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지민선,김형훈,장성은,최지호,성경제,문기찬,고재경 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.11
Lichen sclerosus et atrophicus is a benign, chronic inflammatory dermatosis with multifactorial origin. It is most common in the vulvar and perianal areas, but it may involve any other area, rarely face, oral mucosa, and palm and sole. Especially, lichen sclerosus et atrophicus on face is more difficult in diagnosis due to atypical location and may be confused with morphea, discoid lupus erythematosus, vitiligo, and atophic scar. We, herein, present a case of facial lichen sclerosus et atrophicus with central brownish atrophic change in a 21-year-old man. The lesion showed atypical clinical feature and unusual location. But histologic examination revealed typical features of lichen sclerosus et atrophicus.
지민선,최혜진,최지호,성경제,문기찬,고재경 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.4
Mucormycosis is a rare and opportunistic infection usually associated with hematologic diseases, diabetes mellitus, renal failure, solid tumors, and organ transplantations. We present here a considered case of disseminated rnucormycosis in renal transplant recipient. A 60-year-old man who had undergone second kidney transplantation for a month visited emergency room due to 5 day history of cough with spiking fever and abnormal mental status and vital signs were rapidly deteriorated. Septic shock was suspicious. He was admitted to ICU and treated with broad spectrum antibiotics and antiviral agents, but there was no improvement. A few days later, several large hemorrhagic blisters and purpura occurred on the face, trunk and both lower extremities. The histopathologic examination from skin specimen revealed large, broad, nonseptate hyphae branched at right angles in the dermis and blood vessels, which was consistent with mucormycosis. But the skin culture for fungus was negative. He had had no skin trauma history and evidence. So we considered the disseminated mucormycosis from unknown primary origin. He died of progressive respiratory failure before antifungal treatment. (Korean J Dermatol 2003;41(4) : 50l-504)
지민선,이득표,장성은,최지호,성경제,문기찬,고재경 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.3
Acquired fibrokeratoma is a rare, benign tumor which occurs most frequently on the fingers. Because of the digital predilection, a term of digital fibrokeratoma has been frequently used. We present here two cases of acquired fibrokeratoma occurring on the prepatellar area and the proximal nail bed which are unusual sites of this lesion. A skin-colored, hyperkeratotic tumor with finger-like projection was found on the prepatellar area of a 29-year-old man and a round pedunculated nodule was found on the proximal nail bed of the second finger of a 74-year-old woman. Histopathologic examination revealed typical features of acquired fibrokeratoma. (Korean J Dermatol 2003;41(3) : 403∼405)
지민선,서호석,최지호,성경제,문기찬,고재경 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.7
Mondor's disease is an uncommon superficial thrombophlebitis, usually of thracoabdominal wall. The exact cause is unclear, but it is suggested that the trauma, strenous exercise, breast surgery are often associated. Clinically, it is characterized by a palpable, tender, linear cutaneous groove and it is always almost unilateral. We report a case of bilateral Mondor's disease. 49 year old female presented a cord like subcutaneous lesion on right thoracoabdomial wall. She had a history of strenous exercise for several weeks. Histologic exam reveals thrombophlebitis. A week later, the patient had another same linear subcutaeous lesion on left abdomen.
지민선,김형훈,이미우,최지호,성경제,문기찬,고재경 대한피부과학회 2002 대한피부과학회지 Vol.40 No.12
Clear cell sarcoma is a rare malignant soft tissue neoplasm with unknown oringin. It is slow growing tumor, but uncommonly, it shows rapidly progressive course. In Korea, there has been rare case of clear cell sarcoma especially with systemic metastasis, We herein present a case of clear cell sarcoma rapidly progressing with systemic metastasis. She had a deep seated nodule on left heel and inguinal and abdominal lymphadenopathy at the initial presentation. While chemotherapy, acute renal failure occurred and it was suspicious from abdominal ultrasono that both kidneys were invaded with clear cell sarcoma. She died with repiratory failure. (Korean J Dermatol 2002;40(12) : 1591∼1593)
놀이치료자의 수퍼비전 경험 횟수가 역전이 관리능력에 미치는 영향에서 자기성찰의 매개효과
지민선,진미경 한국아동심리치료학회 2022 한국아동심리치료학회지 Vol.17 No.3
The purpose of this study is to verify the mediating effects of self-reflection in the influence of supervision experiences on countertransference management ability of play therapists. For this purpose, The Supervision Experience Questionnaire, Counselor Self-Reflection Scale, and Countertransference Factors Inventory(CFI) were used. The subjects of this study are 138 play therapists who have received the individual supervision at least three times. The results of this study can be summarized as follows. First, play therapists’ supervision experiences, the total score of Self-reflection and its sub-factors (self-understanding of counselor, counselor-client interaction), countertransference management ability had a positive correlation. Second, the total score of Self-reflection and its sub-factors (self-understanding of counselor, counselor-client interaction) had significant mediating effects on the relationships between play therapists’ supervision experiences and countertransference management ability. In conclusion, this study confirmed the mediating effects of self-reflection in the influence of supervision experiences on countertransference management ability of play therapists. Through this, the importance of the self reflection training in the play therapists’ supervision scene can be suggested.