당뇨병 및 간병변증 환자에서 발생한 Fusarium verticllioides에 의한 피부 감염 1예

이석종,전영민,원지연,송은섭,최용우,김한욱 예수병원 1998 예수병원학술지 Vol.19 No.-

당뇨병 및 간경변증 환자에서 발생한 Fusarium verticillioides에 의한 피부 감염 1예

이석종,전영민,원지연,송은섭,최용우,김한욱 대한의진균학회 1997 대한의진균학회지 Vol.2 No.1

Fusarum species, which are common soil saprophytes, have been implicated as a pathogen causing a variety of opportunistic infections such as keratitis, onychomycosis, burn wound infection or disseminated systemic infections in immunocompromised hosts. We report a case of cutaneous infection caused by F. verticillioides in a 59-year-old man, with a long history of diabetes mellitus and alcoholic liver cirrhosis. He presented with a few papules and fluctuant cutaneous nodules on both forearms traumatized by woodstick 4 months ago. The diagnosis of F. verticillioides infection was established by histopathologic examination and findings of tissue cultures.

노인 인구에서 신경인지기능저하와 혈청 지질농도와의 상관성

유영선,최석주,정성수,김지은,윤성욱,전동욱,백준형,박성우,이정구,추일한,김영훈 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.6

Objectives : In this study, the authors evaluated the correlation between eurocognitive impairments and serum lipids levels among Korean elderly over the age of 65. Methods : A total of 609 elderly individuals participated in this study. Screening for cognitive impairments were carried out using the Mini-Mental Status Examination-Korean version (MMSE-KC). There were 197 subjects above 1.5SD Of MMSE- KC and they were evaluated using the Korean versions of the Consortium to Establish a Registry for Alzheimer's Disease (AD) (CERAD-KC) and Geriatric Depression Scale (GDS-K). Results : There was a correlation between old age/low levels of education and AD (p<0.05, P<0.01). There was an inverse correlation between the serum level of total cholesterol and the word list recognition test scores. The serum levels of LDL cholesterol were inversely correlated with the scores on the constructional praxis test, word list recall test and word list recognition test. Inverse correlations between the serum level of triglyceride and scores on the word list recall test and word list recognition test were also observed. Conclusion : There were inverse correlations between the serum levels of lipids and language/memory function in subjects with AD.

한국형 우울장애 약물치료 알고리듬 2006 (Ⅲ) : 정신병적 양상을 동반한 주요우울삽화

김원,박원명,서정석,민경준,석정호,전덕인,전현태,이상열,송해철,홍진표,한국형 우울장애 약물치료 알고리듬 2006 연구그룹 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Since the publication of Korean Medication Algorithm Project for Major DepressiveDisorder (KMAP-MD) in 2002, there has been a substantial need for a revision due to rapid progress in the pharmacological management of depressive disorder. We revised KMAP-MD 2002 and developed the Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD) 2006. Methods : We developed a questionniare for surveying the opinion of experts on pharmacotherapy of depressive disorder. The questionnaire consisted of 4 parts ; 1) treatment of non-psychotic depressive disorder, 2) treatment of psychotic de-pressive disorder, 3) treatment according to clinical subtypes and drugs choice considering adverse effects, and 4) treatment of depressive disorder in women. The questionnaire was completed by the review committee consisting of 101 experienced Korean psychiatrists. It is composed of 22 questions, and each question includes 54 sub-items. We classified the expert opinionto 3 categories (the first-line, the second-line, or the third-line) by χ²-test. Results : For depressive disorder with psychotic features, most reviewers prefer the combination of antidepressant and atypical antipsychotics. Electroconvulsive therapy and the combination of antidepressant and typical antipsychotics were the second-line treatment. Among antidepressants, venlafaxine was the most preferred, and SSRI and mirtazapine followed. Among atypical antipsychotics, quetiapine, risperidone and olanzapine were the most preferred, in this order. In patients who have no response to the first-line treatment, many reviewers recommended switching to another antidepressant or adding another atypical antipsychotics Conclusion : For severe depressive disorder with psychotic features, the combination of antidepressant and atypical antipsy-chotics was preferred for the first-line treatment. These results suggest that the medication strategies of depressive disorder are rapidly changing and reflects the recent studies and clinical experiences.

