radioimmunoassay for parathyroid hormone showed high values [2.49, 3.93, 3.48 μg/L, (C-terminal 0~0.5)]. We performed subtotal thyroidectomy and parathyroid exploration, and confirmed right inferior parathyroid adenoma as the cause of persistent hypercalcemia. The patient is healthy without any medication after operation. While there are no clinical features which can make the differentiation easy between two groups: one with hyperthyroidism with secondary hypercalcemia and one with concomitant hyperthyroidism and hyperparathyroidism, in patients with hyperthyroidism and possible hyperparathyroidism, serum parathyroid hormone levels should be measured and surgical therapy should be considered.