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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)
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)
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)
여가활동 참여 만족도가 자아존중감에 미치는 영향요인 분석
이경재(Kyung Jae Lee),남궁선(Sun Nam Koong) 한국노인복지학회 2011 노인복지연구 Vol.0 No.53
본 연구는 노인의 정신건강의 중요성 인식 확산 및 다양한 여가활동 참여를 통한 신체적 건강 유지 노력, 지역중심의 여가복지 시설이 확대되는 시점에서 노인 여가시설 이용자들을 대상으로 자아존중감에 대해 스스로 어떻게 평가하고 있는지를 살펴보고, 이에 영향을 미치는 요인이 무엇인지 살펴보고자 하였다. 이에 서울지역 노인여가시설 이용자를 대상으로 심리적 만족, 신체적 만족 등의 하위변인으로 이루어진 여가활동 만족도 자기인식 요인과 인구통계학적 특성, 참여특성으로써 참여기간 요인들이 자아존중감에 영향을 미치는 요인들을 분석하였다. 분석 결과 심리적 만족, 건강상태, 여가활동 참여기간 등이 자아존중감에 대한 자기평가에 통계적으로 유의미한 영향을 미치는 것으로 나타났다. 즉, 여가활동 프로그램에 참여하는 노인들은 건강상태가 양호할수록, 참여기간이 길수록, 심리적 만족도가 높은 노인일수록 자아만족도에 대한 자기평가 수준이 긍정적인 것으로 나타났다. 이를 바탕으로 노인 여가시설 운영기관 및 종사자들은 우선적으로는 참여자들의 심리적 만족도를 높일 수 있는 다양한 프로그램을 서비스할 수 있는 방안에 대한 검토와 함께 노인들이 만족도에 대한 자기평가 수준은 낮지만 노인들의 신체적 만족도를 높일 수 있는 다양한 서비스 개발이 요구된다고 할 것이다. This study has the aim of examining how the users of the facilities of the leisure of the aged have been evaluating the sense of self-respect at the time when the leisure and welfare facilities centered on the local society have been expanded on the sense of self-respect with the users of the facilities. And at the same time this study analyzed the main causes of the effects of the self-understanding on the degree of the satisfaction in the area of the city of Seoul The results of the analyses have showed that psychological satisfaction, health condition and the period of participation at the leisure activities have been affecting significantly and statistically self-evaluation showing that when they have good health condition, long period of participation or higher degree of psychological satisfaction, the level of self-evaluation on the degree of self-respect has showed to have been affirmative. Based on such results, the organizations and their employees should examine the ways how to serve diverse programs to be able to elevate the degree of psychological satisfaction of the participants preferentially and at the same time what has been requested was the development of diverse service that can elevate the degree of physical satisfaction of the aged
정경은 ( Kyoung Eun Jung ),남궁선 ( Koong Sun Nam ),정지민 ( Ji Min Chung ),박종욱 ( Jong Wook Park ),김명화 ( Myung Hwa Kim ),신용우 ( Yong Woo Cinn ),노기웅 ( Ki Woong Ro ) 대한피부과학회 2009 大韓皮膚科學會誌 Vol.47 No.5
Milker`s nodule is a harmless skin lesion that`s caused by the paravaccinia virus (also called pseudocowpox virus), which is a member of the genus Parapoxviridae. It occurs worldwide, but it is prevalent only in individuals who are in close contact with cattle. We report here on a woman who presented with a dusky purpuric center surrounded by a white or gray ring and an outer red halo on the back of the right hand. Histologically, intracytoplasmic inclusion bodies were evident in the upper epidermis, and these revealed cylindrical virus particles on electron microscopy. Parapoxvirus was identified by polymerase chain reaction with using pan-parapoxvirus primer 1 (PPP-1) and PPP-4. (Korean J Dermatol 2009;47(5):625~628)
치아 결손과 나비뼈 섬유성 이형성증을 동반한 Becker 모반 증후군
정경은 ( Kyoung Eun Jung ),남궁선 ( Koong Sun Nam ),정지민 ( Ji Min Chung ),박종욱 ( Jong Wook Park ),김명화 ( Myung Hwa Kim ),신용우 ( Yong Woo Cinn ),노기웅 ( Ki Woong Ro ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.5
Becker nevus syndrome is a phenotype characterized by the presence of a Becker nevus in association with unilateral hypoplasia of the breast or other cutaneous, muscular or skeletal defects. We report an interesting case of Becker`s nevus syndrome associated with fibrous dysplasia of the sphenoid bone, tooth abnormalities and facial asymmetry. (Korean J Dermatol 2009;47(5):596~599)
중심원심성 윤상 홍반 양상을 보인 전신성 환상 육아종 1예
정경은 ( Kyung Eun Jung ),남궁선 ( Sun Nam Koong ),정지민 ( Ji Min Chung ),박종욱 ( Jong Wook Park ),박병철 ( Byung Cheol Park ),김명화 ( Myung Hwa Kim ),신용우 ( Yong Woo Cinn ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.6
Granuloma annulare (GA) is usually a benign, self-limiting, granulomatous, chronic dermatosis of an unknown cause, characterized by skin colored papules that often have an annular configuration. Generalized granuloma annulare (GGA) is an uncommon variant of GA, and this is characterized by disseminated papules on the trunk and limbs. We report here on an interesting case of GGA that clinically presented as erythema annulare centrifugum. (Korean J Dermatol 2009;47(6):746∼748)
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)
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)