골반내에 발생한 Proximal-type 유상피성 육종 1예

길준철,이상수,전병화,김성훈,손우석,목정은,박양순,강길현 대한부인종양 콜포스코피학회 2003 Journal of Gynecologic Oncology Vol.14 No.4

유상피성 육종은 매우 드문 악성 연조직 육종으로, 전형적인 경우들은 주로 젊은 남성의 수부, 전완부와 같은 신체의 원위부에 피하 혹은 심재성 피부 종괴로 발생하며, 조직학적 소견상 적은 비정형성을 나타내는 유상피성 세포와 방추형 세포의 증식에 의한 다발성 결절 형태의 배열을 보인다. 최근에 전형적인 유상피성 육종과 조직학적 유사성을 가지나 더 공격적인 형태인 proximal-type 유상피성 육종이 보고되었으며, proximal-type은 전형적인 유상피성 육종에 비하여 현저한 유상피성 세포의 발현과 매우 심한 비정형성을 나타내며, 세포가 매우 크고, 소포성 핵과 뚜렷한 핵소체를 보이며, 자주 rhabdoid 세포의 양상을 띈다. 임상적으로는 전형적인 형태에 비하여 호발 연령이 조금 늦고, 주로 체간부에, 특히 골반, 회음부, 생식기 등과 같은 심부에 발생하고, 더욱 공격적인 양상을 나타낸다. 저자들은 13세 소녀에서 원발부위를 알 수 없는, 골반내에 발생한 proximal-type 유상피성 육종 1예를 경험하여, 문헌 고찰과 함께 보고하는 바이다. Epithelioid sarcoma is a rare malignant soft-tissue sarcoma with an unknown histiogenesis, typically presenting as a subcutaneous or deep dermal mass lesion in the distal portions of the extremities of young adults. Recently, a more aggressive, so-called 'proximal-type' epithelioid sarcoma has been reported. In contrast to conventional epithelioid sarcoma, the proximal type is characterized by a predominantly large cell epithelioid cytomorphology, marked cytologic atypia, and frequent occurrence of rhabdoid features in most patients. Proximal-type epithelioid sarcoma has a predilection for appearing in the genitalia, especially the vulva, penis, pelvis and buttocks. Also this lesion appears to be somewhat more aggressive or at least metastasizes earlier than the conventional epithelioid sarcoma. We report a 13-year-old girl who presented with a buge mass filling the pelvic cavity which was painful, hard and fixed on palpation, and was radiologically diagnosed as a malignant germ cell tumors on the CT scan. The mass was surgically excised and pathologically proved to be an proximal-type epithelioid sarcoma of unknown origin.

Helicobacter pylori와 대장균의 Shuttle Vector 개발

조명제,이우곤,이상룡,김경희,안영숙,김성희,김현주,류복덕,최여정,윤영혜,백승철,전영석,이광호 경상대학교 유전공학연구소 1997 遺傳工學硏究所報 Vol.16 No.-

In this study, a vehicle vector using cryptic plasmids was constructed for gene transfer in Helicobacter pylori. pHP51(3.9 kb) and pHP489(1.2 kb) were selected for constructing vectors from cryptic plasmid of H. pylori isolates in Korea. The HindⅢ-digestedDNA fragment(1.2kb) of pHP489 and 1.6kb DNA fragment of pHP51 were ligated with a kanamycin resistance gene(aph3'-Ⅲ) from C. jejuni to produce the recombinant plasmids pHP489K and pHP51K, respectively. Transformation frequency of pHP51K by electroporation was low. But pHP489K could be effectively transformed into various H. pylori strains. In order to design an intermdiate vehicle vector for gene transfer into H. pylori, pBlueHP489K was prepared by recloning pHP489K DNA into pBluescript and pTZ19R vector. This vector permitted the DNA fragment containing pHP489 sequence, aph3'-Ⅲ, and cloned DNA to be cut and self-ligated in the SacⅠ site after cloning. ureA and ureB gene were inserted into pBlueHP489K, resulting in pBlueHP489K/AB. The DNA fragment containing pHP489, kanamycin resistance gene(aph3'-Ⅲ), and urease structural gene was cut away from pBlueHP489K/AB and self-ligated to generate pBlueHP489K/AB. pBlueHP489K/AB made urease-negative H. pylori strains restore their urease activity. By this experiment, pBlueHP489K was confirmed to be the vehicle system for transferring H. pylori genes.

한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

Letters to the Editor : Bilateral Segmental Neurofibromatosis on the Face

( Woo Seok Jeon ),( Hei Sung Kim ),( Sang Hyun Cho ),( Jeong Deuk Lee ) 대한피부과학회 2015 Annals of Dermatology Vol.27 No.1

Letter to the Editor : Dermatofibroma on the Lip

( Woo Seok Jeon ),( Ji Hyun Lee ),( Tae Yoon Kim ) 대한피부과학회 2014 大韓皮膚科學會誌 Vol.52 No.12

Dermatofibroma (benign fibrous histiocytoma) can occur at various sites on the body surface with a predilection for the extremities1. However, involvement of the oral mucosa, especially of the lip, is very uncommon1. To our knowledge, only seven cases of dermatofibroma on the lip have been reported in the English literature (Table 1), and it has been rarely reported in the Korean literature2. Here, we report a case of a dermatofibroma on the upper lip. A 32-year-old woman presented with solitary nodule on the upper lip. She had an accidental lip biting injury 1 year previously. Several weeks after the minor trauma on the upper lip, she noticed an asymptomatic slow-growing solitary nodule at the bite site. Physical examination revealed a 7-mm, fixed rubbery nodule on the upper lip (Fig. 1A). The lesion was initially suspected as a mucocele or traumatic fibroma. Excisional biopsy was performed. Histologically, hyperplastic epidermis and a poorly circumscribed dermal tumor, which are separated by a Grenz zone from the epidermis, were observed (Fig. 1B). The tumor consisted of fibroblast-like spindle cells and histiocytes arranged in storiform pattern that intermingled with collagen fibers (Fig. 1C). Immunohistochemical staining for CD34, CD68, and factor XIIIa was performed. CD34 was negative in the fibroblastic spindle tumor cells and positive in vessels (Fig. 1D) CD68 was positive in the fibroblasts and histiocytes (Fig. 1E); and factor XIIIa was focally positive in the histiocytes (Fig. 1F). These findings were consistent with dermatofibroma. Dermatofibroma arising on the lip is very rare; therefore, it can preclude accurate clinical diagnosis. On the basis of this case, we suggest that dermatofibroma should be considered in the differential diagnosis of a nonulcerative nodule on the lip. One previously reported case was also associated with a history of trauma3. The pathogenesis of dermatofibroma has been controversial, as a reactive or inflammatory trigger by mechanical stimuli may contribute to its development4. Our case indicated the influence of a preceding traumatic episode, which tends to support the view that the disease arises from a reactive rather than a neoplastic process. However, it is still unclear whether dermatofibroma is a true neoplasm or a reactive hyperplasia. Simple excision is the definite treatment of dermatofibroma5; however, careful clinical follow-up is recommended because facial dermatofibroma has a high recurrence rate5.

Comparison of Anatomical Characteristics for Wood Damaged by Oak Wilt and Sound Wood from Quercus mongolica(참나무시들음병 신갈나무 피해목과 건전목의 해부학적 특징 비교)

( Woo-seok Jeon ),( Hyun-mi Lee ),( Ji-hyun Park ) 한국목재공학회 2020 목재공학 Vol.48 No.6

본 연구에서는 참나무시들음병에 감염된 신갈나무의 기초자료를 확보하기 위하여, 해부학적 특징을 비교·분석하고자 하였다. 해부학적 특징을 비교하기 위해, 감염목, 고사목 및 건전재 신갈나무를 수에서부터 10∼50번째 연륜까지 10연륜 단위로 광학현미경과 주사전자현미경을 이용하여 관찰하였다. 목섬유 길이는 수에서부터 5연륜 단위로 측정하였고, 도관요소 직경 및 타일로시스를 포함한 도관의 비율은 10연륜별로 측정하였다. 횡단면 관찰 결과, 감염목과 고사목에서는 도관 내강에서 티일로시스와 함께 균사체가 관찰되었다. 목섬유 길이 및 도관요소 직경은 조사목 간 큰 차이를 보이지 않았다. 목섬유 길이는 미숙재 부위인 20∼30연륜 이후 안정화되는 경향을 보였다. 타일로시스를 포함한 도관의 평균 비율은 감염목이 가장 높았고 특히, 감염목과 고사목은 40∼50연륜에서 타일로시스의 비율이 가장 높았다. 이를 통하여, 참나무시들음병 피해목과 건전재간에 큰 차이는 타일로시스의 비율로 생각되며, 피해목 이용에 있어 기초자료로 활용 가능할 것이라 사료된다. The aim of this study was to investigate the anatomical characteristics of Quercus mongolica infested by oak wilt disease. To analysis the anatomical characteristics of the wood specimens infested by the oak wilt, the anatomical structures of an infected wood, a dead wood, and sound wood were observed at 10-year-old intervals from 10 to 50 annual rings using both an optical and a scanning electron microscope. The fiber length was measured in units of 5 annual rings from the pith, and the diameter of the vessel element and the ratio of the vessel including the tyloses were measured for each 10 annual ring. In the cross section, on the infected and dead wood specimens, mycelium was also observed with the tyloses in the vessel. There was no signification difference between the wood specimens in the fiber length and the vessel diameter of the vessel element. The fiber length was not difference after 20-30 annual rings which is a part of juvenile wood. The average of the vessel ratio including tyloses in the infected wood was the highest. Especially, the ratio of tyloses was the highest 40-50 annual rings in the infected wood and the dead wood. Therefore, the large difference between the infested wood by oak wilt and the sound wood was the ratio of tyloses. This result can be used as a basic data to utilize the infested wood.